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1 OVERVIEW of AB 12: Focus on Foster Family Agencies and Group Home Providers.

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Presentation on theme: "1 OVERVIEW of AB 12: Focus on Foster Family Agencies and Group Home Providers."— Presentation transcript:

1 1 OVERVIEW of AB 12: Focus on Foster Family Agencies and Group Home Providers

2 2 Introductions 1.Who are you? FFA, Group Home Provider, Social Worker, Relative Caregiver, Foster Parent, Other? 2.What are the ages of the foster youth you work with? 3.What are you most concerned about for youth in foster care who are turning 18? 4.What do you hope to get out of today’s training? 5.Any special concerns/questions?

3 3 Today’s Presentation Overview of New Laws Eligibility Rules for Participation in Extended Foster Care Benefits Youth Participating in Extended Foster Care Receive Placements for NMDs Placement Decisions and Supervision of Placements Licensing and Approval Standards for NMDs Special Populations of NMDs Resolving Disputes

4 4 Overview of New Laws

5 What challenges do transition age youth currently face? Inadequate housing Lack of financial resources Frequent changes in home and school leave youth unprepared Lack of adult role models Lack of information about higher education, financial aid, support resources etc.

6 AB 12 Will Address Many of These Issues by Providing…. Housing through an approved placement More options for continued benefits till age 21 Monthly visits with social worker and assistance with transition to independence Health insurance until age 21 Independent Living Services

7 7 What is the California Fostering Connections to Success Act ? Allows youth to remain in foster care and continue to receive support until age 21 Replaces California’s old Kin-GAP to align with new federal option (effective 1/1/11) Extends AAP and Kin-GAP funding for youth who enter Kin-GAP or AAP after age 16 Establishes new requirements for maintaining SSI eligibility for youth with disabilities

8 8 Benefits of New Laws Promotes permanency for foster youth Enables youth to maintain a safety net of support while experiencing independence in a secure supervised living environment Helps ensure that youth will be better prepared for successful transition into adulthood

9 9 Eligibility Rules to Participate in Extended Foster Care

10 10 Hypothetical Visnu and Davion are brothers. Visnu turned 18 in December 2011 and Davion turned 15 years in December Their father has died and their mother is an alcoholic who is unable to care for them. Visnu has anger issues. He is in a special day class through his IEP at school. He goes to see a therapist once a week. Davion was recently arrested for robbery and is on probation. Through the local foster family agency, they were placed with foster parent Emily when they first entered foster care in They share a room in Emily’s home. There are also 2 other minors in her home.

11 11 Eligibility Requirements for EFC Extended benefits available to foster youth who Have an open court case at age 18 (i.e. order for FC placement) Satisfy one participation requirement Sign a mutual agreement Agree to meet with Social Worker Agree to work on transitional independent living skills Live in a licensed or approved setting Have 6 month court review hearings

12 12 Phase-in Timeline 2012 Extended until age 19-EXCEPTION: youth receiving AB 12 benefits immediately prior to 19 can continue to receive benefits after turning Extended until age 20-EXCEPTION: youth receiving AB 12 benefits immediately prior to 20 can continue to receive benefits after turning You can remain in foster care and receive benefits up to 21 years old. NOTE: The phase-in was largely eliminated in the recent budget bill. At this point, it applies to those youth who either (A) turned 19 in 2011 or (B) turned 19 in 2012 if they were not receiving AB 12 benefits immediately prior to turning

13 13 Youth Who Turned 18 During 2011 Youth who turned 18 during 2011 are eligible IF Order for foster care placement on’s 18 th birthday AND Youth was still under order for foster care placement or re-entered care as of January 1, 2012 NOTE: As long as a youth is receiving AB 12 benefits in 2012 immediately prior to turning 19, the youth can continue to receive benefits after turning 19. Some of these youth may have had to exit care at age 19 (solely due to turning 19), but are NOW eligible to re- enter and receive benefits until 21!

