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Wraparound Ri : Understanding Roles & LANGUAGE. Comparing Approaches: Family Centered & Wraparound Roles: DCYF Staff & Network Partners Language: DCYF & Wraparound Terms . Learning Objective(s). Build on Module I’s history of Systems of Care and Wraparound by:
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Wraparound Ri:Understanding Roles & LANGUAGE Comparing Approaches: Family Centered & Wraparound Roles: DCYF Staff & Network Partners Language: DCYF & Wraparound Terms
Learning Objective(s) Build on Module I’s history of Systems of Care and Wraparound by: • Making connections between the evolving child welfare system in RI and RI’s System of Care and wraparound philosophies. • Developing an awareness of key roles within the DCYF and Network Systems. • Building an understanding of basic DCYF and Network language.
Moving Forward… The more things change… the more things stay the same… Before moving on to RI’s System of Care (SOC) roles and terms … Remember that RI’s SOC is evolving from and compliments what RI has been aspiring to become for more than two decades.
Comparisons… Family Centered and wraparound The DCYF System and Its Statutory Practices Family Centered Principles Child & Family Services Review The System of Care Wraparound RI
Origins of DCYF • Our State’s Child Welfare Policy is outlined in RI General Laws: Title 40 Human Services, Section 11 Abused & Neglected Children • § 40-11-1 Policy. – The public policy of this state is: to protect children whose health and welfare may be adversely affected through injury and neglect; to strengthen the family and to make the home safe for children by enhancing the parental capacity for good child care; to provide a temporary or permanent nurturing and safe environment for children when necessary; and, for these purposes, to require the mandatory reporting of known or suspected child abuse and neglect, investigation of those reports by a social agency, and provision of services, where needed, to the child and family. Want to learn more… follow this link to view all the sections 40-11-1 thru 40-11-17 http://www.rilin.state.ri.us/Statutes/TITLE40/40-11/INDEX.HTM
Origins of DCYF • DCYF’s Legislative Authority was Established through RI General Laws, Title 42 State & Government Affairs • Specifically, CHAPTER 42-72, Department of Children, Youth, and Families • § 42-72-1 Establishment of department – Director. – (a) There is established within the executive branch of state government a department of children, youth, and families Want to learn more… follow this link to view all the sections 42-72-1 thru 42-72-36 http://www.rilin.state.ri.us/Statutes/TITLE42/42-72/INDEX.HTM
Origins of DCYF • Core mandates for the DCYF system & staff are outlined in: • § 42-72-5 Powers and scope of activities. – (a) The department is the principal agency of the state to mobilize the human, physical and financial resources available to plan, develop, and evaluate a comprehensive and integrated statewide program of services designed to ensure the opportunity for children to reach their full potential… Click link to view the full text: http://www.rilin.state.ri.us/Statutes/TITLE42/42-72/42-72-5.HTM • The SOC & Network partners were created as a support to the statutory responsibilities of DCYF and to work collaboratively with DCYF staff and the children, youth and families open to the DCYF system.
Origins of RI’s DCYF • In 1980 RI’s State Legislature merged children's programs previously administered by 4 different state agencies. • This action resulted in the creation of RI’s Department of Children, Youth, and Families as the state agency responsible for: • Child Welfare • Children's Behavioral Health • Juvenile Corrections • DCYF is one of a small group of states to integrate these 3 major public responsibilities in one agency
Changes t0 RI’s DCYF Over the Years… • 1984 - the addition of the Child Abuse and Neglect Tracking System (formerly CANTS; currently Child Protective Services), created capacity to receive and respond to allegations of child abuse and neglect on a 24-hour a day basis. • Screening Units were added to the newly developed Division of Child Protective Services and In-home Units were added to the Division of Family Services. • 1986 -the division of Children's Mental Health was created to respond to the behavioral health needs of children. • New programs and services were developed to meet these needs. These behavioral health services are available to children and their families in Rhode Island regardless of their status with DCYF. • 1994 - the Department decentralized to regions. The state was divided into four regions. • Family Service Workers were assigned to each of the four regions and each region had a Regional Director position established for general child welfare purposes children and families are assigned to family service workers on a regional basis. RI Department of Children, Youth and Families
RI’s DCYF Practice Principles We must do five things well… • We must get children/youth out of harm's way; • We must make sure the community is safe; • If we can keep children/youth at home and safe we seek to do so by providing intervention and support; • If children/youth are removed, we must decide how to get them safely back home as soon as possible; • Or, if that can't work, get them into a caring permanent new family and do it quickly—while maintaining optimal connections to kin, culture and community. RI Department of Children, Youth and Families
Family Centered Practice Principles:Supporting DCYF’s Practice Principles DCYF believes… • family engagement contributes to child and community safety. • Through engaging the family, understanding their strengths, capacities, and methods of coping, we come to understand how to best support them in being able to safely care for their children. • it is our responsibility to ensure that children/youth maintain connections with those who matter to them. • it is our responsibility to learn how culture, race, ethnicity informs a family’s approach to parenting and decision making. • in the importance of full disclosure in working with families. • we must continually assess family and child individual needs and modify our plans accordingly. • families are best served when systems (and people) cooperate, share information and resources, and work together. • families can support other families. We provide opportunities for families to meet and assist one another in managing life crises. RI Department of Children, Youth and Families
