Submittal to the Board of Supervisors County of Riverside, State of California Item: 3.28

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lntroduction ofthe Suicide Prevention Plan: Staff from Prevention and Early lntervenlion (PEl) introduced the "Building Hope and Resiliency - A Collaborative Approach to Suicide Prevention in Riverside County" Plan. The plan was officially adopted by the Board of Supervisors a day earlier.

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The Civil Grand Jury recommends the Board of Supervisors focus on creating a more connected syslems approach (inclusive of all County agencies) for County residents seeking resources. Consider implementation and enhancement of "one-stop shop" strategies from proven, evidence-based, government administration models by bringing together County services in one location that can benefit all residenls in accessing healthcare, transportation, referrals, and services. Response: lmplemented The Riverside County Behavioral Health Commission (BHC) acknowledges and appreciates the recommendation of the Civil Grand Jury to focus on a more integrated systems approach for our county residents seeking resources. We concur that creating a'one-stop shop'strategy that consolidates County services in one location is a prudent and eflicient approach to better serve our residents. As an advisory body committed to ensuring citizen and professional input and involvement in all aspects of Department Services, the BHC's mandate includes reviewing and evaluating our community's mental health needs, services, facilities, and unique challenges. With our advancements toward an lntegrated Service Delivery (lSD) model, il's evident that Riverside County is making strides toward a holistic and person-centered care model, echoing the values the BHC upholds. An ISD pilot at Jurupa Valley Community Health Center, which merges services across RUHS- Behavioral Health, Public Heallh, Medical Center, DPSS, First 5 Riverside, Office on Aging, RCIT, and other departments, is a testament to the County's commitmenl to this goal. We are optimistic that the ISD model, emphasizing data-driven decisions and tailored integration strategies, will significantly enhance the service delivery experience for our residents. Given the importance and potential impact of the ISD model, the Behavioral Health Commission believes that our stakeholders and lhe public should be regularly informed and involved in its progress and oulcomes. Therefore, we have scheduled an ISD presentation/update at the November 1, 2023, BHC meeting. This presentation will serve as an opportunity {or lhe Commission and the public to be updated on the ongoing advancements, challenges, and successes of the ISD model. Furthermore, we will incorporate findings from the ISD developments into our annual report, as part of our mandate to inform the governing body on the needs and performance of the county's behavioral health system. This will ensure a consistent feedback loop and accountability mechanism as we work loward enhancing the county's servace delivery approach. We support and will continue to play an active role in the County's initiatives toward a more integrated service approach for the betterment of our community.

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The Civil Grand Jury recommends the Board of Supervisors to continue supporting and enhancing the implemenlation of model suicide prevention programs and strengthen existing programs that foster social emotional growth, trauma-informed praclices, continuity of care, and a continuum of crisis services across the County. Specifically, enhance applicable programs and services within Riverside County Suicide prevention Coalition (to expand services), Housing Authority ofthe County of Riverside (to stabilize housing), Riverside County Office on Aging (to assist older adults), and the Youth Commission and its five Youth Advisory Councils (to advise the Board of Supervisors on youth suiclde prevention). Response: lmplemented ln response to the Civil Grand Jury's recommendation on suicide prevention and wellness in Riverside County, the Behavioral Health Commission (BHC) has been actively aligning our oversight and advisory roles with the community's needs. We have convened to discuss these topics extensively and are committed to ensuring lhey remain a focus in future deliberations. Summary of lmpl€mented Action in Response to Recommendation: We confirm our alignment with the Civil Grand Jury's recommendation, having already undertaken significant actions aligned with its objectives. The Behavioral Health Commission (BHC) has engaged in rigorous discussions during its meetings, with plans lo delve further into these topics in upcoming sessions. Past Meeting Highlights: Highlights from the 91112021 BHC Meeting on Suicide Prevention: 1. lntroduction ofthe Suicide Prevention Plan: Staff from Prevention and Early lntervenlion (PEl) introduced the "Building Hope and Resiliency - A Collaborative Approach to Suicide Prevention in Riverside County" Plan. The plan was officially adopted by the Board of Supervisors a day earlier. 2. Background of the Plan's Development: Ms. Brown detailed the evolution of lhe plan, mentioning notable milestones such as: o CDC's June 2018 report on "Preventing Suicide - A Technical Package of Policy, Programs, and Practices.' o Riverside County's participation in the Suicide Prevention Learning Collaborative in November 2018. c Partnership with various Riverside County institutions to develop a suicide risk assessmenl tool for schools in January 2019. o Riverside County Suicide Prevention Stakeholder meetings in July 2019. c Release and subsequent adoption of the "Building Hope and Resiliency' Plan in June and September 2020, respectively. 3. Plan Overview: PEI slaff elaborated on the plan's foundation, which integrates various national documents, local data, and feedback from Riverside County stakeholders. The plan emphasizes: o A suicidal crisis path model that encompasses upstream, prevention, intervention, and measures. o Three levels of inlervention: Universal, Selective, and lndicated. o Overarching strategic approaches like: . Building lnfrastructure and Support. . Effective Messaging and Communications. . Measudng and Sharing Outcomes. 4. Supporting Strategic Approaches: The Plan also incorporates additional strategic tactics specilic to each component of the suicidal crisis path, such as: o Upstream: Focusing on fostering healthy and connected communilies and promoting resiliency. c Prevention: Emphasizing the importance of training community groups and engaging with schools. o lntervention: Ensuring salely around means and integrating suicide prevention in health services. o Postvention: Offering coordinated responses following a suicide, supporting affected individuals, and recognizing the need for postvention efforts in Riverside CountY. 5. Coalition Recruitment: The PEI manager announced recruitment efforts for the Coalition and invited interested members to contribute towards actualizing the plan. 6. September Recognitions: The PEI manager mentioned the Board of Supervisors acknowledgment of September as National Recovery Month. PEI has initiated a virtual campaign focusing on suicide prevention and mental health, with events listed on the Up2Riverside landing page. The global communily will commemorate World Suicide Prevenlion Day on September'10 by lighting candles to remember lives losl to suicide. Highlights from the 91112021 BHC Meeting on Suicide Prevention: 1. Suicide Prevention Monlh Activities: The meeling covered various scheduled events, including Suicide Prevention Week, World Suicide Prevention Day, and the observance of National Recovery Month. 2. Meeting Theme: The central focus of the discussion was "Supportive Transitions - Reconnect, Re-enter, and Re-build." 3. Resource Distribution: Physical and virtual toolkits were disseminated to promote engagemenl, spread awareness, and offer preventive measures. 4. Pharmacist lnitiative: The commission revealed a new initiative to incorporale pharmacists in suicide prevention. 5. Coalition Updates: The Suicide Prevention Coalition, with the PEI manager as a co- leader, has held quarterly meetings since October 2020. 6. Sub-Committee Formations: Several sub-committees have been established within the Coalition to facilitate in-depth exploration of strategies and objectives. Highlights lrom 41612022 BHC Meeting on Suicide Prevention: 1. Subcommittee Overview: A comprehensive rundown was provided on the Suicide Prevenlion Coalition's sub-committee, particularly emphasizing their work related to postvention. 2. lntroduclion to "Suicidal Crisis Path": The attendees were introduced to the "suicidal crisis path' concept, complemented by an exposition of the multi-layered inlervention levels. 3. Addr6ssing Postventlon:The meeting spotlighted postvention response and -the supporl offered in the aflermath of a suicide. 4. Parlnership with TIP: The board declared ils collaboration with the Trauma lntervention Program (TlP), aiming to assist suicide loss survivors and provide immediate postuention services. 5. Other lnitiatives: Apart from the primary topics, the meeting delved inlo various ongoing initialives. These included webinars, training modules, and social media campaigns tailored for suicide prevention. Evolution of BHC's Strategy Through Discussions and Updates Our continuous deliberations, updates, and discussions in BHC's past meelings have been instrumental in shaping a comprehensive strategy for Riverside County. These focused engagements have steered us toward several crucial mileslones: . Our guiding principle, "Building Hope and Resiliency: A Collaborative Approach to Suicide Prevention in Riverside County," is based on data analysis and extensive feedback from community stakeholders. Aligned wilh the state's vision of "Striving for Zero," the Riverside County Board of Supervisors recognized and adopted this strategic plan in June 2020. This marked the genesis of the Suicide Prevention Coalition in October 2020. . ln collaboration with Riverside University Health System - Behavioral Health, the Suicide Prevention Coalition (SPC) has instituted eight specialized sub-commiftees under the Coalition. Each of these sub-committees hones in on specific aspects oI suicide prevention and mental health well-being: . Effective Messaging & Communicalions: This focuses on ensuring accurate 1 and safe communication regarding suicide prevention to the media and the public. 2. Measuring & Sharing Oulcomes: Coordinated by RUHS-BH Research & Evaluation experts and RUHS-PH Epidemiology, lhis committee ensures up-to- date data provision. 3. Upstream: With the Office on Aging at its helm, this sub-committee centers on addressing isolation, especially among older adults, by distributing Kindness Kits to homebound seniors. 4. Prevention (K-12 and Higher Education): Engaging with educational institutions, these sub-committees aim to standardize suicide prevention policies and practices. 5. lntervention: Chaired by RUSH-BH, we've initiated measures like Care Transitions poslers and programs to promote firearm safety among at-risk groups. 6. Postvention: ln collaboration with community organizations, we're focused on supporting survivors of suicide loss, providing essential resources and emotional care. The ongoing and planned initiatives mentioned above are tailored to fortify existing programs and introduce innovative measures that holistically address the mental health needs of our community. We are committed to evaluating the performance of these actions and ensuring community involvement at every stage, as required by our commission's mandales. We would also like to acknowledge the importance ol the Riverside County Suicide Prevenlion Coalition, the Housing Authority of the County of Riverside, the Riverside County Office on Aging, the Youth Commission, and its five Youth Advisory Councils. Their contributions and collaborations are invaluable in realizing our mission. The Riverside County Behavioral Health Commission (BHC) remains steadfasl in its dedication to assessing community needs, enhancing facilities, reviewing agreements, and providing guidance to Riverside University Health System - Behavioral Health while maintaining a transparent, ethical, and community-involved approach.

