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Improving Child Welfare Outcomes Through Systems of Care Grant Cluster An Overview

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Title: Improving Child Welfare Outcomes Through Systems of Care Grant Cluster An Overview


1
Improving Child Welfare Outcomes Through Systems
of Care Grant Cluster An Overview
  • Childrens Bureau All-Hands Meeting
  • Wednesday, July 26, 2006

2
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Presentation Goals
  • To gain a greater understanding of systems of
    care for children and families involved with
    child welfare
  • To hear lessons learned from the NC grantee on
    development of their SoC planning and
    infrastructure development
  • To learn information gleaned from the base-line
    evaluation and technical assistance support to
    grantees

3
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • National Context for the Improving Child Welfare
  • Outcomes Through Systems of Care Demonstration
    Initiative
  • Change in focus on results and outcomes of child
    and family services in state child welfare
    systems
  • Clear indication of needed change from first
    round of Child and Family Service Reviews
  • Many states had difficulty achieving consistently
    positive outcomes in areas of safety, permanency,
    and child and family well-being
  • Emphasis on system change and accountability for
    state child welfare and its partner agencies

4
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Prime Objective of the Improving Child Welfare
    Outcomes
  • Through Systems of Care Demonstration Grant
    Program
  • This demonstration program seeks to answer one
    central question
  • Does a system of care approach have merit in
    helping achieve positive outcomes for children
    and families involved with child welfare and its
    partner agencies?

5
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Grantee Overview
  • In FY2003 the Childrens Bureau funded nine (9)
    grants through the Improving Child Welfare
    Outcomes Through Systems of Care Demonstration
    Grant Initiative
  • Sites are awarded up to 500,000/yr for five
    years
  • Grantees were funded to do a year of strategic
    planning
  • Grant applicants focused on developing
    intra-/inter-agency infrastructure to support and
    maintain a local system of care for children and
    families in child welfare

6
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
7
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Defining a System of Care
  • A system of care approach is based on the
    development of a strong infrastructure of
    interagency collaboration, individualized care
    practices, culturally competent services and
    supports, child and family involvement in all
    aspects of the system and measures of
    accountability. Stroul, 2001

8
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • System of Care Guiding Principles/CFSR Practice
    Principles

9
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
System of Care Concept
Philosophy
Infrastructure
Services Supports
10
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Infrastructure Components
  • Planning
  • Governance
  • System Management
  • Coordination of Services and Service Array
  • Communication
  • Policy
  • Finance
  • Continuous Quality Improvement
  • Human Resources and Staff Development

11
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
Alamance County, NC Child and Family Team
One Family, One Team, One Plan
12
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
Reorganization of Alamance Child-Serving
Committees
Childrens Executive Oversight Committee
School CFT Support Team
Community Collaborate
Juvenile Crime Prevention Council
Partnership for Children
Com Child Protection
Care Review
Subcommittees
Education Publicity Events
Monitoring
Needs Assessment
Membership
Funding
13
Lessons Learned in Alamance County, NC
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • IV-B Training funds do not support SOC framework
  • Have to have dedicated staff
  • Creating a culture of family centered practice is
    a long term accomplishment
  • Must get it right in own agency before moving
    into community
  • Cannot be another initiative has to be a change
    in philosophy
  • Use data and be clear on outcomes

14
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Lessons Learned Continued
  • Waivers like IV-E Waiver provide flexible funding
    that supports SOC culture
  • Engage schools early, they are a key partner
  • Child and Family Teams are such a positive
    vehicle for families
  • Must work on all four levels in the system
    State, within local agency, interagency
    collaboration, and family level

15
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • North Carolina is Building a SOC Infrastructure
  • Mental Health has committed a full time person
    for each office dedicated solely to SOC
  • Social Services has implemented Multiple Response
    which incorporates CFTs statewide
  • State Legislative Study Commission has identified
    seven Legislative Responsibility Goals concerning
    SOC and child safety, permanence and well being
  • Governor has developed and implemented a
    School-based Child and Family Team Initiative in
    100 schools

16
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Center combines technical assistance and
    evaluation
  • Provides full service support for grantees
  • Evaluation and TA inform each other
  • Strengthens ability to learn and disseminate
  • Presentation draws on both

17
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Evaluation framework
  • SoC activities
  • Collaborative partnership
  • Practice, policies procedures
  • Case management

Changes in case planning for the target population
Changes in the safety, permanency well-being of
the target population
Changes in service receipt for the target
population
Changes in the safety, permanency well-being of
the child welfare population
18
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Baseline data collection
  • Site visits conducted at the conclusion of the
    sites planning phase
  • Baseline findings based on
  • Collaborative member interviews
  • Supervisor interviews
  • Focus groups with child welfare and partner
    agency staff

