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Providence Service Corporation of Texas

Providence Service Corporation of Texas. Single Source Continuum Contractor For Foster Care Redesign . Mission . We deliver exceptional value by creating healthy communities through exceptional people working side by side. . “Human Services Without Walls”. Providence Service Corporation.

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Providence Service Corporation of Texas

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  1. Providence Service Corporation of Texas Single Source Continuum Contractor For Foster Care Redesign

  2. Mission • We deliver exceptional value by creating healthy communities through exceptional people working side by side. “Human Services Without Walls”

  3. Providence Service Corporation • Established in 1996 to develop community-based services for children and youth, as an alternative to institutional care.

  4. Providence Service Corporation (PSC) of Texas • PSC of Texas started services in 1998 • Wholly owned subsidiary of Providence Service Corporation • Contracts with North Star, Juvenile Probation, STAR Health / Cenpatico, and DFPS • Services include Intensive Home-Based Services, Functional Family Therapy, child and family counseling services, psychiatric care, Foster and Adoption Services • Single Source Continuum of Care (SSCC)

  5. Core Values • Community-based care and multi-systemic services • Identifying and building on client strengths • Local viability with national support • Respectful organizational climate • Best practice models • Cultural diversity

  6. Principles of Service Delivery • Child Safety • Urgency of Action • Common Sense • Transparency and Accountability • Responsiveness to the Community

  7. Principles Continued • Efficiency • Ethical • Family-Centered Focus • Culturally Competent and Respectful Practice • Service Integration • Evidence Based Practices

  8. DFPS Regions 2 and 9

  9. SSCC Outcomes • Children will be safe in their placements. • Children will be placed in their home communities. • Children will be served in least restrictive environments that support minimal moves. • Connections to family and others important to the child will be maintained. • Children will be placed with siblings.

  10. Outcomes Continued • Services will respect the child’s culture. • To be fully prepared for successful adulthood, children and youth will be provided opportunities, experiences, and activities similar to those experienced by their non-foster care peers. • Children and youth will be provided opportunities to participate in decisions that impact their lives.

  11. Timeline • February 1 – August 2013 Contract Start-up and Development Phase • August 27: Emergency Referrals and Placement Changes / Implementation of Services to Children • October – April, 2014: Legacy Transitions

  12. Start-Up Phase / System Development • Collaborative Partnerships with DFPS • Credentialing and contracting with providers • Provider Council • Provider and SSCC Operations Manual • Community Advisory Council

  13. System Development Cont’d • Collaboration with Courts, CASA’s and Schools • Coordination with STAR Health / Cenpatico • Cooperative efforts with Advisory Committee on Promoting Adoption of Minority Children and Faith-Based Initiatives • Strategic Foster Home Recruitment

  14. SSCC Model • Intake and Assessment • CoBRIS Matching System • CAFAS and JIFF • Wraparound and Behavioral Health Services • Trauma Informed Care • Quality Assurance Plan • Utilization Management • Performance Based Contracting

  15. Intake and Assessment • Centralized intake and referral process (24/7) • Community Based Resource Information System (CoBRIS) by Five Points Technology • Child Locator with Foster Home Matching (GPS overlay re: child removal data and foster home locations, preferences, capacity, etc.) • Linkage with Texas CLASS and bed vacancy database by Provider Network • Daily import / update of IMPACT information

  16. Child and Adolescent Functional Assessment Scales (CAFAS) • Automated, empirically-based assessments for tracking outcomes, with over 20 years of reliability and validity research • Real-time data; interpretive assessment results with recommended treatment plans. • Drop-down menus of Provider specialties • Features comprehensive dashboards, case and aggregated data • User-friendly guides for client and clinical data entry

  17. Wraparound and Behavioral Health Services • Strong Partnership with STAR Health / Cenpatico • Clinical assessments to support case planning, track developmental, clinical, and social improvements • Encouragement of Provider Network to develop Medicaid eligible services • Development of community-based alternatives to support basic and therapeutic foster homes

  18. Trauma Informed Care • Partnerships with National Child Traumatic Stress Network, the National Council of Behavioral Health, and Cenpatico • Use of Corporate University of Providence online training tools for Provider Network staff and foster parents re: Trauma Informed Care • Involvement with DFPS Trauma Informed Care Workgroup • Engagement of universities in Texas with trauma informed care expertise

  19. Quality Assurance Plan • Data-Driven Decision Making • The CoBRIS service management software will track child and family demographics, child assessments and service encounters, clinical interface with Provider systems • Adherence to Residential Child Care Licensing requirements and COA standards • Risk Management tracking, incident reporting, restraint documentation, etc.

  20. Quality Continued • Performance Measurement and Outcomes Management • Provider Council review of service trends and quality reports • Peer Reviews • Disruption Mitigation Committees • Root-Cause Analyses • Service Benchmarking • Stakeholder interviews and engagement

  21. Utilization Management • Focus on efficiency and effectiveness of service quality, duration, and intensity • Maintenance of directories of community resources • Matching appropriate services that fit unique strengths and service needs of children and families • Costs of care reporting; outlier and trend analyses • Coordinated, timely reviews of authorized services

  22. Transition Challenges • Scarcity of Foster Care Resources • Higher Levels of Care and Emergency Shelter Placements • Disruptions in Care • Distances in Regions 2 / 9 • Out of Region Placements • Shifts in Roles / Responsibilities • Multiple Systems of Care

  23. Child Welfare System Web

  24. Projections for Near-Term Future • Expansion of Placement Resources • Expansion of Wrap-Around Services • Community Engagement and Support • New Rates Structure for Providers • Culture Change in System Transformation • Next Stages of Implementation

  25. Evaluation and Outcomes • http://www.dfps.state.tx.us/documents/about/pdf/Legislative/2014-02-27_Rider29.pdf • University of Texas-Austin (UT) Institute for Organizational Excellence, and the Child and Family Research Institute • University of Chicago Chapin Hall

  26. Information on Providence • www.ProvidenceKids.net (Texas) • www.ProvCorp.com (US and Canada) • Robert Hartman Providence of Texas, Executive Director Single Source Continuum of Care, Texas • rhartman@provcorp.com Cell (713) 208-5435 Office (325)232-8530

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