This is a guide Family Navigators can use to help provide families with food support.
Resource Type
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.
Clinical Depression Screening Data Companion for Clinics
This is a data companion for health care clinics that shares information about the NC InCK Alternative Payment Model.
Schools Part 2 Integrated Care Rounds (September 2023)
Description
The NC InCK team discussed school supports, collaboration, and holistic care management during their second conversation about Schools in the September 2023 Integrated Care Rounds.
Click this link for the September 2023 Schools Integrated Care Rounds Slide Deck.
Key Takeaways
- Family Navigators are Connectors: Due to the large amount of time students spend in school, collaborating with the school system can help increase access to services that address social, behavioral, and health needs. School personnel are with the student daily and can help a family accept a referral or engage in care management.
- Family Navigators are Advocates: School supports such as Individualized Education Program (IEP) and Section 504 Plans are underutilized in North Carolina! In the U.S., NC ranks 46th in providing appropriate in-school support and accommodations for children with mental health needs and 50th in suspending children with disabilities. These statistics disproportionally affect Black students. Effectively communicating a child’s educational needs empowers families to speak up if they are not being met.
- Family Navigators Understand: Asking the right questions, and listening to children and families can reveal challenges such as bullying, housing insecurity, absenteeism and more. Understanding these experiences will ensure holistic care management supports are in place.
Resources
- NC Center for Afterschool Programs – Website that allows you to search for afterschool programs by zip code and filter by grades served and activities offered.
- Just U & Me Mentoring Program – A mentoring program that engages Vance County fifth-grade students in social-emotional intervention strategies that will help them improve classroom participation and academic success; meets weekly on Saturdays from 9am – 12pm.
- Durham Performance Learning Center – A program that helps high school students who aren't succeeding in traditional school get back on track for graduation in small classes with 1:15 teacher student ratio. Students may be recommended by current/ previous school, but families can apply independently as well.
- ICR Appendix – Several resources listed including IEP/ Special Education Guides, before and after school programs, school resources by NC InCK County, and education related Value Added Benefits offered through each PHP.
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.
Kindergarten Readiness Bundle Data Companion for Clinics
This is a data companion for health care clinics that shares information about the NC InCK Alternative Payment Model.
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.
Food and Housing Measures Data Companion for Clinics
This data companion for health care clinics shares information on food and housing measures and the NC InCK Alternative Payment Model.