19
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Baseline evaluation findings
  • Interagency collaboration
  • Key stakeholders
  • Grantees (Project Director, Project Coordinators)
  • Local Evaluators
  • Family Partners
  • System Partners
  • Community Partners
  • Youth
  • Locally Organized Systems of Care (Dauphin
    County, PA)
  • Awakening a sleeping giant in the community
    bringing the faith-based community to the table.
  • The faith-based sub-committee raised money to
    support a summer youth camp. Local school system
    and local organizations support the summer camp.
  • Co-chair of the youth sub-committee is on the
    implementation team.

20
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Baseline evaluation findings
  • Interagency collaboration
  • Needs
  • Divergent philosophies makes collaboration
    challenging
  • Large caseloads and administrative duties are
    barriers to being able to collaborate (lack of
    resources)
  • Key decision-makers at the table
  • Assets
  • Prior SoC Experience
  • Pre-Existing Collaborations and History of
    Interagency Collaboration
  • Committed and Motivated Staff

21
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Baseline evaluation findings
  • Interagency collaboration
  • Cross-site Activities
  • Strategic Planning An Interagency Effort
  • Collecting county-wide statistics to better
    understand the needs of the target population
  • Conducting needs assessments to evaluate project
    progress, identify emerging trends, gaps in
    service delivery
  • Extending Outreach
  • Social Marketing (KS)
  • Engaging Public Officials
  • Connecting Communities for
  • Kids (CO)
  • Data-driven service integration using geo-mapping
    technology to map service providers and foster
    home families to see if they correspond with the
    high need areas. Maps to be shared with agency
    partners.
  • Spring 2006 Resource Fair 45 different child and
    family serving agencies/organizations presented.
    Enhanced relationships among agency partners.
  • SoC grant funds have helped to offset the
  • costs of this service to better identify the
  • needs of families involved in the child
  • welfare system.

22
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Baseline evaluation findings
  • Family involvement
  • Needs
  • Workers felt that family involvement was
    sometimes token and not always appropriate in
    certain cases
  • Sustainability of family involvement in
    collaborative work
  • Training for family members
  • Assets
  • Family involvement at the case planning level
  • Parent partners help families negotiate the
    system
  • Engagement of extended and non-traditional family
    members

23
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Baseline evaluation findings
  • Family involvement
  • Improving Permanency Outcomes Project (OR)
  • Parent partners are key leaders and role models
    for parents involved in the system.
  • The Improving Permanency Outcomes Project (IPOP)
    offers parent leadership training and the
    familys guide to CW training. These trainings
    provide parents with the tools to be able to
    communicate more effectively with professionals
    from other partner agencies.
  • Family partners are co-presenting with project
    team members at professional conferences and PIP
    trainings.
  • SoC grant funds have helped to offset the costs
    of
  • these trainings and conferences as well as
    highlights
  • the importance of the family voice in such
    system-
  • change initiatives.
  • Cross-site Activities
  • Family involvement in collaborative committees
    and workgroups
  • Expanded role of parent partners and advocates
  • Family Involvement Summit

24
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Baseline evaluation findings
  • Cultural competency
  • Needs
  • Language barriers
  • Staff culturally reflective of community served
  • Multiple underserved communities
  • Link training to practice
  • Assets
  • Introductory Training
  • Leadership recognition of cultural competence
    needs and willingness to address them
  • Recruitment methods for new staff

25
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Baseline evaluation findings
  • Cultural competency
  • The CRADLE (NY)
  • Partnership with the NY chapter of the National
    Association of Social Workers and the Peoples
    Institute to provide TA and develop training
  • Training will focus on cultural competency and
    racism
  • Training designed to develop more analytical,
    culturally-rooted and effective community
    organizers
  • Goal is to provide quarterly training for all
    child welfare staff
  • SoC grant funds have helped to offset the costs
    of these trainings and provide an incentive for
    key partnering agencies.
  • Cross-site Activities
  • Training
  • Agency-wide cultural competence assessments

26
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Baseline evaluation findings
  • Individualized strengths-based care
  • Needs
  • Staff report the approach can be challenging with
    some cases
  • Balancing strengths-based approaches with child
    safety
  • Modeling strengths-based approaches at all levels
    within the agency
  • Limitations of strengths-based assessment tools
  • Assets
  • Staff have experience providing services from a
    strengths-based approach
  • Staff assignments based on staff strengths
  • Dialogue with clients begins with a discussion of
    strengths
  • Data systems and assessment tools focus on
    strengths

27
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Baseline evaluation findings
  • Individualized strengths-based care
  • Cross-site Activities
  • Forms updated to capture family strengths
  • New assessment tools
  • Training
  • Caring Communities (NV)
  • DFS hired a consultant who has been working with
    the Child and Family Teams and DFS caseworkers to
    develop strengths-based case plans.
  • The consultant also models strengths-based
    approaches that are both hands-on and
    skills-based.
  • Trainings at joint collaborative meetings are
    organized around individualized-strengths-based
    approaches.
  • The SoC initiative has been linked to a culture
    change within DFS toward more strengths-based
    approaches in how staff work with each other and
    with families.