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The Civil Grand Jury recommends Riverside University Health System - Behavioral Health to continue supporting the work of Riverside University Behavioral Health Commission & Regional Advisory Board and its many Standing Committees (Adult System of Care Committee, Chaldren's Committee, Criminal Justico Committee, Housing Committee, Legislative Committee, Older Adult lntegrated System of Care Committee, and Veterans Commitlee). Consider behavioral health assessments among the aging via telephone in Riverside County as an effective approach for identifying and managing behavioral health issues in older adults and as an alternative way to seek and receive mental health help among the homebound. Rasponse: lmplemented The Riverside County Behavioral Health Commission (BHC) acknowledges and embraces the recommendalion in the Grand Jury report. Our collaborative efforts wilh Riverside University Health System - Behavioral Health (RUHS-BH) reflect a shared dedication to ensuring the well- being of our community members. As an advisory body, the BHC works alongside RUHS-BH to engage citizens and proiessionals in shaping the direction of Deparlmenl Services, upholding the principles of inclusivity and innovation. RUHS-BH's commitment to supporting the multifaceted initiatives of the Behavioral Health Commission, Regional Advisory Boards, and various Standing Committees mirrors the BHC's mission to comprehensively address mental health needs, services, and challenges within the community. The endorsement of telephone-based behavioral health assessments for older adults underscores our joint efforts to find innovative ways lo caler to the needs of our aging population, especially those who are homebound. These telephonic assessments, backed by RUHS-BH, are essential to comprehensive in-person clinical visits, demonstrating our commitment to providing well-rounded care. The Older Adult lnlegrated System of Care, a product of our collaborative endeavors, exemplifies our dedication to enhancing the lives of older adults. This system, designed by RUHS-BH, encompasses a wide range of services that attend to the holistic well-being of older individuals. While we acknowledge the efficacy of telephone assessments with risk analysis, we wholeheartedly agree that a more robust approach is required when addressing risk factors. This entails conducting thorough in-person behavioral health screenings and assessments within the consumer's environment or the supportive context of our Behavioral Health Wellness & Recovery clinics. This hands-on approach allows our skilled professionals to capture nuanced aspects ofan individual's menlal health that may not be fully conveyed through telephonic interactions. Our pledge to elevate mental health support for older adults propels us to explore diverse avenues. While we recognize the value of telephone assessments. we concur that their potency is heightened when combined with in-person evaluations, particularly in cases involving risk faclors. This integrated approach underscores our dedication to delivering compassionate and personalized care that caters to the distinctive requirements of each person. Our commitment involves reviewing and assessing the evolving mental health needs of the community. The BHC remains dedicated as an advisory body to Riverside University Health System - Behavioral Health. Collaboratively with RUHS-BH, we focus on delivering care, support, and attention to all segments of our community, including our older adults.

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The Civil Grand Jury recommends Riverside University Health System - Behavioral Health continue evaluating crisis team services to identify gaps in service provision and potential funding sources. Response: lmplemented Recognizing the Civil Grand Jury's recommendation, the Riverside County Behavioral Health Commission (BHC) acknowledges Riverside University Health System - Behavioral Health (RUHS-BH) for its collaborative implementation. These aclions align with the BHC's mission and resolutely emphasize the commitment to cultivating ongoing enhancements in crisis team services. ln direcl response to lhis recommendation, RUHS-BH has showcased impressive strides in evaluating crisis team services and proactively addressing potential service gaps. Numerous notable examples spotlight the concrete outcomes that have materialized from this robust implementation: . Mobile Crisis Response Teams (MCRTs) Expansion and Outreach: RUHS-8H has 1 laken significant strides in expanding the MCRTs'scope to encompass youth up to 21 years old. This extension directly responds to community needs and emphasizes the commitment lo serve a broader range of individuals facing mental health crises. By l doing so, RUHS-BH bridges a critical gap in service provision and aligns with the BHC'S principle ol inclusive and comprehensive care. 2. Community Behavioral Assessment Teams (CBAT) Collaboration: The collaboration between RUHS-BH and local law enforcement agencies in expanding CBAT units showcases a collaborative ef{ort to provide a more holistic response to behavioral health emergencies. By integrating mental health professionals with specially trained police officers, this initiative exemplifies the spirit of partnership and underscores the imporlance ol a multidisciplinary approach in crisis intervention. 3. Community Assessment and Transport Team (CATT) Pilot Program: The introduction of the CATT pilot program, in parlnership with AMR (American Medical Response, lnc.), demonstrales a forward-thinking approach to crisis management. By directly assessing individuals on-site and facilitating appropriate transporlation to designated lacilities, RUHS-BH effectively streamlines the process and ensures limely access lo appropriate care. This initiative is a prime example of how innovalive solutions can address service gaps and enhance the overall experience for individuals in need 4. Mobile Crisis Management Teams (MCMT) Enhancements: The expansion of MCMT outreach, fueled by grant funds, is a testament to RUHS'BH's commitment to continuous improvement. By broadening the reach of MCMT units and strategically placing them in various cities, RUHS-BH ensures that individuals across Riverside County have access to immediate behavioral health care and support. This expansion meets lhe community's needs and reinforces RUHS-BH's dedication to proactive crisis intervention. These examples collectively highlight the dedication of RUHS-BH to implementing the recommendation by the Civil Grand Jury. By actively addressing gaps in service provision' collaborating with stakeholders, and optimizing crisis response strategies, RUHS-BH continues to set a precedent for excellence in mental and behavioral health services. The BHC supports these efforts and looks forward to further collaboration in ensuring the well-being of Riverside County's residents.

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Though Riverside County has expanded its trainer base for Frontline and Gatekeeper training (ASlST, SafeTalk, Mental Health First Aid, and Know the Signs) and established El Rotafolio as a Spanish version of SafeTalk, the Civil Grand Jury recommends Riverside University Health System.Behavioral Health to enhance training for RUHS social workers to look for and recognize signs and symptoms of potential suicldes during home visits and County delention center mental health program intake. Response: lmplemented ln line with the Behavioral Health Commission's (BHC) responsibility to ensure comprehensive community and professional input in RUHS-Behavioral Health Services, we recognize the critical importance of strengthening training for RUHS social workers. To address this, RUHS- Behavioral Health has implemented enhanced training measures, particularly emphasizing the identification of potential suicide signs during home visits and at the County detention center mental health program intake. Ensuring our behavioral health services remain current and effective, the BHC has been actively discussing, recommending, and being updated on maflers related to the Civil Grand Jury's recommendalion in our recent meetings. Recent BHC Meetings Addressing the Recommendation As parl of our commitment to keeping our behavioral health services currenl and effeclive, the BHC has been discussing and addressing the topics related to your recommendalion in our recenl meetings: On Aprll 6,2022, lhe BHC acknowledged Rlverside County's commendable efforts in expanding its trainer base for vital programs like ASIST, SafeTalk, Mental Health First Aid, and Know the Signs. The establishment of El Rotafolio, catering to our Spanish- speaking community, was also discussed, Furthermore, we underscored the importance of training for RUHS employees. On September 7, 2022. the BHC highlighted initiatives under the Mentat Heallh Services Act and our dedicated focus on suicide prevention within the community. The Suicide Prevention Coalition's subcommittee on poslvenlion etforls and its collaborations with the Trauma lnlervention Program (TlP) are among the measures emphasizing our commitment. RUHS-BH's lmplementation ol the Recommendalion Riverside University Health System-Behavioral Health (RUHS-BH) has proactively addressed items within the Civil Grand Jury's recommendations before the report. Among the measures implemented: Nearly 10,000 individuals have been lrained in mental health awareness and suicide prevention through the Prevention and Early lntervenlion (PEl)program. PEI ensures that trainings are accessible to all residents and collaborales with various I community enlities to offer specialized training sessions. RUHS-BH maintains a dedicated calendar for suicide prevention training, which is mandatory for all staff, including those who conducl home visits, to bolster their proficiency in identifying signs of potential suicides. Enhancements in the Behavioral Health Detention program have ensured a consistent quality of care for inmates. Continuous quality improvement meetings, specialized training for detention facility staff, refined protocols for non-emergency involuntary psychotropic medication, and the Medication Assisted Treatment (MAT) program are iusl a few of the strides taken to uphold our commitment to this crucial area. ln alignment with its roles, duties, and mission, the BHC takes the recommendation of the Civil Grand Jury seriously. We will continue to monitor, evaluate, and provide our insighls to the Board of Supervisors and Riverside University Health System - Behavioral Health concerning the mental health needs of our community. DPSS-0002800 County of Riverslde Depsrtment of Publlc Social Services Contracts Admlnlstratlon Unlt 10281 Kidd Stre€t Rlverslde, CA 92503 and Riverside County Riverside County lnteragency Child. Youth and Family Services Memorandum of Understanding t a 2 x RIVERSIDE COUNTY DEPARruENT OF PUBLIC SOC!qL SERTNCES 7tl5n1 ol 27 3.15 ocl 26:lr]2t DPSS-0002800 TABLE OF CONTENTS 1. DEFINITIONS 3 2 VISION 4 t 4 4. PURPOSE... 