Leading Change – Transforming, Expanding, and Advancing ......Opportunity Makes changes to federal...

NADCP 2018 | Houston, TXAdvancing Justice for All Families

Phil Breitenbucher, Alexis Balkey, and Theresa LemusChildren and Family Futures May 30, 2018

Leading Change – Transforming, Expanding, and Advancing the FTC Movement to Better Serve Children and Families

working for youth justice and safety

ojjdp.gov

U.S. Department of JusticeOffice of Justice ProgramsOffice of Juvenile Justice and Delinquency Prevention

working for youth justice and safety

ojjdp.gov

U.S. Department of JusticeOffice of Justice ProgramsOffice of Juvenile Justice and Delinquency Prevention

AcknowledgementThispresentationissupportedby:Grant#2016‐DC‐BX‐K003 awardedbytheOfficeofJuvenileJusticeandDelinquencyPrevention,OfficeofJusticePrograms,U.S.

DepartmentofJustice.

This project was supported by Grant #2016‐DC‐BX‐K003 awarded by the Office of Juvenile Justice and Delinquency Prevention, Office of Justice Programs, U.S. Department of Justice. The opinions, findings, and conclusions or recommendations expressed in this publication/program/exhibition are

those of the author(s) and do not necessarily reflect those of the Department of Justice.

Learning Objectives

1. Explore the progression of the FDC movement from inception, to program enhancement and expansion, and towards systems change.

2. Understand the goals of the National Strategic Plan for FDCs and how they provide a roadmap for larger systems change.

3. Develop leadership capacity to become a champion for the FDC movement and advance policy and practice in your jurisdiction.

HopeStrengthening Partnerships | Improving Outcomes

A Reflection

Do you know how these systems work for all children and families?

Do you the know the total need or the scale of the problem?

How can the FDC be a catalyst for change?

Part of Greater Whole

FDCs are part of larger systems

10 40

153

322360 340 370

495

1999 2001 2005 2010 2013 2015 2016 2017

Family Drug Court Movement

Practice Improvements

Family Drug Court Movement

2007

2004OJJDP

SAMHSA | ACF/CB

2013

Revised 2015

199710 Key

Components

2017

National Strategic Plan for FDCs

2018National

Standards for FDCs

2002

6 Common Ingredients

7th added in 2015

Expansion, Infusion,Evidence-Based

Programs

2015

FDC’sEst.

1994 2014

Systems Change Initiatives

New Opportunities

Funding and Legislation

With Growth Comes…

Appropriated for Fiscal Year 2018

Funds will be contracted by September 30, 2018

$330 million to the OFFICE OF JUSTICE PROGRAMS (OJP) for comprehensive opioid abuse reduction activities, including as authorized by CARA:

$75 million for Drug Courts representing a 92% increase$30 million Mental Health Courts & Adult and Juvenile Collaboration Program Grants Program

$30 million for Residential Substance Abuse Treatment for State Prisoners Grants

$20 million Veterans Treatment Courts Program$30 million Prescription Drug Monitoring Program

$145 million Comprehensive Opioid Abuse Program



$282.5 millionto the OFFICE OF JUVENILE JUSTICE AND DELINQUENCY PROGRAMS (OJJDP)

$60 million for Drug Abuse Education, Prevention, and Treatment Program Grants

$94 million Youth Mentoring Grants

$27.5 million for Delinquency Prevention Programs$21 million for Victims of Child Abuse Programs$76 million for Missing and Exploited Children Programs

$2 million for Judicial Child Abuse Training Programs$2 million for Program to Improve Juvenile Indigent Defense

$5 million Tribal Youth Programs$4 million for gang and youth violence education, prevention and intervention

$500 thousand for Children of Incarcerated Parents information and resources website$2 million competitive grants focusing on

girls in juvenile justice system$8 million for community‐based violence

prevention initiatives$8 million for opioid affected youth

initiative

• Child Abuse Prevention and Treatment Act (CAPTA)

• Comprehensive Addiction and Recovery Act (CARA)

• Plans of Safe Care (PoSC)

Opportunity

Family First Prevention Services Act (2018)

$

Opportunity

Makes changes to federal child welfare financing, including allowing for federal Title IV-E dollars to reimburse states for substance use, mental health prevention and treatment services and parenting programs for children at imminent risk of being placed in foster care and their families

• Provisions Related to Substance Use and Mental Health Treatment for Families

- Reimbursement for Family Residential Substance Use Disorder Treatment – October 1, 2018

- Use of Title IV-E Funds to Prevent Child Placement in Out-of-Home Care – October 1, 2019

- Reauthorization of Regional Partnership Grants


$1 billion in new funding for State Opioid Response Grants including:

