Changes in the Road Ahead

8/7/2019 Changes in the Road Ahead

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Moving Forw ard In t o The

New World

Positive Change for Children andFamilies


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Cultural Benchmarks In ChildCultural Benchmarks In ChildWelfare:Welfare: Core CompetenciesCore Competencies

1) Family Centered1) Family CenteredServicesServices

2) Systems of Care Guiding2) Systems of Care GuidingPrinciplesPrinciples

3) Child Welfare Requests3) Child Welfare RequestsFor ProposalsFor Proposals


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FamilyFamily --Centered Services:Centered Services:Essential ComponentsEssential Components

Family =Family = focusfocus of attentionof attention

EmphasizesEmphasizes strengtheningstrengthening

the familythe familys capacity to function effectivelys capacity to function effectively

FamiliesFamilies involvedinvolved inin

designing: policies, services, & program evaluationsdesigning: policies, services, & program evaluations

FamiliesFamilies linkedlinked totocomprehensive, diverse, & communitycomprehensive, diverse, & community--basedbased

networks of supports & servicesnetworks of supports & services


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Child and Family InvolvementChild and Family Involvement

Individual Strengths Based Assessment & PlanningIndividual Strengths Based Assessment & Planning

Cultural CompetenceCultural Competence

Interagency CollaborationInteragency Collaboration

Community Based Planning & ServiceCommunity Based Planning & Service

AccountabilityAccountability

Systems of Care:Systems of Care:Guiding PrinciplesGuiding Principles


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Child and FamilyChild and FamilyInvolvementInvolvement

Occurs at all levels:Occurs at all levels: PlanningPlanning

Policy developmentPolicy development

Care coordinationCare coordination

EvaluationEvaluation AdvocacyAdvocacy

TrainingTraining

SystemsSystems support & engagesupport & engage familiesfamilies

SystemsSystems recognize & drawrecognize & draw on familyon familyss

knowledge & skillsknowledge & skills


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Individual Strengths BasedIndividual Strengths Based

Assessment and P lanningAssessment and P lanning

Helps families and communitiesHelps families and communitiesbuild on their capabilitiesbuild on their capabilities..

Each family or community is unique & hasEach family or community is unique & has

unique capabilities/challengesunique capabilities/challenges..

TheThe holistic approachholistic approach

takes into account the whole person, the whole family &takes into account the whole person, the whole family &

the whole community.the whole community.


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Cultural CompetenceCultural Competence

ConveysConveys respectrespect

PreservesPreserves dignitydignity

CreatesCreates communicationcommunication

EnhancesEnhances selfself--determinationdetermination

Increases likelihood ofIncreases likelihood ofsuccesssuccess


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PartnershipPartnership to bring together theto bring together theresourcesresources to assist children & families to beto assist children & families to be

successful.successful.

CollaborationCollaboration based on communitybased on communityssownership & commitment toownership & commitment to

supportsupport children and families.children and families.


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Community BasedCommunity BasedPlanning & Service DeliveryPlanning & Service Delivery

Maintains families in aMaintains families in a familiarfamiliar,,less threatening contextless threatening context

Retains criticalRetains critical bondsbonds

between family, friends, school, & naturalbetween family, friends, school, & naturalsupportssupports

Retains communitiesRetains communities control & ownershipcontrol & ownershipof the systemof the system


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Integrating ServiceIntegrating ServiceDeliveryDelivery

Partnerships are critical because no one source:Partnerships are critical because no one source:

Contains all theContains all the informationinformation needed in todayneeded in todays society;s society;

Can provide all the neededCan provide all the needed servicesservices;;

Has theHas the financial meansfinancial means to provide all needed servicesto provide all needed services

Can do it allCan do it all..


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AccountabilityAccountability

Partners arePartners are commit to resultscommit to results ServiceService

ProcessProcess

Financial outcomesFinancial outcomes

Responsibility for outcomes isResponsibility for outcomes is sharedshared

PositivePositive outcomes are enhancedoutcomes are enhanced


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Systems of CareSystems of Care

Principles Contained in thePrinciples Contained in theNewNew ContractssContractss


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Systems of Care Principles:Systems of Care P rinciples:


TheThe original contractororiginal contractorremains responsible for the child/familyremains responsible for the child/family

throughout the life of the casethroughout the life of the case..

The child remains assigned to theThe child remains assigned to the

same case managersame case manager

throughout the life of the case.throughout the life of the case.

