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Adobe Captivate Wednesday, May 27, 2020

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Slide 1 - Welcome

Slide notes

Welcome to Family Preservation Services, developed and presented by the Indiana Child Welfare Education and Training Partnership.


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Slide 2 - Overview

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During this online training session, you will:

Recognize adverse childhood experiences and the impact of separation on a child.

Review changes to family preservation services required under H E A 1001.

Learn how to create a family preservation services referral, choose a provider, and manage a case.


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Slide 3 - Adverse Childhood Experiences

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Watch the following video on adverse childhood experiences.


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Slide 4 - Cumulative Effect of ACEs

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The more ACEs you have, the greater chance you will see long-term physical and mental effects. It is important to remember that while our

interventions are intended to lessen childhood trauma, they can also add to a child’s trauma.

Abused children are as attached to their caregivers as non-abused children. Disrupting that attachment can harm the child’s mental and physical health.


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Slide 5 - Effects of Separation

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Children who have suffered traumatic separations from their primary caregiver may display low self-esteem, a general distrust of others, mood disorders

(including depression and anxiety), socio-moral immaturity, and inadequate social skills.

Regressive behavior, such as bedwetting, is a common response to separation. Cognitive and language delays are also highly correlated with early

traumatic separation.


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Slide 6 - Remember

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In our quest to prevent harm that we can see, we cause harm that we cannot see.

We need to weigh the certain harm resulting from a child’s removal, against the risk of harm resulting from a failure to remove.


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Slide 7 - How is Indiana Doing?

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The Child Welfare Policy and Practice Group (CWG) completed an assessment of DCS in June 2018. It looked at multiple performance factors,

including Indiana’s record when it comes to keeping families together.

Indiana had an 89.4% increase in out-of-home cases from 2005 to 2017, peaking at 20,394 cases (the population of Indiana is 6.6 million).


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Slide 8 - Midwest Comparison

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How does Indiana compare with the rest of the Midwest over that same twelve-year period? Percentages note the increase or decrease in family

separations over the twelve years.


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Slide 9 - A New DCS Mandate

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Under HEA 1001, the State of Indiana’s biennial budget, DCS shall reimburse providers for family preservation services using a per-diem model. This

will be a significant change for Indiana.


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Slide 10 - Per-Diem Model Benefits

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Currently, families work with multiple providers, which creates confusion and makes teaming more difficult. Have you had cases where getting a team

meeting together makes herding cats look easy?

Under the new per-diem model, one provider will handle a family’s case. This will make teaming easier, improve coordination, and reduce confusion for

families.


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Slide 11 - Providers Under Per Diem

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DCS wants to provide families with the right level of service at the right time and intensity. Under the new per-diem model, providers won’t have to

focus on billable hours.

Providers will be able to help families become self-sufficient and access community resources without worrying about how to make the work billable

under a traditional fee for service structure.


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Slide 12 - Outcome Tracking

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With a single point of contact for family services, outcomes will be easier to track. DCS will be able to collect more data from providers and better

measure the impact of each provider’s work.


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Slide 13 - New Family Service Standard

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What is Family Preservation Services going to look like under the new service standard?

Services designed to work with families who have had a substantiated incident of abuse and-or neglect, but, where DCS believes the child can remain in

the home with their caregiver with the introduction of appropriate services to the family, with “caregiver” broadly defined.

Please note: Any in-home CHINS must be referred for Family Preservation services, even if there is not a substantiation of abuse or neglect. In addition,

any Informal Adjustment must be referred for Family Preservation services.


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Slide 14 - Evidence-Based Practices

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Providers must use evidence-based practices with the clear goal of preserving more families, but they’ll pick which model to use, not us.

Providers must also follow their selected models to fidelity, and document doing so.

Trauma-informed care that is strengths-based and focused on supporting families.

This will help prepare us for the Family First Prevention Services Act.


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Slide 15 - Evidence-Based Practices 2

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Providers delivering Family Preservation Services will have to utilize at least one evidence-based practice that is listed as at least a “promising” practice

on the California Evidence-Based Clearinghouse for Child Welfare.

Ask referred providers what model they are using with your families and go to: www.cebc4cw.org to research more about the models being used.


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Slide 16 - Concrete Assistance

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Concrete assistance must be paid by the provider when necessary to keep families together.

For instance, we don’t want to disrupt attachment and inflict trauma on children because of a family’s temporary inability to heat their home in winter

due to a job loss. We would expect the provider to pay the gas bill.

We want providers to help connect families to community resources and learn how to budget and plan for emergencies.


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Slide 17 - Family Preservation Service Standard

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Family-centered services: All Informal Adjustments and in-home CHINS cases will receive their services under this standard.

No CANS score requirement, no “leveling” families, and no service mapping. One provider agency per family.

Please Note: Only IAs and in-home CHINS cases which have not had a formal removal qualify for FPS. Families on TTV do not. JD cases also do not

qualify for FPS at this time, but dual status cases do if they have not had a formal removal.


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Slide 18 - Family Preservation Service Standard 2

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Thorough safety planning:

DCS must be actively involved with providers in creating Safety Plans, but DCS isn’t dictating the Safety Plan format.

