Stakeholder Engagement Workshop on Care Arrangement Services

1. TitleArial28 SubtitleArial Narrow18 StakeholderEngagementWorkshop CareArrangementServices November2016 Ben Whitehouse GeneralManagerStrategy andReform RochelleBinks AssistantDirectorStrategy and Reform AmandaMcCurry SeniorContractandGrantsManager

2. Welcome • AcknowledgementofCountry • Introduction

3. Agenda Purposeoftheworkshop CommunityFosterCare,GroupFosterCare,TemporaryCare Houses,ComplexCommunityCare Outcomesandmeasures(Reunification,Carers) FosterCareModel Partnerships Childrenwithdisability Outcomepayments Close

4. Purposeofworkshop • Purposeof Today: • Informkeystakeholdersondraftpreferencesformarketdesign, servicesystemmodelsandindicativecostingsforcarearrangement services. • Engagewith keystakeholderstofurtherdevelop andrefineservice specifications,outcomesandmeasuresforcarearrangementservices. • Consulton contractprovisionsandpotentialforoutcomepaymentsto bebuiltintocontracts

5. Whyout-of-homecarereform? • Objectivesofthe out-of-homecarereform • Betterlifeoutcomes forallchildren inout-of- • homecare. • Early certaintyandpermanencyforchildren in • out-of-homecare. • Amorefinanciallysustainable system.

6. Procurement-contextsetting • Allout-of-home care fundinghas beenalignedto be recontracted on or around January2018. • Opportunity toconsidertheout-of-home care system as a whole. • Open tender process. • NeedsAssessmentTool– December2016– February 2017.

7. Current carearrangementswiththecommunityservices sector – 2016/17 **Approximatefigures

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9. Fundedservicesystem(phasetwo) Childenterscare Childleavescare Complex Leaving care services Temporary Group After care support SGOor adoption Community

10. Key Temporary carehouse TCH Communityfoster care CFC Groupfoster care GFC Complexcommunitycare CCC ResidentialGroupHomes RGH

11. TheHub • Carerandchildconnectionhub(theHub) • ReferredwhencarearrangementunavailableinDistrict. • Bringingcommunitysectorcarearrangementsearlierintoreferralpathway • Clearandconsistentinformationonneedsofchildandcapacityof carer(individualandpermanency). • Real-timeknowledgeof allcarearrangementsavailableinthesystem • Intentionalreferralof childrenbasedonchildneedsandcarercapacity Carerandchild connectionhub (theHub)

12. Futurecarearrangements withthecommunityservicessector Phase2– Carearrangements

13. Keymessages– market design • Thereis demonstratedefficiencyin economiesofscalein out-of-home • careinWesternAustralia. • Developa systemwith flowthrough. Abilitytotransitionchildren throughdifferentelementsofthesystem. • Preferencefortenderresponsesthatdemonstrateprovisionforthefull spectrumofcareneeds(excludingcomplexcommunitycare). Step-up, step-downmodels. • Modelstoprovideflow throughandfullspectrumofcareneedscan include,butarenotlimitedto: • Singleorganisationtenders; • Partnershipsinvolvinglead agencywith subcontractingand/orMOU arrangements. 13

14. Key messages–countrycarearrangements • Seekingtendersthatcan provideall carearrangement optionsinonegeographic area. Singlecountrygeographicarea • Typicallyprovidedinlarge regionalcentres. Community Temporary • Demonstratedabilityto provide culturallycompetentand responsivecarefor thelocal context. Group

15. AboriginalChildreninCare • Aboriginalchildren represent52%of childreninout-of-home- care. • SinceJanuary 2011the numberofAboriginal childreninout-of-home- carehasgrownby 55%, comparedto14%for non-Aboriginal children. • 11% ofallAboriginal childreninPerthmetro areinthecareofthe DepartmentforChild ProtectionandFamily Support

16. Keymessages • Aboriginalchildrenandfamilies • Further developinga culturallycompetentand responsivesystemis a key priority. • Demonstratedabilityto provideculturallycompetent andresponsivecarein the localcontext. • Onemethodfordemonstratingthis is being,or workinginpartnershipwithan Aboriginalcommunitycontrolledorganisation(ACCO). • Trauma-informedcare • Responsesmustdemonstratetheevidencedbasedtrauma-informedtherapeutic modelof carethey willuseandhowthis complementstheDepartment’s frameworks–Signs ofSafety,SanctuaryFramework,Circleof Securityetc

17. Fundedservicesystem(phasetwo) Childenterscare Childleavescare Complex Leaving care services Temporary Group After care support SGOor adoption Community

18. Flowthrough • Tendersseekingtoprovidetemporary carehouses demonstrateaflowthrough tocommunity fostercare: • Singleorganisationtenders; • Organisationpartnerships involvingleadagency with subcontractingand/orMOU arrangements; • Otherarrangement. Temp Community • Tendersseekingtoprovidegroupfoster caredemonstrateaflowthroughto community fostercare: • Singleorganisationtenders; • Organisationpartnerships involvingleadagency with subcontractingand/orMOU arrangements; • Otherarrangement. Group Community