Child & Family Services Review (CFSR): Support at the Federal Level • The Child & Family Services Review (CFSR) was informed and mandated by the Adoption & Safe Families of 1997. • The CFSR reviews are conducted by the Children's Bureau: • This process reviews states’ data indicators and qualitative information as assessors of outcomes in two areas: • Safety, permanency & well-being • Systemic factors which impact on States’ abilities to deliver services to contribute to improvements in outcomes The CFSR set the stage for using inter- & intra-systemic relationships across child welfare and community systems, which paved the way for RI’s System of Care & the use of Wraparound… U.S. Department of Health and Human Services, Administration for Children and Families
What does SOC look like? Characteristics Practices • Coordinated service delivery • Blended resources • Comprehensive services/supports array • Focus on prevention/early intervention • Individualized services & supports in least restrictive, normalized environments • Children within families • Community-based ownership • Creation of “self-help” • Acknowledge power imbalance with family and recognize that their fears and concerns are real • Positive engagement • Helping/social worker approach • Collaborative team process coordinated between families and providers • Single plan for child and family • Family partnerships • Strengths focused • Sensitivity to culture/linguistics & family ritual Adapted from Conlon, L. Federation of Families for Children’s Mental Health and Orrego, M. E. & Lazear, K. J. (1998) EQUIPO: Working as Partners to Strengthen Our Community. Tampa, FL: University of South Florida
RI System of Care Values and Principles Child-centered, youth-guided and family-driven • full participation and voice and choice from youth and families in all decision-making, including that related to services, interventions, supports, policies and operations at every level. Family includes fathers and mothers, legal guardians, siblings, extended family and persons considered kin by the family. Individualized and Strength-Based • complete appreciation that each child, youth and family has unique strengths and needs that are the foundation of a Family Wrap Plan and all work with families. Cultural and Linguistic Competence • a defined and organized set of values and principles that address behavior, attitudes, services, policy and structure to enable agencies, networks and systems to work effectively cross-culturally and linguistically. These values and principles guide staff and agencies in providing effective, understandable and respectful services in a manner compatible with the cultural beliefs, practices, preferred language, sexual orientation and identity of each child, youth and family. Source: DCYF Request for Proposals, Rhode Island Partnership for Family and Community System of Care – Phase II Networks of Care
RI System of Care Values and Principles Trauma-Informed • recognition and understanding of trauma and its consequences and the incorporation of this knowledge into all aspects of service delivery. Community-Based • the engagement and use of flexible and responsive home, school, neighborhood and community resources in the least restrictive environment to maintain continuity of relationships and supports for children, youth and families. Community-based services are provided in settings that are in geographically proximity and amenable to the child, youth and family. Collaborative • practice, structure and individual involvement that establishes a process of joint problem solving and consensus building to achieve integrated interventions involving a diverse range of providers and parties throughout the service continuum. Source: DCYF Request for Proposals, Rhode Island Partnership for Family and Community System of Care – Phase II Networks of Care
RI System of Care Values and Principles Wraparound • inclusive, team-based planning to ensure that services, interventions and supports are integrated and coordinated across providers and categorical systems, including child welfare, behavioral health, juvenile justice and education. The Planning Team develops an individualized Family Wrap Plan to meet each child and family’s unique situation that includes specific, measurable goals and action steps and the parties responsible for implementation. Accountability • a focus on lasting results and outcomes achieved for children, youth and families. Through a continual review of practice, data, investments, and organizational dynamics, the effectiveness of the system and its individual components is assessed on an ongoing basis. Source: DCYF Request for Proposals, Rhode Island Partnership for Family and Community System of Care – Phase II Networks of Care
CFSR & SOC Compatibility Child & Family Services Review (CFSR) System of Care (SOC) • Children are protected from abuse and neglect. • Children are safely maintained in their homes whenever possible and appropriate. • Children have permanency and stability in their living arrangements. • The continuity of family relationships and connections is preserved for children. • Families have enhanced capacity to care for their families’ needs. • Children receive appropriate services to meet their educational needs. • Children receive adequate services to meet their physical and mental health needs. • Build safety plans into service/support plans. • Prevent out-of-home placements, keep families intact. • Minimize disruption in children’s lives and promote continuity and smooth transitions. • Core value - family focus • Strengthen the resiliency of both families and youth and enhance natural helping networks. • Focus on all life domains, including education. • Holistic approach, broad array of services and supports. Source: Pires, S. (2006). Primer Hands On – Child Welfare. Washington, D.C.: Human Service Collaborative.
