Transcript Geomapping for Service System Planning

Geomapping Strategies for
Placement and Services in
Child Welfare
Dana A. Weiner, Ph.D.
Richard Foltz, M.A.
Illinois Department of Children and
Family Services
Presentation goals
► Explain
plans and progress toward
implementing geomapping, provider search,
and foster care placement tools
► Display examples
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Provider search tools
Geomapping website
School-based rotational intake system
Foster parent recruitment efforts
© 2006 Dana Weiner, Ph.D. all rights reserved
Individual-level applications
► Provide
linkage to resources that are better
suited to individual child needs
► Provide information that can facilitate access
to and utilization of services
► Provide referrals to the most clinical and
geographically appropriate providers
© 2006 Dana Weiner, Ph.D. all rights reserved
System-Level Applications
► Shift
existing community resources to areas
where they are most needed
► Build capacity in underserved areas that is
specific to the needs of the local population
► Assist with CQI by identifying areas where
services are successfully addressing the
needs of children, and targeting others for
improvement
© 2006 Dana Weiner, Ph.D. all rights reserved
Geomapping for system planning
requires
► Data
on demand for needs and available
resources
► An online tool for visually integrating
demand and supply integration
► An implementation plan that grants access
to providers, case workers, and system
planners/administrators
© 2006 Dana Weiner, Ph.D. all rights reserved
Data Needs for Service System
Planning
►
Recipient Data
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► Provider
Child’s needs and
strengths
Child’s location
Child’s demographic
information (for
eligibility)
Child’s payment type
Data
 Service Offerings
 Geographic coverage
area and location
 Eligibility information
(clinical, demographic,
financial)
 Capacity
© 2006 Dana Weiner, Ph.D. all rights reserved
Measuring need for service: CANS
► Child
and Adolescent Needs and Strengths
(Lyons, 2004)
► Standardized measurement tool that allows
stakeholders to use a common language to
understand child needs
► Puts clinical needs in terms of need for
action, which facilitates the translation to
demand for services
© 2006 Dana Weiner, Ph.D. all rights reserved
Provider Data: The IDCFS Statewide
Provider Database
► Began
as a pilot in Cook County, as part of a
project funded by the MacArthur Foundation
► Expanded to Statewide by IDCFS
► Currently contains information on:
 over 900 agencies
 Over 1500 programs across the state
 Over 9000 services
© 2006 Dana Weiner, Ph.D. all rights reserved
Understanding structure/content of
available resources
► Program
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Type
► Target
Mental Health
Substance Abuse
Domestic Violence
Parenting
Non-clinical
Population
 Deaf/hard-of-hearing
 Developmentally
disabled
 Teen parents
 Sexual offenders
 Trauma survivors
 GLBTQ
 Young children
 Foster care
© 2006 Dana Weiner, Ph.D. all rights reserved
Service Types
Anger Management
► Advocacy
► Art therapy
► Case management
► Crisis intervention
► Drug testing
► Educational testing
► Family counseling
► Food/meals
► Gang awareness
►
GED preparation
► Group counseling
► Health education
► HIV/AIDS counseling
► Individual counseling
► Life/Independent Living
Skills
► Medication compliance
► Medication management
►
© 2006 Dana Weiner, Ph.D. all rights reserved
Service Types
► Neuropsychological
testing
► Parenting assessment
► Parenting skills training
► Peer support group
► Services for
parent/guardian
► Psychiatric evaluation
► Psychological testing
► Psychosocial
assessment
► Recreational activities
► Tutoring/mentoring
► Violence prevention
► Vocational
assessment/training
© 2006 Dana Weiner, Ph.D. all rights reserved
Program Information
► Intake
► Participation/discharge
requirements
► Eligibility
► Personnel
► Services
offered
► Use of Evidence-Based Treatment
© 2006 Dana Weiner, Ph.D. all rights reserved
Features addressing barriers to
access
► Features
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addressing barriers to access
Other language providers
Transportation assistance
Childcare
Off-site services
© 2006 Dana Weiner, Ph.D. all rights reserved
Building Links Between Needs and
Services
► Individual
CANS items signal need for specific
services (i.e. substance abuse treatment)
► Clusters of CANS items signal need for sets of
services (i.e. psychiatric services)
► Specific types of problems signal need for
evidence based treatment (i.e. trauma,
aggression)
► Severity and type of problem indicate a
recommended “level of care”
© 2006 Dana Weiner, Ph.D. all rights reserved
Symptom Groupings for Services
► Attachment
► Behavioral
► Substance
abuse
► Psychiatric concerns
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Depression
Anxiety
Attention
Affect regulation
Psychosis
concerns
 Oppositional behavior
 Anger control
 Conduct problems
► Adjustment
to trauma
► Complex trauma
 1 or more interpersonal
traumatic events
 Includes neglect &
abuse
© 2006 Dana Weiner, Ph.D. all rights reserved
Ways to Use the Statewide Provider
Database
► Search
for needed services
► Use recent CANS as a guide to the closest
providers offering needed services for an
individual child
► Check for a specific type of resource in a
particular area
© 2006 Dana Weiner, Ph.D. all rights reserved
Provider Database: Automated or
Manual Reports
► Enter
the child’s ID to receive a report with
the child’s CANS elevations and providers
offering the indicated services sorted by
distance from the child’s location
► Enter the child’s ID and a different zipcode
to obtain services based on child’s needs in
another region
► OR select service features manually
© 2006 Dana Weiner, Ph.D. all rights reserved
© 2006 Dana Weiner, Ph.D. all rights reserved
© 2006 Dana Weiner, Ph.D. all rights reserved
© 2006 Dana Weiner, Ph.D. all rights reserved
© 2006 Dana Weiner, Ph.D. all rights reserved
Geomapping for Gap Analysis
► Children
and provider locations assigned as points
on the map – addresses converted to X/Y
coordinates
► Incorporates information about
 Location where services are provided
 Geographic catchment area
► Facilitates
spatial analyses
 Nearest neighbor analysis
 Spatial discounting
 Topographical maps
© 2006 Dana Weiner, Ph.D. all rights reserved
© 2006 Dana Weiner, Ph.D. all rights reserved
© 2006 Dana Weiner, Ph.D. all rights reserved
© 2006 Dana Weiner, Ph.D. all rights reserved
© 2006 Dana Weiner, Ph.D. all rights reserved
Buffer Tool
► Identify
providers
within 5 miles of an
identified child or
cluster of children
► Display attributes of
providers within the 5mile radius
© 2006 Dana Weiner, Ph.D. all rights reserved
© 2006 Dana Weiner, Ph.D. all rights reserved
© 2006 Dana Weiner, Ph.D. all rights reserved
Insert slides with maps of specific
needs and services
© 2006 Dana Weiner, Ph.D. all rights reserved
© 2006 Dana Weiner, Ph.D. all rights reserved
© 2006 Dana Weiner, Ph.D. all rights reserved
Implementations of Geomapping
within the child welfare system
► Caseworkers
– search for needed services
► CAYIT – residential placement teams
► CQI – linking child outcomes over time with
services provides performance indicators
► Administrative planning – analyze gaps for
contracting
© 2006 Dana Weiner, Ph.D. all rights reserved
Planned Service Systems Strengthen
Communities
► Shift
existing community resources to areas
where they are most needed
► Build capacity in underserved areas that is
specific to the needs of the local population
► Enable continuous quality improvement by
identifying areas where services are
successfully addressing needs, and targeting
others for improvement
© 2006 Dana Weiner, Ph.D. all rights reserved
Contact Information
Dana Weiner
 [email protected]
 312-814-4109
Richard Foltz
 [email protected]
 312-814-6878
© 2006 Dana Weiner, Ph.D. all rights reserved