Goal:
The Garrett County Local Care Team (LCT) ensures that children/youth and their families with intensive needs receive necessary support and resources to live a successful life.Strategy Description:
The Garrett County Local Care Team helps children and families to identify their individual needs and coordinate assistance through referrals to local agencies. The LCT initiates inter-agency discussions and problem solving for individual family needs as well as systemic needs. The LCT refers children and families to Care Management entities when appropriate as well as local and community resources. The LCT identifies and shares resource development needs with the Care Management entity, Local Care Teams and local Core Service Agencies/Behavioral Health Authorities concerning how to best help the family. The LCT can discuss a request for voluntary placement for a child with a diagnosed developmental disability or mental illness.Level of Change:
SystemsPrimary Focus Area:
Behavioral Health: including Substance Abuse and Mental HealthData Category Tag:
GCHD Local Management BoardStrategic Planning Alignment:
Estimated Implementation Date:
2017-03-30Estimated Completion Date:
2022-12-30Estimated Ease of Implementation:
HardEstimated Cost of Implementation:
ModeratePotential Community Benefit:
Very HighHealth Equity:
Research:
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Contributing Community Participants
Deneice Crites, Sadie Liller, Carly Metz, Katey Shadel, Diane Donham, Lindsay, Bevian Hensley (MD), Les McDaniel, mary e vansickle, Tim Jenkins, Kaitlyn Glotfelty, John Corbin, MPH, Chelsie, Gillian Shreve, Fred Polce, Juliet Sanders,
| Measurements | Target Goal | Status | Desired Trend | Contributor | January 2017 | February 2017 | March 2017 | April 2017 | May 2017 | June 2017 | July 2017 | August 2017 | September 2017 | October 2017 | November 2017 | December 2017 | January 2018 | February 2018 | March 2018 | April 2018 | May 2018 | June 2018 | July 2018 | August 2018 | September 2018 | October 2018 | November 2018 | December 2018 | January 2019 | February 2019 | March 2019 | April 2019 | May 2019 | June 2019 | July 2019 | August 2019 | September 2019 | October 2019 | November 2019 | December 2019 | January 2020 | February 2020 | March 2020 | April 2020 | May 2020 | June 2020 | July 2020 | August 2020 | September 2020 | October 2020 | November 2020 | December 2020 | January 2021 | February 2021 | March 2021 | April 2021 | May 2021 | June 2021 | July 2021 | August 2021 | September 2021 | October 2021 | November 2021 | December 2021 | January 2022 | February 2022 | March 2022 | April 2022 | May 2022 | June 2022 | July 2022 | August 2022 | September 2022 | October 2022 | November 2022 | December 2022 | January 2023 | February 2023 | March 2023 | April 2023 | May 2023 | June 2023 | July 2023 | August 2023 | September 2023 | October 2023 | November 2023 | December 2023 | January 2024 | February 2024 | March 2024 | April 2024 | May 2024 | June 2024 | July 2024 | August 2024 | September 2024 | October 2024 | November 2024 | December 2024 | January 2025 | February 2025 | March 2025 | April 2025 | May 2025 | June 2025 | July 2025 | August 2025 | September 2025 | October 2025 | November 2025 | December 2025 | January 2026 | February 2026 | March 2026 | April 2026 | May 2026 | June 2026 | July 2026 | August 2026 | September 2026 | October 2026 | November 2026 | December 2026 |
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| Number of unique referrals received by the LCT during the reporting period | 5 | Active | Increase | Local Management Board | 2 | 1 | 4 | 5 | 3 | 4 | 3 | 1 | 2 | 1 | 2 | 1 | 3 | 2 | 0 | 2 | 0 | 3 | 4 | 6 | 2 | 1 | 3 | 1 | 2 | 2 | 0 | 0 | 0 | 2 | 3 | 1 | 0 | 1 | 2 | 1 | 5 | 1 | 0 | 0 | 1 | 3 | 2 | 5 | 1 | 2 | 1 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Total number of LCT reviews completed during the reporting period | 2 | Active | Increase | Local Management Board | 10 | 2 | 6 | 8 | 3 | 5 | 4 | 1 | 2 | 1 | 2 | 1 | 3 | 1 | 0 | 3 | 1 | 6 | 4 | 7 | 1 | 1 | 0 | 3 | 2 | 1 | 1 | 1 | 0 | 1 | 2 | 4 | 0 | 0 | 2 | 1 | 2 | 2 | 1 | 0 | 0 | 1 | 2 | 1 | 1 | 0 | 2 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Number of inbound LCT cross-training and other activities completed | 1 | Active | Increase | Local Management Board | 1 | 2 | 0 | 2 | 2 | 0 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Number of LCT meetings | 12 | Active | Increase | Local Management Board | 6 | 6 | 12 | 7 | 9 | 8 | 7 | 12 | 1 | 3 | 1 | 3 | 1 | 0 | 3 | 1 | 6 | 5 | 8 | 2 | 1 | 1 | 4 | 3 | 2 | 2 | 2 | 1 | 2 | 3 | 5 | 1 | 1 | 3 | 2 | 3 | 3 | 1 | 0 | 1 | 2 | 3 | 2 | 2 | 1 | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| How well: # of mandated Local Care Team representatives that attend at least 75% of Local Care Team meetings. | 8 | Archived | Increase | Local Management Board | 77.7 | 55.6 | 100 | 9 | 7 | 9 | 7 | 8 | 8 | 6 | 5 | 6 | 4 | 5 | 6 | 5 | 5 | 5 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| How well: # of all Local Care Team reviews (new, follow-up, and annual reviews) where the youth's parents (or legal guardians) attended. | 9 | Archived | Increase | Local Management Board | 100.0 | 100 | 100 | 12 | 3 | 5 | 4 | 1 | 7 | 1 | 2 | 1 | 3 | 1 | 0 | 3 | 1 | 6 | 4 | 7 | 1 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Better off: # of new youth referred for in-State residential placement who are alternatively served through community-based services. | 0 | Archived | Increase | Local Management Board | 1.0 | 0.0 | 2 | 2 | 0 | 2 | 1 | 0 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Better off: # of new youth referred for out-of-State placement who are alternatively served through in-State community-based services or in-State residential placements. | 0 | Archived | Increase | Local Management Board | 0.0 | 0.0 | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Number of unique referrals that resulted in one or more reviews by the LCT during the reporting period | 4 | Active | Increase | Local Care Team; Referral Sources; Parents/Guardians of referred youth | 1 | 2 | 1 | 2 | 2 | 0 | 0 | 0 | 1 | 3 | 1 | 0 | 0 | 3 | 1 | 3 | 1 | 0 | 0 | 1 | 2 | 1 | 0 | 1 | 2 | 0 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Number of outbound LCT outreach activities completed | 4 | Active | Increase | Local Care Team; Local Management Board | 1 | 1 | 1 | 2 | 0 | 0 | 1 | 1 | 0 | 2 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 1 | 3 | 0 | 0 | 0 | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Percent of mandated LCT representatives that attend at least 75% of the meetings | 71 | Active | Increase | Local Care Team Mandated Members: GC Center for Behavioral Health, Maryland Coalition of Families, Department of Juvenile Services, Department of Social Services, Developmental Disabilities Administration, Garrett County Public Schools, Local Management Board/Local Behavioral Health Authority | 86 | 86 | 86 | 71 | 71 | 71 | 71 | 71 | 71 | 86 | 86 | 86 | 63 | 63 | 63 | 63 | 63 | 62.5 | 62.5 | 62.5 | 62.5 | 62.5 | 62.5 | 62.5 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Percent of l LCT reviews where the youth's parents (or legal guardians) attended | 100 | Active | Increase | Local Care Team; Parents/Guardians | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 |
Data Narrative
Local Care Team (LCT) Performance Measures Defined: Number of unique referrals received by the LCT during the reporting period- Referrals counted in this measure are youth-specific, not family-specific. Youth who were reported in previous reporting periods may be counted again if the LCT received a new referral. Not every referral will result in a youth review. Total number of LCT reviews completed during the reporting period- Reviews may be conducted in-person or virtually. They are attended by the mandated LCT members, youth's attorney where applicable, youth's parent and/or legal guardian, and the youth when appropriate. A “review” is one function of the LCT and there may be more than one review scheduled for each LCT meeting. Likewise, a referral may result in multiple reviews during the reporting period. A meeting or part of a meeting where the LCT discusses systemic gaps and needs not specific to a particular youth or family is not a review. Discussions involving siblings / other family members who have not yet been referred to the LCT are not counted. Number of inbound LCT cross-training and other activities completed- This measure pertains to activity including training and other presentations completed for the benefit of the LCT. (e.g. ‘Lunch and learns’ or presentations from community based organizations received by the LCT.) The target reflects an annual target (July 1 - June 30). Monthly numbers reported are not cumulative. Number of LCT meetings- Number of meetings scheduled by the LCT Coordinator (in-person or virtual) to conduct reviews and/or administrative matters. The target reflects an annual target (July 1 - June 30). Monthly numbers reported are not cumulative. Number of unique referrals that resulted in one or more reviews by the LCT during the reporting period- This number can only be equal to, or less than, the number reported in "Number of unique referrals received by the LCT during the reporting period." The target reflects an annual target (July 1 - June 30). Monthly numbers reported are not cumulative. Number of outbound LCT outreach activities completed- This is a measure of activities that originate from the LCT coordinator or an LCT member acting on behalf of the LCT. This is LCT “marketing” to individuals and/or groups. A training is defined as an event (such as, but not limited to a workshop, meeting, outreach, etc.) in which the LCT coordinator/member is the presenter/speaker and provides information to others (e.g. agencies, caseworkers, etc., not the LCT) on LCT related-issues, LCT business practices, etc.The target reflects an annual target (July 1 - June 30). Monthly numbers reported are not cumulative. Percent of mandated LCT representatives that attend at least 75% of the meetings- Numerator: Number of mandated LCT representatives that attend at least 75% of LCT meetings. Denominator: Number of mandated LCT representatives. This measure is calculated quarterly. Percent of all LCT reviews where the youth's parents (or legal guardians) attended Numerator: Number of all LCT reviews (new, follow-up and annual reviews) where the youth’s parents (or legal guardians) attended. Denominator: Total number of reviews completed during the reporting period. This measure is calculated quarterly. ____________________ The Garrett County Local Management Board is responsible for convening the Garrett County Local Care Team (GCLCT) and reporting performance measures to the Governor’s Office for Children (GOC) on a semi-annual basis. The GCLCT accepts referrals from families (self-referrals) as well as from agencies/organizations that work with families. Most referrals result in a youth review and referrals that do not result in a youth review are typically due to a parent/guardians decision to not hold a meeting. Some referrals are resolved with resource connection. Mandated members of the GCLCT are: Garrett County Health Department Center for Behavioral Health, Maryland Coalition of Families, Department of Juvenile Services, Department of Social Services, Developmental Disabilities Administration, Garrett County Public Schools, the Garrett County Local Behavioral Health Authority and Local Management Board, and the parent/legal guardian of the youth being reviewed.
