This is a guide Family Navigators can use to help provide families with food support.
Family Navigators – Care Managers
NC InCK Goal Bank
This is a document aimed to help Family Navigators identify useful goals and resources for children and families.
Behavioral Health Part 2 Integrated Care Rounds (November 2023)
Description
In this second discussion of behavioral health, the NC InCK team outlines crisis resources, whole-person care, and therapies that help better understand and support behavioral health.
Click this link for the November 2023 Behavioral Health Part 2 Integrated Care Rounds Slide Deck
Key Takeaways
- There are many evidenced-based therapies to treat different behavioral health diagnoses. Having a basic understanding of evidence-based treatment modalities can help with identifying an appropriate treatment provider and allow Family Navigators to share knowledge of what to expect with families. Trauma focused cognitive behavioral therapy is an evidenced-based therapy that can be beneficial for children and young adults who have experienced trauma.
- There is a continuum of behavioral health crisis supports available to children and families in NC InCK counties. It is important for Family Navigators to be aware of available crisis supports and share them proactively with family or members that have a known or suspected behavioral health diagnosis.
- Tailored Care Management (TCM) provides whole-person care management to individuals who are Tailored Plan eligible. TCM providers can link individuals to enhanced supports available in the Tailored Plan to address mental health and I/DD diagnoses. Family Navigators can assist with transitions to TCM by supporting families in reaching out to LME/MCO member services and the enrollment broker.
Resources
- MORES (Mobile Outreach Response Engage Stabilization) – This is a specialized crisis response service designed to engage youth and their families to address immediate crisis and assist in connection to community resources and providers to aid in the reduction of hospitalizations and out-of-home placement.
- Behavioral Health Urgent Care (BHUC) – This is a service provided for individuals experiencing a behavioral health crisis. This service is an alternative to utilizing the Emergency Department
- Comparison of NC Medicaid Standard Plan, Medicaid Direct and Tailored Plan – This is a comparison of each plan and a breakdown of which plan supports a particular population.
Adolescent and Young Adult Engagement and Well-Being Integrated Care Rounds (August 2023)
Description
The August 2023 Integrated Care Rounds discusses Adolescent and Young Adult (AYA) engagement in the NC InCK model. The NC InCK team and guests talk about what risks adolescents and young adults may face and how to empower families to set healthy goals together.
Click this link for the August 2023 AYA Engagement and Well-Being Integrated Care Rounds Slide Deck
Key Takeaways
- The adolescent brain is particularly susceptible to addiction, with youth showing signs of dependance quickly. Nicotine dependance can develop within days to weeks after as few as 100 cigarettes, and before daily smoking. Nicotine impacts brain areas responsible for learning, attention, impulse control and mood. Youth-friendly resources, such as Live Vape Free (LVF), can play a crucial role in helping young people quit vaping products.
- It is especially important to engage Adolescents and Young Adults (AYA) in their care. Tips for this include: talking with parents/caretakers about including their adolescents in care management, discussing consent and confidentiality with AYA and answering their questions, encouraging and involving adolescents in goal planning, and focusing on proactive skill building!
- NC InCK has been receiving community referrals from Juvenile Justice Court Counsellors since May, 2023. If a family chooses, Family Navigators can collaborate with Juvenile Court Counselors to better support and reach the goals of Juvenile Justice involved youth and their families.
Resources
- Live Vape Free (LVF): is a confidential texting program to help young people quit vaping products. Join by texting VAPEFREENC to 873373.
- “Get Your Head Out of the Cloud” and TalkAboutVaping.org: Information to help parents address the dangers of vaping with their kids, access free educational resources, and conversation guides.
- GetMyFuture: Educational and vocational skill-building resources
- A Family Toolkit: Toolkit aimed at helping families through the transition from pediatric to adult health care.
Guide for Engaging Adolescents in the Care Management Process
This guide for Family Navigators shares information for engaging adolescents in the care management process.
Sleep Hygiene Guide for Children and Families
This guide shares information and tips related to sleep hygiene. It includes check lists with healthy sleep habits, a bedtime routine plan template, resources, and example Shared Action Plan goals for care managers.
Concrete Economic Supports Part 2 Integrated Care Rounds (June 2023)
Description
The NC InCK team and our guests discussed economic hardship and its impact of children and families during the second part of the Concrete Economic Supports Integrated Care Rounds event (June 2023).
Click this link for the June 2023 Concrete Economic Supports Integrated Care Rounds slide deck.
Key Takeaways
- The 2023 NC Child Health Report Card found that 40% of children in North Carolina live in poor or low-income households. Poverty, the stress caused by the experience of poverty, and the interaction with multiple systems is linked with multiple poorer health and well-being outcomes.
