Evidence-Based Practices (EBP) & In-Home Services Training

1. Evidence-Based Practices (EBP) & In-Home Services Training Presented by Felix A.Idahosa, Regional Program Manager Telephone(425) 595-3464

2. What is an Evidence-Based Practice? • Published practice with multiple randomized studies by an outside party. • The more frequently a practice can be shown as effective, the stronger it becomes. • A service where providers combines well-researched interventions with clinical experience and ethics, client preferences, and culture to guide and inform the delivery of treatments and services.

3. Research Tells Us: • Parent training remains the single most effective strategy for preventing behavior problems and promoting social and emotional competence in young children!

4. EBP Programs provided that can be accessed by the staff: • Promoting First Relationships (PFR) • Safe Care • Incredible Years • Homebuilders (IFPS) • Parent Child Interaction Training (PCIT) • Functional Family Therapy (FFT) • Triple P

5. Promoting First Relationships (PFR) • A prevention program that promotes parents ability to meet children’s social-emotional development through responsive, nurturing, caregiver-child relationships. • Age of child Birth-5 • 10 weeks program

6. Prevention and Intervention • Increases parenting skills, knowledge and sensitivity • Works really well with children who have had multiple placements and may have behavior problems • Works really well for parents with a past history of abuse • Improves child stress regulation, and emotional behavior

7. Expected outcomes • parent has increased understanding of social and emotional health and development • parent has increased capacity to reflect on their own feelings and their child's feeling in order to provide empathetic, compassionate care for their child • increased positive relationship between the parent and the child • Reduces placement changes, enhances stability

8. https://www.youtube.com/watch?v=Bxb4DkKERmA&feature=youtu.be

9. PFR Providers (10) • Encompass NW (North Bend) (425)888-2777 • Brigid Collins (Bellingham) (360) 734-4616 • IFD N. Everett (425) 374-4279 • IFD S. (Federal Way) (253)874-3630 • Kent Youth and Family Svc. (Kent) (253) 859-0300 • Patrick & Associates (Federal) Way (253) 297-5855 • Robert L. Lee Counseling Services (206) 355-2302 • Pioneer Human Svc. (Everett) (425) 766-6019 • Tulalip Tribes (360) 716-4322 • Washington National Counseling (Seattle)(206) 234-2281 • Youthnet (Mt. Vernon) (360) 336-1610 • Youth Eastside Services (Bellevue) (425) 747-4937

10. Safe Care • An evidence-based parent-training curriculum designed for families involved in the child welfare system to improve child health and safety for parents of children Birth-5. • Safe care can be really helpful for first time parents and parents with little or no knowledge of basic child needs. • Safe care providers work with families in the family’s home to improve household safety, child health, and parent-child interactions.

11. Expected Outcomes • Increase parents' understanding and management of child illness and injuries. • Increase home safety. • Improve and enhance safe parenting skills.

12. Safe Care Providers (8) • IFD N. (Everett) (425) 374-4279 • IFD S. (Federal Way) (253)874-3630 • Patrick & Associates (Federal Way) (253) 297-5855 • Pioneer Human Services (Everett) (425) 766-6019 • Service Alt. (Burlington) (360) 593-7279 • Working Choices (Bellevue) (425) 822-8654 • Washington National Counseling (206) 234-2281 • Youthnet (Mt. Vernon) (360) 336-1610 • Catholic Community Svc.(Bellingham) (360) 676-2164

13. Incredible Years (IY) • A parent training program that focuses on strengthening the parenting skills. It is made up of five levels that build on one another. • Group treatment: The parents meet with provider and a group of parents for 2 ½ hours every week. • Individual treatment: This is provided in home

14. Expected Outcomes • Increase appropriate parenting skills • Increase appropriate parental discipline • Improve parent-child relationship • Decrease in child behavior problems

15. Incredible Years (IY) Providers • Brigid Collins (Bellingham)(360) 734-4616 • Service Alt. (Burlington)(360) 593-7279 • Kent Youth and Family Svc. (253) 859-0300 • Catholic Community Svc (Tukwila) (253) 850-2513 • Encompass (North Bend) (425) 888-2777 • Carole’s Counseling (Edmonds) (425 478-8111 • Camille Marie Coaching (Everett) (425) 232-6841 • Washington National Counseling (253) 631-1725

