Official Government Website

YES History and Current Development

YES, the new system of care in children’s mental health, is due to the Jeff D. class action lawsuit and the resulting Settlement Agreement. The lawsuit began in 1980 when children were co-mingled with adults at State Hospital South (SHS). There was a lack of appropriate treatment services and educational services at SHS, as well as a lack of community-based mental health services across Idaho.

After many hearings over 30 years, the court encouraged a mediation process in order to identify solutions. Mediation occurred from September 2013 through December 2014. Key community stakeholders representing parents, advocates, private providers, representatives from the parties in the lawsuit (Department of Health and Welfare, Department of Juvenile Corrections, and State Department of Education) and attorneys representing the Class Members participated in these negotiations. The outcome of the process was the development of the Jeff D. Settlement Agreement. The Settlement Agreement is a high-level description of what the state agrees to do to have the lawsuit dismissed. It also describes the services that will be put into place under the new system of care. Following the court approval of the Settlement Agreement, the agency partners worked together to create the Idaho Implementation Plan, the framework for the new system of care.

Click on the links below to learn more about the YES Settlement Agreement, plans, studies and reports related to building out the new children’s mental health system of care in Idaho.

Project Documentation

Read the terms of the Jeff D. Settlement Agreement and the appendixes to the agreement by clicking on the links below.

The purpose of the implementation plan is to map out the development of the Jeff D. Settlement Agreement. The reports below detail the ways the Youth Empowerment Services (YES) partners are working together to implement YES, meet the requirements in the Settlement Agreement, and transform the mental health services for children and youth into a comprehensive integrated system of care.

Implementation Progress Reports

The reports in this section detail the ways the YES partners are working together to implement YES, meet the requirements in the Settlement Agreement, and transform the mental health services for children and youth into a comprehensive integrated system of care.

The Interagency Governance Team (IGT) is responsible for collaboratively coordinating and overseeing the implementation of the Jeff D. Settlement Agreement. This team consists of representatives from the Idaho Department of Health and Welfare, the Idaho State Department of Education, and the Idaho Department of Juvenile Corrections, county detention, parents, youth, providers, and community members.

The IGT meets on the second Wednesday of the month. Agendas and minutes from these meetings are public and may be viewed, along with the Operational Guidelines and the Workgroup Charter, below.

IGT Operational Guidelines
The purpose of the Interagency Governance Team (IGT) is to establish a governance structure to oversee the implementation and operation of Youth Empowerment Services (YES) and Quality Management Improvement and Accountability (QMIA) program. The IGT ensures that the state’s policies and procedures promote the successful development and operation of a new and improved children’s mental health system of care that includes the participation of Idaho Department of Health and Welfare (DHW), State Department of Education (SDE) and the Idaho Department of Juvenile Corrections (IDJC).

IGT Workgroup Charter
The IGT shall advise the parties to the Settlement Agreement on implementation of the system of care described in the Agreement and serve as a vehicle for communication among parties, to identify and remove barriers to implementation, and monitor implementation of the Agreement through the YES Project Plan.

IGT Bylaws

IGT Meeting Agendas

2021 Meeting Agendas

September 2021

August 2021

July 2021

June 2021

May 2021

April 2021                                                      

March 2021  

February 2021 

January 2021

IGT Meeting Minutes

2019 Meeting Minutes

December 2019 – No meeting occurred this month. 

November 2019

October 2019 – No meeting occurred this month. 

September 2019

August 2019

July 2019 – No meeting occurred this month. 

June 2019

May 2019

April 2019

March 2019

February 2019

January 2019

2016 Meeting Minutes     

December 2016     

November 2016 

October 2016

September 2016

August 2016 – No meeting occurred this month. 

July 2016

A QMIA Plan Development Workgroup, which included representatives from the Divisions of Behavioral Health, Medicaid, Family and Children’s Services (FACS), Idaho Department of Juvenile Corrections (IDJC) and State Department of Education, as well as families and mental health providers was formed to create a plan. The QMIA Workgroup met between September 2015 and March of 2016. Agencies designated representatives for the workgroup who were knowledgeable about quality assurance, quality improvement, or quality review processes. The Plaintiffs asked for and were included on the workgroup as their time permitted.

