Transcript PCCYFS Policy Day

PCCYFS Children’s
Services Policy Day
June 27, 2011
Office Of Children, Youth and
Families
Agenda
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Upcoming Areas of Focus
PIP Update
CQI
Heart Gallery
Juvenile Court Rules
Safety
Education
Independent Living
Fostering Connections
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CAPTA
CJA
Cross System Collaboration
Recently Enacted
Legislation
Budget
NBPB
Public Welfare Code
Contract Documentation
Upcoming Areas of Focus
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System Integration
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Congregate Care
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Systems of Care
Integrated Children Services
Youth age 13-17 entering care
Service needs to prevent entry or shorten length of stay
Psychotropic Medication
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Resources available
Gaps
Needs
CFSR PIP: Update on our
Progress
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33% of PA’s PIP action steps have been
completed + 30% of PA’s PIP action steps
are ongoing = 63% of PA’s PIP is either
ONGOING or COMPLETE!
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As of the end of Quarter 3 (3/29/11), 170 out
of 270 PIP action steps have either been
completed, or continue as ongoing tasks.
Continuous Quality
Improvement (CQI)
Continuous Quality Improvement
What it isn’t and what it is…
Continuous Quality Improvement (CQI) is
not a time limited project or initiative. It is
the ongoing process by which an agency
makes decisions and evaluates its
progress.
“A framework for implementation”
Casey Family Programs & NRCOI
The DAPIMTM Model: A “Flywheel”
Define
Monitor
Assess
Performance
& Capacity
Implement
Plan
-© 2009 American Public Human Services Association
QSR Activities
QSR Case
Reviews
QSR Focus
Groups and
Key
Stakeholder
Interviews
DPW
Licensure
Stakeholder
interviews
Caseworkers
Same cases as
QSR sample
Feedback to
Caseworker and
Supervisor
Supervisors
Written Case
Summary
Aggregate
quantitative
results
Other: may
consider youth,
birth families,
foster families,
courts, etc.
Additional
intake, foster
home, and
personnel files
Review for
regulatory
compliance
Summation, Discussion, Next Steps Planning
PA QSR Protocol: Child/Youth and Family Status
Indicators
1a. Safety: Exposure to Threats of Harm
1b. Safety: Risk to Self/Others
2. Stability
3. Living Arrangement
4. Permanency
5. Physical Health
6. Emotional Well-being
7. Learning & Development
8. Pathway to Independence
9. Parent & Caregiver Functioning
PA QSR Protocol: Practice Performance Indicators
1a. Engagement Efforts
1b. Role and Voice
2. Teaming
3. Cultural Awareness & Responsiveness
4. Assessment & Understanding
5. Long-Term View
6. Child/Youth and Family Planning Process
7. Planning for Transitions and Life Adjustments
8. Efforts to Timely Permanence
9. Intervention Adequacy & Resource Availability
10. Maintaining Family Connections
11. Tracking & Adjusting
Interpretive Guide for Child/Youth and Family Status Indicator
Ratings
Unacceptable Range: 1-3
Improvement Zone: 1-2
Status is problematic or risky. Quick action
should be taken to improve the situation.
Acceptable Range: 4-6
Refinement Zone: 3-4
Status is minimum or marginal, may be
unstable. Further efforts are necessary to
refine the situation.
Maintenance Zone: 5-6
Status is favorable. Efforts should be
made to maintain and build upon a positive
situation.
1
2
3
4
5
6
Adverse
Status
Poor Status
Marginal
Status
Fair Status
Substantial
Status
Optimal
Status
The individual’s
status in this area is
poor, unacceptable
and worsening.
Status is and may
continue to be poor
and unacceptable.
Any risks may be
mild to serious.
Status is at least
minimally or
temporarily sufficient
for the individual to
meet short-term
needs or objectives
in this area.
Substantially and
dependably positive
status for the
individual in this
area with an
ongoing positive
pattern. Status is
good and likely to
continue.
The best of most
favorable status
presently attainable
for this individual in
this area (taking
age and ability into
account).
Status is mixed,
limited or
inconsistent and
not quite sufficient
to meet the
individual’s shortterms needs or
objectives now in
this area.
Final Report
QSR Findings Report
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Demographics
Child/Youth and
Family Status
Domain
Practice
Performance Status
Domain
QSR Results
Summary
Key Questions to
Consider for Next
Steps Planning
Purpose:
The Next Steps Meeting is designed to be a
starting point or continuation of the county’s
efforts in the Continuous Quality Improvement
(CQI) process which focuses on the
development of an action plan for enhancing
case practice and system performance.