5 5. PRINCIPLES... 5 6. INTERAGENCYPROCESSES... 6 7. MUTUAL HOLD HARMLESS PROVISION... 12 8. INSURANCE ..12 9. TERM.................. 12 10. EARLY TERMINATION....,....,.... 12 ,I. .I CIVIL RIGHTS COMPLIANCE 13 12. WAIVER ........ 13 .13. AUTHORITY... 13 14. GOVERNING LAW AND VENUE.....,. 13 15, SEVERABILITY .......13 16. CONSTRUCTION AND CAPTIONS .......'t3 17. COMPLIANCE WTH LAW .......13 19. NOT|CES.................. .......14 19. ASSIGNMENT .14 20. ENTIRE AGREEMENT.......,.,,...,.. 14 21. MODIFICATION 14 22. SIGNED IN COUNTERPARTS .....14 23. ELECTRONIC SIGNATURES....,.,., .....14 List of Atlachments Attachmer l - List of System Partners Attachment ll - Drafl, Superior Court of the State of Califomia, Counly of Riverside, Juvenile Division, Blanket Order No. Addendum A - Califomia core Ptactice Model 7t15t21 Page2 ot 27 DPSS-0002800 This Memorandum of Understanding (MOU), de{ining the collaboralively shared deslgn, delivery and menagemenl of services to cfiildren, youth and families in Riverside County, is entered irt6 by and bet\,veen the followlng Partbs ("Syrtem partnerc'): Riverside County Oepartment of Public Social SeNices, Chiklren,s Services Divlsion (DPSSCSD) b. Riverside County Probation Department (RCP) o. Riverside University Health Systern - Behaviorat Heallh (RUHS-BH) d. lnland Counties Regional Center, lnc. d/b/a lnlsnd.Reglonal Center (lRC), a Calitornia non-profit corporation e. Riverslde County Office of Educstion (RCOE) f. Jwenlle Court, Superior Court of Califomia, Riverside County Hereinafier, lhe systBm Partners may'tie refened to tndivldually as a "partf , or collectively es the "Parties.'This Memorardum of understandhg shall superiede any prior Memoranduir of Understandlng. between the S)rstem partners, regarding delfuery of sha;ed services to children, youth and families. DEFINITIONS A. 'AB 2083' refec to Calfornla AsEembly Bill No. 2083, approved by the Govemor on September 27,2018, which aims to buitd on the Contini.rum of Cire Reform (CCR) implementation erfort by, among other things, developing a coordlnaled, timei, and trauma-informod, system-of-care approach for chlldren and youth in fosler care who heve experienced severe trauma. The bill requires each county to d€velop and implement a memorandum of under'standing, setting forth the roles and responsibf,ffies of agencies and olher entities thal serve children and youth in foster cari who have experienced severe trauma. B. 'Blankel Order No. 32" refers to the Superior Court of lhe Stete of CA, County of Riverside, Jwenlle Dlvlsion document, ou0ining lhe release and exchange of conlidential informalion among all partjes to thb MOU. ru parti€s shall ablde I tne Court-ordered Blanket Ordet and any approved amendmenis or revisions. C. "CFI' refsrs to Chitd and Famlly Team. D. 'CSD" reiers to DPSS Chlldren's Services Division. E. 'CSOC' refers to Colbborative Systems of Care. F. 'DPSS' and 'couNTr refer to the county of Riv€rside and its Deparlment of publc Social Services, which has adminisrative responstbitity for lhi6 MOU. DPSS and COUNTY are used interchangeably ln this MOU. . G. 'DPSS-CSD' reers to the Riverside County Department of public Social Services, Children's Services Divlsion. H. "ESStr refers to Every Student Succaeds Acl, which is a federaleducaton ad lbr K- 12 schools thet mendates educational equity tror Foster Students and schools. l. "FFA" reE s to FGter Family Agencies. 7115t21 DPSS4002800 J. 'ICPM' refers to lntegrated Core Practice Model K. 'IEAC' refers to lnteragency Executive Advisory Committee. L. 'lLf rebrs to lnteragency Leadership Team. M. 'lPC" refurs to lnteragency Placement Committee. N, 'lRC'refers to lnland Counties Regional Center, lnc. d/b/a lnland Regional Center O.''Katie A.' refers to lhe settlement agreement that requires the Counties to make systemic improvements to befter serve members of the class, and Federal Court that appolnls the Katle A Panel to mdnltor progress. P. 'MOLr refers to the terms and conditions, schedules, and attaohmentB included hereln. O. 'RCOE' refers to Riverskle County Omce of Education R. 'RCP' refers to the County of RlversHe and its Proballon Depertment S. 'RUHS-BH" refers to the County oI Riverside 8nd its Riverside University Health Sy6lem - Behavioral Health T. 'STRTP'refiers to Short Term Resldentlal Troatrnent Program. U. 'System Partners! rebrs to the parties listed in Attechmenl. I, individually and collectively, including thelr employees, agents, representativBs, subcontractors, and suppliers. 2 vtsloN Children, youth and families who are involved with child v.relfare, or are receiving foster care as dependents of the Riverside County Superior Court-Jwenlle Dlvislon, while in DPSS-CSD protective custody (Children's System of Care'), will receive timely, efieciive, collaborative seNices, consistent with the lntegrated Core Praclic€ Model (ICPM), which allow them to thrive in safe, permanEnt living situationE and that meet their sodal, emotional, cultural and behavioral needs. J. MISSION The Systern Partners will design, implement and maintain an integrated, trauma-focused system, with a shared framework that i8 information-driven, innovative, gnd reflec'tive of the ICPM. The system will d€liver servicss h a comprehenslve, culturally-responsive, eviJence-based/best prac-tica manner, regardless of whhh System Parlne/s door children and families enler. The System Partners will aclively seek to include foster youths' experiences and voices into County-lev€l collaborations and parlnerships thet manage or oversee the delivery of s€rvices affecling youth and families. The System Partners recognize that utilizing the ICPM for the sPeciflc PoPulalions addresled in this MoU ls tho lirst step to seNing a0 children and families with this model. 7t15t21 ol27 DPS$0002800 4. PURP E This M seeks to ensure that the Systems Partners' programs, praclic€s, and policies reflecl coordinated, integreted and efiedive dellvery of seryic€€ for children, youth, and , throughout lhe public program6. County-lovel System Partners have besn design by the Rfuerside County Board of SupeMsors to provide oversight and acco bility for certain stete and federally-fund€d programs end services, and to act as a coordlnaung councll and plannlng body, related to the programs and contained herein. The Syslem Parhers agree that consbtent interdepartmental and ragency badership ls essentialb successful planning and colleboratlon, on behalf of and families. The of this MOU is lo create an ongoing sbucture to address systemic baniers to provld lnteragency services. The System Partners intend to create a singlb seryice plan and ntain an adminisfative team with collaborative authority over the intenehted cNld welfare jWenile lustice, education, mental health and developrnental children's servlces. The Partners do not debgate their legal authority wlth respecl to any core func{on nor r of their agency; office, Department.or position. This MOU memodalizes the Syste Partnors' collaborative efforts, but it does not create any legal righb; it does not create 0r impose any legal obligations nor responsibillties on $e System PErtners; it does not inate, el&r, nor expand any duties or resporsibilities otherwise imposed or by lsw; it does not crsete any appeal rights, nor does lt allow for any cause of I action the event of purported breach of thb MOU. Th€ System Pa(ners each bear their clsts for participating in the system outlined in thls MOU, No System Partner is to pay ny money to any other System Partner for participeting in the system ot,tlined in this . However, the System Partners do fully plan to support the strudure and contained in thb MOU, and to provide a unified frarnework that will guide theh operati s and the activities, decisions, and direc-tion of each of their employees, ctildren, yorrth and family programming. 5. PRtNCt This M includes a mutual commltmer to and use of the California lnlegrated Core P Model (ICPM) for ChiHren, Youth and Families. System Partners agree to use the prin ples, velues, and praclice behaviors in their intersctions wjth youth and fumily, wilh on anothBr, with contraclors and Mth County partnera. The outllnes Ten Guiding Prac.tice Principles for Bervice delivery, dhich include the 1 fo key components: Family voice and choic€ Tearn-based Natural supports Collaboration and irdegration Community-based Culturally r€spedful lndividualized Strengths-bssed i Persistence i Outcomes-ba6ed 711 ol27 DPSS-0002800 The link, https://bil.lv/3mFvsp5. and the attached Addendum 'A', provide additbnal information on ths principles. INTERAGENCY PROCESSES The following elements are the primary and necessary components of comprahensive practices for the County of Riverside chlld and youth-serving System Parlners. System Partners' leaders will work together toward the best lnterest of chlldren and families, and lhe processes below support this work. The processes outline foundational efforts to affect lhe vision of the System Partners, building on mulual underslanding, best practices, and the tramework of the ICPM, while also complying with all legal mandates. Policies, protocols, and procedures will be developed, implemented, and reviewed as necessary, lo further the elements below. INTERAGENCY EXECUTIVE ADVISORY COMMITTEE (IEAC) The IEAC sels overall strategic direction for lhe lnteragency collaborative partnership. |EAC provides inpul and approves a two-year sirategic plan to guide the development of shared practice and policies, and to monitor and revise the plan as needed. To further a comprehensive and uniried County planning process, this plan may lncorporate, integrale, or expand upon, other existing interagency planning efforts. 