Appropriated for Fiscal Year 2018to the Substance Abuse and Mental Health Services Administration (SAMHSA)

$70,000,000 for SAMHSA Treatment Drug Court Grants

Opportunities

$8,724,000 for Opioid Treatment Programs/Regulatory Activities

$29,931,000 for Pregnant and Postpartum Women

Funds will be contracted by September 30, 2018 Opportunities

Appropriated for Fiscal Year 2018to the Administration for Children and Families (ACF)

$99,765,000 in additional Discretionary and Targeted Grant funds including:

$20 million for Regional Partnership Grants

$20 million for Kinship Navigator Programs

$60 million for increase for CAPTA State Grants


Opportunities

Appropriated for Fiscal Year 2018to the Department of Education

$470 million for State Grants for Infants and Families

Frameworks for Family Drug Courts

5 R’s – Core Outcomes

10 Recommendations for Family Drug Courts The Big 7 – Essential Practices

to Improving Child Welfare and Treatment Outcomes

3 Goals – National Strategic Plan for Family Drug Courts

Improving Outcomes for Children and Families

Family Drug CourtNational Strategic Plan

Build Evidence Base

Ensure Quality Implementation

Expansion of FDC Reach

1

2

3

A Road Map for the Movement

Each session tied to one of these goals!

Available at https://www.cffutures.org/report/national-strategic-plan/

Every family in the child welfare system affected by parental/caregiver substance use disorders will have timely access to comprehensive and coordinated

screening, assessment and service delivery for family’s success.

National VisionAll Families

for

Disproportionalityand Equity

Accountability to the FDC Model

Being Apart from Systems Change vs. Being A Part of Systems Change

Top Threats to the FDC Movement3

1

2

3

Threat to FDC Movement

National Strategic Plan Goal

Taking ActionTA Tools and

Sessions

Session FormatSolutions and Opportunities

Brainstorm and Report Out

Providing the vision and the drive to use resources

to get results while building trusted

relationships within staff and amongst partners

What is Leadership?

Client-Centered and Empathetic

What is Leadership?

Persuasion, Trust, Commitment—Illustrating the Vision, Building Relationships, and Gaining Commitment

Influence

Barrier Busting & Results-Based Accountability—Ensuring Adequate Information Flow & Data-Driven Decision-Making

Transform

Building Champions and Growing Resources—Develop New and Existing Leaders and Increase Resources

Cultivate


Accountability to the FDC Model11

Ensure Quality Implementation

Goal #1


SOLUTIONS andOPPORTUNITIES

Building Capacity for Quality

Implementation

National Standards for Family Drug Courts

Building Capacity for Quality Implementation

STRATEGIES andCRITICAL QUESTIONS

Oversight/ExecutiveCommittee

Director Level

Quarterly

Ensure long-term sustainability and final approval of practice and policy changes

Steering Committee

Management Level

Monthly or Bi-Weekly

Remove barriers to ensure program

success and achieve project’s goals

FDC Core Team

Front-line staff

Weekly or Bi-Weekly

Staff cases; ensuring client success

Membership

Meets

Primary Functions

The Collaborative Structure for Leading Change

Information flow

Information flow

FDC Team

Front-line staff

Weekly or Bi-Weekly

Staff cases; ensuring client

success

Membership

Meets

Primary Functions

Steering Committee

Management Level

Monthly or Bi-Monthly

Remove barriers to ensure program success and achieve project’s goals

Membership

Meets

Primary Functions

1. Data Dashboard 2. Systems Barriers3. Funding & Sustainability4. Staff Training &

Knowledge Development 5. Outreach Efforts

Standing Agenda Items for Steering Committee Meetings5

Oversight/ExecutiveCommittee

Director Level

Quarterly or Semi-Annually

Ensure long-term sustainability; review and use data reports; give final approval of practice and policy changes

Membership

Meets

Primary Functions

Influence | Transform | Cultivate

TAKING ACTION

BRAINSTORM REPORT OUTand

https://www.cffutures.org/national-fdc-tta-program/

TOOLS and RESOURCES

The Big Seven – Key Practicesto Building an Effective Family Treatment Court

Training Session | TS-13 | Thursday, May 31st at 1:15pm - 2:30pm

Phil Breitenbucher, MSW |Children and Family Futures

Be sure to check it out!

Ready-Set-Go! 5 Key Planning Decisions to Help You Successfully Launch Your Family Treatment Court

Families First: Taking Family Dependency Treatment Courts to the Next Level | D-4Thursday, May 31st at 3:15pm - 4:15pm

Jane Pfeifer, MPA |Children and Family FuturesAlexis Balkey, MPA |Children and Family Futures




11


22

ASPE Study Findings: Overdose Deaths and Foster Care Caseloads, 2002 to 2016

10

20

30

40

50

60

70

80

50

100

150

200

250

300

350

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Ove

rdos

e D

eath

s (th

ousa

nds)

Fost

er C

are

Entr

ies

(thou

sand

s)

Foster Care Entries

Overdose Deaths

Sources: CDC/NCHS, National Vital Statistics System, Mortality; HHS/ACF, Adoption and Foster Care Analysis and Reporting System.

