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NC Department of Health and Human Services Permanency Planning Modified Manual

Improve collaboration and outcomes with updated timeframes, shared parenting strategies, and holistic family-centered approaches in the Permanency Planning Review process.

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NC Department of Health and Human Services Permanency Planning Modified Manual

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  1. NC Department of Health and Human Services Permanency Planning Modified Manual Erin Baluyot, Interim Adoption Services Manager Erin.Baluyot@dhhs.nc.gov 919-527-6369

  2. Permanency Planning Requirements • Case Staffing • Twice a month for first 12 months; • At least once a month thereafter • Timeframes • Family Services Agreement • Transitional Living Plan • Contacts • Child (initial 7 day visit, monthly thereafter) • Parent (face-to-face monthly for primary plan of reunification; if reunification is not the primary plan, monthly contact until TPR) • Placement Provider (initial 7 day visit, monthly thereafter; both spouses and any other caretakers at least quarterly) • Within 30 days; • Review at 60 days; • Every 90 days thereafter

  3. Permanency Planning Requirements • Shared Parenting • Within 14 days • Educational Stability • Best Interest Determination (BID) Meeting within 5 school days

  4. Family Services Agreement Timeframes: • Developed within 30 days of the child entering custody; • Reviewed and updated within 60 days of the child entering custody; and • Reviewed and updated every 90 days thereafter throughout the life of the case. The Family Services Agreement can be developed during a Child and Family Team (CFT) meeting, or individually with the family.

  5. Permanency Planning Review

  6. Permanency Planning Review Purpose The Permanency Planning Review (PPR) is a team meeting designed to focus on both the child and the family. The meeting also includes an agency review of the case to ensure timely permanency is achieved.

  7. Permanency Planning Review – Why Make Changes? • Streamline the process • Strengthen the purpose • Drive better outcomes • Family-centered principles

  8. FSA PPAT PPAT and CFT Process

  9. Improving Outcomes • Stability of Foster Care Placement (Permanency Outcome 1, Item 4) • Permanency Goal for Child (Permanency Outcome 1, Item 5) • Achieving Reunification, Guardianship, Adoption, or Other Planned Permanent Living Arrangement (Permanency Outcome 1, Item 6) • Visiting with Parents and Siblings in Foster Care (Permanency Outcome 2, Item 8) • Preserving Connections (Permanency Outcome 2, Item 9) • Relationship of Child in Care with Parents (Permanency Outcome 2, Item 11)

  10. Improving Outcomes • Needs and Services of Child, Parents, and Foster Parents (Well-Being Outcome 1, Item 12) • Child and Family Involvement in Case Planning (Well-Being Outcome 1, Item 13) • Educational Needs of the Child (Well-Being Outcome 2, Item 16) • Physical Health of the Child (Well-Being Outcome 3, Item 17) • Mental/Behavioral Health of the Child (Well-Being Outcome 3, Item 18)

  11. Permanency Planning Review Timeframes: • Within 60 days of the child entering custody; • Every 90 days thereafter throughout the life of the case; and • When there is a change in the plan or family circumstance.

  12. Benefit of Quarterly Meetings • Increases focus on timely permanence (Permanency Outcome 1, Item 5); • Increases review and appropriateness of permanent plans (Permanency Outcome 1, Item 6); • Ensures concerted efforts to maintain family and community relationships for each child/youth (Permanency Outcome 2, Items 8, 9, and 11); • Supports ongoing assessment of the well-being for child/youth, parents, and placement providers (Well-Being Outcome 1 & 2); • Increases child and family involvement in case planning (Well-Being Outcome 1, Item 13); and • Provides for a regular review of agency efforts to achieve permanency (Permanency Outcome 1, Item 6).

  13. Permanency Planning Reviews • FAMILY • Progress on FSA • Barriers / Safety Issues • Family Time • CHILD • Continued Custody • Placement • Ongoing Needs • Concurrent Planning Engage Family & Ensure Efforts are Made • AGENCY • Efforts to Achieve Permanency • Services provided • Services still needed

  14. Participants in the PPR The following participants must be invited: • The child’s parents (unless TPR has been granted); • The child, if appropriate; • The child’s placement provider; • Natural supports identified by the family; • Community resource persons; and • The child’s GAL

  15. Child and Family Team Meetings

  16. Child and Family Team (CFT) Meetings For children in the custody of a child welfare agency, a CFT meeting must be held when: • A change in the permanent plan occurs; • There is a change in placement, or potential change in placement; and • The family circumstances change and it is necessary to discuss the case as a team.

  17. CFT Meetings • Family, natural supports, & professionals • Clear purpose and goal • Engages the family • Involves the family and their supports in decision-making and planning • Team that guides the direction of the case

  18. Family-Centered Values and Principles

  19. Conducting a PPR using a Family-Centered Approach • Family-Centered Practice • System of Care Values • Principles of Partnership • Pre-Planning

  20. Permanency Planning Review Process PERMANENCY ACHIEVED!

  21. NC Department of Health and Human Services Child and Family Services Plan Teaming Structure Lisa Cauley, State Child Welfare Director

  22. NC Department of Health and Human Services Triple P Update Kristin O’Connor, Section Chief for Policy and Programs Kristin.oconnor@dhhs.nc.gov 919-527-6407

  23. DSS Triple P Landscape Survey • Triple P Partnership for Strategy and Governance • 59 counties responded • Employees Accredited • 18 counties with at least 1 current employee • 41 counties without current employee(s)

  24. Counties Without Accredited Employee • N = 41 • 32 (78%) interested in having an employee accredited in Triple P • 40 (97.6%) interested in having Triple P as a service • 20 (48.8%) refer clients to Triple P services

  25. Barriers to Direct Service Delivery • Not a priority (n=4, 9.8%) • Lack of funding (n=14, 34.2%) • Lack of capacity (n=21, 51.2%) • Other (n=19, 46.3%) • NCFAST • Lack of staff/staff not trained • Providing Nurturing Parenting • Lack of need • Not offered locally • Unaware of option

  26. Counties With Accredited Employee(s) • N = 18 • 16 (88.9%) deliver Triple P as direct service • Level 3 majority followed by Level 2 • 4 counties delivering Level 4 • 1 counties delivering Level 5 • Program Areas: • CPS In-Home • CPS Assessment • Foster Care • Prevention

  27. Next Steps • Reissue survey • Formalize survey results • Share with NCACDSS and CSC • LIA Coordinators • Meeting with DPH, NCDSS and CSC Chairs • Triple P implementation specialist for child welfare: FPG Contract • VOCA • Awaiting feedback on proposal • Developing county application materials

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