Philadelphia healthy and home for youth in the community 2.0 - although philadelphia upholds system of care (SOC) values and principles in children's behavioral health services, our system must be…

Philadelphia healthy and home for youth in the community 2.0 - although philadelphia upholds system of care (SOC) values and principles in children's behavioral health services, our system must be intentionally designed to be cohesive and link core SOC services (i.e., care coordination, mobile response, peer support) in clear, supportive care pathways in order to address needs early on, right size treatment, and prevent unnecessary higher levels of care (pires ET AL., 2016; stroul ET AL., 2021). Dbhids currently faces five system development needs: 1) to intervene early and comprehensively assess intergenerational, family challenges, including social determinants of health (SDOH) to "right size" treatment upfront, 2) to increase access to ebps that holistically address youth and family needs, 3) to reduce the overreliance on residential treatment and out-of-home (OOH) placement through integrated care pathways that support the utilization of effective community-based services, 4) to mitigate early childhood trauma and prevent serious behavioral disorders for young children through early intervention, especially those involved in multiple systems, and 5) to address persistent gaps and behavioral health disparities, particularly for youth and families of color, with innovative partnership, fiscal strategy, and policy. Through this SOC grant, dbhids will address our system needs by utilizing use highly effective strategies to bring about system transformation and improvement, including: developing infrastructure, building capacity, partnering with families and community stakeholders, creating avenues for collaboration across agencies, leveraging fiscal resources, and solidifying change through policy. Specifically, we propose the following goals to bring about systems change: goal 1: increase philadelphia SOC's capacity to assess behavioral health disparities and SDOH for culturally- and linguistically- diverse families and provide referral pathways to recovery support services goal 2: expand workforce training and system capacity to increase access to the array of community-based ebps for diverse families with youth at-risk for out of home placement and reduce restrictive, and extended higher levels of care goal 3: system coordination and integration of core SOC services (ICC, family/ youth peer support, mrss) as an effective, cohesive system goal 4: provide trauma-informed supports to mitigate trauma and reduce negative early childhood outcomes related to later behavioral challenges goal 5: promote and sustain family and youth engagement through collaborative partnerships with community-based organizations and system partners to guide SOC implementation through CQI and evaluation goal 6: sustain SOC implementation through coordinated fiscal strategy and policy through intensive cross-system services provided through this grant, philadelphia healthy & home will serve a total of 375 youth with or at-risk for SED. Philadelphia has demonstrated its ability to change effectively and successfully sustaining key components of all samhsa grants. By establishing infrastructure, increasing access, and leveraging funding this grant will enable philadelphia to expand SOC and improve outcomes for culturally-diverse children and youth with SED and their families.