10%

2.3% 2.6%4.5%

0%

5%

10%

15%

Drug deaths Reports ofmaltreatment

SubstantiatedReports

Foster CarePlacements

10% increase in the

overdose death rate

corresponds with

ASPE Study Findings: Drug Overdose Deaths and Child Welfare Case Rates, 2011-2015


ASPE Study Findings: Counties where Rates of Drug Overdose Deaths and Foster Care Entries were both above the

National Median in 2015


Expansion of FDC Reach

Goal #2



Systems Change

Project Thinking Systems Thinking

Shift

ParadigmParadigm

FDCs as a Continuum of Care


Families Affected by Substance Use Disorders Continuum

High RiskHigh Need

Low Risk Low Need

Family Treatment

Court

New Approach

Family Relationship Therapies

Evidence-Based Parenting


Funding FDC

Services



$330 million to the OFFICE OF JUSTICE PROGRAMS (OJP) for comprehensive opioid abuse reduction activities, including as authorized by CARA:

$75 million for Drug Courts representing a 92% increase$30 million Mental Health Courts & Adult and Juvenile Collaboration Program Grants Program

$30 million for Residential Substance Abuse Treatment for State Prisoners Grants

$20 million Veterans Treatment Courts Program$30 million Prescription Drug Monitoring Program

$145 million Comprehensive Opioid Abuse Program



$282.5 millionto the OFFICE OF JUVENILE JUSTICE AND DELINQUENCY PROGRAMS (OJJDP)

$60 million for Drug Abuse Education, Prevention, and Treatment Program Grants

$94 million Youth Mentoring Grants

$27.5 million for Delinquency Prevention Programs$21 million for Victims of Child Abuse Programs$76 million for Missing and Exploited Children Programs

$2 million for Judicial Child Abuse Training Programs$2 million for Program to Improve Juvenile Indigent Defense

$5 million Tribal Youth Programs$4 million for gang and youth violence education, prevention and intervention

$500 thousand for Children of Incarcerated Parents information and resources website$2 million competitive grants focusing on

girls in juvenile justice system$8 million for community‐based violence

prevention initiatives$8 million for opioid affected youth

initiative

• Child Abuse Prevention and Treatment Act (CAPTA)

• Comprehensive Addiction and Recovery Act (CARA)

• Plans of Safe Care (PoSC)

Opportunity

Family First Prevention Services Act (2018)

$

Opportunity

Makes changes to federal child welfare financing, including allowing for federal Title IV-E dollars to reimburse states for substance use, mental health prevention and treatment services and parenting programs for children at imminent risk of being placed in foster care and their families

• Provisions Related to Substance Use and Mental Health Treatment for Families

- Reimbursement for Family Residential Substance Use Disorder Treatment – October 1, 2018

- Use of Title IV-E Funds to Prevent Child Placement in Out-of-Home Care – October 1, 2019

- Reauthorization of Regional Partnership Grants


$1 billion in new funding for State Opioid Response Grants including:

Appropriated for Fiscal Year 2018to the Substance Abuse and Mental Health Services Administration (SAMHSA)

$70,000,000 for SAMHSA Treatment Drug Court Grants

Opportunities

$8,724,000 for Opioid Treatment Programs/Regulatory Activities

$29,931,000 for Pregnant and Postpartum Women

Funds will be contracted by September 30, 2018 Opportunities

Appropriated for Fiscal Year 2018to the Administration for Children and Families (ACF)

$99,765,000 in additional Discretionary and Targeted Grant funds including:

$20 million for Regional Partnership Grants

$20 million for Kinship Navigator Programs

$60 million for increase for CAPTA State Grants


Opportunities

Appropriated for Fiscal Year 2018to the Department of Education

$470 million for State Grants for Infants and Families

Funding FDC Services


TAKING ACTIONInfluence | Transform | Cultivate


TOOLS and RESOURCES

Connecting VTCs and VJO Services Through Collaborative Court Staffing: Improving Service Delivery to Veterans, Their Children, and Families Through Family-Centered Approaches

VTCs: Advanced Issues | VCC-B-3 | Thursday, May 31st at 11:00am - 12:15pm

Larisa Owen, PhD, MBA |Children and Family FuturesMary Kreber Varipapa, JD |Superior Court of California, County of Orange