Quality Management Improvement and Accountability (QMIA) Plan
The Quality Management, Improvement, and Accountability Plan (QMIA) Plan describes the development of a collaborative, cross-system, practice, performance monitoring, and clinical quality improvement system. The QMIA Plan explains how Idaho’s child serving systems will monitor, assess, and report on the progress toward the execution of the commitments set forth in the Jeff D. Settlement Agreement.

QMIA Quarterly Reports
The Quality Management Improvement and Accountability (QMIA) Report is a requirement of the Jeff D. Settlement Agreement and is a critical aspect of the YES project. The QMIA Report is assembled with information about children, youth, and families in Idaho and from data collected by the Department of Health and Welfare’s Divisions of Behavioral Health (DBH), Medicaid, and Family and Community Services (FACS), as well as the Idaho Department of Juvenile Corrections (IDJC), and the Idaho State Department of Education (SDE).

2021

2020

2019

2018

2017

2016

Rights and Resolutions Reports
The purpose of this report is to monitor youth and family concerns or complaints relating to informing, access, service appropriateness, service effectiveness, and quality.

Idaho WInS: Wraparound Intensive Services Reports
The Division of Behavioral Health (DBH) initiated the Idaho WInS model of Wraparound in February 2018. A small pilot of current DBH Children’s Mental Health (CMH) youth and families were enrolled in Idaho WInS. DBH had three goals: implement Wraparound to fidelity; build capacity of trained Wraparound coordinators, coaches and supervisors across the system; and increase the number of youth and families served to 250 by August 2020. Typically, this report will look at data from several sources. The DBH Electronic Health Record (WITS), referrals and referral dispositions, a standardized fidelity tool called the Wraparound Fidelity Index, shortened version (WFI-EZ), CANS data, and a Quality Service Review. All these methods for evaluating this program comprise the Quality Monitoring of the Idaho WInS program.

YES Estimated Class Size
As one of the required annual deliverables to the plaintiffs in the Jeff D. lawsuit, the YES Data and Reports committee provides an estimate of how many children in the state of Idaho have serious emotional disturbance (SED) and would qualify as class members in the YES Project (Youth Empowerment Services).

The YES Workforce Development and Training Group is responsible for:

  • Identifying gaps in workforce capacity to meet the needs of children and youth.
  • Meeting workforce capacity need to enable children and families access to necessary services and supports
  • Providing training, education, coaching, and supervision to the workforce.
  • Developing sustainability of the workforce to deliver services and supports.

Workforce Development and Training Plan — May 2017
The initial WFD Plan provides a framework and a phased approach for how the state will address the current and future demands for a sufficient and competent mental health workforce and begin to envision the infrastructure needed to operate the system of care over time.

Workforce Development and Training Plan Annual Update – 2018
This report, the first annual update of the workforce development plan, details the ways in which the State of Idaho, in collaboration with agency partners, Department of Health and Welfare (DHW), State Department of Education (SDE) and Idaho Department of Juvenile Corrections (IDJC), have been working together to meet the goals and objectives outlined in the Workforce Development Plan.

Workforce Provider Survey Results — June 2018
This report informs the State of Idaho’s Children’s Mental Health Workforce Development Plan by providing information regarding Idaho mental health providers’ capacity to serve children and youth who have serious emotional disturbance. IDHW-DBH contracted with Boise State University’s School of Social Work to complete a workforce capacity and gaps analysis as one input to the State’s Children’s Mental Health Workforce Development Plan. This report presents mental health provider profiles and workforce capacity based on the results of a survey conducted by Mary Elizabeth Rider, MSW of Rider Consulting under the direction of Dr. Nathaniel Williams of Boise State University.

Workforce Capacity and Gaps Analysis — July 2018
This report presents the findings of the 2018 Youth Mental Health Services Workforce Capacity and Gaps Analysis. This work was commissioned by the Department of Health and Welfare (DHW), Division of Behavioral Health and completed by Boise State University’s School of Social Work to help guide Idaho’s Youth Empowerment Services (YES) system transformation.