Building On Compatibility … How can we use the compatibility between the CFSR & SOC to help DCYF & the Networks in their shared service to RI’s children, youth & families? One important step is to continue to build on this compatibility through a shared understanding of key roles and language…
ROLES & LANGUAGE DCYF & Networks of Care
As members of RI’s System of Care who share wraparound practice values, it is imperative that DCYF and community partners share an understanding of the language of Child Welfare and Juvenile Justice, Networks of Care as well as System of Care and Wraparound practice. ~~~ Your competence will not only help you, but all team members, to communicate effectively with each other and the RI children, youth and families you serve… together.
Child Protective Services (CPS) • The Child Protective Services division of DCYF, includes Investigative, Intake and Case Monitoring Units. • Child Protective Investigation Unit– Child Protective Investigators (CPIs) determine if there is a preponderance of evidence that a child has been abused or neglected and if so, what actions are necessary to protect the child from further harm. • Intake Unit– Referral of a family seeking assistance related to mental health, dependency and lack of supports and resources goes to the Department’s Intake Unit. These families have not entered or re-entered the DCYF system as the result of CPS investigations. Children are at home, have not been maltreated and are deemed to be safe; however, the family or other source has identified factors or conditions which, if unresolved, are likely to result in maltreatment. • Monitoring Unit –Select cases not currently open and with no legal status, where families need services (including situations where efforts are underway to prevent a child’s removal from home), will be assigned to the monitoring unit . The Monitoring Unit can work with families for up to 8 months to prevent placement, obtain services and to avoid entry into FSU. If situation escalates or intervention requires legal involvement, case will be transferred to FSU. RI Department of Children, Youth and Families
Family Service Units (FSU) • Provide ongoing social services and case management to children and families who have become involved with the Department due to abuse, neglect, or dependency, as well as children who are in need of mental health services. • FSU performs casework duties and responsibilities of a specialized nature to ensure family preservation, family support and/or family reunification. • It is the goal of FSU, and Child Welfare Services overall, to assure the safety, permanence and well being of every child who becomes involved with the Department of Children, Youth and Families. • These services are organized into four regional offices throughout the state. Key positions within FSU include: • Social Caseworker II (SCWII), Casework Supervisor II (CWS), and Child Support Technicians (CST) RI Department of Children, Youth and Families
Juvenile Correctional Services (JCS) • The Juvenile Corrections Division provides delinquent youth with rehabilitation services aimed at helping them to lead safe, healthy and productive lives. It is comprised of two programs- Juvenile Probation (JP) and the Rhode Island Training School (RITS). • Juvenile Probation -Works to rehabilitate youth in the Community to ensure public safety and full compliance with their court orders and conditions of probation. This Division supervises the adolescents placed on probation by the Family Court. • Key positions include Probation Workers, Probation Supervisors and Probation Aides • RI Training School- The RITS is a highly structured, secure Residential facility where youth are placed by order of the Family Court on a finding of waywardness or delinquency. The statutory responsibility of the RITS is to rehabilitate youth remanded to its care. • Some Key Positions include- Clinical Social Workers, Juvenile Program Workers, School Social Workers & Psychologists, and Unit Managers RI Department of Children, Youth and Families
Community Services & Behavioral Health (CSBH) • Community Services & Behavioral Health (CSBH) is an operational and support division of DCYF. It supports the DCYF statutory responsibility for developing the public policy and programs related to the needs of seriously emotionally disturbed children and its responsibility for behavioral health and community services for children in its custody. • It is the task of this division to plan, implement and evaluate an effective, accessible and clinically appropriate array of services for children with behavioral and emotional challenges served by the Department. RI Department of Children, Youth and Families
Networks of Care • Statewide collaborative system where contracted agency partners work with the Department to ensure that • children and youth are maintained safely within their own homes • out-of-home placements are reduced • increase involvement with extended family and natural supports and enhance coordination of services. • Key Positions • Network Care Coordinator • Family Support Partner • Coach Supervisor RI Department of Children, Youth and Families