16. http://www.incredibleyears.com/about/video-testimonals/

17. Homebuilders (Intensive Family Preservation Services-IFPS) • An intensive service focused on child safety, crisis intervention, connection to community resources and teaching caregivers problem solving/life skills • To prevent placement when it is imminent • To get kids back home more quickly • The provider visits a family’s home several times a week for approximately 30 days. • Appropriate for birth to age 18

18. Expected outcomes • Increased the Parents ability to safely care for their child. • Child can remain safely in the parent's care • Connection of families to community resources • Reduces re-referrals of abuse and neglect

19. Homebuilders (IFPS) Providers Institute for Family Development (IFD) (425) 374-4279 N. (Everett) (253) 874-3630 S. (Federal Way)

20. Parent Child Interaction Therapy (PCIT) • A Evidence-Based Treatment that focuses on family systems, social learning theory, and traditional play therapy • Restructure negative parent-child patterns. • Emphasize that parents are not blamed, but are given responsibility for improving the child’s behavior. • Lasts about 12 to 20 weeks, and for age 2-7

21. Who is PCIT designed for? • Ages 2 – 7 with acting out behavioral problems • Focuses on: • Non-compliance • Verbal aggression • Physical aggression • Classroom conduct problems • Hyperactivity • Destructive behavior

22. PCIT Expected Outcomes • Increase appropriate parenting skills • Increase appropriate parental discipline • Improve parent-child relationship • Decrease in child behavior problems • Reduction in re-occurrence of physical abuse reports

23. PCIT Providers (8) • Brigid Collins (Bellingham)(360) 734-4616 • Encompass (North Bend) (425) 888-2777 • Pioneer Human Svc. (Everett) (425) 766-6019 • IFD N. (Everett) (425) 374-4279 • IFD S. (Federal Way) (253)874-3630 • Washington National (Seattle) (206)234-2281 • Working Choices (Bellevue) (425) 822-8654 • Parent Child Interaction (425) 772-3806 • Youth Eastside Services (Bellevue) 425 747-4937

24. Functional Family Therapy (FFT) • FFT is A very helpful service for families with at risk youth and their families • Counseling that is done in home or at a place that is better for the family (whole family participates) A true family therapy program • Averages 12 family sessions and lasts 3 to 4 months

25. Expected Outcomes • Decrease in youth disruptive behaviors • Increase parenting skills and appropriate disciplining • Increase in youth academic and social competence • Increase supportive family communication • Reduction in youth substance use • Increased placement stability

26. Function Family Therapy Providers (3) • Institute for Family Development (IFD) (425) 374-4279 (Everett) (253) 874-3630 (Federal Way) • Working Choices Bellevue (425) 822-8654 • JRA-MOU with DCYF

27. Positive Parenting Program (Triple P) • A program that helps parents and caregivers learn safe and useful parenting goals. • Parent of children between ages 2-16 who are experiencing moderate to significant challenges with their child’s behavior and who want to improve their relationship with their child. • Parents who want to figure out different ways for safely managing challenging parenting situation. • The program usually takes about 10-17 weeks. Some sessions are with the parents and their children, and some are just for the parents.

28. Expected Outcomes • Increase appropriate parenting skills • Increase appropriate parenting discipline and behavior management skills • Improve parent-child relationship, and teach the parents more realistic expectation for their children • Reduce parenting stress associated with raising children • Decrease in child behavior problems

29. Triple P Providers (12) • Patrick & Associates (Federal Way) (253) 297-5855 • Brigid Collins (Bellingham) (360) 734-4616 • Tulalip Tribes (360) 716-4322 • IFD North (Everett) (425) 374-4279 • IFD South (Federal Way) (253) 874-3630 • Youthnet (Mt. Vernon) (360) 336-1610 • Pioneer Human Svc. (Everett)(425) 766-6019 • Robert L. Lee Counseling Services(206) 355-2302 • Working Choices (Bellevue) (425) 822-8654 • Washington National (Seattle)(206) 234-2281 • Service Alt. (Burlington) (360) 593-7279

30. Referral Process for Evidence Based Practices • All EBPs referrals need to be completed in Famlink through the referral process. Providers will not be accepting EBP referrals on any other referral form. • Complete EBP service referral in Famlink • Submit referral to supervisor for approval • Email approved referral to provider via secure/encrypted email

32. Other In-Home Services Family Preservation Services (FPS) Crisis Family Intervention (CFI) Foster Care Assessment Program (FCAP)

33. Family Preservation Services (FPS) • A family-focused, behavior-oriented, in-home counseling and community access program. • FPS is an evidence informed service that requires providers to use evidence based skills whenever possible to target the specific issues identified in the family. The library of currently accepted interventions for FPS providers is posted at this link. • A 13 minute E-Learning with details about the new FPS can be accessed at FPS Training.