19. TemporaryCareHouse • Purpose–providesafeandstablecarearrangement inchild’scommunitywhilechild’sneedsarebetter assessedanda matchedcarearrangementcanbe identified. • Fostercaremodel • Children withlowto moderateneedswherethereis • noothersuitablecarearrangementavailable. • Aged0-17 years • Fourcarearrangements–withcapacity formore childrenifsiblinggroup. • Temporarycare-threemonthmaximumlengthof • carearrangement • Priorityforsiblingplacement. • INDICATIVEDRAFTCOSTING: • $320,000perfourcarearrangementspa(no CASC) Childenterscare Whenthereisnoothercare arrangementimmediately available Preferencefortendersthathaveflow throughtocommunityfostercare arrangements Typical referral out: Reunification C RGH GFC

20. Communityfostercare Purpose– providetemporaryand permanentsafeand stablecare arrangements Typical referral in: RGH TCH GFC • Fostercaremodel • Childrenwithlow-to-higherintensity • needsthatarebest caredforinacarer’s home. • Aged 0-17years • Temporarycare-minimum 7night requirement. • Temporaryandpermanentcare-no maximumtimelimitonlengthofcare arrangement. Whena childis best placedin family setting Leavecare at 18 SGO or adoption Typical referral out: Reunification

21. Communityfostercare Preferencefor tender responsesthat demonstrateprovisionfor thefull spectrum of careneeds(excludingcomplexcommunitycare).TheNeedsAssessmentTool • determinestheneedlevel. • Models should provide flow through and full spectrum of care. This could include,butis notlimitedto: • Singleorganisationtenders; • Organisationpartnerships • involvingleadagencywith subcontractingand/or MOU arrangements. Complex community care HigherIntensity needs Increaseinchild’sneeds Highneeds Moderateneeds Typical needs

22. Carearrangementsupportcostmodel Childsupport costs Aged based caring allowance Care arrangement support cost Placement administrationcost 4 $$ $$ $Z $$ Childsupport costs Aged based caring allowance Placement administrationcost Care arrangement support cost 3 $Y $$ $$ $$ Childsupport costs Care arrangement support cost Aged based caring allowance Placement administrationcost 2 $X $$ $$ $$ Childsupport costs Aged based caring allowance Placement administrationcost $39,000-$42,000pa (withoutCASC) 1 $$ $$ $$ Resourceforextrasupport and intervention Cost ofraisingachildinout-of-homecare

23. Key Messages-Communityfostercare • Temporary andpermanentCare • Demonstrateabilityto providetemporarycarers andpermanentcarers. • Temporary carers provideminimumof7 daysofcare. • Siblings • Abilitytogrouptogethercommunitycarearrangementsforgroupfoster care whereneeded(throughdiscussionswiththeDepartment). • Disability(consultationquestion) • Tenders haveabilitytotakechildrenwithdisability. • Oneor twodisabilityspecific provider

24. Groupfostercare Purpose–providetemporaryandpermanent safeandstablecarearrangements Typical referral in: RGH TCH CFC • Fostercaremodel • Children with moderatetohighneedsthat arebestcaredforinagroupcaresetting. • Aged0-17years • Fourcarearrangements–withdiscretion formorechildrenifsiblinggroup. • Temporaryorpermanentcare • Priorityforsiblingplacement. Preferencefor tendersthatflow throughto communityfoster care arrangements Whena childis bestplaced inagroup setting INDICATIVEDRAFTCOSTING: • $280,000-$300,000perfourcare arrangementspaPLUSCASC Leavecare at 18 Typical referral out: Reunification RGH CFC

25. Complexcommunitycare • Purpose–providetemporaryand safeand stablecarearrangementsforchildrenwith exceptionallycomplexneeds • Community carearrangementsforchildren • withexceptionallycomplexneeds • Individualand/orgrouplivingoptions dependenton needs ofyoungperson • Flexibilitytoprovidefostercaremodel and/or • residential caremodel • Recurrently‘blockfunded’ • Workwith child’sexistingtherapeuticplan • INDICATIVEDRAFTCOSTING • $350,000percare arrangementpa Typical referral in: RGH TCH CFC For childrenwiththemost complex and intenseneeds Typical referral out: Between20–30care arrangements RGH GFC CFC

26. ResidentialGroupHomes Typical referral in: Purpose– providetemporaryand permanentsafeand stablecare arrangement TCH GFC CFC CCC • Rotating staffmodel • Childrenwithmedium-to-highneeds thatarebest caredforthroughastaffed model. • Aged 10-17years • ProvidedbytheDepartmentforChild Protectionand FamilySupport. Whenachild’s needsaresocomplex andintensethat theyrequireastaffedmodel ofcare. Typical referral out: Leavecare at 18 GFC CFC CCC

27. OutcomePayments Some areasforOutcomePayments: •Whenlargersibling groupsaretogetherin samecarearrangement. •Aboriginal childrenprovidedcarearrangementwithAboriginal carer •Child leavescareontopermanentcarearrangement •Child transitionstoalessintensivecarelevel

28. Activities

29. NextSteps • Inform andConsult: • ExternalworkshopsNovember • Serviceuser focusgroupsNov/Dec • RegionalconsultsNovember • Finaliseservicespecifications IndicativeAdvertisingDate:May 2017