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Imprints of Treatment Foster Care

Imprints of Treatment Foster Care. The lives of Children and Families are forever changed through our systemic resources. Our Nation’s Children Two Sisters – Two States. Maintaining A Child Focused Balance through best practices in TFC!. Safety Permanency Well Being Support Systems.

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Imprints of Treatment Foster Care

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  1. Imprints of Treatment Foster Care The lives of Children and Families are forever changed through our systemic resources

  2. Our Nation’s ChildrenTwo Sisters – Two States

  3. Maintaining A Child Focused Balance through best practices in TFC! • Safety • Permanency • Well Being • Support Systems

  4. As of March 28, 2013: • Child Placing Agencies: • 100 public • 169 private • Licensed Homes: • Family foster: 8,491 • Therapeutic: 6,100 • Children in Care: • In Custody: 8828 • Paid Placements: 5529 62.6% • Non Paid placements 3299 37.4% (relatives and friends) • Welcome to North Carolina Home of the Largest FFTA Chapter!

  5. TFC Journey • Systemic Entry – Traumatic Event • Assessments for Trauma, Mental Health Issues etc. • Integration of Best Practices for Placement – Matching and Treatment • Personal Treatment Plan developed for child, permanency, health and safety • Treatment parent as the agent of change • Connecting across systems – could be supported by a uniform TFC definition

  6. Creating New Paths for successful Outcomes for Children and Families: • Partnering for Excellence Workgroup focused on Child Outcomes • NC’s Resource Parent Assessment and Training Workgroup – focus on Safety, Permanency, Family, Child Wellbeing and Effective Support System • FFTA Chapter TFC Outcome Initiative • North Carolina Practice Improvement Collaborative – Comparison of Treatment Foster Care Models • Rapid Resource for Families – Intensive Alternative Family Treatment Evaluation RRFF IAFT 2013 Property of Rapid Resource for Families

  7. Rapid Resource for Families Collaboration • North Carolina Division of Medical Assistance • Duke Endowment • UNCC – Dr. Boyd • Database • Deliverables • Outcomes during and post treatment Intensive Alternative Family Treatment RRFF IAFT 2013 Property of Rapid Resource for Families

  8. Intensive Alternative Family Treatment RRFF IAFT Team: RRFF IAFT: Daily contact Integration of family of origin or expansion of natural supports in treatment plan • Psychiatrist • Licensed Clinician • QP • IAFT Treatment parent – agent of change • Team members according to model – • Ex. Skill builder RRFF IAFT 2013 Property of Rapid Resource for Families

  9. RRFF IAFT Initial Data • Defining who we serve • 50% 3 or more axis one diagnosis • 25.3 presenting problems • 25% medical diagnosis • Median age 13.5 • 77% use psychotropic medications, average 2.9, range 1- 7 • Defining where they came from and where they would have gone: • Psychiatric Residential Treatment Facilities (PRTF’s) • Diversion and step down • Juvenile Justice Detention diversion • Hospitalization step down RRFF IAFT 2013 Property of Rapid Resource for Families

  10. RRFF IAFT  Child Location 11,935 days of service total, (n=81 IAFT placements) Other ET and Hosp Phys <0.5% RRFF IAFT 2013 Property of Rapid Resource for Families

  11. RRFF IAFT Initial Outcomes: • 10980 days of IAFT provided to 81 children as of 123112 • 1% days in a Mental health hospital!!! • 4% therapeutic leave days • 3.7% respite days • 79% discharged to a lower level of care • 78 children had increased natural supports in their ranging from 1- 6 new supports! • Integration of child and family at the front and center of treatment • Initial surveys of children, families and or natural supports and treatment families show high levels of satisfaction at discharge • Post treatment surveys in process • Least restrictive treatment through a family system in a community setting • Systemic Cost Efficiencies RRFF IAFT 2013 Property of Rapid Resource for Families

  12. TFC Enhancing Future Outcomes Together • Connecting Initiatives across our states – there is no one solution • Collaboration / Sharing our expertise • Removing Systemic and Geographic Barriers • Building Services on the lives of those who are receiving them • Providing a framework with a national TFC definition • TFC framework inclusive of supports and transitional services as delivered by TFC parents and treatment team. • Measure success in the long run not the short sprint!

  13. “Children are the living messages we send to a time we will not see” John W. Whitehead, Rutherford Institute • ………..May we leave a legacy of change in our message… One Child Two States Getting it Right…. My sincere appreciation for your time. Phyllis Stephenson pstephenson@ncrapidresource.org (336)263-7491

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