Transcript Document

521: QSR Training: “Refresher Session”
Learning Objectives
• Identify the core components of PA’s Child
Welfare Practice Model
• Describe the roles and responsibilities of being a
QSR reviewer.
• Explain the core components of the QSR
Protocol, scoring, and providing feedback.
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Agenda
• Welcome and Introductions
• Core Components of Pennsylvania’s Child
Welfare Practice Model
• Roles and Responsibilities of a QSR Reviewer
• Interviewing Refresher
• Indicators and Scoring
• Feedback
• Questions, Next Steps, and Closing
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The Pennsylvania Child Welfare Resource Center
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What is Your Role?
Each pair of reviewers will conduct case reviews:
• Case file review
• Interviews
• Roll-Up Sheet
• Provide feedback to the caseworker (and supervisor)
• Present scoring rationale and recommendations at the
Case-Specific Team Debriefing
• Complete a QSR Written Case Review Summary.
Reviewers may also be invited to attend the Exit
Conference.
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Responsibilities of a QSR Reviewer
• Rate results/outcomes, not intentions (except
Practice Performance Indicators 1a and 8).
• Remember that this is a review of the system, not
individual caseworker;
• Rate the current child/youth status, not the past or future
(unless required by the parameters of the indicator).
• Follow the principles of the Practice Model and give
feedback in a constructive way, including improvement
needs, as well as strengths.
The Pennsylvania Child Welfare Resource Center
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Interview Refresher: Prior to the Interview
• Review the interview schedule and identify potential
questions.
• Identify the lead interviewer and note taker for each
interview.
• Remember that you are a reviewer who is responsible for
evaluating the system, not a caseworker responsible for
case management.
• Tune into self- Get in touch with feelings/concerns and
beliefs/values.
• Learn something about the interests of the child/youth to
better engage him/her.
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Interview Refresher: During Each Interview
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Clarify purpose and roles
Recognize family strengths
Be patient with family stories
Listen more than talk
Use QSR questions and indicators to keep you on
track
• Always ask about the child’s safety
• Gather information, do not identify solutions
• Avoid leading questions
The Pennsylvania Child Welfare Resource Center
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Interview Refresher: After the Interview
• Do not share information between interviewees
• Resist reaching conclusions/scoring before all
interviews
• Note areas needing confirmation or follow-up
• Contact your Site Lead and/or next interviewee if you
are running behind
• Contact your Site Lead to arrange any additional
interviews you.
The Pennsylvania Child Welfare Resource Center
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Child/Youth and Family Status Indicators
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Safety: Exposure to Threats of Harm
Safety: Risk to Self/Others
Stability
Living Arrangement
Permanency
Physical Health
Emotional Well-Being
Early Learning and Development
Academic Status
Pathway to Independence
Parent or Caregiver Functioning
The Pennsylvania Child Welfare Resource Center
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Practice Performance Indicators
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Engagement Efforts
Role and Voice
Teaming
Cultural Awareness and Responsiveness
Assessment and Understanding
Long-Term View
Child/Youth and Family Planning Process
Planning for Transitions and Life Adjustments
Efforts to Timely Permanence
Intervention Adequacy and Resource Availability
Maintaining Family Relationships
Tracking and Adjusting
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What Time Period is Considered in Scoring?
Child/Youth and Family Status Indicators look at
the past 30 days
– Exceptions are: Stability and Academic Status
Practice Performance Status Indicators look at the
past 90 days
– Exceptions are: Planning for Transitions and Life Adjustments
and Efforts to Timely Permanence
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NOTE: Recent performance improvements have some
influence on scores
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How are Cases Scored?
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Each indicator is scored on a scale of 1 – 6
6 – Optimal
5 – Substantial
Acceptable Range
4 – Fair
3 – Marginal
2 – Poor
Unacceptable Range
1 – Adverse
• Maintenance Zone: 6-5
• Refinement Zone: 4-3
• Improvement Zone: 2-1
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The Central Scoring Rules
• Focus on the Focus Measure and Core Concepts in
each indicator.
• Read each indicator’s instructions:
– Stay within the time-based observation windows
associated with each indicator.
– Rate indicators based on events that have occurred or
conditions that were present within the time-based
observation window.
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Distinction Between 3 and 4
The Groundhog Rule
If this case were frozen in time as it is
today, would performance or status be
considered acceptable or unacceptable?
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Feedback Session with Caseworker
• Explain the purpose
• Conduct an accuracy check, analysis, and
strengths/challenge assessment
•Note that identification of new facts is common;
•Identify the strengths of the case
•Explain findings – Child/Youth and Family Status
•Explain findings – Practice Performance
•Invite the worker to offer suggestions for improvement
•Offer suggestions not identified by the worker
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Case-Specific Team Debriefing:
Case Presentation Outline
• Brief synopsis of the child/youth/family story (2
minutes)
• Child/Youth and Parent/Caregiver Status
Indicator Rationale (4 minutes)
• Practice Performance Indicator Rationale (4
minutes)
• Next Steps (2 minutes)
• Group Questions/Feedback (3 minutes)
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Purpose of Written Case Review Summary
• Explains the “story” behind the data by providing
the detailed qualitative information to support the
findings
• Provides feedback to Caseworker/Supervisor and
local leadership
• Provides an effective training tool
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Written Case Review Summary
Important reminders:
• Style
• Content
• Final Review
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Site-Specific QSR Information Shared
 QSR Review Team Pairings
 Dissemination of Case Summaries and
Interview Sheets
 Parking
 Security
 Weather
 Other
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Questions/Answers
This is an opportunity for QSR Reviewers to
ask any additional questions that they might
have concerning the material that was
reviewed.
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