Network Care Coordinator (NCC) • Is the primary worker assigned to work with DCYF involved children, youth & families • The NCC’s skills possess a knowledge of wraparound and community resources and direct experience related in obtaining services for children and families. • Core tasks of the NCC include: • Participates with DCYF in the first face-to-face meeting with the family, which occurs within 5 days of the families referral to the Network • In partnership with DCYF, assists with engagement, support and provision of wraparound services • Facilitates the Family Team Meeting • The NCC makes the necessary referrals for services as identified in the (Family Wrap) Service Plan; and ensures that identified services and supports are provided. • The NCC keeps the DCYF worker and all Family Team members informed of the status of the family’s engagement and provides written reports to the Department as required. • As determined by DCYF, the NCC documents specific information in RICHIST Adapted from SEET Consultants, LLC (2010); RI Department of Children, Youth & Families (2011); Vroon Vandenberg, LLC (2008); National Wraparound Initiative
Family Support Partner (FSP) • Serves as a peer mentor to the child, youth and family and provides support as identified in the individualized Service Plan. • The FSP is critical to ensuring family voice and choice, as well as cultural and linguistic competence in all interventions. • The FSP shares knowledge and experience about the community with the family and Family Team members and may accompany the family in obtaining services indicated in the individualized (Family Wrap) Service Plan. Adapted from SEET Consultants, LLC (2010); RI Department of Children, Youth & Families (2011); Vroon Vandenberg, LLC (2008); National Wraparound Initiative
Coach/Supervisor • Provides oversight to Network staff and helps staff to demonstrate fidelity to wraparound through • Teaching, modeling and evaluating the NCC and the FSP for fidelity; • Providing direct supervision and coaching of the NCC and FSP; • Developing and monitoring professional development for the NCC and FSP; • Monitoring the Family Team Meeting process and providing assistance in problem solving and strategizing as required; • Ensuring that all services, supports and resources conform to System of Care values and principles • Ensuring that all required documentation is completed and maintained and that all care planning and coordination conform to state and federal law. Adapted from SEET Consultants, LLC (2010); RI Department of Children, Youth & Families (2011); Vroon Vandenberg, LLC (2008); National Wraparound Initiative
Linking DCYF & Network Partners Through Shared Language
DCYF Language From Child Welfare and Juvenile Justice… Safety Risk Protective Capacity Legal Mandates (Non-Negotiables) Conditions of Probation Strengths Permanency Well-Being Comprehensive Assessment Service Plan
Child Welfare: Safety Refers to immediate threat of harm or danger… • Based on what we know now about this family/current situation, without immediate intervention maltreatment or re-maltreatment is imminent • Child is on the verge of being maltreated or re-maltreated • When a child is unsafe, immediate measures must be taken to remove the threat of harm or to remove the child from the threat of harm • Safety threat- “A specific family situation or behavior, emotion, motive, perception or capacity of a family member that is out-of-control, imminent and likely to have severe effects on a vulnerable child.” (Action for Child Protection, Inc., 2003) • Safety threats are specific, observable, out of control & likely to have severe effects *Safety threats must be controlled for in the safety plan Child Welfare Institute (2011) Training Materials
Child Welfare: Risk The likelihood that maltreatment will occur or reoccur in the future… • Measures the likelihood of any form or degree of future maltreatment • Based on what we know about this family/current information, history reveals the likelihood of maltreatment at some point in the future • Interventions can be put into place to reduce risk • Risk factors can rise to the level of posing threats to safety • Identification of these factors can indicate an accumulation of harm that may result in future safety concerns if they are not addressed *Identified risk factors need to be addressed in the service plan Child Welfare Institute (2011) Training Materials
Child Welfare Risk Areas • Areas that research tells us correlate to children being at risk of harm include: • Child and Adult Substance Use • Child and Adult Mental Health • Child and Adult Physical Health • Caregiver Parenting, Empathy and Bonding • Family Violence • Community/Kinship Supports • Caregiver History of Abuse or Neglect as a Child • Family Basic Needs • Child Vulnerability Child Welfare Institute (2011) Training Materials