Sponsor and Improvement Teams
Sponsor Team
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Defines high-level vision of CQI efforts
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Secures resources
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Creates and charters Improvement Team
Sponsor
Team
Improvement Team
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Guides CQI work day-to-day
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Maintain hands-on responsibility for CQI
efforts
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Charters and oversees smaller CQI work
groups
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Communicates with Sponsor Team
Implementatio
n Team
Work
Group
Work
Group
Work
Group
Work Groups
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Implement improvement efforts focused
on specific target areas
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Representation from agency staff,
providers, consumers
Assessment: Building the Bridge
to Planning
“This work involves group input, brainstorming and
dialogue to determine the priority order of identified
gaps, root causes of gaps, and general remedies to
address root causes.”
© 2009 American Public Human Services Association
County Improvement Plan
(CIP)
Section I. Sponsor Team Members
Section II. Background
Section III. Priority Outcomes
Section IV. Findings
Section V. Strategies and action steps
for each outcome
Bringing CQI to Life
CQI
Sponsor
Team
receives
findings
Improvement
Team
monitors and
analyzes
work groups
CQI Work
Groups
identify and
implement
strategies to
actualize
CIP
Review and
analysis of
CQI findings
(with focus
on QSR
results)
CYS
leadership,
CQI staff, with
support of TA
Collaborative
CQI Sponsor
Team reviews
County
Improvement
Plan and
approves for
submission to
state
Identify
recommende
d
improvement
priorities
CQI
Sponsor
Team
creates
CQI
Charter
and
approve
priorities
CQI
Improvement
Team
receives CQI
Charter and
develops
County
Improvement
Plan
PA Heart Gallery
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An initiative of the Statewide Adoption and
Permanency Network
Began in 2006
Volunteer professional photographers
High quality portraits of children
Focused on older youth and sibling
groups in need of adoptive families
PA Heart Gallery
Traveled the Commonwealth
 Online at www.adoptpakids.org
 129 older youth and sibling groups
featured over 5 years
 46 of those youth were adopted or
placed into a permanent family
 Traveling Heart Gallery ending 6/30/11
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PA Heart Gallery
New process:
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All children registered with the Pennsylvania
Adoption Exchange (PAE) are eligible
List of volunteer photographers across state
Photographs of children waiting for permanency
Photos on www.adoptpakids.org
Copies of photographs will be given to county
caseworker and the child
PA Heart Gallery
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List of participating photographers posted
online at www.diakon-swan.org under
Publications titled “Photographers PA Heart
Gallery”
County caseworkers may contact the
volunteer photographer in their county
Every child on PAE can and should have a
high quality photograph
Adoption Finalizations
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2,388 children had finalized adoptions in
State Fiscal Year 2009-10
Highest single year in PA
Since SWAN began in 1992 over 30,000
children were adopted from foster care in PA
Juvenile Court Rules
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Effective July 1, 2011
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The majority of the rule amendments address the educational,
health, and disability needs of a juvenile or child
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Each of these educational, health care, and disability needs must
be addressed at each stage of the proceedings and in the court’s
orders.
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Additional rule amendments address determinations during court
proceedings, Ex Parte communication and placement changes.
Juvenile Court Rules re:
Educational Needs
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Focus on three key issues at every stage of
the court proceedings
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minimizing school changes;
ensuring that a juvenile or child is attending
school, receiving educational services, and
making progress toward graduation; and
ensuring that each juvenile or child has a legally
authorized educational decision maker.
Juvenile Court Rules re: Health
Care and Disability
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The court must ensure that:
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Health care and disability needs are
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Identified,
Monitored, and
Addressed.
Children with disabilities are receiving necessary
accommodations.