There is increased emphasis onThere is increased emphasis on

community partnershipscommunity partnerships..


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Systems of Care Principles:Systems of Care Principles:


Contractors fullyContractors fullyshare resource homesshare resource homes

to meet the needs of Kansas children and families.to meet the needs of Kansas children and families.

Referrals to the adoption contractor are forReferrals to the adoption contractor are for

recruitment servicesrecruitment services

for children with no identified adoption resource.for children with no identified adoption resource.


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Child and Family InvolvementChild and Family Involvement

A child must have aA child must have a

voicevoice

in decisions that impactin decisions that impacthis or her life.his or her life.


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MultipleMultiple PrinciplesPrinciples

When the child goes into outWhen the child goes into out--ofof--homehomeplacement,placement,

aa meeting with the family must be heldmeeting with the family must be held

within 24 hourswithin 24 hours

of referral to the contractor and include SRSof referral to the contractor and include SRS

staff participationstaff participation

.

.


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Multiple PrinciplesMultiple Principles

Payment Structure:Payment Structure: Family P reservationFamily P reservation

First Tier System (child is in own home) withFirst Tier System (child is in own home) with

1/3 paid at referral1/3 paid at referral

1/3 paid at 45 days1/3 paid at 45 days

1/3 paid at 90 days.1/3 paid at 90 days.

No additional payment if the family is reNo additional payment if the family is re--referredreferred

within 12 months of last referral.within 12 months of last referral.


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Payment Structure:Payment Structure: Family PreservationFamily Preservation

Second Tier System (child is in out of home placement)Second Tier System (child is in out of home placement)

Level I ( Months 1Level I ( Months 1--3) 100% of monthly case rate3) 100% of monthly case rate

Level II ( Months 4Level II ( Months 4--9) 66% of monthly case rate9) 66% of monthly case rateLevel III ( Months 10 to permanency) 29%Level III ( Months 10 to permanency) 29%


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2020



Payment Structure:Payment Structure: Reintegration/ Foster CareReintegration/ Foster Care

Tiered system based on time in out of home placementTiered system based on time in out of home placement(a) Level I ( Months 1(a) Level I ( Months 1--6) 100% of monthly case rate6) 100% of monthly case rate

(b) Level II ( Months 7(b) Level II ( Months 7--12) 66% of monthly case rate12) 66% of monthly case rate

(c) Level III ( Months 13 to permanency) 29% of month(c) Level III ( Months 13 to permanency) 29% of monthlyly

case ratecase rate


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TheTheAdoption ContractorAdoption Contractor must recruit, assess, and preparemust recruit, assess, and preparea pool of prea pool of pre-- adoptive families to ensureadoptive families to ensure

(1)(1)

the best childthe best child matchmatch(2)(2) the selection of an adoptive family when no familythe selection of an adoptive family when no family

resource has previously beenresource has previously been identifiedidentified..


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SRS expects all temporary caregivers,SRS expects all temporary caregivers,whether kin or traditional resourcewhether kin or traditional resource

care providers,care providers,

work with thework with the birth familybirth family as aas amentor and role modelmentor and role model..


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Services are to beServices are to be intentionally planned andintentionally planned and

directed toward teaching the family skills todirected toward teaching the family skills to

function interdependentlyfunction interdependently with their support network andwith their support network and

without the formal helping system.without the formal helping system.


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Work with the family must be done from theWork with the family must be done from the

strengths perspectivestrengths perspective andand

with awareness of thewith awareness of the familyfamilys cultures culture..


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We must ensure that children whoWe must ensure that children who

age outage out

of the system have at leastof the system have at least

one positive relationshipone positive relationship

with an adult who can serve as a mentor whenwith an adult who can serve as a mentor whenthey leave foster care.they leave foster care.


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When children are removed from their home,When children are removed from their home,we must ensure that child and family interactionswe must ensure that child and family interactions

Occur as frequently as possible.Occur as frequently as possible.

Must be normalized.Must be normalized.

SRS expects at leastSRS expects at least

one family interaction per weekone family interaction per week

for children in out of home placement.for children in out of home placement.


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Placement withPlacement withkinkin

and within theand within the

home communityhome communityis emphasized.is emphasized.


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Contractors will work with theContractors will work with theentire familyentire family,,

not just the child.not just the child.