34. FPS Service Description • FPS is made up of 4 Service Elements that a social worker authorizes based on the family’s needs and service goals. The 4 service elements are: • Parenting Strategies - focused on teaching parents or other caregivers specific techniques they need to safely parent their children. • Crisis Stabilization - is a short-term service delivered by a counselor to control the acute crisis that is causing the children to be unsafe. • Counseling Services - shall be focused on the needs of the family as it directly relates to child safety. • Family Resources -Engaging families in a manner which provides for personal growth opportunities, strengthens their ability to advocate for their own needs and those of their children.

35. FPS Providers (16) • Maple Griffith (Seattle) (206)328-3992 • IFD N. (Everett) (425)374-4279 • IFD-King S. (Federal Way) (253) 874-3630 • Pioneer Human Services (Everett) (425) 766-6019 • Service Alternatives (Burlington) (360)419-7066 • Ukrainian Community (Seattle) (425)430-8229 • Washington National Counseling (Seattle) (253)631-1725 • Working Choices Inc. (WCI) (Bellevue) (425)822-8654

36. Providers Continue • Youthnet(Mt Vernon) (360) 336-1610 • Robert L. Lee Counseling Services (206) 355-2302 • Patrick & Associates (Federal Way) (253) 297-5855 • Tulalip Tribes (Marysville) (360)716-4322 • Catholic Community Svc.(Whatcom) (360)676-2164 • West Africa Community Council (Seattle) (206)349-0892 • Parent Child Interaction (Sno.& Skagit) (425) 772-3806 • Carole’s Counseling (Edmonds) (425) 478-8111

37. Crisis Family Intervention (CFI) • A brief in-home crisis intervention service available to adolescents and their families who are experiencing brief conflict. • Services are limited to 12 hours over 45 days • Not solely for Family Reconciliation cases, but is also an option for families involved in CPS, FVS or CFWS.

38. Goals of CFI • This service is designed to strengthen, preserve, and restore family functioning by meeting the following goals: • Working with families to resolve the immediate crisis within 45 days. • Identifying community resources to support family functioning. • Developing protective supports for the youth.

39. CFI Providers (9) Maple Griffith (Seattle) (206)328-3992 IFD N. (Everett) (425)374-4279 IFD S. (Federal Way) (253) 874-3630 Pioneer Human Services (Everett) (425) 766-6019 Service (Burlington) (360)419-7066 Ukrainian Community Center (King Co.) (425)430-8229 Washington National Counseling (Seattle) (253) 631-1725 Working Choices Inc. (WCI)(Bellevue) (425)822-8654

40. Foster Care Assessment Program (FCAP) • The purpose of FCAP is to provide a comprehensive assessment of a child’s level of function In the home, school and community to assist the service planning and implementation. • The goal is to improve the child’s health and help DCYF accomplish permanency. • FCAP is a statewide contracted program available to children in DCYF care.

41. Service Provided by FCAP • Review case history • Interviews with people who know the child best • Psychiatric, Psychological and culture case consultation • Structured in-person interview with the parent • Structured in-person interview with the child and caregiver • Observation of the parent/child visitation (Reunification) • Standardized assessment of a child’s emotional & Behavioral

42. FCAP outcomes • Progress toward permanency. Service planning focused on achieving permanency for the child. • Improved child functioning, Studies shows that children do improve after receiving an FCAP evaluation.

43. Provider • Harborview Medical Center 206) 744-1685. Email: fcap@uw.edu

44. One Stop Shop Link • http://dshswboly3003:8021/CAContracts/ContractStep1.aspx • One Stop Shop Step by Step please Click Here

45. Working together to provide the best to our children and families Thank you for attending the EBP training