Juvenile Court Rules re:
Disposition on Record
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Court must state on the record the findings
and conclusions of law that form the basis of
its decision
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Placement outside the home the court shall
impose the least restrictive placement consistent
with the protection of the public and best suited to
the juveniles treatment, supervision, rehabilitation
and welfare
Juvenile Court Rules re: Ex Parte
Communication
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Requires the appointment of a designee
other than a judge or a party to receive the
report from the foster or adoptive parent or
relative caring for the child
Juvenile Court Rules re:
Placement Changes
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Requires prior notification to the court of the
child’s move
Emergency moves – Judge not available
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Agency may temporarily place the child in shelter
care or other appropriate care
Must immediately notify the court of the change
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Leave message
File a motion the next business day
Out-of-Home Care Safety
Assessment – Status Update
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Request by County Children and Youth
Agencies for delayed implementation
Review of CFSR PIP timelines related to
implementation and roll-out
Discussion with the Administration for
Children and Families regarding the renegotiation of timelines
Decision forthcoming
Education Related Matters
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Education Bulletin and Screen
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Convening a workgroup to address areas of concern
Attempt to streamline the use of the screen
Development of a FAQ document
Conference calls with the Education Liaisons, Education Law Center,
Juvenile Law Center, Child Welfare Training Program and OCYF staff
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June 13
July 27
September 1
Request from County Children and Youth Agencies regarding
possible delayed implementation
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Review of CFSR PIP timelines related to implementation and roll-out
Discussion with the Administration for Children and Families regarding
the re-negotiation of timelines
Decision forthcoming
Collaboration with PDE
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Meeting forthcoming with Deputy Secretary
for Elementary and Secondary Education
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Foster Care related issues
Juvenile Justice issues
Collaboration on the development of a FAQ
document related to Fostering Connections
McKinney-Vento – Awaiting Foster Care
Independent Living
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Program Bulletin focuses on improved
outcomes for youth and young adults
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Educational Stability
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Secondary and Post-Secondary Education
Health Care Proxy
Transition Planning
Trial Discharge
Fostering Connections
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Extension of Care for 18-21
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Stakeholder workgroup convened by
Pennsylvania Partnerships for Children and
Juvenile Law Center
Facilitated by Finance Project
Charged with completion of fiscal analysis and
recommendations
Child Abuse Prevention and
Treatment Act (CAPTA)
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Citizen Review Panels
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Three panels already established
Emphasis on the development of formalized
recruitment efforts
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Current panels
Future panels
Creation of three additional panels
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Southwest
Southeast
North Central
Children’s Justice Act (CJA)
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Task Force meetings four times a year
Subcommittee meetings monthly
Submission of CJA application May 31, 2011
Recommendations related to:
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Development of a model protocol
Technical assistance related to multi-disciplinary/joint
investigative teams
 Pennsylvania Chapter of Children’s Advocacy
Centers/Multi-Disciplinary Teams
Forensic interviewing
 ChildFirst PA through the Pennsylvania County Children
and Youth Solicitors Association and Pennsylvania District
Attorneys Association
Cross System Collaboration
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Permanency Practice Initiative
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Phase 3 – 31 counties
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Systems of Care
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15 counties over the next 5 years
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Grief and Loss, FGDM, Family Finding, 3 month
Permanency Reviews, Family Development
Credentialing, CPCMS
Montgomery, York, Chester, Erie and Lehigh
National Governor’s Academy
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County sustainability plans
Safely Reducing Number of
Children in Placement
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Where we were
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Where we are now
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9-30-06
9-30-07
9-30-08
21,500
20,935
19,385
9-30-09
3-31-10
9-30-10
16,740
15,920
14,848
Recently Enacted Legislation
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Senate Bill 1360 (Act 101 of 2010)
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Signed October 27, 2010
Three key themes:
 Voluntary post adoption contact
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Information Registry
 Access to Records and Release of Information
Effective in 180 days (April 25, 2011)
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DPW, AOPC and JCJC to develop procedures
Act 101 of 2010
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Continuation of Juvenile Court Proceedings
pending notification of parties
Uploading of social and medical information
to the Pennsylvania Adoption Information
Registry (PAIR)
Roles and responsibilities of Authorized
Representatives
Proposed Orphan’s Court Procedural Rules
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Comments due by August 24th
Recently Enacted Legislation
Continued
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House Bill 2258 (Act 115 of 2010)
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Signed November 23, 2010
Reasonable efforts must be made to place siblings
together unless it is contrary to safety or well-being
When siblings are not placed together, visitation must
occur at least twice a month, unless it is contrary to safety
or well-being
Efforts must be made through out the life of the case
Matters must be determined at the initial time of
placement, as well as each permanency hearing
Effective in 60 days (January 22, 2011)
Recently Enacted Legislation
Continued
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House Bill 2338 (Act 119 of 2010)
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The Children in Foster Care Act
Signed November 24, 2010
Provides basic protections to children in foster care
 Model grievance policies and procedures must be
made available to all county and private agencies
within 30 days of the effective date
Each county or private agency must adopt the model