'l-he IEAC meets al leasl one time per year to review and update the plan. Membership includes: Director, Riv€rside County Departmonl of Public Social S€rvices (DPSS-CSD), or designee . Riverside County Superior Court of California, Juvenile Eranch Presiding Judge, or designee . - Direclor, Riversidg Universlty Health System Behavioral Heatth (RUHS-BH) or designee . Chief Probation Ofricer, Riverside County Probation Department (RCP), or designee . Riverside County Superintendent o, Schools, Riverside County Otfice o, Education (RCOE), or dss(?nee . Exscutive Director, lnland Regional Center (lRC), or deslgnee . Olher System Partners' lesdership: as determined by the Committee . Parent and Youth representativas, as designated by the Comminee The IEAC gstiablishes co-chairs from the membershiP above that 6erve two- year staggered terms, with one new co-chair each year. B. INTERAGENCY LEAOERSHIP TEAM (ILT): The ILT oversees the implementation of the stret€gio plan approvsd by the IEAC and provides direc{ion and oversight to the lntstagency Placement 7115/121 I DPS$0002800 C0mmittee (lPC). Membership includes: . Assistant Dkector, Riverside County Department of Public . Social Services (DPSS-CSD), and/or designee Riverside County Superior Court of California, Juvenile Branch Judge/Commissioner, and/or designee . Deputy Dlrector, Children's and Tiansition Age Youth seruices Riversue Univorsity Health Syslem - Behavioral Health (RUHS- BH), and/or designee . Chief Deputy Probation Officer, Riverside County Probatlon Departmilnt, and/or designEe . Associate Superintendent of Sludent Programs and Services, Riverside County Office of Education (RCOE), and/or designee . Executive Director, lnland Rogional Center (lRC), and/or designee . Other'System Partners' leadership, as determined by the Committee The ILT establish€s co-chairs from the membership above that serve two-year staggered terms, rotaled among System Parlners or Departmenumembers, with one new co-chair each year. The ILT will meet quarlerly. The meeting forum preference is in-person, horrrever, other forums are acceptable (i.e. virtual meeting6), if necessary. The ILT will establish a consistent method of recording decisions and ideh fying responslble parties for following through on lhose decisions, sharing information, meeting notices, recordlng minutes, securing meeting venues, etc. l Whenever possible, ILT member System Partners and leadeB will seek consensus in decision-making. lf consensus cannot be reached, decisions may be mado by a simple majority vote of the total .number of authorized members of the lLT. Specific duties of the ILT members inctude: Manaoement. Administration and Service Deliverv: 1 offer interagency consultation. and coordination to support management and operation of the Riverside County lntegrated Children's Syslem of Care. Analyze opportunfties and projects and make recommendations to the IEAC. Provide recommendations and directions on impl8mentation of policies, procedures and programs included under this MOLI, Oversee the activities of all programs and seriices identified within the Collaborative Systems of Care (CSOC) Steerinq Committee. I 4 ldontify. and facilitate the development of any additional necessary 7t15n1 PageT ol 27 I DPSS-0002800 wdtten MOUS, and/or policies and procedures, for IEAC review and approval. Where these documents may also directly affect operations or obligations of any of the System Partners, those System Partners will a160 follow the procedures in place for approving such documents. 5. Ensure that all staff assigned to shared programming are provided with lhe necessary technical assistance, training, support and stBff resources to fulfill cetegorical mandates and implement the tCPM. This may indude, but is not limited to, esteblishing and impleminting competencles to gulde staff selection, tralning, coaching and psrtormance managemenl, lhat are conslslent with the ICPM. Ensure that System Partners' managers, supervisors, staff and contracled agencies provide services consislent with the shared Vision, Mission and Purpose and principles of this MOU and the ICPM. Policv Develooment. Coordination and Monitorino the Children's Collaborative Svstem df Care: 7 Make recommendations regarding submission, preparation and coordination of grant applications and grant deliverables. I Review and, as necessary, recommend program direction for applicable community parlnerG or providers- Gather and share annual reports on program issues, progress and outcomes. Discuss/approve requeEls from providers as appropriate to System Partners' rolss and oversight, e.9., CSD, RCP, and RUHS-BH will collaboratlvely review and approve Letters of Supporurequests from providers to become Short Term Residential Treatment Program (STRTP) providers, in a timely maoner. The ILT Administrator will serye as the designated communication authority when working on inter-county requests and correspondence. Participate on related coordinating councils, other advisory committees, and/or multi-disclpllnary teams that affect the System Partner processes or services and bring relevanl information to the lLT. Appoint and support staff to serve as liaisons to various shared projects, to ensure full continuum of care and linkages back to System Partner services. Monitor programs for general compliance with stafutory and regulatory requirement6 and provide guidanoe and technioal assistance to ensure program prac'tice is consistent with the values and principles of this interagency partnership. 12. Coordinate and develop additional agreements and/or MOUs, as necessary, to sssist in program coordination and problem solvlng. 7115n1 I DPSS-0002800 13, Work with communlty agencios lo d€velop and implement collaborative and integrated Elrategies, and to promote and utilize strengths_based, family-focused practice, on a systems-wide basis. 14- Consult wtth Riv€rslde County tribal representatives to develop .' processes for engaging and coordinating wlth the tribes, in the ongoing imptementation of the MOU. c INTERAG ENCY PLACEM ENT COMMITTEE (IPC) Sy8tem Partners managerG, or other qualified staff, will join y convene and adminisler the lPC, as required by stat€ mandateS - desiribing County lnleragency Placement Committees, and identified ln agreed-upon policy ani protocolr including appeals protocol. D SGREENING. ASSESSMENT AND ENTRY TO CARE In order to enhance unified service planning, System partners agree, to the full€st eltent allowed by law, to share nece-ssary and relevanl client-specific information, in order io conduct treatrnent, coo;dlnate care snd ensure the h'rghest quality care is available to youth and caregivers. E CHILD AND FAMILY TEAMING AND UNIFIED SERVICE PLANNING The System Partners recognize the Child and Family Team (CFT) as central to the implementation of Continuum of Care Reform anO the'lntejratd CJie .' a P c r h a l c e t v ic l e n g M p o o de s l i . t . i v E e n o g u a t g c e o m m e e n s t f a o n r d s y fu s l t l e p m a - r i t n n v e o rs lv h e ip il f w am ith il i l e h s e a C n F d T c i h s i ld c r r e iti n c ; a l l h i e n System Partners will work together to slrengthen systemic supports foi lhe CFT. ln order to maximize planning snd family engagement, System partners will provide a single, unified teaming process, for all youth in care. The System Partners will coordinate mental health care and educational services for youlh in the foster care system. Accordingly, System parfiers agree to implement policies cofiply with taws and/oiregulations requiring .to. such coordination, such as Katie A. or AB49O F SCHOOL STABILITY AND SCHOOL.OF.ORIGIN TRANSPORTATION PLAN Federar raw lEvery student succeeds Act (EssA)] requires that chird welfale agencies and schoor dlstricts deverop a Joint pran i6 ensure that transportation is available when it is in a studenfs beil tntdrest to remain in their school_of- origin after a change in placement. To comply with ESSA and improvo school stabilhy for students ln foster care, SJSPT Pa{tne1s agree to develop joint policiesiprocedures to ensure thatj dist cts and schoolE receive nolice within'one (1) dsy of any decision by the child welfare agencylo.change a sfuAent,s placein'ent (and, w'henever feaiible, DeTore lne ptac6ment change occurs); System partners work with lhe 6tudent,s educational rights holder to prompfly make the best interests determination; students have transportation to theh schools_of_or.rgin whlle best interests 7l15rz1 ol27 oPS$0002800 doterminations are pending and pending resolution ot eny dispute regarding school-of-origin rightsi and, if lt is determlned to be ln the stud€nt'B best interesl to remain in their school-of-origin, transportation is provided by the child welfare.agenoy (e.9. through caregiver reimbursement or publlc bus passos), bythe schooldistrict (e.9. by using or modifying an existing bus route), orjointly (e.9. by sharing the costs of transportation). G RECRUITIVIENT AND MANAGEMENT OF RESOURCE FAMILIES AND DELIVERY OF THERAPEUTIC FOSTER CARE System Partners will practice collaborative, unlform and consistent efforts, to recruit, tmin and support professional Regource Family car€giver6, in order to foster safe, permanent and healthy out-of-home placement when necessary. While CSD and RCP hsve legal obllgations and responsibilities to assure foster care capacity, RUHS - BH has parallel responsibility to assure adequate capacity for and oversight of Specialty Mental Health Services (SMHS), to support youth and their caregivers- System Partners agree to share n€cossary information and processes, as required and authorized by law, to support recrullment and retontion efforts. These include, but are not limited to; joint review of STRTP and Foster Family Agencies' (FFA) Program Statements and applications; joint investigation of complaints or grievances, as appropriate for each System Partner: ioint drafting and execution of contracts with providers; and, joint delivery of technical assistance and oversight. including on-sile reviews of programs and services. H OUALIW MANAGEMENT AND PROVIDER OVERSIGHT System Partners are committed to working together to back, monitor, evaluate and report on servioes supporling mutual clbnts, to meet reporting requirements, and inform evaluation of contraclors and vendors. t. TRAINING AND COACHING System Partners acknowledge that highly{rained, compelent staff, who understand and support each othe/s work, will help obtain better outcomes for children and families. System Partners agree to coordinate ioint training and coaching of stafi, so that they can better understand esch olhe/s roles, build relationships, and foster a collaborative approach in deliverlng seamless and integrated services. System Partners' representjalives may participate in developing and implementing training and coaching procssses for multiple partners. System Partflers willjointly plan and dellver training or in-service content thal is of value to their slafi, or other key partners. ILT members will use funding as flexibly as possible to facilitate the cross training and preperation of team members. 