Child Welfare: Protective Capacities • A protective capacity is a specific quality that can be observed and understood to be part of the way a parent thinks, feels and acts that makes him or her protective • Protective capacity also includes the resources and natural supports that are available and can be mobilized • Consideration of the protective capacity of parents/caregivers is relevant for assessment in that these factors can mitigate or ameliorate the safety and risk concerns • Protective capacities are the focus of both safety plans and ongoing service plans • Protective Capacities point to the inherent family capacities, natural supports and resources that can be mobilized to contribute to the ongoing protection of the child as well as to the ability or motivation of the parents to change Child Welfare Institute (2011) Training Materials
Child Welfare: Protective Capacities cont’d How to assess for Protective Capacity… • Assess parent/caregiver’s protective capacity in three areas: • Emotional • Feelings, attitudes, identification with the child and motivation to protect • Behavioral • Parenting actions, activities, and performance that demonstrate protective capacity or lack of • Cognitive • Intellectual comprehension, knowledge, understanding and perception of safety threats and/or risks. Child welfare workers rely on a confident assessment of protective capacities to inform their decision making process! Child Welfare Institute (2011) Training Materials
Legal Mandates (Non-Negotiables) • Services, conditions or requirements to ensure safety and meet federal mandates, such as those related to permanency goals and concurrent planning, that the Department or the Family Court may identify. • Legal Mandates also include Conditions of Probation or other elements the Department or the Family Court identify. Helpful Tips • Due to the statutory context, DCYF has the final authority concerning such legal mandates and their incorporation into all planning and service delivery. • In keeping with System of Care Values and Principles, team members must continue to maximize appropriate family voice and choice in how mandates are implemented. Child Welfare Institute (2011) Training Materials; RI Department of Children, Youth and Families
Juvenile Corrections: Conditions of Probation • A sentence disposition available to the court that allows the offender to remain in the community under the supervision of a Court-directed person or agency. • This is an alternative to commitment to a correctional facility. • The child is required to follow certain rules of conduct under supervision of a probation counselor. RI Department of Children, Youth and Families
Strengths A focus or direction used to engage and assess families from a systemic perspective, where the focus is not solely on the “problem” but also includes the family/juvenile’s strengths and resources, which will prove valuable as they work with the Department to achieve the service plan goals and to follow conditions of probation in a manner that ultimately meets the safety, permanency and well-being • It is not the listing of all the family’s strengths, but a systemic way to identify resources to address the presenting problem and to mitigate any future risk • The goal is to work with the family to assess the resources and capacities within the family and the community that relate to the presenting problem • This process contributes to the further identification of those strengths that can be built on to assist the family with the current dilemma • This approach should center on the family's definition of the issues and goals and should engage the family to determine how to proceed National Resource Center for Foster Care & Permanency Planning, 2001
Permanency Ongoing process of assessing and working toward a permanent plan for a child that will insure safety, well-being and ongoing stability/permanency. When considering permanency options, which can range from reunification to open adoption, it is critical to consider the ongoing role of family connections as a need of the child. There are many permanency options and differing levels of families being connected. Permanency Planning Goals • Adoption • Guardianship • Maintain in Father’s Home • Maintain in Mother’s Home • Maintain in Parent’s Home • Permanent Placement w/relative • Planned Living Arrangement/ • Independent Living • Planned Living Arrangement/ Other • Reunify with Father • Reunify with Mother • Reunify with Parents or Principle Caretakers Child Welfare Institute (2011) Training Materials & RI Department of Children, Youth & Families
Well-being • Ongoing process of assessing and ensuring the well-being of children, youth and families involved with DCYF. Well-being is assessed based on three desired outcomes as outlined in the Child & Family Service Review (CFSR): • Families have enhanced capacity to provide for their child’s needs. • Children receive appropriate services to meet their educational needs. • Children receive adequate services to meet their physical and mental health needs. Child Welfare Institute (2011) Training Materials