Jeremiah Jones, AB, AS |Strong Families, Strong Children


A New Approach –FTCs as Part of a Continuum of Care

Families First: Taking Family Dependency Treatment Courts to the Next Level | E-4Thursday, May 31st at 4:45pm - 6:15pm

Theresa Lemus, MBA, RN, LADC |Children and Family FuturesTessa Richter, LCSW, MSW |Children and Family Futures


Family Matters –Transitioning to a Family Centered Approach in All Drug Courts

Concurrent General Session | CG-17 | Friday, June 1st at 1:45pm - 3:00pm

Phil Breitenbucher, MSW |Children and Family FuturesCarolyn Hardin, MPA |National Association of Drug Court Professionals


Developing a Plan of Safe Care: What Your Family Treatment Court Needs to Know about Serving Pregnant and Parenting Women with Opioid Use Disorders

Concurrent General Session | CG-28 | Friday, June 1st at 3:15pm – 4:30pm

Nancy K. Young, PhD, MSW |Children and Family Futures


minute break




22

Disproportionality and Equity33

Build the Evidence Base

Goal #3



FDC Research

State of FDC Research

What Has Been Accomplished?

Update from the field…

FDC Research



Evidence-Based Implementation

Whom Does It Work For?

Whom Does It Not Work For?

Emerging Issues

The racial/ethnic disparities in children entering FTDC programs are substantial

% in FTDC % in Child Welfare Population

White Non-Hispanic 46.4% 26.1%Black Non-Hispanic 14.4% 41.5%

Hispanic 17.4% 20.8%Other 22.4% 11.6%

For five grantees, this disparity was much greater compared to the other grantees (Range of disparities for five grantees -4% to 56%).

14.4%

0.0% 0.0%

39.5%

88.9%

7.7% 5.6%0.0%

25.0%

0.0%

11.9%

41.5%

81.7%71.5%

47.6%

61.2%

21.9%

36.9%

17.9%7.4% 6.2%

32.5%

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%90.0%

100.0%

% African American Children Who Entered FTDC Programs Compared with Child Welfare Population as Reported by AFCARS 2015

FTDC AFCARS

Emerging Issues

17.4%

0.0%

100.0%

39.5%

0.0% 0.0%

12.7%5.7%

13.3%

37.5%

11.9%20.8%

2.1%13.4%

29.3%

5.5%

17.3%9.5%

17.8%7.9%

45.2%

25.4%

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%90.0%

100.0%

% Hispanic Children Who Entered FTDC Programs Compared with Child Welfare Population as Reported by AFCARS 2015

FTDC AFCARS

Emerging Issues

Equity


TAKING ACTIONInfluence | Transform | Cultivate


TOOLS and RESOURCES

Part of the Problem or Solution? Addressing Racial Disproportionality and Disparities in FTC

Families First: Taking Family Dependency Treatment Courts to the Next Level | B-4Thursday, May 31st at 11:00am - 12:15pm

Phil Breitenbucher, MSW |Children and Family FuturesRuss Bermejo, MSW |Children and Family Futures


Healing the Family – Tribes and Counties Working Together within the FTC and FTHWC

Tribal Healing to Wellness Courts | D-7 | Thursday, May 31st at 3:15pm – 4:30pm

Lauren van Schilfgaarde, JD |Tribal Law and Policy InstituteJennifer Foley, BA |Children and Family Futures


Q&A and Discussion

Resources


TOOLS and RESOURCES

Next Steps –

Moving Policy and Advocacy Forward

Leaders Call to Action!

Commit!

Network and Share!then


Checklist to Change -Readiness to Reality

Families First: Taking Family Dependency Treatment Courts to the Next Level | A-4Thursday, May 31st at 9:30am – 10:45am

Alexis Balkey, MPA |Children and Family FuturesTessa Richter, LCSW, MSW |Children and Family Futures


What Does Quality Treatment Look Like? Identifying Effective Substance Use Disorder Treatment for Families

Evidence-Based Psychosocial Treatment | B-16 | Thursday, May 31st at 11:00am - 12:15pm

Theresa Lemus, MBA, RN, LADC |Children and Family Futures


Strengthening Families –Supporting Success


Families First: Taking Family Dependency Treatment Courts to the Next Level | C-4Thursday, May 31st at 1:45pm - 3:00pm

Jennifer Foley, BA |Children and Family Futures

Contact InformationPhil Breitenbucher, MSWAlexis Balkey, MPA, RASTheresa Lemus, MBA, BSN, LADCChildren and Family [email protected](714) 505-3525www.cffutures.org

Strengthening Partnerships | Improving Outcomes

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Leading Change – Transforming, Expanding, and Advancing ......Opportunity Makes changes to federal...

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