7115t21 ot 27 DPSS-0002800 ILT membeB also recognize their shared work with multiple oommunlty provider agencles, and the need for consHent communlcetlon, monltoring, snd support for ttEse providers. J. FIMNCIAL RESOURCES/MANAGEMENT The System Partne6 support eaqh o(her in puEuing tunding oppo(unities that strengthen the interagenc, service detrvery sysEm, including, but not limlt€d to, thos€ilhat maximize, blend, and/or leverage resources. System Partners wlll share information on these opportunitiea and wlll notify and consuft each othar, prior to applying br said tunding oppo(unfties. K. INFORMATION ANE DATA SHARING The System Partners agre€, as applicable, and to lhe tulbst extent allorved by law, to share necessary and relevanl client-specmc hbrmaton, h order to conducl treatment, coordinate care, and essure the highesl quellty seryice is avaihHe to youth and caregivers. Please reference the bllowing statues: (42 United States Code (U.S.C.) $ 671(a)(8XA); (a2 U.S.c. S 13e6(ax7); 42 c.F.R. S 421.302 (2009) as well as Califomia Welfare & lnstiMions Code g 4098, S 4096.1, S 4514, S 56m.3, S 10850, ands 18986.46. L CONFIDENTIiCLITY To lhe extent provided by Blenket Oder No. 32 (Attachment ll), slatute, or by a System Partne/s pollcles, the System Partners may share confidential informatiol with each other, in ord€r to ensure effeclive treafnent, coordinate care and to deliver quality services, pursuant to the requlrements of Welfare and lnstitutions Code section 16521 .6(a)(3). Confidential information shared under this MOU shall be subject to the continued conlidentiality requirements of the controlling statute or policy. Furlher, the System Partners agree that: 1 The System Partners shall provide for, and adhere to, lhe implemenlation and mainlenance of appropriate security protocols and procedutes, for the transfer and maintenance of confdential lnformation shared by the other System Partners. 2. Unless otherwise required by thi6 MOU or by Court order, the System Partners shall limit access and viewing of c-onfidential information to lndMduals who are neceBsary, to ensure complianco with the purpGes of this MOU. The Syslem Partnec shall p(escrib€ appropdate procedures for the timely destruc'tion or refum ofconfidenlial infonnation, once the purpo8e for whic+l lhe inrormation was released and exchanged has been salisfied, pursuant to Wetfare and lnstitulions Code sec-tion 16521,6(a)(3)(B). M DISPUTE RESOLUTION MECHANISM \Mrenever possible, ILT member System Partners and lesder8 wlll seek consensus in decbion-making. lf consensus cannot be reached, decisions may be made by a simple majority vote of the lotal number of authorized memberB of the ILT. 7t15t21 ol 27 DPSS-0002800 I Performance to Contlnue Durlng Dispute Performance oI this MOU 6hall continue during any necessary dispute proceeding, or any other dispute resolution mechanism, No payment due nor payable, by any Syslem Partner, shall b€ withheld due to a.pending dispute resolution, with exception to the extent that payment is the subjed of such dlspute. 7. MUTUAL HOLD HARMLESS PROVISION Each System Partner signing this MOU agrees lo hold harmless all other System Partners, including officers, employees, volunteers, and Egents, fom and against any.and all liability, loss, expensB, attorneys'fees, and/or claims for injury or damages, arising out of lhe performance of this MOU. The System Partners agree lo reasonably cooperate with each other in the investigallon and disposition ofthird-pafi liability claims, arising out of any servicos provided under lhis MOU. Absent of any conflic,ts of interest, it is the intention of the System Parlners to reasonably cooperate in the disposition of all 6uch claims. Such cooperation may indude joint investigation, defense and disposition of claims of third parties, arising from seruices performed under this MOU. The System Pdrtners agree lo promptly inform one another whenever an lncident report, claim or complalnt 16 liled, or whenever an lnvestigation is initialed conceming any seruic€ performed under this MOU. Each System Partnet may conduot its own investigation and engage its own munsel. Each of the Syslem Parlners hereby acknowledges that the System Parlners are lndependent contrac{ors and thet the reletlonship established among the System Parkrers, by this MOU, shall not constitute a partnership, joint venture nor agency. None of the System Parlners shall have the authority to make any statements, iepresentations nor commilments of any kind, nor take any actlon, which shall be blndlng on the other Parties hereto, without the prior written consent ofthe other Parti€s hereto, or Party hereto, as applicable, to do so. INSURANCE W'rthotd limiting or diminbhing each System Partner's obligation to hold harmless all other System Partners, each System Parlner, at its sole cost and expense, shall maintain or cause to be maintained, its own insurance coveraggs for workers' cornpensation, vehide liability, commercial general liabillty and cyber liability, for its own operations durir€ the term of this MOU. The lnsurance requirements contained in this MOU may be met with a program(s) of setf-insurance. I TERM Thh MOU shall remain in full force and effecl, ftom the date of signature, through December 31,2025, but may be terminated earlier, in accordance with the provisions of Section 10 of this MOU 10 EARLY TERMINATION This MOU may be terminated, without cause, upon thirty (30) days' Mitten notbe by any Party, or upon the mutual agreement of all Parties. The DPSS-o.SD Director, or designeo, is authorized to exercise DPSS-CSD'S rights, with respecl to any termination of this MOU, The Presiding Judge of lhe Juvenile Court for the Superior Court of Califomia, county of Riverside, or designee, is authorized to exercise the Preslding Judge's rlghts, with resPest to any termination of this MOU. The RUHS-BH Diredor, or designee, is authorized tq ' 7t15n1 ol27 DPSS-0002800 exercise RUHs-Blfs rights, with respect to any termination of this Mou. The RCp chief Probation Officer, ordesignee, is authorized toexerclse RCFS ,irhts, with respect to any termlnation of rhis MoU. The RcoE superintendent, or d6ignee, ts auirrorized to exereise RCOE's rights, with respect to any termination of ttris UOU. The IRC Executive Director, or designee, is authorized lo exercise IRC'S rights, with respect to any terminatlon of this MOU. 11. CIVIL RIGHTS COMPLIANCE system Partners shall ensure that the admlnishation of pubric assistance and Bocial seruce progrsms is nondiscriminatory. System pBrtners shall not dlscriminate in the provision of services, the allocation of behefits, employment of perBonnel, nor in the accommodation ln faclllties, on the basis of ethnic group identficatioir, color, race, religion, national origin, gender, age, se:ual orientation, physical or mer(al handlcai, in accodance with T,tle Vl of the Civit Righb Acl of 196i, 4Z U.S.C. Sec{on 2000d, and a[ other -per{nert rules and regurations promurgateo pursuant Gerato, and as otheMise provided by state law and regulations, as all riray noa exist, or be hereafler amended or changed. 12. WAIVER No walver_of any of the provisions of this Mou shall be efiective unrBss it b made in a . writing which refers to provbions so waived and which is executed by the parties. No course of dearing, nor delay or fairure ol a party in exerdsing any righiunder this MoU, shall affect any othei or tuture exercise of ihat ri-ght, nor any ixercisiof any otnJ rijrri. i Party shall not be precluded ftom exercising a rigiht by havirig partially exerJiseO tnairi'jtrt, nor by having previously abandoned or discontinuea steps,id enfor,:e that reht. 13. AUTHORITY 'Mou The signatureE of the parties.affixed to this affirm that they are duly authorized to commir and bind their respective party to the terms and conditioni set fortir inthd MbL,. 14. GOVERNING LAW AND VENUE This Mou,sha be govemed by the raws of the stste of carifomia. venue shafl be in Riverside County. 15. SE'ERABILTTY ' lf any portion of thrs Mou is decrared invarid, irbgar, or otherwise unenforc€abre by a coud of compet€nt jurisdic'tion, the remaining provisi;;s'shari"onunr", in fufl force end effect. 16, CONSTRUCTIONANDCAPTIONS since the Parties and/ortheir agents have par clpated fulry in th€ prepararion of this Mou, lhe hnguage of this Mou shalbe co_lstruid simpry, acmiding to'its iair.""nrng, noi for nor again't any. party. The captioni tt the vari-ous ;;A'id"ndd- ;;; 'triclly paragraphs are for conveniencer and ease of refurence only,6nd"r t O ic o t" n i, b t Oenne,'limit, augment, nor describe the scope, content, nor intent of this M-OU. 17. COMPLIANCE WTH LAW A[ P_arlies 6hall keep themserves tufly informed of and in compliance with all locar, state, and federar raws, rures, regurations, requirements and dir€ctives, relstive l" aa zob5 and rne purposes ofrhrs Mou, funding soufces and other govoming reguratory authorities that 7t15n1 I DPSS-0002800 impose dutles and regulations upon the Parties to this MOU, and which, in any manner, atfiBct the performance of their respective obllgatlons and/or duties, under this MOU. NOTICES All notices, claims, correspond€nce, and/or statements authorized. and/or required by this MOU, shall be deeined effedive five (5) businoss days after they are made in writing and deposited in the United States Postal Mall, eddressed as set forth ln ExnibftA. 19. ASSIGNMENT System Parlners shall not assign nor transEr any lnterest in this MOU without the prior Mitten consent ofallofthe Slslem Partners. Any attemptto assign ortransfer any interest, without the written consent of all of the System Partners, shan be deemed vcid and ol no force nor effec{, 20 ENTIRE AGREEMENT Thls MOU ls ths full and complete documenl describing seMces lo ba rendered by the Parties, including all covenants, conditions, and benefits, 21. MO DIFICATIO N Any alterations, varietions, modifications, or wafuers of provisions of tho MOU, unless specifically allowed ln the MOU, shall be valid only when they have been reduced to writing, duly signed and approved by th€ authorized representiativ8s of all Part'res, as an amendment to this MOU. Oral understandings, or'agroements that have not been incorporated herein, shall not be bhding on any ofthe Parties hereto. SIGNED IN COUNTERPARTS This MOU may be executed in any number of counterparts, each of which when exesuted shall constitute a duplicete original, but, all counterparts together shall constitute a single agreement. ELECTRONIC SIGNATURES Each party to this MOU agrees to tho use of electronic signatures, such as digital signatures, that meet the requirements of the California Uniform Electonlc Tran$ctions Act (fcuETA), at cal. cv. code $$ 1633.1 lo 1633.17), for executing this MoU. Tho parties further agree that the electronic signature(s) included herBin are intended to authenticate this writing and to have the same for@ and etfect as manual signatures. [Signature Pages Follow] I I I I I I 7t1snl ol 27 DPSS-0002800 Authorized a ignature lotthe County of Riverside J. a)-.-A.J Printed Name of Person a Karen Spiegel (r t o ! Ti e: I Cheir, Board of Superyisors F(E Date lt, < HO Recommended for Approval: F<UYJ Biverside County Department of public Social Services -.-/ <7^ , j.