grievance policies and procedures or revise its current
policies and procedures within 45 days of the effective
date
Effective in 120 days (March 24, 2011)
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Budget
Needs-Based Plan and Budget
Format Changes
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Streamline
Information
Reduce Duplication
Analysis and
Impact Addressed
Globally
Updates
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Section 2-3: Meeting
Mandates
Section 3: General
Indicators
Section 4: County
Programs and
Services
Section 6-3: Special
Grants
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NBPB (continued)
 No
Changes
Specific Special Grant Programs
 Access Database and Excel Forms
 OCYF Review Process
 Deleted Contract Requirement related
to Provider Outcomes
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NBPB Submission Deadline
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Narrative and Indicators by August
15, 2011
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Budget Forms (Excel and ACCESS)
by September 15, 2011
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Delay in submission of budget
requires 4th Quarter Invoice
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Section 4-1: Children Not Accepted for Services/Prevention
Services
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Community
Prevention
Services
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Services offered
through community
agencies and
supported in part
through contract
intended to divert
family from child
welfare system
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Placement Prevention
Services
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Services offered
through county
staff and/or
contracted
providers intended
to divert a
child/youth from
entering out-ofhome care
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Section 4-2: Pennsylvania Academic and
Career/Technical Training Project (PACTT)
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Principle:
 Job skills and readiness must begin in placement
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PACTT works with residential providers to enhance
career/technical programs and achieve transfer of
school credits
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Dependent and Delinquent Youth
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Section 4-2: Mentoring
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Sustain Self-Sufficiency Efforts Post-Placement
Mentor to Support in Job Readiness; Skills;
Community Re-Orientation
Mentoring Relationship to Begin in Placement and
Continue Beyond Discharge
Coordination and Collaboration
 OVR
 Career Link
 Education and Intermediate Units
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Section 6-3: Special Grant Initiatives (SGIs)
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Evidence-Based Programs (EBP) 6-3a
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Multisystemic Therapy (MST)
Functional Family Therapy (FFT)
Multi Dimensional Treatment Foster Care
(MTFC)
Family Group Decision Making (FGDM)
Family Development Credentialing(FDC)
High-Fidelity Wrap Around (HFWA)
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Section 6-3: SGIs (continued)
Pennsylvania Promising Practices
(PaPP)
 Dependent (PaPP Dpnt)
 Delinquent (PaPP Dlqnt)
 Housing Initiative
 Alternatives to Truancy Prevention
Program (ATP)
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Section 6-3: Program Specific Information for SGI
Requests
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For each SGI selected, provide the following
information:
 Three (3) service outcomes the county
expects to achieve as a result of the program
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The service provider
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Budget information
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An explanation for any history of under
spending or underutilization of the program
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Section 6-3: Summary of Total SGI Impact
 Overall
summary of how the
selected special grants programs
will impact service delivery and
child and family outcomes
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Program Specific Information
IL
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Streamlined county narrative to include the following:
 An explanation for any history of underspending or underutilization of the program.
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Budget information, including description of line items;
Three (3) service outcomes the county expects to achieve
as a result of the program; and
Five (5) targeted service/support questions.
Section 6-3(l): Assessment Tool
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Reimbursement for “per administration”
costs associated with YLS/CMI ($1.25
per assessment)
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Public Welfare Code – Title IV-E
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Explicit Statutory Authority
Consultation with Counties and Providers
Deadlines for submission and review
Three Year Cycle with ability to request redetermination if cost of care changes
Request reconsideration of maximum
allowable amounts
Residential Provider Contract Documentation
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FY 2010-2011: (as of 6.20.11)
 112 finalized and posted out of 210 initial submissions –
52 with OCYF – 35 waiting provider response
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FY 2011-2012: (as of 6.20.11)
 4 finalized and posted out of 105 initial submissions –
8 with OCYF – 5 waiting county/provider response
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ACF is reviewing four finalized provider packets, two from FY
10-11 and the two from FY 11-12.
Contract Documentation (Continued)
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DAPIM Meetings
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Providers, Counties, and OCYF joined to
evaluate the process and propose improvements
to the process.
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Two meetings have been held and another
scheduled for July.
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Accountability
DAPIM Subcommittee meeting June 28th
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Allowable vs. Non-Allowable Cost for 148 & IV-E
“Gray” activities or scenarios
Contract Documentation (Continued)
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FY 2011-2012 Reviews
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Success of the process depends on full commitment and
participation of all stakeholders.
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Counties work with providers on initial submission
OCYF providing more Tech. Assist.
 [email protected]
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Contract Documentation (Continued)
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Finalizing FY 2010-2011 with initial review of
FY 2011-12
FY 2011-2012 Tracking Log
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Regional lead and county reviewer tracks and
reports the current status of their provider review
OCYF will do a final Quality Assurance Review and
post final allowable rates to Docushare or return to
county reviewer for additional follow-up with the
provider.
Providers will have read only access to the tracking
log.
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