Family Intervention Services Present:
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Transcript of Family Intervention Services Present:
FAMILY INTERVENTION
SERVICESPRESENT:
A Successful Approach to Family Care and Collaboration
Patricia “Shannen” Davis, MSW, CAP (SPI)
Silvia Quintana, LMHC (DCF)Islem Pardinas, MSW (Our Kids)Larry Allen, LCSW, MBA(SFBHN)
PURPOSE To prevent and divert children from
entering the Dependency System. To assess family needs in an effort to
promote wellness. To engage families in accepting
community services.
OUR COLLABORATORS
• Child Protective Services
• Family Intervention Specialist
• Our Kids Intake
• Substance Abuse Treatment Providers
• Mental Health Treatment Providers
• Co-occurring Treatment providers
• Dependency Full case management agencies
• Domestic Violence providers
• Infant Mental Health Provider
• Safe at Home/Parents as Partners/ Family Empowerment Program
Referral Sources Providers
LOCATION OF SERVICES The following services are co-located at
the DCF Service Centers:100 Opa Locka Blvd. Miami, FL 401 NW 2nd Ave. Miami, FL 12195 Quail Roost Drive, Miami, FL
Child Protective Investigation (CPI)Family Intervention Specialist (FIS)Our Kids Intake (OK)
FAMILY INTERVENTION SPECIALIST PROGRAM
• On August 1, 2008, The Family Intervention (FIS) Program operated by Spectrum was embedded within each of the CPI locations North, Central and South as was intended by the legislators when the positions were authorized.
• The FIS program also adopted the best practice model approved by SAMHSA called Screening Brief Intervention Referral and Treatment (SBIRT) that incorporates Motivational Interviewing as part of the engagement techniques.
PROTOCOLFAMILY INTERVENTION SPECIALIST (FIS)
Call comes into the Hot Line where CPI suspects Substance Abuse and/or Mental Health need for services
CPI will contact FIS if suspected substance abuse or mental health are identified in the family.
FIS will make contact with family within 72 hours for assessment. FIS makes referrals to the community and SAMH system of care as appropriate.
REFERRALS RECEIVED FROM CPI BY FIS FY JULY 10-JUNE 11
Total individuals assessed: 5,525Parents: 3126Kids: 2399
Families Assessed: 1,512 24% of Parents assessed received a
positive drug screen 24% of Parents referred needed
Services
PARENTS WHO RECEIVED SERVICES
0.0%20.0%40.0%60.0%80.0%
100.0%
**Note: This data reflects only those individuals who received services through SFBHN funding. If other services were received through any other funding source, this data is not reflected here.
n=748 Average LOS: 38 days
PROTOCOL• If based on GAIN, drug/alcohol test, and
client interview no services are needed FIS reports findings to CPI.
• If Services are needed:• FIS continues to assess, engage, and link
the family to services• FIS reports weekly to CPI on status of family
and referrals• FIS provides results on ongoing
engagement to CPI at the end of 21 days including recommended services and linkage status to providers.
PROTOCOL FIS, Child Protective Investigator, Child
Protective Investigator Supervisor, Our Kids, Children Legal Services will staff case as needed.
FIS and Our Kids full case management agency if warranted will continue to engage and transition family into case management and other SAMH provider services.
BEST PRACTICES• Spectrum Program is the FIS provider.
They have been trained and use:• Screening, Brief Intervention Referral and
Treatment Model (SBIRT)• Motivational Interviewing• Solution Focused Case Management • Global Assessment of Individual Needs
(GAIN) Quick• Family Centered Practices being used by
CPI, FIS and OK are: Structured Decision Making and Trauma Informed Care
SERVICE ARRAY• Mental Health Services• Substance Abuse Services• Domestic Violence- Victim or Perpetrator• Children’s Mental Health• Full Case Management• Crisis Intervention• Intensive in-home services• Other Community Services
QUALITY IMPROVEMENT Quarterly staffing focuses on persons
who have dropped out of treatment, appropriate levels of care, appropriateness of referral and is really an in depth qualitative review from hotline to termination of supervision.
Quarterly meetings at the hubs focus on system issues as well as provide updated educational information.
DATA COLLECTION South Florida Behavioral Health
Network, SAMH, Our Kids, DCF/CPI units, will be responsible for Data tracking.
Data collected includes: Referral, linking, treatment completion, drop out from treatment, recidivism rate, referrals to dependency court.
MANAGING ENTITY The Southern Region’s Substance Abuse
and Mental Health (SAMH) Program Office entered into a contract with South Florida Behavioral Health Network on October 1, 2010 to oversee the Substance Abuse and Mental Health System of Care.