--r- Sayori Baldwin, Director Dare: seP 27,2021 Riverside University Health System - Behavioral Heallh Matthew Chang, Oireclor Date: 911312021 Riverside County Probation Department Ronald Miller ll, Chief Probation O41icer Date: Juvenile Court, Superior Court of California, Riverside County The Honorable Mark E. Petersen, presiding Judge Date: 7t15n.1 DPSS-0002800 Rfuerslde County Office ot Education Edwin Gomgz, Ed.D., Superintendent of Schools Date: lnland Counties Regional Center, lnc. Lavinia Johnson, Exec. Dir./Chief Execulive Offlcer Date: Approval as lo Form Gregory P. Priamos Counb/ Counsel 6tu&/to Sep 20, 2021 Esen Sainz Date SEned Deputy County Counsel Eric Stopher Date Signed Deputy County Counsel Approval as to Form Steven K. Beckett General Counsel & Director lnland Regional Center Dale Signed 7t15t21 .DPSS{002800 Authorized ignature for the County of Riverside: Printed Name of Person SignirE Karen Splegel TiUe: Chair, Board of Sup€rvisors Date Signed: I : Recommerded for Approvat l Rlverslde County Departmerit of Public Social Services I I Sayori Baldwin, Director Date: Riverside University Heatth System - Behavioral Heafth Matthew Chang, Director I Date: i ; Riverside County Probation Department //rW// ?om//L Ronald Miller ll, Chief Probation Oftcer Date: Aug 30, 2021 Juvenile Court, Superior Court of California, Riverside County Mdd E. P,larson The Honorable Mark E. PetersBn, presiding Judge Aus 30.2021 Dale: 7h5n1 of ?7 I DPSS-0002800 Riverside County Ofiice of Education Edwin Gom6z, Ed.D., Sup€rhtendent of Scfiools Date: lnland Counties Regional Center, lnc. UrAulvTohaoa, Lavinia Johnson, EIeo. Dr./Chlef Exdcutivo Ofiicer 4us26.202I Date: Approval as to Form Gregory P. Priamos County Counsel Esen Sainz Date Signed Deputy County Counsel es%,* Aug 30, 2021 E ic Slopher Date Signed Deputy County. Counsel Approval as to Form Steven K. Beckett I General Counsel DirBclor Inland Regional Center [tow E Eukb 4u826,202r Date Signed 7n5n1 ot 27 DPSS-0002800 Riverside of Education Edwin Gomez, Superintendent of Schools I Date: lnland Counties Regional Center, lnc Lavinia Johnson, Exec. Dir./Chief Executive Ofticer Date: Approval as to Form Gregory P. Priamos County Counsel Esen Sainz Dale Signed Deputy County Counsel Eric Stopher Date Signed Deputy County Counsel Approval as to Form Sleven K. Beckett General Counsel & Director lnland Regional Center Date Signed 7t15t21 DPSS-0002800 Attachment I - List of System Partners :Ne: '. r.l 1 Tho County of, Rlverslde, a polltical subdlvi3lon of the Stlto of Callfomla, on behalf of IE Iollowlng Departments: 4060 County Ckcle Orive Department of Public Social Se]vlce8, Chlldren,a Rlverside, CA 92503 Services Division @PSS) 4095 County Circle Drive Riverside Universlty Health Systerc-Behavioral Riverside, CA 92503 Health (RUHS-BH) Riverside County Pmbalion Departnent 3960 Orange Street I Riverside, CA 92501 2. Juvmile Court, Superior Court of California 4050 Main S'treet Riverside County Riverside, CA 92501 3. Riverside County Offce o, Education 3939 Thirteenth Sheet Riverside, CA 92501 4. lnland Counties Regionel Center, lnc. Physical Address: 1365 South Waterman Av€. San Bernardino, CA S24O&28O4 Mailing Addraes: P.O. Box 19037 San Elemardino, CA 9242}i9037 7115n1 . ot 27 DPS$0002800 Attachmenl ll . Draft I 2 3 4 s 6 't SI.,PERIOR COI,RT OF THE STATE OF CALIFORNIA E COTJNTY OF RTVERSIDE 9 ,LTVENILE DTVISION l0 u BLANKT]T ORDER NO. 32 \t ORDER FOR 'II-IE RELEASE AI{D l3 EXC}IANCE OF CONFIDENTIAL INFORMATION BETWEEN THE RTVERSIDE l4 COUNTY DEPARTMENT OF SOCI,AL SERVICES-CHILDREN'S SERVICES l5 DIVISION; RIVERSIDE COLNTY PROBATION DEPARTMENT, RTVERSIDE t6 UNNERSITY HEALTH SYSIEM- BEHAVIORAL HEALTH, TI{E RIVERSIDE l7 COT'NTY OFFICE OF EDUCATION INLAND COUNNES REGIONA! CENTE& INC. AND IE NECESSARY THIRD.PARTY CON,TMI'NITY PARTNERS TO FACILITATE A SYSTEM OF l9 CARE REQUIRED BY ASSEIV{BLY BILL 20E: 20 2t 22 Thc Cor*inuun ofCac Rrfq.E, initisrcd tn 2015 by and through Asscnbly BiU 403, (!,l rct ddhg 21 sestioo 16521.5 to thc Wclflrc !!d lnstitutioos Codc) is c1rrmtly bcing Glrthcr sspportcd by r 24 ORDER FOR T}IE RELEASE AND EXCHANOE OF CONFTDENNAL INFORMATION SET1IEEN THE R.IVERS'DE @UNTY DEPA.IiTMENI Of SOCIAL SERVIGS-qILDREN'S SERVICES DMSION: RIYERSIDE COUNTY 25 PROBATION DEPARTME}fI, ruVERSIDE I'NTVERSTTY HEALTH SYSTEM.BEITAVIORAL HETLTI! Tr{E 26 RIVESSIDE COUNTY OFFICE OF ED(rcAION, INLAND MT'NIIBS REGIO}IAL CENTE& TNq AND NECESSAX,Y T}NRDPARTY COMMIJMTY PARTNERS TO FACILTTATE A SYSTBM OF CARB REQUIRED BY ASSEMBLY BILL 2083 27 2t BLANKEI ORDER NO, 32 7t15n1 ol 27 DPSS-0002800 I syrtlm of csre for &Ililles e[gsgcd with c.hild rrtlfirc or fostcr carc. CouDty and local parocrs !!! Erodatrd to providc a coordiaarcd systcD of cqlc ro rvoid 86p6 in scrvicas End crEdc sfrblc bstcr 3 ptaccocnts. Thc s)strm of c8rc is to povide caoidimtad, timcty, cultunlty compelat! iotcgr8tld, 4 oomDulity-bss€d, shcn8th-brsed, individualiztd atld triuriiE iqforEcd scrvic.s to lddrlss systloic banicrs 5 to lhc tsaditional provision of iorcrlgcncy scrviccs. Tte Califomis Lcgistdur, by ad thrcugh th. ittrplemcutdion ofAslcErbly Bi[ 2083 (Chaprcr 8 I 5, 7 Stdut s of20l8), requires, in part, th8t Rivorsidc County devclop a mcrromodum of undcrstrrxling E outliDiug thc rolGs ard rcspoosibilitics oftbe agencics dcscriH 8s Syst m PartE s. The Rivcrsidc County 9 Dcpsrtncnt of Public Social Scrviocs-Ciildreo's Scrvic€s Divisiolr (DPSS4SD), Riveaidc County l0 hobatlon Dcparhant ECP), Rivcnidc Uoiv.rsity Health Sylr.m-Bdrsviord Hcahh (RUHS-BH), u Nvcaidc Couuty Officc of Educa(oa (RCOE) rDd Inhld Courtics Rcgional Ccntcr, Inc. d/b/a Inland t2 Regional Crotcr (IRC) (hcr.inaicr clllc4tivcly lef.rcd to as Sylt m Panocrs) h.ve nte[ld irto a Rivasidc l3 Coutrty htcragctrcy Child, Youth, and Frmily Ssryiccs Mcmorandur of Uld.rstsndirg (MOU), in l4 satisfaaion of this lcgislUion. Thc MOU, in parq supporrs tle structur. snd prDcess€s of cach Systrm 15. Par$cr. t6 The MOU slso rcquirls, io part, thsr confidc[tirl inforaatio[ atld drra bc ahared by and bctwern t? thE Systcm PartDcrs througi infonnalion ind ddr sharinS sgrccments to the extcnt pcnDided by fedenl and t8 ststc l8lds, This iocludcs informuion aod data shacd by particular tcaos or persons dcscribed and idcntificd I9 wilh lhc MOU. Thcsc tea0s or pDrsors includc an lntemgcngi E:rccutivc Advisory Comminee @AS), rn 20 Intcragcocy Lcrdclstiip Tcsrn (ILT), a Child lnd flmily Tcan (CF'I), s! htcE8.ocy placcmcnr Corunittcc 2l (IPC) and/or invcstcd &ird p[tics as defincd ad dcscribed withln Assembly Bill No.20t3, subscqucnt n legfulalion Ed tlc tcrms ofthc MOU. Invcsrcd lhird partics may includc, but &c lot limi&d to, individuals, 23 orgrnizations, agencic or eotiti6, wbo u! (l) st^,icc providcrs, or (2) 24 ORDER FOR T}IE REIXASE AI{D EXCHANOE OF COMIDE}TTIAL INFORMATION BETWEEN THE RIVERSIDE COUNTY DEPARTMENT OF SOCIAL SERVIC'ES.CHILDREN'S SERVICES DTVISION; RIVEnSIDE COUNTY 25 PROAANON DEPARTMENT, RIVSRSIDE I,,MVERSITY HEAI,TH SYSIEIVI'BEHAVIORAL HEALI]I, THE RIVERSIDE CII'NTY OFFICE OF EDUCATION, INLAI{D @I'NTIES RECIONAL CENTE& INC. AIIID NECESSARY 26 THIRDPARTY @MMUNITY PAiTNERS TO FACILIIATE A SYSTEM OT CARE REOI,NRED BY ASSBMBLY BILL mt1 27 BLANKET ORDER NO !2 28 7t15D1 Pege 19 ol 27 I DPSS-0002800 I mcmb""g of: loc4l cducational agencics, spccial cducation local plEn src&s, mrnagcd crre organizatioos plsccrient rgeaaiee, 8 child's fsmily, . fostcr youth advisory council, Indian tribes or cibsl orglDizsdols, 3 th. c.lifoEis stEtc Dcpartncut of Social scrvicas snd/or thc Rivi*idc superior coun-Juwoilc Division. Ilvestcd thid paties may bc, or may not bc, pt tics to tho MOU. Th€ ILT consisB of thc systqr pannds' l.adrrs, dcplrtmcnt heads or suporintcldents Bnd is the 6 goverairg rnd coordiutirg body. Tbc ILT *tablishcs lDd ovrrre* thc rxccrtion of thc MoU. Thc ILT 7 musl havo rcc.ss to, Bnd shrre, I furr child,s or youth,s mofidcntial informatiou to (l) guide staff, (2) 8 idcotis and resolvc coaf,idr, if aly, ad (3) lwcragc whct! tbcrc is s ,.reonobrc bcricfrhlr thc '.sourc.' 9 informrtioa is clcrrot to tbo child or youth. t0 Thc systcm Psrtners Eusr [Evr rccrss !o conEdcotirl inform*ion to sha* Bce'sary rod rdqvant u hformatioo in .roh c&!! in ryhich services must br plovidcd to coDduct trcatncnt, coordinarE csrc tnd to t2 dcliwr quallty scrviccs by and through case mtnagemelt and/or thc ctrorts.ofthc cFT ard tpc, lnvcsted l3 rhird prtics, oay be iacluded in rhc ILT activities or trcatnenr cec and plsrcmcot cfforts pr.vidcd for and t4 to r spccific,fos&r child. Tbc cslifortria lorcgrdcd corc pra.tic.€ Model gcpM) for childrcn youth and l5 Fr'iti.s ii a r*ourcc cr,tcd ir collsborrtion b€tweco thc c&lifortria Dcprtacnt ofHcalth csrc scrvices t6 and the california Dapsrtment of sosia.l scrviccs to providc practica.l guidaacc and dLlctiotr ro sysrcm t7 PEtDcrs asd Irvcsted Third Panies, whcrc applicrblc, in thc dclivcry oftimcly, cfcctive, aad i,tcgrdcd l8 scrviccs ro fostcr childrca. Thc tcPM is inte8rdld fu the Mou and h t,E provisim of scwices to fosrcr I9 childre!. Assembly Bill No. 2083 pcmits thc ILT to disolosc aod cxchalge cotrfidentier rnforoaliou rs 2l permitttd by fcdera.l law, Notwithstatrding, st!tutory disclosuc r6bictions prccludc DpSS-CSD Aom aa disstrdnating ccnEin hformarioD ualcss ruthorizcd by coun orde.. Spccifically, thc follorriog surutcs 23 precludc DPSSCSD tom disseoiaating informaioa dcsctibcd ia; 24 ORDER FOR TI{E RELEASE AND EXCHAN'GE OP CONFIDENIIAI IMORMATIOI.I BETWEEN THE RII€RSIDE 25 COI'NTY DEPARTMENT OF SOCTAL SERVICES-CHILDREN'S SERYICES DMSTON; RMRSIDE COlrNTy PROAATION DEPARTMENT. RIVERSIDE TJNT\E8SIT? HEALTH SYSITM.BE}IAVIORAL HEALTII, TIIE 26 FJVENSDE COTJNTY OFFTCE OF EDUCATION, INLAND MUNTTES REOIONALCEN'IE& INC. AND NECESSARY THIX.}PARTY COMMUNTTY PARINERS TO FACILITATE A SYSTEM OF CAREREQT,,IRTD BY ASSEMBLY BTLL 20E3 21 28 ALANKET ORDER NO. 32 7)15n1 ol 27 DPSS-0002800 . Cdifomla P.!ul Codc lcctionr I I167 lrd I I167.5 I . Califomia Wclfart srd ltlltitutbo! Codc scstioB 827, t28, t0!50, uld 16501, subdivision 2 (rX4) . Frmily Fdgrligna! Rights md Priv.cy Acl (20 US.C. 6l132e;3a c.F.R Pon 99, 15 mcadcd; 'FER.PA') 4 o Crlifomia Busincs and Proftsloor Codc ! 225t4 5 o Cdiforaia Civil Co& soctiotr I?9E29 6 r Crlifomia Mucrdoo Codc s.clioss 49073 ,49b76, 49076.5 U,d19076.7 7 e t Crliforoir Govcnrncot Codc arctioo 6250 . U.S.C. scdion 12329 aad 3rl C-F.R rcction 9931 9 . l0 RivcBidc Couoty Juvcnilc Blsok.t Ordcr 15. ll ' Ttc&foG, si.nc€ somc fcdcral ltw rnd Cdifomia larvs'may limit thc rclcase rnd cxctangc of colridrotial ioformatioq rcsolutioo ofthis conllict is ncccssrry by md thloogh rhis bhDkc{ ordcr. Good l3 callse supports thc rclcsse ud cxchuge ofconfidqtial inforerrion i! this cont xt siDcc I lirDitld lslcsss t4 of infon;ation about ! fosrcr child is in tbc child'r bcsr l crcsG whcrc multiplc ngstlsirs lrE involvcd in t5 Glcssing 8 fo3tcr child fc scnricts aodor plsorrDcat nccds. Thc purposc ofthis rclcosc 8od exchango is ia l5 rhc furthqrancc of Continuusl of Cu! Rcform rupporr.d by s systcm of carc for fo$!r childrctr. l7 Collaboruivc pfforts ir s rystcm of carc prcvides 8 coordinlrcd, timcly aad trruoa-informcd approlch to l8 fostlr cbildrc! b rddnss systcaic bqfticrs to ttc mditioml provisio! offutcragcncy scrriccs. Tbc Juvcsile l9 Court hcreby isru6 this bl.okct ordcr su&orizing 0re dlsclo:urc of ! juvenilo cssc file lrd/or co idqltial 20 infomaion ia compliaacc with Wclfrr! !!d Instit8iolr Codc s.ction 16521.6 srd in coordinuion wirh a 2l syrtcm of cs! prrscdbcd snd describcd by t[c MOU. Systcm Parh.rs .od iLcsred third prrties arc t', authorirld to rclcrsc tod o(chs.oge r fos&r child's confidcmirl ilformtion. Funhcr, lbe Syrtlm PrrrucB agrcc that: a 24 ORDER FOR THE RELBASE AND AXC}iANGE OT CONFIDENIAL INTUGT^-NON BETWEEN THE RTVERSDE cOlrNTY DEPARTMENT OF SOC1AL SERVICESCHILDREN'S SERVICES otustoN: RJVERJIDE COrrNTy 25 PROBATION DEPARTMENT, RIVERSIDE T'NIVERSITY HEALTH SYSTE}GBBHAVIORAI HE !TI{, TI'E RIVERSTDE COI'NTY OFFICE OF EDUCANON. INLA}.ID COI.,'NIIES REGIONAL CENN'R. INC. AND NECESSARY 26 THIR.