BRINGING PREVENTION TO THE TABLE: STRATEGIES FOR IMPROVING OUTCOMES

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BRINGING PREVENTION TO THE TABLESTRATEGIES FOR
IMPROVING OUTCOMES

• Julie Collins, LCSW
• Oct. 23rd, 2008

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What we will cover

• Prevention
• Definition
• Continuum
• CBCAP Program
• What it is and what it can bring to the table for
  improved outcomes
• Where Prevention fits in the CFSR/PIP process
• What this might mean in your work?
• Examples from States
• Discussion and Q and A

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Prevention of Child Abuse and Neglect

• For the child welfare system, prevention usual
  means prevention of reoccurrence of abuse or
  neglect or prevention of removal once a child and
  family are involved with the child welfare
  system. It can also means prevention of a child
  returning to care/being removed from their
  caregiver.
• For programs such as the Community-Based Child
  Abuse Prevention (CBCAP) funded programs,
  prevention services are targeted towards
  prevention of child abuse and neglect prior to it
  happening or prior to any involvement with the
  child welfare system.

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Continuum of Prevention ofChild Abuse and
Neglect Services
Primary or Universal Secondary or Selected Tertiary or Indicated
Primary prevention consists of activities that are targeted toward the community at large. These activities are meant to impact families prior to any allegations of abuse and neglect. Secondary prevention includes activities targeted to vulnerable families that have one or more risk factors, including families with substance abuse, teen parents, parents of special needs children, single parents, and low income families. Tertiary prevention consists of activities targeted to families that have confirmed or unconfirmed child abuse and neglect reports. These families have already demonstrated the need for intervention, either with or without court supervision. These are families that qualify for services under child welfare programs. These are families where there is an open case.
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CBCAP Program

• To support development and expansion of
  community-based and prevention-focused programs
  and activities to support and strengthen families
  and prevent child abuse and neglect.
• To support meaningful involvement of all parents,
  including parents with disabilities, in
  planning, implementing and evaluation of
  prevention programs.
• To enhance States evaluation capability to
  determine effectiveness of funded prevention
  programs and activities.

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CBCAP Program continued

• To promote greater linkages with other National
  and Statewide systems change efforts such as the
  Child and Family Services Reviews (CFSRs).
• To support training and technical assistance for
  lead agencies on program requirements, as well as
  support ACF Priorities, e.g., healthy marriage,
  responsible fatherhood, outreach to faith- and
  community-based programs, positive youth
  development, and the rural initiative.

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CBCAP Target Populations

• Vulnerable families at risk of abuse or neglect.
• Special focus on specific populations
• Parents (all, new, teens, etc.).
• Parents/children with disabilities.
• Racial and ethnic minorities.
• Members of underserved or underrepresented
  groups.
• Fathers.
• Includes activities for General Population.

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Authorized Activities under CBCAP

• Provide comprehensive supports for parents.
• Promote development of parenting skills,
  especially young parents or those with young
  children.
• Improve family access to formal and informal
  resources.
• Support needs of parents with disabilities
  through respite or other activities.
• Provide referrals to early health and development
  services.
• Promote meaningful parent leadership.

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Other Authorized Activities

• Financing development of continuum of prevention
  services through public private partnerships.
• Financing start-up, maintenance expansion, or
  redesign of Child Abuse Prevention programs and
  activities that are identified as unmet needs.
• Maximizing funding through leveraging funds for
  Child Abuse Prevention programs and activities.
• Financing public education activities that focus
  on health and positive development of parents and
  children and promotion of Child Abuse Prevention.
  

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CBCAP Conceptual Framework
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Prevention and the CFSR/PIP

• Key CFSR Outcomes where Prevention can fit
• Indicators
• Safety
• Children are, first and foremost, protected from
  abuse and neglect.
• Children are safely maintained in their homes
  whenever possible and appropriate.
• Family and Child Well-Being
• Families have enhanced capacity to provide for
  their children's needs.
• Children receive appropriate services to meet
  their educational needs.
• Children receive adequate services to meet their
  physical and mental health needs