YES Communications Strategic Planning Workgroup – Charter Amended Nov. 18, 2020
The workgroup’s purpose is to recognize communication needs throughout the YES system of care, identify the resources and stakeholder representatives needed to develop new content, and communicate this information to the IGT so that partners may allocate appropriate resources as needed.
All communication needs are considered, but the following areas are anticipated to be specifically monitored by the Communications Strategic Planning Workgroup to ensure accuracy and consistency:

  • Materials to help families access the YES system of care.
  • Informational materials, including flyers, brochures, and videos, that explain the YES system of care to families, providers, and community partners.
  • YES.idaho.gov website content.
  • Materials provided by YES partners, including the Department of Health and Welfare, State Department of Education and the Department of Juvenile Corrections.
  • Involving all partners to ensure consistency throughout YES messaging builds trust, reduces confusion, and streamlines the process for families to access services.

New Communications Workgroup and Charter: YES Communications Strategic Planning Workgroup Charter – Adopted April 22, 2020
The workgroup’s purpose is to recognize communication needs throughout the YES system of care, identify the resources and stakeholder representatives needed to develop new content, and communicate this information to the IGT so that partners may allocate appropriate resources as needed.

Communications Workgroup Charter – Revised 4/9/2018
The workgroup’s purpose is to meet the communication needs for a new system of care during the development and implementation of the YES project as described in the Jeff D. Settlement Agreement.

Communication Plan v. 2.0 – Revised 4/3/2018
The purpose of this plan is to describe the communication needs of the Youth Empowerment Services (YES) system of care, its stakeholders, resources, and other interested parties. It also addresses specific communication objectives and methods for outreach to stakeholders and communicates all the changes that are occurring as a result of the project.

Youth Empowerment Services: Children’s Mental Health Reform Project: Project Plan
The Youth Empowerment Services: Children’s Mental Health Reform Project (YES: CMHR Project) was initiated to operationalize the Idaho Implementation Plan. By focusing on the development of a new system of care for children and youth with SED the state expects primarily to build a transformational process across specific child-serving entities that will eventually result in better outcomes for the families that access it.

Overview of YES Workgroups – February 2019
As noted in the YES Implementation plan, state agencies, in collaboration, reach out to stakeholders for resources to actively participate in project workgroups. Workgroups have been identified for each of the plan objectives and are executing the objective strategies, completing deliverables to meet their respective objectives goals.

Project Updates
These documents identify what has been accomplished and what is being worked on during the development of the YES system of care.

2019

2018

2017

2016

Idaho Youth Empowerment Services (YES) Family Survey Results, 2021
Idaho Youth Empowerment Services (YES) Family Survey Results Presentation, 2021
Nathaniel Williams, PhD, LCSW
James Beauchemin, PhD, LCSW
Boise State University
This survey was commissioned by the Department of Health and Welfare, Division of Behavioral Health and completed by investigators at Boise State University’s School of Social Work. The overarching aims of the survey were to assess families’ experiences and outcomes of care in Idaho’s YES system and to guide service improvement efforts.

Executive Summary of the Youth Empowerment Services (YES) Quality Review Pilot Recommendations, 2021
Nathaniel Israel, Ph.D
Union Point Group
This document provides a summary of the key recommendations from the Quality Review report, how the recommendations were established and incremental action steps to address the recommendations.

Care Benchmarks in Quality Review, 2021
Nathaniel Israel, Ph.D
Union Point Group
The benchmarks provided in this quality review represent a synthesis of the current best evidence from previous quality reviews and from the research literature. The findings tell us how the frequency and type of certain practices improve outcomes for youth and their families. The highlighted benchmarks are standards of effectiveness and are included in the larger Quality Review report.

Crisis Care: Initial Quality Snapshot, 2021
Nathaniel Israel, Ph.D
Union Point Group
Crisis care was explored in routine outpatient and Wraparound cases at six sites across Idaho. Twenty-six individuals in care for more than six months were interviewed, and their care documentation reviewed, to better understand the quality of crisis care. This initial snapshot of crisis care provides further information about critical services provided in the outpatient setting and during Wraparound and address the overall helpfulness of services received, which is included in the larger Quality Review report.