}PARTY COMMUMTY PA.RTNERS TO FACILTTATE A SYSTEM OF CARE REQUIRED DY ASSETT,{BLY BILL m$ 27 DLANKET OR.DER NO- 32 2E 7t15n1 DPSS4002800 I . l. Thc SystcD PsnncB shlll pmvide for, rnd rdh6c ro, Uc implcrnr[tatioliod a mriotenarcc of lpprcpriatc $surity Folocols !!d proccdurcs for thc tronEfcr 8trd msintcn8flce 3 of coalidcntid infontration shartd by the oth6 System P!fincls 2. Unlcas othcrvlsc rEquircd by the MOU'or by coutt oidcr, thc Systcrn Psrtncn 5 shall limit rcccss rnd vicwing of confidantial information to iDdiyidurls who d! occcagary b 6 asurc compliracc with thc purporcs oftbc MOU aod 7 3. Thc Syseo Psllcn shallpnsoibc apiropriac proccdurts brthc rimcly dcstnraion t or rttum of confdcntial lafonnariou oncc 0rc purposc for which thc iaformaion wa: rclcascd cnd 9 cxchaagcd has bcca satirficd, pursu8trt to WclfrE md Institutions Codc rcclion 16521.6, 10 subdivkioa (a)(3)@). II Acccss, viewing, disorssioa aad/or u.sc ofany rccoldJ or confdcotid lnforoaion obuincd undor 12 this order ir solcly limitcd to u5r iD"coucrtion lld applicdioo of 0rc Rivcrsidc County Intcregcncy Child, l3 Youlh md Fsmily Scrviccs Meoorcsdum ofUndcistudilg rofcrcaccd r' 'MOtf and dcgcribld, in part, l4 abovc. C-onfidenticl idormrtiou relcarcd, cxohaagld or discu3scd wilhh tcams or committcca pursuant to l5 this Blanka Ordcr shsll lot be opoD to public iospcctior in 8oy instlsc!, Ttre coofdcntial infomltion l6 osiDtains its c.nfid.otis.l nst{.E in spit! oflhc rclcrsc aad disrgmbrtio[ pur5ut[t !o a systcm ofca!€, thc t7 tqrms ofthc MOU and thc actions of System Psrhcrs rnd invcaad tfiird pErlics. The Eco.ds aod iaformation IE disclosed under this ord6 shall not bc rrlc{scd to ary othcr cntity or individusl othc( thrn th! Synlm 19 Pgtocn or invcsted third partics dc.scribcd hcrch md within thc tarms ofthc MOU aDd shrll not be madc 20 my part of any other coutt filc thlt is opGD ro lhc public, The usc of rccords 8nd iDfornatioD obtained undcr 2t lhis ord€r ltr liEi&d to prDlrole r cootdinstcd syrtlm ofcaE to clildrco, youth and hmilics rugagcd ia child wclfsIr or to scrvc tlc occds ofRiwnidc County d.pa&nt childrco placcd i.u fostcr carc orly, uolcss 23 rulhorizcd by furthcr court ordcr or u allowcd by la*. Confdcrtiality of 24 ORDER FOR THE RELEASE A}ID E'(CI{ANGE OT C$NRDSNNAT D.IFORMANON BETWEEN THE RM.RIiIDE COT NTY DEPARTMENT OF soClAL SsRvIcEscHtr-DREN'S SERYICES DMSION: RIVBRS[DE COT NTY 25 PROEAION DEPARTMENT, RIVBRSIDE T'NTVEPSITY HEALTH SYSTEM.EEHAVTOR/qI HEALTII, I'I{E 26 RIVERSTDB COT'NTY OFFICE OF EDUCANON,INI.AND COT,NIIBS REOIONAL CENTE& TNC, AND NECESSARY TMf,,DPARTY COM}A'NITY PARN{ENS TO TACTUTATE A SYSTAM OF CARE REQ{,'IRED BY ASSEMBLY BILL 20t3 28 AI-ANKET ORDEN NO, 3? 7t15n1 ol27 I DPSS-0002800 I Subslaacc Usc Disordcr Palicnt Rccords, 42 CFR Psrt 2, snd thc Hllltt lDsunnce Porrsbilit, lnd Accounlability Act ofl996 (I{IPAA),45 CFR Palrs 150 & 164, can lot bc discloscd wittout wlittro conscDt 3 uulcss otbcrwisc providcd by law or rgul4ion. Tbc p,urposc oflhis order is to luthoriz, thc &lcasc ofinfonnrtior; rhis is not rn ordcr rcquiriry lbe rtle{se of iofornation. Thi! B latrkct frcI srrv6 to sllow for rcutine lslthcgrc/dcnhl crrc md infonnaion 6 shrrirg. TLis bl8lket ord.r oppli.s to cll childrcn in DPSrcSD protldtvE cusdy and is not . r.quircd 'l documeot mahtaiocd lo each child's juvcollc case 6lc. Datcd, 2021 ffi 9 Presiding Judgc ofthe ,uvcnilc Court l0 Riverside SupqiorCoufi t1 t2 l3 I4 l5 t6 IE 19 20 zl 22 23 u 6 ORDER FOR THE RELEASE AND EXCHA}iOE OT CONNDSNTIA, INFORMATION BETWEEN r}IE RIVEiS'DE ,< CoITNTY DEPARTMENT OF SOC{AL SERVICIJ-CHILDREN'S SERVICES DIVISION; RIYEnSIDE COUNTY PROBATION DSPARTMENI,. RIVERSTDE I'NTVERSITY HEALTII SYSTEM.BEHAVIORAL HEALTI1 THE RJVERSIDE CO(NTY OFFICE OP EDUCATION. INLA}ID COI.,NIIES REGIONAL CENTE& INC, AND NECESSARY 26 THIRT}PARTY COMMI.'NITY PARTNESS TO FACILTATE A SYSTEM OT CARE REQ{JIRED BY ASSEMDLY BILL 20t3 27 BLANKET ORDER NO. 32 28 7115n1 ol27 ' DPSS-0002800 AODENDUiN "A" Callfomla Core Practlce Modol The following excerpt is from the lntegrated califomia core practice Model. please refer to httos://bil.lvl3mFvSoS for additional informallon. Vlluea and Princlpler This lcPM is informed by nationally-re.cognized core values and principles and derived hrg€ly from research about how colaborative and integrated family services worr uest. rn-*6 g.rldgl1g:: wth the use of comptementary evidence-informed pratticee, suggest thai a ipecru. o, community-basod services and supports for chlldren, y - ouar, and tami6-s witr, or ai risk of, serious challenges, will improve the outcome of services. '1. Values Famlly--drrien end youth-guided: Famiry-driven and youthguided pracflces recognize that no one knows more abou the famflys story ino spLofic ne;ds rhan .' the famiry memb€rs themserves. The famiry membois can 6e"l oeicrite th"i hisi;r; culture, and preferences. They are the eiperts about themserves. consistent wifh the important developmental lask of personal lndividuation, the choices of a child or youth should be soticited .and resp€cted, whenev€r possible, durhg the ,o;e;4. \flhite addressing the needs end buitding on the strengths the d.,i6 ;t"'rG-;;i be the pJimary targer or purpose of interventions, services " m f ust focus onine neeoi of the wior6 famiry, with supports rhat empower families and enhance their abilitv to access intemal, natural, and community resouroes. \{hen family d;b"";" iil; own choices reflected in integrared service prans, even when irans reqrire andor youth precement outside their biorogicir famiry to ensure &fety, ptairs are " m "r o ,i r r J i likely to be sucoessful. communlty'based: The rocus of service and resources resid€ within an adaptive and supportive structure of systems, pro@sses, and relstionships, a tne Lr"i Servic€s and supporl shategies should take place ,n the most inclus " i o v m e, m re *i s it p y 6 nsiri, accessible, and reast restrictive settings, where safety, permanency, anl ramtty members' participation in communlty lib are maximizeo. cnitoren, vouth. ano tamitv members need access ro the same range of activities and famities, chirdren, and youth within theiriommunity, to supp"onrrt'rprJo"'nitimr-J"r iiti"r """.'t.ii#ii.il?i and development. culturally and rrnguBocrly competent] curture incrudes a broad range of tac-t"onrJs that shape,-identity, including, .but .reac*ring b6yond, raciil, 6*aer, tingurstic differences. rt rs criticar that membJrs of tne ieam oim " o f n n s n t i r c it , E ieipda tor diversity in Expression, opinion, and preference, especially as they come fogLther in teams ro make decisions. wordg and body ranguage.musi demonitrate an aiceotino and curious approach to understandini, tni ta-mif v, i"uroirg thiir-;d. G;;E strengths. rr is criticar that.communication meets tanguage and'iiteracy needs, with the use of .prain ranguage that everyone c€n understa-nd,-and rhe use 6f a hailhi;; or interpr€tsr, whenever language baniers exist. 7t15n1 ot 27 I DPS5{002800 A family's tradifions, values, and heritage are sourc€s of strength. Relatlonships with people and organtsations with whom they share a cuhural or spiritual identity can b6 essential sources of support. These resources are often "natural,, in that they potentially endure as sources of support atter formal services have ended. lt is lmportanl that the team embrace these organizations 8nd indivlduals, strengthening and nurturing positive conneotions, to assist the fEmlly members in achieving and malntaining positive change in their lives. 2. Tsn Gulding Practlce Principles Family voice and cholce, Each famlly member's perspective is intentionally etlctted and prioritized during all phases of the leaming and service process. The team strives to find options and choices for the plan that authentically reflect the family members' perspectiveE and preferences. Team-based: The team consists of individuals agreed upon by lhe family members and committed to the family, through intormal, formal, and community support and service relationships, At times, family members' choices about t€am membership may be shaped or llmlted by practicsl or legal consideratlons, hor,\,ever, the family should be supporled in making inform€d decisions about lvho should be part of the team. Ultimately, family members may choose not to participate in the process if they are unwilling to accept certain members. Natural supporG: The team sclively seeks and encourages full participation of members drawn from the famlly memberc'networks of interpersonal and ccimmunity relatiorchips. The plan reflects activities and interventions drawn on sources of natural support. These networks include friends, extended family, neighbors, coworkers, church members, and so on. Collaboration and lntegratlon: Team members woik cooperatively and share responsibility to joinlly develop, implement, monitor, and evaluate an integrated, collaborative plan- Thls principle recognizes that the team is more likely to be successtul in accomplishing its work when team members approach decisions in an open-minded manner and are prepared to listen to, and be influenced by, other team members. Members must be willing to provide lheir own perspectives, with a commitment to focus on strengrths and opportunities in addressing needs, and woft to ensure that others have opportunity to provide input and feel safe doing so. Each team member must be commitled to the team goals and{he integrated team plan. For professional team members, lnteractions are govemed by the goals in the plan and the decisions made by the team. This includes the use of resources controlled by individual members of the team. Vvhen legal mandates or other equirements constraln decisions, leam members must be willlng to work creatively and llexibly lo find ways to satisry mandates, while also working toward team goals. Communlty-based: The team will strive to implemenl service and support strategies that are accesslble and available, within the community where the family lives. Children, youth, and tamily members will receive Bupport so that they can access the same range of activities and environments as other families, childr6n, and youth within their communlty and that support their positive functioning and development. 