Kentucky
IMPACT (Interagency Mobilization for Progress in Adolescent and Child
Treatment) was created as a statewide service coordination model in
1990. It was based on the work of a grant-funded pilot program
(Bluegrass IMPACT) to support states in operationalization of the system
of care approach (see Related Links).
IMPACT
was established as a coordinated, interagency approach to service
delivery for children/youth with a serious emotional disability (SED)
and their families. The model provided services not traditionally
available, such as mentoring, respite care, school-based services, case management for children/youth, and intensive in-home therapy, as well as flexible funding for informal supports, including community activities,
family support, and therapeutic after-school and summer activities.
IMPACT also established the State Interagency Council (SIAC) for
Services and Supports to Children and Transition-age Youth as the
governing body for Kentucky’s system of care, and Regional Interagency
Councils (RIACs) to administer regional management and implementation
(see Related Links for SIAC and RIACs).
The
overall goal of Kentucky IMPACT is to prevent children/youth with SED
from being placed outside of their homes to behavioral health treatment,
and to provide support and assistance to those who are transitioning
home from such residential placements. Kentucky IMPACT has embraced the
Wraparound process since its inception. In fact, Kentucky IMPACT was one
of the first statewide Wraparound initiatives in the country.
Historically,
Kentucky IMPACT supports the delivery of Targeted Case Management (TCM)
for children/youth (see Related Links), in accordance with the values
of Wraparound. As such, TCM has been the key mechanism by which
children/youth and families have had access to Wraparound. Since the
inception of Kentucky IMPACT, science related to Wraparound
implementation has progressed dramatically. As a result, DBHDID and
Kentucky Partnership for Families and Children (KPFC) staff are working
with the National Wraparound Implementation Center (see Related Links)
to support High Fidelity Wraparound (HFW) (see Related Links) under
Kentucky IMPACT within the fourteen regional Community Mental Health
Centers (CMHCs). HFW Facilitators and HFW Supervisors participate in a
statewide HFW Learning Collaborative, which includes ongoing technical assistance, coaching, and fidelity monitoring to support the effective
implementation of HFW.