Care Conversation: Designing a Human-Centered System, 2021
Nathaniel Israel, Ph.D
Union Point Group
Focus Groups and interviews were conducted with over 50 youth and caregivers to provide a set of practices which could increase the helpfulness of care. Desired and disengaged practices at each care process were described. These summaries of care provide a clear set of practices that would signal a shift in human centered care that address access, assessment and matching care to goals, which are highlighted in the larger Quality Review report.

Wraparound: System and Practice Considerations, 2021
Nathaniel Israel, Ph.D
Union Point Group
Wraparound is designed to coordinate care among youth at risk for out of home placement. Parent and youth experiences of Wraparound practices were reported by therapist and care coordinators. Care outcomes and provider reported continuum of care availability were assessed. Wraparound is analyzed in the larger Quality Review report in initial outcomes, treatment practices, care coordination practices and helpfulness of practices.

Quality Review of Youth Empowerment Services (YES), 2021
Nathaniel Israel, Ph.D
Union Point Group
This report summarizes the findings of the Quality Review process, which included family and youth interviews, file review, focus groups, and a provider survey. The results represent youth with at least six months of care, and includes youth served in typical outpatient care as well as a subset of youth served in Wraparound care. The report has three main foci: outpatient care, Wraparound care and care equity. Recommendations focus on key care processes experienced by persons in these analyses.

Idaho Youth Empowerment Services Family Survey Results, 2020
Nathaniel J. Williams, Ph.D., LCSW
James Beauchemin, Ph.D., LCSW
Boise State University
This survey was commissioned by the Idaho Department of Health and Welfare, Division of Behavioral Health (DBH) and completed by investigators at Boise State University’s School of Social Work. The overarching aims of the survey were to assess families’ experiences and outcomes of care in Idaho’s YES system and to guide service improvement efforts.

Idaho Youth Empowerment Services Family Survey Results, 2019
Nathaniel J. Williams, Ph.D., LCSW
James Beauchemin, Ph.D., LCSW
Boise State University
The survey was commissioned by the Department of Health and Welfare, Division of Behavioral Health and completed by investigators at Boise State University’s School of Social Work. The overarching aims of the survey were to assess families’ experiences and outcomes of care in Idaho’s YES system and to guide service improvement efforts.

Parent Survey for Youth Empowerment Services Trainings: Results and Analysis May 2018
The implementation plan includes training parents and caregivers about the new system of care services and how to access these services. The plan also speaks to engaging families in outreach and educating other stakeholders. This survey was meant to provide an opportunity for parents/caregivers to share their thoughts and ideas regarding the approach to engaging, educating, and involving parents/caregivers in the training process.

Estimated Need for Intensive Care Coordination among Idaho Youth – February 2018
Nathaniel J. Williams, PhD
Boise State University
Intensive Care Coordination (ICC) with high-quality wraparound is a case management service designed to support youth with the most complex and severe mental health needs so they can remain in the community rather than being placed out-of-home. In order to monitor the state’s progress toward meeting the needs of this population, an estimate of the number of Idaho youth who are likely to need/ utilize ICC is required. This report provides such an estimate.

Evaluation of Methods to estimate SED Prevalence in Idaho- November 2017
By Nathaniel J. Williams, PhD
Boise State University
November 2017
The purpose of this report is to evaluate a methodology proposed by the Department of Health and Welfare to estimate the number of youth who experience serious emotional disturbance (SED) in the State of Idaho.

Youth Empowerment Services (YES) System Capacity Analysis Report – January 2017
Opportunities to improve outcomes for children, youth, and families in Idaho through the Youth Empowerment Services (YES) Project include providing timely access to a full array of mental health services in the scope, intensity, and duration that meet the needs of the target population. A comprehensive analysis of the capacity of Idaho’s mental health treatment system to deliver the continuum of mental health services is needed periodically to effectively guide the state’s transformation efforts in workforce development to successfully meet this goal.

ver: 3.0.0a | last updated: