Transcript National TA and Evaluation Center on Systems of Care

National TA and Evaluation
Center for Systems of Care
An Overview of the Improving
Child Welfare Outcomes Through
Systems of Care Demonstration
Initiative
March 11-12, 2008
CBCAP-PSSF Conference
Baltimore, MD
National TA and Evaluation Center
for Systems of Care
A System of Care Approach…
… is guided by the following principles: interagency
collaboration, individualized, strengths-based care,
culturally and linguistically competent services and
supports, child, youth, and family involvement in all aspects
of care, and accountability; and
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“…is a cluster of organizational change strategies that
are based on a set of values and principles that are
intended to shape policies, regulations, funding
mechanisms, services, and supports” (Hernandez and
Hodges, 2002).
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March 11-12, 2008
CBCAP-PSSF Conference
Baltimore, MD
National TA and Evaluation Center for
Systems of Care
Principles driving system change
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SOC Guiding Principles
Family and youth involvement
Home, school, communitybased child & family centered
services
Strengths-based, individualized
care
Cultural & linguistic competence
Interagency collaboration
Accountability
March 11-12, 2008
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CFSR Practice Principles
Family-Centered Practice
Strengthen and empower families to protect
and nurture their children
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Community-Based Practice
Support the needs of children within the
context of their families and communities
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Individualizing Services
Tailor interventions to meet specific needs of
children & families served
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Strengthening Parental
Capacity
Promote parent strengths and self-esteem
by emphasizing partnership with service
providers
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National TA and Evaluation Center
for Systems of Care - Grant ClusterFamily-Centered
Partners4Permanency
Contra Costa, California
Caring Communities
Demonstration Project
Clark County, Nevada
Jefferson County Systems
of Care
Jefferson County,
Colorado
Systems of Care
The Community Taking
Responsibility for Assisting
in Developing Life and
Empowerment (CRADLE)
Bedford-Stuyvesant,
Brooklyn, NY
Improving Child Welfare
Outcomes Through SOC
Improving Permanency
Outcomes Project (IPOP)
Locally Organized
Systems of Care for
Children in Pennsylvania
Cherokee and
Reno Counties
Kansas
Alamance, Bladen, and
Mecklenburg Counties
North Carolina
Medicine Moon Initiative
(MMI) to Improve Tribal Child
Welfare Outcomes Through
Systems of Care
(Three Affiliated, Turtle
Mountain, Standing Rock, and
Spirit Lake Tribes)
Clackamas, Umatilla/Morrow,
and Washington Counties
Oregon
PA
North Dakota
March 11-12, 2008
Dauphin and
Northumberland Counties
CBCAP-PSSF Conference
Baltimore, MD
National Evaluation Theory of Change
Systems of
Care
Principles
•Family
Involvement
•Cultural
Competence
•Interagency
Collaboration
•Individualized,
Strength-based
•Communitybased
Infrastructure,
Policy and
Practice
Short-term
Outcomes
•Planning
FAMILIES

Family
satisfaction
•Governance
•System
Management

Buy-in

•Communication
Empowered
families
•Policy

Utilization
outcomes for
target population:
 Positive
• Safety
outcomes for
child welfare
population:
•Permanency
•Well-being
• Safety
•Permanency
SERVICES
↓ Duplication

Access to
services
 Comprehensive
and coordinated
services

March 11-12, 2008
 Positive
Long-term
Outcomes
•Well-being
•Finance
•HR
Intermediate
Outcomes
Quality
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Baltimore, MD
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Accountability
Systems of care
approach
implemented
more broadly
National TA and Evaluation Center
for Systems of Care
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Operationalizing the SOC Principles:
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Cultural Competence 
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The CRADLE (NY) has partnered with the People’s
Institute to provide the Un-doing Racism training for
community members and staff from child-/familyserving agencies
North Carolina has developed a three-day cultural
competency training that is delivered to all Department
of Social Services staff statewide
March 11-12, 2008
CBCAP-PSSF Conference
Baltimore, MD
Figure 1. Average Levels of Agreement that SOC Activities
Have Been Successful in:
Increasing interagency collaboration in CW system
(n=189)
3.97
Increasing family involvement in CW system (n=175)
3.95
Increasing individualized strengths-based approaches
in CW system (n=177)
Collaborative stakeholders
surveyed across all nine
communities reported that
the grant initiative has been
successful in
operationalizing the
systems of care in local
child welfare agencies
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Interagency collaboration
and family involvement
appear to be the areas of
greatest success
3.81
Increasing community based approaches in the CW
system (n=180)
3.73
Increasing accountability in the CW system (n=162)
3.58
Addressing cultural competence in CW system
(n=166)
3.37
0
March 11-12, 2008
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1
2
3
4
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Figure 2. Average Agency Support for Family Involvement
5
4
3
Time 1
Time 2
2
1
0
Overall*
Site1
Site 2
Site 3
Site 4
Site 5
Site 6
Site 7
Site 8
Site 9
Across grant
communities,
caseworkers reported
an increase in child
welfare agency
support for family
involvement from Time
1 to Time 2
Figure 3. Average Agency Support for Interagency Collaboration
5
4
Time 1
3
Time 2
2
1
Overall
Site 1
March 11-12, 2008
Site 2
Site 3
Site 4
Site 5
Site 6
Site 7 Site 78 Site 9
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Across grant
communities, there
was an increase in
agency support
(emphasis, support, &
rewards) for
interagency
collaboration from
time 1 to time 2.
National TA and Evaluation Center
for Systems of Care
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Putting the SOC to work:
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Interagency Collaboration  In Jefferson County, CO, House Bill 1451 has facilitated the
development of a Memorandum of Understanding (MOU) to
foster collaboration among nine state agencies which
focuses on streamlining services, pooling funding, and
supporting family engagement.
 North Carolina has a state level interagency advisory
council that has infused SOC principles into their CFSR
Program Improvement Plan strategies, especially related to
policy development and training.
March 11-12, 2008
CBCAP-PSSF Conference
Baltimore, MD
National TA and Evaluation Center
for Systems of Care
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Putting the SOC to work:
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Family Involvement 
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The Kansas Family Centered System of Care initiative
has piloted a collaborative leadership development
curriculum to co-train family partners and agency
practitioners.
The Partnering4Permanency program in Contra Costa
County, CA has created several full- and part-time
Parent Partner positions through contract agreements
with community service providers.
March 11-12, 2008
CBCAP-PSSF Conference
Baltimore, MD