MANAGING ENTITY FUNCTIONS System of Care development and
management Utilization Management Network Management and sub
contractual relations Continuous Quality Improvement Technical Assistance and Training Data Collection Reporting and Analysis Planning
BEHAVIORAL HEALTH SERVICES AVAILABLE IN THE NETWORK
• Detoxification• Crisis Stabilization• Addiction Receiving FacilitiesAcute• Outpatient• Intensive Outpatient• In Home-On Site• Residential• Comprehensive Community Service
Teams (CCST)
Treatment
• Wraparound (Flexible Funds)• Clubhouses• Drop-In Centers
Support Services
OUR KIDS OF MIAMI DADE AND MONROE Lead CBC for Miami Dade and Monroe
County System of Care development and
management Utilization Management and Continuous
Quality Improvement Network Management and sub
contractual relations Technical Assistance and Training Planning
SERVICES AVAILABLE Dependency Full Case Management service for all case
through 6 Community Providers Intake Foster Care Placement and Licensing Shelter and Residential Group Care Level of care assessments Nurse Case management Adoptions Independent Living services
Intensive in-home family preservation services through two program Safe at Home and Parents as Partners for High Risk Families where there are safety threats
Case Management through Family Empowerment Program for moderate to low risk families
Since 2009 Our Kids is using Children’s Research Center’s Evidence Based structured Decision Making Tool to guide all service decision.
O K I N T A K E S F I S C A L Y E A R 2 0 1 0 - 2 0 1 1(TOTAL NUMBER OF CHILDREN N=4,835)
Family Preservation (n=3,308) Court (n=1,525)0
500
1000
1500
2000
2500
3000
3500
473
1389
1446
596
392
537
Num
ber o
f Chi
ldre
n
Family Empowerment Pro-gram
Parents As Partners
Safe At Home
Court-In-Home
Relative/Non-Relative
Licensed
7/27/2011For purposes of this analysis, cases from other states and counties (ICPC and OTI) were excluded.
TYPES OF SCENARIOS
Prevention Services
Diversion Services
Dependency
PREVENTION SERVICES If a family is at risk of becoming
involved with the Dependency System and could benefit from services based on assessment and recommendations, referrals will be made to SAMH providers and other community providers as needed.
DIVERSION SERVICES If a family is found to need SAMH/CW
services and CPI finds that there are some risk factors, staffing will be held between Our Kids intake, CPI, CPIS, CLS and FIS.
Service recommendations will be made in an effort to divert the family from the Dependency System.
DEPENDENCY If a family is found to be at risk and
diversion is not an option the CPI,CPIS, FIS, Our Kids Intake, CLS will staff the case and make appropriate treatment and services recommendation based on assessment as the case is moved to the Dependency System.
PROCESS MAPPING OF CPI, FIS, OKFamily Intervention Specialists / SAMH Process Map (DRAFT- REVISED as of 11/10/2009)
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Spec
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Ser
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Receive and Process the call Accept
Call to the Hotline
Reject
Assign to Respective
Region
Accept the report Assign to the Service Center
Receive and determine if SAMH/ FIS services are
needed
If SAMH/FIS services are
need Complete referral and submit to FIS
See CPI Process Map
Assess the call
Receive the referral
CPI & FIS go out on the
investigation.FIS complete assessment
(GAIN Q)& drug screen
assessment (GAIN Q)& drug screen within 72 hrs
Provide CPI with weekly report on
status of case
Engage & link family to service for 21 days from
the day of referral
Receive status report from FIS
Complete assessment with treatment
recommendations & status of Family. Submit
to CPI & O.K. (if applicable) at the end of
21 days
Receive assessment and recommendation report from FIS at the
end of 21 days, if applicable
Receive assessment and recommendation report from FIS at the
end of 21 days
FIS & OK will continue to engage &
transition family to In-Home case management
services
CPI, FIS, and OK staffing to determine services
recommendations and if family is engaged in
developing a service plan
Continue providing services to family (mental health,
substance abuse, domestic violence, and other services
as needed)
If family drops out of
treatment and refuse
additional care
NO
YES
See Prevention Referral Procedures
For prevention, diversion and dependency
cases a staffing will be held between
CPI, CPIS, FIS, and OK
for appropriate services as
needed
OK will receive referral to provide
prevention or diversion services
NO
If services are not needed based on
assessment (GAIN Q)
CPI will continue with the investigation.
NO
YES
CPI and OK staffing to determine services
recommendations and if family is engaged in
developing a service plan.Case is
closed within 60 days by
CPI and FIS
OK and SAMH
provider will notify
CPI
See CPI Process Map
Is FIS available
YES
NO
YESTreatment and
services are completed
NEXT STEPSNarrowing front door
Revision of protocol
Developing a plan to mine data from FSFN, Medicaid, SFBHN, and Our Kids databases for Adults and Children
QUESTIONS