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Prevention and the CFSR/PIP

• Key CFSR Outcomes where Prevention can fit
  continued
• Systemic Factors
• Service Array and resource development
• Needs assessment for the full continuum
• Resource identification
• Filling gaps in the continuum of services through
  such means as joint RFPs to combine
  resources/reduce duplication, targeted
  legislation changes (new money for services for
  early childhood or infant mental health)
• Responsiveness to community
• Participating in IVB planning
• Integration of plans to reduce duplication of
  efforts
• Community collaborations
• System reform efforts
• Quality Improvement
• Participation in activities to review data
  especially around practice changes to refer
  at-risk families before reaching the level of an
  investigation

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Prevention and the CFSR/PIP

• CFSR/PIP Process where Prevention can fit
• Planning calls
• Important to hear what is going on and how it
  will take place
• Timeframes
• Statewide Assessment
• Helping with the service array identifying
  resources and gaps
• Linking with the data to understand how
  programs/services might need to shift to address
  the gaps
• Assist with case reviews
• Onsite review
• Exit meeting
• Important to understand what the whole system
  needs to be working on to know where can impact
• Often see/hear the info differently than others
  so might have good insights as to how to address
  
• PIP kickoff meeting and subsequent PIP planning
  meetings
• Input to how the prevention (key program
  components) could help state

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Prevention and the CFSR/PIP
Prevention State
Mention of primary prevention or involvement of the Children's Trust Fund or Community-Based Family Resource and Support/CBCAP program as part of the array of services to prevent abuse and maintain safety FL, IL, MI, MO, NC, NH, OK, PA, RI, UT Note all are states where the CBCAP grant dollars are administered by the child welfare agency
Use of the words primary and secondary prevention FL, NC, MI, NJ, OK, RI
Finished or in the process of developing a state plan for prevention NM, RI, TX,
Taken from An Analysis of Primary and Secondary
Child Abuse and Neglect Prevention in the
2001-2004 Child and Family Service Reviews and
Program Improvement Plans
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Prevention and the CFSR/PIP

• IN 2007 CBCAP Application
• Forty-four States report some coordination
  between the CBCAP programs and their CFSR/ PIP/
  CFSP process. This coordination usually entails
  having prevention representation on PIP
  workgroups and/or participation on Statewide
  advisory committees for the CFSR/PIP/CFSP
  process. Some States have specifically
  identified CBCAP funding priorities or other
  activities based on the findings of the CFSR/PIP.
• Thirty-one States report strong fiscal and
  programmatic coordination between their Promoting
  Safe and Stable Families (PSSF) program and
  CBCAP. Several States are using blended funding
  pools, which include PSSF, TANF, and the Early
  Intervention Program, Part C
• Adapted from 2007 CBCAP Applications Summary
  report by Melissa Brodowski continued..

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Prevention and the CFSR/PIP

• States with CFSR/ PIP Linkages
• Strong coordination (PIP) (14) AL, AK, CA, IA,
  KY, MN, NV, NJ, NY, ND, PR, PA, SD, WY
• Participating in stakeholder groups/ CFSR/PIP
  committees (30) AZ, CO, CT, DE, DC, FL, GA, ID,
  IL, IA, KS, LA, ME, MD, MA, MI, MO, MT, NE, NH,
  NC, OK, OR, RI, SC, TX, VT, VA, WA, WI
• Early collaboration (4) AR, HI, MT, WV
• No CFSR linkage discussion in application (4)
  MS, OH
• States blending CBCAP PSSF funds for RFPs (7)
  AK, CA, KY, MN, ND, OK, WY
• States with CBCAP/ PSSF linkages (31) AL, AK,
  AZ, CA, CO, FL, GA, ID, IL, IA, KS, KY, LA, MA,
  MI, MT, NE, NV, NJ, NY, NC, ND, PR, OR, SC, SD,
  TN, UT, VA, WV, WY

Adapted from 2007 CBCAP Applications Summary
report by Melissa Brodowski
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Examples of Key Program Areas

• Prevention Plan
• Needs Assessment
• Collaboration - Partnerships
• Connections to networks in the community
• Parent Leadership/engagement
• System reform
• Leveraging Funding

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Discussion and Q and A

• Please share your questions and comments!
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Resources

• FRIENDS National Resource Center for Community
  Based Child Abuse Prevention- www.friendsnrc.org
• National Resource Center for Organizational
  Improvement - www.nrcoi.org
• Child Welfare Information Gateway
  www.childwelfare.gov

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Contact Information

• Julie Collins
• CWLAs Project Director for FRIENDS NRC for CBCAP
• 703-412-2411
• jcollins_at_cwla.org
• www.friendsnrc.org