DCYF Comprehensive Assessment Assessment is… • a process not an event • workers must be flexible as additional information may reveal the need to move in a different direction • an avenue for communication and collaboration • provides us with an accurate history of the family • a vehicle for identifying areas to be addressed in the service plan • affords a foundation from which to determine what services are needed • an approach from which to identify family strengths and protective capacities • is utilized to mitigate risk • an information source to assist in uncovering resources • such as family, friends, partners, community, faith-based organization • a cornerstone for all planning and intervention • promotes safety well being & permanency Child Welfare Institute (2011) Training Materials & RI Department of Children, Youth & Families
Standardized Assessment Tools in Child Welfare Child Safety Assessment – • Determines the likelihood of maltreatment in the immediate future Intake Summary & Intake Risk Assessment – • Determines the risk of child maltreatment/repeat maltreatment • Documents the resulting decision Probation Risk/Needs Assessment – • Identifies risk to the community , family needs & supervision level Risk and Protective Capacity Assessment – • Through the collection & analysis of information: • Determines, the degree to which key risk factors impacting safety, permanency and well-being are present • Determines the likelihood of future maltreatment/repeat maltreatment to a child or adolescent • Identifies protective capacities to mitigate identified risk Child Welfare Institute (2011) Training Materials & RI Department of Children, Youth & Families
Service Plan • The Service Plan is time-limited, individualized, and strength-based • Provides Full Disclosure & honesty with families • Documents collaboration • Addresses the necessary behavior changes linked to risk factors that affect safety, permanency and child well-being • Identifies the mutual responsibilities and expectations of each parent, child and the Department toward achieving the identified permanency goal • For Juvenile Corrections, the Service Plan incorporates youth conditions of probation and the major factors that affect community safety • Written with the family-interventions are co-determined by family/youth • Supports the growing relationship between the family, community and agency staff Child Welfare Institute (2011) Training Materials & RI Department of Children, Youth & Families
Creating a Common Language From System of Care and Wraparound… Phases of Wraparound Crisis Planning Family Vision Strengths/ Needs/Culture Discovery Functional Assessments Family Team Meeting Team Mission Facilitator Natural Supports Formal Supports Flex Funds Action Steps (Family Wrap) Service Plan
Phases of Wraparound The Wraparound process occurs over four phases: • Phase I: Engagement & Preparation • Phase II: Planning • Phase III: Service Implementation & Coordination • Phase IV: Transition These four phases help to ensure a team approach where families are empowered to be partners in making decisions about meeting their needs and responding to their work with other professionals and systems Adapted from SEET Consultants, LLC (2010); Vroon Vandenberg, LLC (2008); National Wraparound Initiative
Crisis Planning • Wraparound Crisis Plan • Plan that focuses on predicting and preventing crisis, behavior and/or maltreatment situations from occurring. • This plan is part of the Wraparound planning process and is based on the Wraparound Functional Assessment. • The plan includes responses to the antecedent behaviors and response to the full crisis situation, where families lead the process of defining what “crisis” means to them. Keep in mind that a crisis may or may not involve safety threats. Adapted from SEET Consultants, LLC (2010); Vroon Vandenberg, LLC (2008); National Wraparound Initiative
Functional Assessment • Tools used as part of the Wraparound process to determine the events that lead to the Family’s level of need with regard to: • crisis • behavior and/or maltreatment • antecedent behaviors that signal the crisis, behavior and/or maltreatment situation is beginning • behavioral functions of these situations Adapted from SEET Consultants, LLC (2010); Vroon Vandenberg, LLC (2008); National Wraparound Initiative
Family Vision • The family’s vision is based on the family’s concerns, needs hopes, dreams, and strengths. • The family vision provides an opportunity for the family to describe the future of how things will look for their family. • The Family Vision is developed as part of the Wraparound process and is noted in the Service Plan. Adapted from SEET Consultants, LLC (2010); Vroon Vandenberg, LLC (2008); National Wraparound Initiative