Safety Plans should be continually updated as cases progress.

Click the onscreen link for additional information on safety planning.


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Slide 19 - Assessing Safety

Slide notes

These services must be home-based and focused on continually assessing safety.

Providers will be required to complete at least one home visit with the child and all referred caregivers per week, and reasonably assess the entire home

for safety.

They must tell you each week that they completed this in-home assessment. If a family isn’t engaging, the CFT must decide what to do as a team.


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Slide 20 - Assessing Safety 2

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Providers MUST report any identified safety concerns right away via a phone call to you, your supervisor, or other local office leadership. If they are

unable to reach anyone locally, they must call the hotline. They cannot just leave a voice mail or send an email.

DCS must decide how to respond to any identified safety concerns, including potentially removing the child and notifying the court.

Please note: Any provider that suspects abuse or neglect (not just a safety concern) must call the Hotline.


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Slide 21 - Creating a Referral

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You will follow the regular process to create a referral in KidTraks. To find Family Preservation Services, select Home Based Services and then Family

Preservation.

You Will Enter:

• Participants (children/caregivers who are in the home).

• Start Date for the referral.

• Service Provider (based on family needs).

• And Special instructions or notes for the service provider.

THERE SHOULD NOT BE A NEED TO REFER ANY ADDITIONAL SERVICES UNLESS APPROVED BY YOUR SUPERVISOR.


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Slide 22 - Choosing a Provider

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A clear goal of Family Preservation Services is to get families the right care, at the right intensity, with the right provider. We don’t want to have to

bring in multiple providers if at all possible.

Where you send your FPS referral will be really important, and we’ve tried to contract with a wide range of providers who possess expertise in a variety

of areas.


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Slide 23 - Choosing a Provider 2

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For example, if you suspect substance abuse with a caregiver, refer to a provider who has the ability to treat Substance Use Disorder.

If you are unfamiliar with the providers in your region and their specific expertise, reach out to your Regional Service Coordinator for assistance. You

can also email [email protected].


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Slide 24 - Concrete Supports

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Providers will be asked to use their per diem reimbursement to assist families with concrete supports if needed.

This should only be done if failing to do so would result in DCS needing to remove the child, and if the Child and Family Team agrees.


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Slide 25 - Concrete Supports 2

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Examples of appropriate concrete supports would be paying rent to avoid an eviction or providing safe bedding to a child, not buying Play Stations or

fancy sneakers! We want providers to help families learn how to use their own resources in their communities.

Encourage providers to help families apply for public assistance when indicated. The use of the per diem for concrete supports should be a TEAM

decision.


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Slide 26 - Teaming Cases

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Having only one provider working with each family should make teaming these cases easier, and it is strongly encouraged to meet often with these

Child and Family Teams.

Providers should be active members of these teams, and it is hoped that families will support this as these providers will be working with the clear goal

of preserving their family.


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Slide 27 - Communication with Providers

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Providers should send you their Safety Plan and their Initial Assessment of the family within 7 days of their first face-to-face contact. Providers may use

their own formats for these requirements.

Providers must also communicate each week that they completed their required minimum in-home visit and tell you immediately if they encounter any

safety concerns.


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Slide 28 - Communication with Providers 2

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Communicate with the team often, but especially before court hearings or if the family and provider are struggling to connect.

Providers will complete monthly reports and will submit claims monthly as well. Please make sure that these monthly reports have all the information

that you need for your case planning and reporting to the Court.

You should receive one monthly report per family.


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Slide 29 - Case Management

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Providers cannot begin to bill the per diem until they have completed their first face-to-face contact with the family. This should be noted in their report.

Expect to see good documentation of interventions delivered, the family’s response to these interventions, and their progress toward the identified

treatment goals.


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Slide 30 - Case Management 2

Slide notes

Providers should also send the results of the Protective Factors Survey to you within 30 days of their first face-to-face contact, and every 3 months

thereafter.

These cases should be referred for 6-month intervals, and closely monitored for the duration that they are open.


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Slide notes

These cases will remain open until it has been either successfully closed, or until the children in the home have been formally and indefinitely removed.

Short-term removals, such as placement with a relative while the parent enters short-term detoxification treatment may not necessitate closure of the

referral. Please work with the CFT and your supervision to decide if the FPS referral should end.


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Slide notes

If one child is formally and indefinitely removed, please redo the Family Preservation referral to indicate that there is now one less child in the home (or

however many children were removed) and refer the child who has been removed to appropriate services using our traditional array.


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Slide notes

If a child returns to the home, please contact [email protected] to discuss service and referral options to meet the child’s and family’s

needs.

If a family has a newborn that is added to the in-home CHINS or IA, please complete a new FPS referral adding this child.


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Slide 34 - References

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References


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Slide 37 - Credits

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Thank you for completing Family Preservation Services training, developed and presented by the Indiana Child Welfare Education and Training

Partnership.

This computer-aided training was developed by Jerry Gordon, Instructional Technology Developer for the IU School of Social Work, with special

assistance from David Reed, Deputy Director of Child Welfare Services for the Indiana Department of Child Services.

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