28
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Baseline evaluation findings
  • Community-based resources
  • Needs
  • Community-based resources often lacking,
    particularly in neediest areas
  • Need centralized and comprehensive effort to
    identify community-based resources
  • Inconsistency in knowledge among frontline workers
  • Assets
  • Relationships with community providers
  • More community-based resources available in some
    areas
  • Existing practices for identifying
    community-based resources

29
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Baseline evaluation findings
  • Community-based resources
  • Cross-site Activities
  • Increased interagency collaboration has helped
    identify community-based resources
  • Presentations to agency staff
  • Development of resource guides
  • SoC in Mecklenburg County (NC)
  • Development of an on-line resource tool focusing
    on grassroots and non-traditional services.
  • Community social workers identifying gaps in
    services and working with communities to fill the
    gaps.
  • Open houses held with agency staff to orient them
    to community partners and services available.
  • Interagency collaboration with non-traditional
    partners may help identify more community-based
    resources.

30
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Baseline evaluation findings
  • Accountability
  • Needs
  • Balancing performance-based indicators with
    spending quality time with families
  • Information feedback from data collection is
    lacking
  • More knowledge of the value added from data
    collection needed
  • Assets
  • Data used to develop new policies and address
    deficiencies
  • Data provide information on placements, resources
    and meetings with multidisciplinary partners

31
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Baseline evaluation findings
  • Accountability
  • Cross-site Activities
  • Local evaluation plans mapped to project goals
  • Plans to develop an online documentation system
  • Local evaluation involvement with strategic
    planning and implementation activities

32
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Family-to-Family SoC (CA)
  • Multidisciplinary evaluation committee
  • Evaluation activities mapped to each project goal
    and implementation activity and continuously
    updated
  • Local evaluation data regularly presented to
    county districts and key stakeholders
  • Local evaluation activities provide regular
  • updates to monitor progress and re-evaluate
  • initiative priorities and activities where
  • indicated.
  • Medicine Moon Initiative (ND)
  • Primary Goal All ND Tribal child welfare
    agencies will have an adequate management
    information system (MIS) to automate case filing.
  • Local ND SoC staff have been involved in all
    stages of implementation of this MIS with the
    four participating tribal child welfare agencies
  • Trouble-shooting
  • Training
  • Sustainability
  • The local evaluator provides training and
  • support as well as provides a booster training to
  • tribal child welfare staff during the
  • implementation of the MIS system.

33
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Baseline evaluation findings
  • Implications for ongoing work in the
    demonstration communities
  • Strategic planning and needs assessment
    activities have helped guide planning and
    implementation in many sites.
  • Previous collaborative work has established
    strong practices around family involvement,
    strengths-based approaches and cultural
    competency in several demonstration sites.
  • Fewer accountability activities were identified
    at baseline as compared to other SoC principles
    and some sites identified gaps in community-based
    approaches and cultural competency.
  • A key finding across sites was the perceived gap
    between frontline workers and supervisors/administ
    rators and challenges to effective collaboration.

34
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
  • Information Dissemination Sharing Lessons and
    Innovations with the Child Welfare Field
  • NTAEC on Systems of Care is in the process of
    finalizing a three-booklet Systems of Care for
    Child Welfare Toolkit based on lessons learned
    from the demonstration sites. It includes
  • Improving Child Welfare Outcomes Through Systems
    of Care A Strategic Planning Guide
  • Building the Infrastructure to Support Systems of
    Care in Child Welfare and
  • The Good Fit Selecting the Best Evaluation
    Partner for Your Program
  • NTAEC is sharing this work with the CB TTA
    network, the Federal Interagency Workgroup
    Systems of Care Subcommittee, and other entities
    connected to the Childrens Bureau to get this
    knowledge out to the field.
  • Documents will be available for download through
    the Child Welfare Information Gateway.

35
National Technical Assistance and Evaluation
Center on Systems of Care Building Integrated
Service Systems for Child Welfare
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