All service contractors must beAll service contractors must be

available to familiesavailable to families

24 hours a day, 7 days a week,24 hours a day, 7 days a week,

365 days a year365 days a year..


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RFP OutcomesRFP Outcomes

New: 93% of children will notNew: 93% of children will notexperienceexperience recurrent maltreatmentrecurrent maltreatment..


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Modified: 99.43% [was 98%] of childrenModified: 99.43% [was 98%] of childrenremainremain safe in outsafe in out--ofof--homehome--placementplacement..


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Modified: 95% [was 80%] of children will beModified: 95% [was 80%] of children will be

safe following permanencysafe following permanency..


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New: 85% of services are provided usingNew: 85% of services are provided usingfamily centered practicesfamily centered practices..


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Modified: 95% of families will beModified: 95% of families will be engagedengaged withwithinitial case plans held within 20 days ofinitial case plans held within 20 days of

referral.referral.


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Modified: 92% [wasModified: 92% [was90%] of children90%] of children

reintegrated willreintegrated will

not renot re

--enterenter

placementplacement withinwithin

12 months of12 months of

reintegration.reintegration.


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Modified: 86.7% of childrenModified: 86.7% of childrenwill experience no more thanwill experience no more than

2 placements in the first 12 months2 placements in the first 12 months

of OOHP [old 4of OOHP [old 4thth move CFSR PIP outcome].move CFSR PIP outcome].


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New: 90% of children are without negativeNew: 90% of children are without negativelaw enforcementlaw enforcement contact.contact.


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New: 95% of case planNew: 95% of case plan

permanency goalspermanency goals

meet the needs of themeet the needs of thechildren.children.


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New: 95% of children will have timelyNew: 95% of children will have timely

permanency hearingspermanency hearings..


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New: 90% of childrenNew: 90% of childrenage 15 and over receivedage 15 and over received

IL servicesIL services..


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New: 32% of childrenNew: 32% of children

release from custody for reason ofrelease from custody for reason ofadoptionadoption

will be released withinwill be released within

24 months24 months of removal.of removal.


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New: 90% of childrenNew: 90% of children

leave custody with at least oneleave custody with at least one

positive relationshippositive relationship

with an adult whowith an adult whomodels responsible behaviorsmodels responsible behaviors

and will support the goalsand will support the goals

of selfof self--sufficiency.sufficiency.


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New: 76.2% of childrenNew: 76.2% of children

released from custodyreleased from custodyforfor reintegrationreintegration

will be released withwill be released with12 months12 months

of removal.of removal.


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Modified: 90% [was 85%]Modified: 90% [was 85%]

of children will be placedof children will be placed

in ain a homehome--like settinglike setting..


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Modified: 75% [was 70%] of children will beModified: 75% [was 70%] of children will bein a location that promotes continuity ofin a location that promotes continuity of

family relationships and communityfamily relationships and community

connectionsconnections

Placed with relativePlaced with relative

Placed with siblingPlaced with siblingAttending the same schoolAttending the same school as prior to removal.as prior to removal.


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New: 60% of families will report anNew: 60% of families will report an

enhanced capacityenhanced capacity

to meet their childrento meet their childrens needs.s needs.


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New: 50% ofNew: 50% ofstakeholdersstakeholdersreport services providedreport services provided

enhance familiesenhance familiescapacitiescapacities

to meet childrento meet childrens needs.s needs.


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New: 50% of children will maintainNew: 50% of children will maintain

academic performanceacademic performance

equal to or greater thanequal to or greater than

performance at the time of OOHP.performance at the time of OOHP.


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New: 90% of children willNew: 90% of children will

attend school regularlyattend school regularly

[no unexcused absences].[no unexcused absences].


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A New World forA New World forUsUs

A Better WorldA Better World

for Children &for Children &

Families!Families!


