System of Care
       Family-driven, youth guided, strength-based
       Family defines the need and the help response 
        needed
       Youth and family partnerships 
         Recognition of youth and families as resources
         Shared responsibility and power
         Joint decision making and problem solving
       Cultural and linguistically competent services
       Cross-system collaboration and supports
       Supports youth and family resilience, wellness, 
        and hope for the future.
       Connections to natural supports. 
        Managing Safety Together
      Commitment to keeping youth in your community 
       if safe and possible: requires community 
       ownership, responsibility, responsiveness and 
       participation
      No single system can manage the multiple issues 
       of at-risk youth and their families alone
      The community works together in sharing 
       community risk and in planning for safety and 
       success
      Need strong community relationships
      Need to create understanding—appreciative 
       perspectives on what each system can and 
       cannot do in crisis situations
                     OhioRISE
      OhioRISE: Youth with the most complex 
       multi-system needs require a different 
       service array to stabilize them in their 
       families
        Intensive In-Community Services: Mobile 
         crisis response, intensive home-based 
         treatments, family and youth peer supports
      A new managed care plan 
      PIHP: Prepaid Inpatient Health Plan 
             Crisis Continuum for 
                         Children
      Crisis Hotlines; Crisis Text Line; and Warm 
       Lines
      Mobile crisis outreach/Crisis intervention 
       teams (CIT)
      Mobile Response Stabilization Services 
      Crisis beds/Crisis stabilization units/ Crisis 
       respite beds
      Psychiatric hospitalization
      Intensive Home-Based Treatment
      Short-term residential services
       Mobile Response Stabilization Services
        MRSS is an immediate mobile response service for young 
        people who are experiencing significant emotional and 
        behavioral needs that exceed the youth’s and/or caretaker’s 
        ability to de-escalate on their own. 
        MRSS services are available 24/7 by a team of professionals 
        and paraprofessionals who are trained in child and family-
        focused focused crisis intervention and stabilization skills.
        MRSS provides crisis stabilization and de-escalation followed 
        by four to six weeks of stabilization. 
        MRSS clinicians and paraprofessionals work with the family to 
        build skills and align supports the family will need to prevent 
        the crisis from re-occurring in the future or to intervene early 
        before the crisis becomes acute. 
        Facilitate the young person’s and the caregiver’s transition into 
        identified care coordination, supports, resources, and services.