- This training includes information on accessing supports, including clothing, internet, utilities, WorkFirst, and Unemployment benefits. Use these resources in addition to those shared in the March 2023 Integrated Care Rounds. Viewers will learn how to support families through understanding and applying for supports.
- Family Navigators should actively support families in connecting to and enrolling in economic supports through walking with them to complete forms, calling access lines, and following up on applications.
Resources
- WIC Referral Form: Complete the referral form to refer families to WIC as a nutrition support for families
- More in My Basket Referral Form: Can help families apply for SNAP; refer families today!
- Affordable Connectivity Program (ACP): Medicaid recipients are automatically eligible for the ACP internet subsidy (up to $30/month) and a discount (up to $9.25/month) on phone or internet service through the Lifeline program
- Unemployment Benefits: Find more information on what is needed to file for unemployment benefits
Early Childhood Integrated Care Rounds (May 2022)
Description
The May 2022 Early Childhood Integrated Care Rounds event shares early childhood resources and valuable family perspectives. The NC InCK team and our guests discussed the importance of well child visits, quality child care, and early literacy efforts.
Click this link for the May 2022 Early Childhood Integrated Care Rounds slide deck.
Key Takeaways
- Well-child visits are essential, and preventative care through well-child visits leads to numerous long-term, positive health and well-being outcomes.
- Family Navigators can help families attend well-child visits with three-way calls to support scheduling, connecting families to resources such as MyChart and Medicaid transportation, and by initiating conversations on the importance of well-child care.
- Family Navigators can support the importance of high-quality child care with families and connect families to the Child Care Referral Center for options.
- Early language and literacy habits in the home are key indicators of every child's healthy development. Examples of key literacy programs are provided.
Resources
- Child Care Referral Center: Search for child care options in your area or see details for calling the Referral Center for support in finding child care or applying to Pre-K
- Children’s Developmental Services Agency (CDSA): Search for your local agency for NC’s Infant and Toddler Program
- Book Harvest: Request books and parent support for reading from this Durham-based non-profit
Food Integrated Care Rounds (June 2022)
Description
The June 2022 Food Integrated Care Rounds event shares information on Food & Nutrition Support and other helpful resources. NC InCK and our guests discussed food insecurity and how Family Navigators can help address food insecurity for children and families.
Click this link for the June 2022 Food Integrated Care Rounds slide deck.
Key Takeaways
- In NC InCK’s five counties, approximately 20% of households with children are food insecure.
- Food insecurity impacts all aspects of a child’s health. Children who experience food insecurity at any age are at risk for poor health outcomes that can continue into adulthood.
- Family Navigators can address food insecurity by understanding common barriers for accessing food and nutrition support, creating safe spaces to ask about food needs, and connecting families with federal nutrition support programs and insurance provider benefits.
Resources
- NC InCK Food Resources for Schools and Partners: A two-page guide with information on accessing SNAP, WIC, and school meals
- WIC Referral Form: A DHHS referral form for the Women’s Infants and Children program to receive outreach from a child’s local health department on the program
- How to apply for SNAP: DHHS site with information on the three ways to apply for SNAP benefits
- More in My Basket: A center based at NC State University which can support families in completing their applications for SNAP
- Summer Meals: Information on how to access a summer meals site near you (June-August)
Schools Integrated Care Rounds (April 2022)
Description
The April 2022 Schools Integrated Care Rounds event shares student and family perspectives and outlines why schools are an integral part of a child's care team and community. The NC InCK team and our guests discussed how children can thrive in schools and what we can all do to support children.
Click this link for the April 2022 Schools Integrated Care Rounds slide deck.
Key Takeaways
- Many supports exist for students in schools. Services all students are eligible for include teacher intervention and muti-tiered system of support. Services students must qualify for include 504 Plans and Individualized Education Plans.
- Family Navigators can help students and families connect to school-based resources through communication with key personnel and participation in meetings already taking place within the school (e.g., IEP/504 Meetings, parent/teacher conferences).
- Family Navigators should center the student and family in conversations with schools, with families initiating communication and Family Navigators playing the role of “strengths-bringer” to any school space.
Resources
- NC InCK’s Schools Guide: Background on working with schools to support children in NC InCK’s five counties
- Legal Aid of NC materials on IEPs and 504s: Read more about student’s rights in accessing special education services and steps to take to request support for your child
- Exceptional Childrens Assistance Center (ECAC): Webinars, resources, and one on one help navigating systems to support children with special needs