Wraparound as Key Component Of System Redesign

Transcription

1 Wraparound as Key Component Of System Redesign National Wraparound Conference June 7, 2016 Shawn Salamida President FamiliesFirst Network of Lakeview Center

2 Overview of ISAFE, a collaborative system evaluation and re-design How the service array was tailored to Florida s new Safety Methodology practice model. Why the Wraparound model was selected as a key component of Circuit 1 s service array. How FamiliesFirst Network is implementing the Wraparound model.

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4 Pensacola (Escambia County) is largest city. Mix of rural and coastal communities. FamiliesFirst Network (FFN) has been the community-based care lead agency since First to implement Florida s new Safety Methodology practice model (January, 2014). Roughly 10% of FFN budget directed toward Family Support Team services.

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6 Total Out of Home Care Population in Circuit 1 45% increase in 15 months 6

7 I.S.A.F.E.= Increasing Safety and Family Engagement FFN, DCF, Children s Legal Services primary partners Assessment and planning phase launched in January Project charter adopted. Project Manager conducted research, interviews and focus groups. Countermeasures implemented June 2015.

8 Decision Support Teams - Implemented June 22 Provide support and guidance to Child Protective Investigators and their supervisors. Conducted when Present Danger is identified or when children are determined to be Unsafe and the Safety Analysis determines an out of home plan is needed to manage the Impending Danger. Focused on accurate assessment, decision making, and safety planning. Conditions for Return Staffings - Implemented June 24 Review all cases where a child has been removed from their home and is approaching 60 days. If conditions for return criteria are met, a consultant from within their organization is immediately assigned to follow up and assist the caseworker with developing an in-home safety plan. Focused on accurate assessment, decision making and safety planning. 8

9 Real-time Reunification Process Implemented August 1 Process for reunification anytime conditions for return are met. The process encourages staff to think real time about whether reunification should be considered, rather than waiting until the next judicial review hearing. The procedure includes a thorough review by the case worker with a practice consultant to determine if an in-home safety plan is warranted, and if so, CLS is engaged to petition the court for reunification. Front-end Service Array Re-design- Initiated October 1 One size fits all approach re-considered. Tailored new service array to meet specific family needs based on safety and risk levels as determined by Child Protective Investigators. Wraparound became a critical piece.

10 1600 Children in Out of Home Care I.S.A.F.E. Strategies Implemented Children in Out of Home Care 200 0

11 Removals per 1,000 in child population State Ave. First Circuit I.S.A.F.E. Strategies Implemented 0.0 1/1/2014 2/1/2014 3/1/2014 4/1/2014 5/1/2014 6/1/2014 7/1/2014 8/1/2014 9/1/ /1/ /1/ /1/2014 1/1/2015 2/1/2015 3/1/2015 4/1/2015 5/1/2015 6/1/2015 7/1/2015 8/1/2015 9/1/ /1/ /1/ /1/2015

12 Discharges per 1,000 in child population State First Circuit I.S.A.F.E. Strategies Implemented 1/1/2014 2/1/2014 3/1/2014 4/1/2014 5/1/2014 6/1/2014 7/1/2014 8/1/2014 9/1/ /1/ /1/ /1/2014 1/1/2015 2/1/2015 3/1/2015 4/1/2015 5/1/2015 6/1/2015 7/1/2015 8/1/2015 9/1/ /1/ /1/ /1/2015

13 Timeliness to Reunification % of children who were reunified within 12 months of latest removal Circuit One good % 96.30% 90.00% 80.00% 70.00% 77.30% 72.70% 76.50% goal= 75.20% 81.00% 68.20% 78.70% 75.00% 80.30% 82.36% 84.62% 86.96% 60.00% 50.00% 40.00% 30.00% 20.00% 10.00% 0.00% I.S.A.F.E. Strategies Implemented Oct 14 Nov 14 Dec 14 Jan 15 Feb 15 Mar 15 Apr 15 May 15 Jun 15 Jul 15 Aug 15 Sept 15

14 Out of Home and In Home Population Out of Home Care In Home Services I.S.A.F.E. Strategies Implemented 2/1/2014 3/1/2014 4/1/2014 5/1/2014 6/1/2014 7/1/2014 8/1/2014 9/1/ /1/ /1/ /1/2014 1/1/2015 2/1/2015 3/1/2015 4/1/2015 5/1/2015 6/1/2015 7/1/2015 8/1/2015 9/1/ /1/ /1/ /1/2015

15 Focused on a more targeted, research-based services Interventions based on risk level and danger threat Family engagement a priority Improve safety and permanency outcomes Reduce re-entry Relied upon strong partnership with contracted service providers

16 New Service Continuum Unsafe (Present or Impending Danger) = Intensive Family Preservation; case management required Unsafe (Present Danger)- = Safety Management Services; case management required Safe, High / Very High Risk = Wraparound Family Support (voluntary) Safe, Low /Moderate Risk = Community referral Contract transition timeline: Jan 1 July 1

17 Children deemed Safe but High or Very High Risk Evidence based model requiring certification Services can last up to 1 year Provider procured for each county (4) FFN contracted with National Center for Innovation and Excellence for training and certification

18 Safe, high-risk cases are our last line of defense from penetration into the formal child welfare system Shown to enhances protective capacities of caregivers Focus on natural supports Endorsed by research with high quality and fidelity standards and measurements of success Consistent with other individualized, familycentered approaches in Circuit 1

19 Removals trending up again during service array transition since Jan 1, 2016 Relative placements decreasing Collaborative Planning meeting set for 6/10/16 Wraparound services now available, but referrals are low so far Full implementation of new continuum anticipated by 8/1/16

20 For Circuit 1 system data trends, search Families First Network data reports Shawn.Salamida@bhcpns.org FFN Contracts Dir.: Christa.Pate@bhcpns.org

21 Questions?