75th OREGON LEGISLATIVE ASSEMBLY--2009 Regular Session
NOTE: Matter within { + braces and plus signs + } in an
amended section is new. Matter within { - braces and minus
signs - } is existing law to be omitted. New sections are within
{ + braces and plus signs + } .
LC 1019
House Bill 2144
Ordered printed by the Speaker pursuant to House Rule 12.00A (5).
Presession filed (at the request of Governor Theodore R.
Kulongoski for Department of Human Services)
SUMMARY
The following summary is not prepared by the sponsors of the
measure and is not a part of the body thereof subject to
consideration by the Legislative Assembly. It is an editor's
brief statement of the essential features of the measure as
introduced.
Requires specified state agencies and commissions to
participate in wraparound initiative for provision of youth
services. Establishes core values and principles of initiative.
Imposes requirements on state agencies to implement and sustain
initiative, to ensure cultural competence in provision of
services and to collect and evaluate data.
Authorizes pooling of resources from partner agencies.
Establishes Children's Wraparound Initiative Advisory Committee
and requires committee to report annually to Governor and
Legislative Assembly on implementation of initiative.
Sunsets January 2, 2020.
A BILL FOR AN ACT
Relating to systems of care for youth.
Be It Enacted by the People of the State of Oregon:
SECTION 1. { + As used in sections 1 to 5 of this 2009 Act:
(1) 'Cultural competence' means accepting and respecting
diversity and differences in a continuous process of
self-assessment and reflection on one's personal and
organizational perceptions of the dynamics of culture.
(2) 'Partner agency' includes the Department of Education,
Oregon Youth Authority, Department of Human Services and State
Commission on Children and Families.
(3) 'System of care' means a system for education, child
welfare, public health, primary care, pediatric care, juvenile
justice, mental health and substance use disorder treatment and
developmental disability services that incorporates a broad,
flexible array of services and supports for a target population,
and that is organized into a coordinated network, integrates care
planning and management across multiple levels, is culturally and
linguistically competent, builds meaningful partnerships with
families and youth in service delivery, management, and policy
levels and has supportive policy and management infrastructure.
(4) 'Target population' means youth who have or are at risk of
developing emotional, behavioral or substance use related needs,
and who are involved with two or more systems of care.
(5) 'Wraparound' means a definable planning process involving a
youth and the youth's family, that results in a unique set of
community services and natural supports individualized for that
youth and family to achieve a positive set of outcomes.
(6) 'Youth' means an individual under 19 years of age. + }
SECTION 2. { + Partner agencies shall participate in a
wraparound initiative in which the core values and principles
include all of the following:
(1) Wraparound efforts should not focus solely on high-needs
youth, but also be designed to achieve successful early
intervention strategies.
(2) Family and youth perspectives shall be intentionally
elicited and prioritized during all phases of the wraparound.
Planning shall be grounded in the perspective of the family
members, and the wraparound team shall strive to provide options
and choices so that the plan reflects the family's values and
preferences. The system of care shall be guided by the youth and
family, with the needs of the youth and family driving the types
and mix of services provided.
(3) The wraparound team shall include individuals agreed upon
by the family and committed to the family through informal,
formal and community support and service relationships.
(4) The wraparound team shall actively seek out and encourage
the full participation of team members who are drawn from the
family's networks of interpersonal and community relationships.
The plan shall include activities and interventions that draw on
the family's sources of natural supports.
(5) Wraparound team members shall work cooperatively and share
responsibility for developing, implementing, monitoring and
evaluating a wraparound plan. The plan must reflect a blending of
the perspective, mandate and resources of each team member. The
plan shall guide and coordinate each team member's work toward
meeting the team's goals.
(6) The wraparound team shall implement service and support
strategies in the most inclusive, most responsive, most
accessible and least restrictive settings practicable. The
strategies shall safely promote youth and family integration into
home and community life. The system of care must be community
based, with the focus of services and supports, as well as
management and decision-making responsibility, resting on the
community level.
(7) The wraparound shall demonstrate respect for and build on
the values, preferences, beliefs, culture and identity of the
youth and family, and their community. The goal of the system of
care shall be a community of support for each youth and family,
that honors the family's sense of its own culture.
(8) The wraparound team must develop and implement a customized
set of strategies, supports and services to achieve the goals of
the wraparound plan. Each system of care must ensure that
individuals are treated respectfully, compassionately and
effectively in a manner that recognizes, affirms and values the
worth of youth, families and communities, protecting and
preserving the dignity of each.
(9) The wraparound process and plan shall identify, build on
and enhance the capabilities, knowledge, skills and assets of the
youth and family, their community and other team members.
(10) The wraparound team shall persist in working toward the
goals of the plan until the team agrees that the formal
wraparound process is no longer required.
(11) The wraparound team must tie the goals and strategies of
the plan to observable or measurable indicators of success, shall
monitor progress in terms of the indicators and shall make
revisions to the plan accordingly. + }
SECTION 3. { + To the extent practicable within existing
resources, by the year 2015 partner agencies, individually and
collectively, shall:
(1) Implement and sustain the wraparound initiative by:
(a) Connecting services and supports across lifespan and
developmental stages.
(b) Building local governance structures to implement systems
of care at the local level.
(c) Managing care through coordination at the local level.
(d) Storing coordinated service-related information in an
electronic record.
(e) Establishing a basic benefit package that is universally
accessible for the target population.
(f) Authorizing services and supports from the benefit package
based on individual plans of care.
(g) Allowing communities to expand the benefit package to suit
local needs.
(h) Establishing a workforce development process to translate
policy into practice through service delivery.
(i) Establishing key roles and responsibilities among multiple
partner agencies.
(2) Ensure cultural competence in the provision of services by:
(a) Adopting a uniform standard that allows state and local
agencies to describe culturally appropriate services and supports
in a system of care context.
(b) Ensuring that youth and families receive understandable and
effective care provided in a manner compatible with their
cultural beliefs, practices and language.
(c) Developing and implementing a process to review traditional
practices accepted by diverse communities.
(d) Identifying ways to continually improve culturally
competent care and implementing a statewide system that reflects
culturally competent practices.
(3) Collect and evaluate data by:
(a) Creating one or more committees to review and select
outcome or performance measures and benchmarks for the wraparound
initiative.
(b) Developing mechanisms to evaluate partner agencies'
collaboration on the data needs of the initiative.
(c) Creating standard agreements for sharing data.
(d) Developing and maintaining a two-tiered data system that
allows local entities to share real time data and that allows the
state to evaluate the quality and success of local implementation
and the wraparound initiative as a whole.
(e) Implementing workforce development strategies designed to
achieve identified outcomes and performance measures. + }
SECTION 4. { + (1) Partner agencies have the authority to
combine state, federal and private resources into a single
funding pool to support implementation of systems of care and
integrated service delivery at the local level.
(2) Partner agencies may seek any federal approval or waiver of
federal requirements that is necessary to facilitate the pooling
of resources under this section. + }
SECTION 5. { + (1) There is established the Children's
Wraparound Initiative Advisory Committee consisting of members
appointed by the Governor and representing partner agencies,
local service providers, youth and the family members of youth.
The committee shall assist in the implementation of the
wraparound initiative described in section 2 of this 2009 Act.
(2) The Children's Wraparound Initiative Advisory Committee
shall report annually to the Governor and the Legislative
Assembly on the progress toward full implementation of the
wraparound initiative. + }
SECTION 6. { + Sections 1 to 5 of this 2009 Act are repealed
on January 2, 2020. + }
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