7115t21 oI 27 DPSS{002800 Culturally respectful: The planning and service process demonstrates respect for, and builds upon the values, preferences (including language preferences), beliefs, culture and ldentity of the family members and lheir community or tribe. Culture is recognized as the wisdom, healing tradltions, and transmifted vatues that blnd people from one generation to another. Cultural humility requires actnowledgement that professional staff most often cannot meet all elements of culturel competence for all people served. Professionals must ensure lhat the service plan supports the achievement of goals for change and is integrated into the youth and familys cultures. Cultural humility and openness to loarning foster successful empowerment and better outcomes. lndlvldualized: The principle of family voice and choice lays the fouMation for indMdualization and ffexibility in building the plan. \Mtile formal services may provlde a portion of the help and support thst a family needs, plans and resources must be customized to the specifio needs of the lndividual child, yotth, and family memberc. Each element of the family's service plan must be built upon the unique ind specilic slrengths, needs, and interests of family members, including the assets and resources of their community and culture. Strengths.baeed: The service process and plan identry, build on, and enhance the capabilities, knowledge, skills, and assets of the child, youth, and family members, their tribe and mmmunity, and other team members. The team takes time io recognhe and validate the skllls, knowledge, insight, and strategies that the famity anOl[eir I team members have used lo meet the challenges they have encountered ln thelr lives, despite these strengths possibly having been inadequate in the past. This commitment to a Btrengths-based orientaflon intendE to highlight and support the achievement of outcomes, not through a focus on eliminating family membeis deficits, but rather through an effort lo utilize and increase their asset6. This begins with a uniform and singular use of the CANS assessment. Doing so validates, bui-lds on, and expands each family members' perspective (e.9., positive self-regard, self-efficacf , hope, optimism, and clarity ofvalues, purpose, and identity), their interpersonal asseis (e.9., social competence and social connectodness), and their expertise, skills, and knowledge. Persistence: The team does not give up on, nor blame or rej€c1 children, youth, nor their families. \Men faced with challenges or setbacks, the team conlinuei working toward meeting the needs of th€ youth and tamily and toward achieving the team,; goals. Undesirable behaviors, events, or outcomes, are not seen as evidence of youlh or family 'failure", but rather, are interpreted as indication that the plan should be revised to be more successful. in achieving the positive outcomes associated with the goals. At times, this requires team commitmenl to revise and implement a plan, even in the face of limited system capacity orresouroes. Outcomes-besed: The team ties the goals and strategies of the plan to observable or measurable lndicatorE of success, monitors progress conslstenl with those indicators, and revises the CANS and service plan accordingly. Thi6 princjple emphasizes that the team is accountable, to the family and all of the lpam members, to the.systems of care serving lhe children, youth, and famllles, and to ihe community. Ttacking progre66 toward outcomes and goals keeps the plan on lrack and indicates need for revision of strategies and interv'entions, as nocessary_ lt also helps the team 7t'16t21 26 ot 27 ,Page DPSS4002800 maintain hope, cohesion, and effectlveness, and allows the famity to recognke that things are indeed changing, and progress is being made. Historically, the ability to retain chitdren, youth, and family members in lreatrnent services lo complelion has been challenging. Children, youth, and families from vulnerable populations (e.9., children ot single parents, children living in poverty, minority lamilies) are reast likely to stay rn troatment. when asked aboui reaions f6i dropplng out, parents offen identiry stressors associated with getting to appointments, a sen3e that the treatment or service offered is inelevant to thek needs, oi L perceived lack of connection with the service provlder. while providers may hsve llttle control over a child and fsmily's daily life stressors or difficulties in accdssing care, they clearly have control over the relevance and opportunity to avold redundancy of services offered to families (supporting the principles of voice and choice and individualized), as w6ll as iheii enorts in relationship-building (also known as engagement). Within lhe CFT process, including a focus on the needs identm€d as highest priority by the child, youth, and famil! members themselves is a critical componenl of initial and suBtained engagemeni, during the service delivery process. An additional practical construct to thi8 approach is the realjty that a famlly,s complex needs have otten been recognked through servic€s directed by multiple and competlng service plans. Bringing service plan expectations and resources together, as well as following a shared CANS and a single and functionalstructured assessment process, will result in a simpllfl€d, coordinated plan that will greafly improve the prognosis of success and dramatically lower the stress on family members. 7t15n1 DHCS State of California-Health and Human Services Agency Department of Health Care Services IIC|{EL|..E BAASS GAVltl t/EWSot! OIRFCIOR 60rfRr'/oR December 20, 2021 Student Behavioral Health lncentive Program Objectives and Process ln accordance wilh State law (AB 133, Welfare & lnstitutions Code Section 5961.3), the Department of Health Care Services (DHCS) is directed to design and implement the Student Behavioral Health lncenlive Program (SBHIP). $389 million is designated over a three-year period (January 1 ,2022- December 3'1, 2024) for incentive payments to Medi-Cal managed care plans (MCPs) that mset predelined goals and metrics. SBHIP goals and metrics are associated with targeted interventions that increase access lo preventive, early intervention and behavioral health services by school-aftiliated behavioral health providers for children in public schools in Transitional-Kindergarten (TK)through grade 12. lncentive payments shall be used to supplemenl and not supplant existing payments to MCPs. ln addition to developing new collaborative initiatives, incentive payrnents shall be used to build on existing school- based partnerships between schools and applicable Medi-Cal plans, including Medi-Cal behavioral health delivery systems. Objective of Student Behavioral Health lncentive Payments . Break down silos and lmprove coordination of child and adolescent student behavioral health services through increased communication with schools, school afriliated programs, msnaged care providers, county behavioral health plans, and behavioral health providers. . lncrease the number of TK-l2 public school studenB enrolled ln Medi-Cal recslvlng behavloral hsallh tervlces through schools, school-affiliated providers, county behavioral health departments, and county offices of education. . lncrease non€pecialty services on or near school campuses. Objective of the SBHIP Workgroup ln accordance with lhe State law (AB '133: Welfare & lnstitutions Code Section 5961.3(b)), DHCS established a SBHIP Stakeholder Workgroup to develop the targeted interventions, goals, and metrics used to determine incentive payments to MCPs. The SBHIP Staksholder Workgroup has b6€n asked to assist DHCS in determining the design and approach to guide impl€mentation of SBHlp, in particular to: . Provide leedback and guidance on inlerventions, goals, and metrics. . Help identify activities that best target gaps, disparities, and inequities. . Provide leedback on incentive payment calculation and payment methodology Local Governmental Finsncing Division '1501 Capitol Avenue. MS 4603. P.O. Box 997436 Sacramento. CA 95899-7436 wwlv.dhcs.ca.oov The SBHIP Stakeholder Workgroup has representation from the Califomia Department of Education (CDE), MCPs, counly behavioral health departments, local educational agencies (LEAS), and other atfected stakeholders. Between Augusl 2021 and December 2021, there were multiple meetings to engage and collect feedback from stakeholders. DHCS to finalize by January 1,2022 Th6 SBHIP aftective date is Jenuary 1,2022. By that date, largeled inlerventions, metrics, goals, incentive payment calculation, and allocation methodology will be defined for the SBHIP. MCPs interested in participating in the SBHIP will need to submit a letler oI intent to OHCS. Targeted lnterventions: Aclivities that will increase access to preventive, early intervenlion and behavioral health services by school-afliliated behavioral heahh providets for TK-12 children in public schools. Goals: Oesired outcomss, locations, and/or populations to reach with each intervention or quality measure. Metrics: Specify the requirements, sleps, and measures lo assess achievement of selecled targeted interventions or quality measures. Allocalion Methodology: ldentifies the methodology used to allocale and dislribute incentives earned tor implemenling the selected targeled interventions and achieving specilied quality measures. SBHIP Duration and Sustainability SBHIP will follow three distinct phases; design, implementation, and posl-SBHlP. The design and implementation of SBHIP is structured with the intention to build infrastructure and r€lationships lhat extend beyond the three year incentive period. Devebp 5tructrrts to, Stakeholder gngEgem€nt and D.r6lop m!&ks, lntarr?nliorl8, Dci.rmlncpaymont structure lo imdemer{albrl (oversQht end 6ducstion and gp8b MCPB govomanc€) MCP assessmenvgap analysls MCPS design and impl€ment Continu€d Btekelbldsr t^,ilh lochnical assiotEncG lo inlew€ntions in coordinalion MCPS roceive psFnents bosed education support engagemont t!€tw6en with COE6, LEA6, County BH on metdcs echieved LEA3 and MCPS Departmentg, and BH providers Porl€BHIP (J6nus.y 2025 snd boFnd) stron B g H s tt n r i €n n d €d f l , n e o s n lr u b M c e t e n u d e r i € - f C ti i n a n g l s 6 c b t h o u o l d h o 6 l n s M ls o 8 d r€ i-Cal s O u e p p p a o l r l d o lm r M e on e M t d s i C , C P a s B M l . p C L a O €A ym s E S on , h l a C l v o o o r u n c 8 t d H y { r B 6 a e H c r t v 6 ic e lo s Ro c h o t u k n n ty . c h B o ip o H a s d a b in ' €t r E n l r s io e l n r n o n o g l M t 6 a C o d P M S c lo , o L 6 6 E rt A p g g , o r 6 l nd in 6d|oolB

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