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Family Preservation ServicesFamily Preservation Services

DCCCADCCCA

lF il P i


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Family Preservation:Family Preservation:

InIn--Home ServicesHome Services

Crisis Intervention/StabilizationCrisis Intervention/Stabilization

Family CounselingFamily Counseling

Individual CounselingIndividual Counseling

Skills Development Training (parenting,Skills Development Training (parenting,

anger management, budgeting, householdanger management, budgeting, householdcleanliness, communication, Independentcleanliness, communication, IndependentLiving and more)Living and more)

Family SupportFamily Support

Advocacy and Coordination of ServicesAdvocacy and Coordination of Services

Information and ReferralInformation and Referral


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Family Preservation:Family Preservation:DCCCADCCCAss Model For Family PreservationModel For Family Preservation

Solution focused, strength based, family centeredSolution focused, strength based, family centered

Focus is on teaching parents to parent responsibly, nurtureFocus is on teaching parents to parent responsibly, nurtureand protect their childrenand protect their children

Majority of service is provided in the familyMajority of service is provided in the familys homes home

Support Worker is paired with a Licensed staffSupport Worker is paired with a Licensed staff

Caseloads are small to allow flexible scheduling and intensiveCaseloads are small to allow flexible scheduling and intensive

visitsvisits Staff are on call to their assigned families 7/24/365Staff are on call to their assigned families 7/24/365

Center Based educational programming is available toCenter Based educational programming is available todecrease parentsdecrease parentsisolation and increase their networkisolation and increase their network(transportation and child care is available)(transportation and child care is available)

When intensive services end, aftercare staff remain to supportWhen intensive services end, aftercare staff remain to supportthe familythe familys changes change

The service is available for one year following referral and theThe service is available for one year following referral and thefamily can request intensive services begin againfamily can request intensive services begin again


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Family Preservation:Family Preservation:DCCCADCCCAss Model for Foster CareModel for Foster Care

Intensive services to speed reunification will continue with theIntensive services to speed reunification will continue with the

same team if the child goes OOHsame team if the child goes OOH Family Group DecisionFamily Group Decision--Making Conferences will likely occurMaking Conferences will likely occur

multiple times in the life of a case and will involve multiplemultiple times in the life of a case and will involve multiplecommunity memberscommunity members

Relatives will be explored as placement options prior toRelatives will be explored as placement options prior to

removal by using concurrent case planning for FP familiesremoval by using concurrent case planning for FP familiesunable to care for their childrenunable to care for their children

Community partners will provide the resource homes we useCommunity partners will provide the resource homes we usefor children who have no relative resourcefor children who have no relative resource

Developmental assessment and remediation will become partDevelopmental assessment and remediation will become part

of the case plan (of the case plan (AnsellAnsell Casey)Casey) Client satisfaction surveys will be utilizedClient satisfaction surveys will be utilized

R i t ti /F tR i t ti /F t


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Reintegration/FosterReintegration/Foster

Care ServiceCare Service

YouthvilleYouthville


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REGION 5 MACRO

Reintegration/Foster Care Contract

Administrative

Assistant

DirectorFamily Based

Services

Assistant

Director

10 CaseManagement

Teams

1 Supervisor

5 Case Managers

5 Family SupportWorkers

1 Case Plan

Administrator

1 Staff Assistant

Case Management Team

Office ManagerAssociate

Director Family

Based Services

Director

Clinical Services

Staff

Assistant

CMHC / SAACKLiaison

Clinical

Specialists

IndependentLiving Supervisor

Independent

Living Workers(10)

CommunitySupport Services

Supervisor

Y.E.S. CaseCoordinators

ICSWorkers

DirectorClient Support

Center

Placement

Supervisor

PlacementCoordinators

(6)

Child LoungeAttendant

Security

Coordinator

Receptionists(2)

Each CM Team

partnered with

DirectorContract

Compliance

ComplianceMonitors

(3)

AdministrativeAssistant

Client SupportAdministrators

(2)

Drivers(5.5)

TransportationManager

VolunteerManager

Chief Program OfficerContract

LOCScreeners

(2)

KinshipCoordinators

(2)


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YouthvilleYouthville s Approachs Approach Right Service, At the Right Time, For the Right Amount of TimeRight Service, At the Right Time, For the Right Amount of Time

Kinship and Relative Identification, Placement, and Support SystKinship and Relative Identification, Placement, and Support Systemsems

Restructured Foster Care to Support RelativeRestructured Foster Care to Support Relative

Resource Family/Birth Family ConnectionResource Family/Birth Family Connection

Life Skills and Aftercare WorkersLife Skills and Aftercare Workers

Interactions in the CommunityInteractions in the Community

Family Based PlacementsFamily Based Placements

Stakeholder Involvement & ParticipationStakeholder Involvement & Participation It Takes A VillageIt Takes A Village


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Adoption ServicesAdoption Services

KCSLKCSL


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Changes in the Road Ahead

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