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A Los Angeles “Regional Update” Fairness and Equity Symposium April 16, 2008 Promoting Child and Family Well Being Through Principles of Fairness and Equity (Can we really change the tires while the bus is going 80 m.p.h ?). Mark Miller, Director of Training
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A Los Angeles “Regional Update” Fairness and Equity Symposium April 16, 2008 Promoting Child and Family Well Being Through Principles of Fairness and Equity (Can we really change the tires while the bus is going 80 m.p.h?) Mark Miller, Director of Training Maryam Fatemi; Regional Administrator Tedji Dessalegn Regional Administrator
Los Angeles County Department of Children and Family Services (DCFS) Los Angeles County Overview • 88 Cities • 10 million residents—Population exceeds that of 42 states • One of the most diverse populations in the world • Over half of the county residents speak a language other than English at home. • 3% of the Nation’s population • Home to 28% of California’s population Source: Public Policy Institute of California
Purpose and Objectives • Provide a brief overview of program and practice changes to support outcome achievement (Safety,Permanence and Well Being) • What’s working, What’s challenging: The driving and restraining forces for change specifically related to Fairness and Equity • Describe and discuss these strengths and challenges from the perspective of local line operations in addressing dis-proportionality and disparity • Have fun, answer questions, learn, and get to the reception
Road Map For Change/Organizational Learning • Brief Background/Overview: The Key – Change (Learning and Un-Learning) takes “TIME”! • The “Steps” (Domains of Inquiry, Focus of Effort In Strengthening a “Culture of Support and Organizational Learning”) • Assessing/Evaluating Current “State” of Organization (discussion) • Targeting Outcomes and Establishing Benchmarks (discussion) • Identifying and Implementing Core Strategies/Best Practice Linked to F and E (discussion) • Targeting Caseload/Workload and Workforce Issues (discussion) • (Re) Invigorating Supervisory Base and Strengthening the Management Supervisory Connection (discussion) • Implementing Supports: Administrative, Training, Tools and Protocols, Goal Reinforcement etc. (discussion) • Monitoring Results and Providing Feedback (discussion)
The Key – Change (Learning and Un-Learning) takes “TIME”! Across “Time” – Aiming for Incremental Improvement (Sometimes “Best” is the enemy of “Better”) “Time” to assess/learn….then act (hopefully more strategically) Buying “Time” for un-learning and learning new practice Buying “Time” for collaboration, teaming and true engagement (macro/external, mezzo/internal and micro/case level)………….And then seizing the moment/opportunity for change?
Los Angeles County Department of Children and Family Services (DCFS) • Assessing/Evaluating Current “State” of Organization (Now Past Tense) • Organizational/Historical Factors • Leadership/Management Transitions • Sporadic Community, Judicial Partnership and Engagement Efforts • Use of Some “Dated” Tools and Strategies • Internal Issues: Response/Approach to Critical Incidents, Reliance on Out of Home Care • Sporadic and un-sustained efforts to utilize data and outcome tracking tools • Other: Limited but emerging focus on F and E issues and challenges
Los Angeles County Department of Children and Family Services (DCFS) DCFS Child Welfare Services Fact Sheet (Sept. 2003)
Los Angeles CountyDepartment of Children and Family Services (DCFS) 4.Targeting Caseload/Workload and Workforce IssuesIncreased Staffing DCFS Workforce in 2003 & 2005 Data Source: Los Angeles County Department of Human Resources http://cao.co.la.ca.us/alpha.pdf
Lowered Caseloads Lowered CSW & SCSW Attrition Rates 2008 Projection 120% staffed upon hiring completion 2005 staffed at 117% yardstick 2003 (baseline) staffed at 100% yardstick Los Angeles CountyDepartment of Children and Family Services (DCFS)4. Targeting Caseload/Workload Issues and Workforce IssuesReduced Caseloads and Outcome Achievement: Title IV E Waiver Environment Data Source: Staff yardstick information was determined by DCFS Negotiated MOU.
Los Angeles CountyDepartment of Children and Family Services (DCFS) 4. Targeting Caseload/Workload Issues and Workforce IssuesReduced Caseloads SCSW span of supervision In 2003: 8 to 1 In 2005: 6 to 1
Los Angeles CountyDepartment of Children and Family Services (DCFS) 4. Targeting Caseload/Workload Issues and Workforce IssuesLowered Attrition Rates Data Source: DCFS Human Resource Division
Los Angeles County Department of Children and Family Services (DCFS) 2. Targeting Outcomes and Establishing Benchmarks • A re-invigorated effort in redefining its goals and initiating strategies to address challenges which impact achievement of the federally sanctioned child welfare outcomes: • Improved Safety (Reduced Detentions) • Increased Permanency • Improved Well Being
Los Angeles CountyDepartment of Children and Family Services (DCFS)Specific DCFS Strategies • 3. Identifying and Implementing Core Strategies/Best Practice Linked to Fairness and Equity • SAFETY • COMMUNITY PARTNERSHIP • POINTS OF ENGAGEMENT (INFORMATION SHARING, TEAMING, ENGAGEMENT, ASSESSMENT, DECISION MAKING APPROACH AT KEY DECISION POINTS • STRUCTURED DECISION-MAKING (SDM) TOOLS, PROCESSES AND SUPPPORTS • MEDICAL/MENTAL HEALTH HUBS • RAPID TDM EXPANSION • MULTI-DISCIPLINARY ASSESSMENT TEAMS • COMMUNITY AND ALTERNATIVE RESPONSE and ADDITIONAL EARLY INTERVENTION SERVICES • Discussion: Strengths and Challenges (A Regional Perspective)
Los Angeles CountyDepartment of Children and Family Services (DCFS)Specific DCFS Strategies • 3. Identifying and Implementing Core Strategies/Best Practice • PERMANENCY • COMMUNITY PARTNERSHIP • CONSOLIDATED HOME STUDY, FAMILY FINDING EFFORTS (THROUGHOUT THE CONTINUUM OF SERVICE) • OLDER YOUTH PERMANENCY, FAMILY FINDING AND PERMANENCY PARTNERS PROGAM • CONCURRENT PLANNING REDESIGN AND TRAINING • PERMANENCY UNITS • RELATIONSHIP WITH COUNTY COUNSEL AND JUDICIAL PARTNERS • Discussion: Strengths and Challenges (A Regional Perspective)
Los Angeles CountyDepartment of Children and Family Services (DCFS)Specific DCFS Strategies 3.Identifying and Implementing Core Strategies/Best Practice • WELL BEING • COMMUNITY PARTNERSHIP • TEAM DECISION-MAKING (TDM) • LINKAGES • CO-LOCATED MENTAL HEALTH STAFF • COMMUNITY MENTAL HEALTH PARTNERS • INCREASED EDUCATIONAL PARTNERSHIP • Discussion: Strengths and Challenges (A Regional Perspective)
Los Angeles CountyDepartment of Children and Family Services (DCFS)DCFS Children in Out-of-Home Placements Update: January 2008: 18,846
Los Angeles CountyDepartment of Children and Family Services (DCFS)Fairness and Equity Issues • Multiple Factors Multiple Solutions • Partnering with (and tapping the knowledge, competence and commitment of) the community, • Highlighting What “It” Looks Like When It Works • Training, Coaching, Mentoring etc. • Challenges and Next Steps • Questions, Thoughts and Ideas
REVIEW AND DISCUSSION THE END THANKS FOR YOUR PARTICIPATION!