14 14 Categories of Eligible/Ineligible Youth Married Military Pregnant and Parenting Involved in juvenile justice system INELIGIBLEELIGIBLE

15 15 What Must a NMD Do To Receive Financial Benefits? One of the following: 1.Be enrolled in high school or equivalent program 2.Be enrolled in college/vocational school 3.Work at least 80 hours/month 4.Participate in a program/activity that helps you find a job or removes barriers to employment 5.Be unable to do one of the above because of a medical or mental health condition

16 16 Participation Condition #1: High School-GED Includes enrollment in public high school, charter high school, alternative high school, nonpublic school, or adult education classes Any course of study leading to high school diploma, GED, High School Proficiency Certificate, or High School Completion Certification Enrollment is continuous during breaks Participation in activities described in IEP

17 17 Changes in the School Completion Rule As of January 1, 2012 – there is no completion rule for NMDs participating in extended foster care Youth qualify to remain in foster care after 18 if enrolled in high school or equivalent regardless of when the youth is expected to complete the program Completion rule still exists for youth that do not have access to extended benefits, including: Kin-GAP youth who entered Kin-GAP prior to age 16 and Youth with non-related legal guardianships created in probate court

18 18 Participation Condition #2: Post- Secondary Education Half-time requirement Includes non-credit courses Students maintain eligibility over breaks Students enrolled less than half time and those who drop classes can use participation condition #4 to maintain eligibility Required verification

19 19 Participation Condition #3: Working 80 hours per month Must be a paid position Includes paid internships and apprenticeships Meets requirement as long as the youth is scheduled to work 80 hours/month Income disregarded from determining amount of foster care payment IF earnings are specified in TILP Less than 80 hours a month and unpaid employment/internships meet participation condition #4 (activity to remove barriers to employment)

20 20 Participation Condition #4: Removing Barriers to Employment Can be self-directed, completed in conjunction with caregiver or social worker, or part of an organized program Must be working towards goals in TILP Should be working towards transitioning to education (#2) or employment (#3) participation conditions Can include job skills classes, mental health treatment, driver’s ed, ILP services and volunteering Range of documentation options

21 21 Participation Condition #5: Medical Condition “A physical or mental state that limits a nonminor dependent’s ability to participate in any of the activities described in subparagraphs (1) through (4)” Must be verified by health care practitioner NMD does not need to be seeking treatment for condition

22 22 Mutual Agreement (SOC 162) Documents youth’s willingness to: Remain in a “supervised placement” Report changes relevant to eligibility and placement Work with the Agency on the implementation of the TILP Participate in 6 month review hearings Documents agency’s responsibility to: Help NMD develop and achieve goals Review and update TILP every 6 months Help NMD remain eligible for extended foster care by responding to problems and connecting NMD to supports and services Help NMD and caregiver develop Shared Living Agreement Ensure NMD has Medi-Cal card or other health insurance Provide NMD with contact information for his/her attorney Mutual Agreement is NOT a condition of payment. Case Manager gives SOC 162 to youth and also signs it.

23 23 Monthly Visits with Social Worker or Probation Officer Monthly, in-person visits with social worker 100% of visits have to be face-to-face 51% in the home/placement NMDs can live out of county and/or out of state while participating in EFC Purpose of the meeting Identify participation conditions (including backup) and update TILP and case plan Identify services in TILP to ensure meaningful participation Focus on permanent connections and independence No longer focused on family re-unification, termination of parental rights or establishment of legal guardianship

24 24 Monthly Visits with Social Worker or Probation Officer (con’t) SW/PO has an affirmative obligation to ensure that NMDs who want to participate maintain eligibility In order to terminate dependency, must establish in juvenile court that the social worker made reasonable efforts to ensure participation Case planning should be collaborative Goals are increasing levels of responsibility

25 25 Court Process for EFC The Court Process for NMDs who choose to remain in EFC, remain on the same six-month review cycle. The court reports and case plans must be completed for the six-month court hearings or administrative reviews (WIC 366.3). NMDs can appear via telephone for court appearances (WIC section 388(e)(3)). Parents are no longer noticed for court hearings.

26 26 What if a youth does not want to remain in foster care after age 18? Extended Foster Care is optional – but is opt-out If NMD does not want to participate, can request a hearing to terminate court’s jurisdiction Hearing (known as a WIC 391) must be held prior to terminating jurisdiction and court must find the youth was informed of: Right to remain in care Benefits of remaining in care Right to reenter care if under the age limits General jurisdiction for reentry retained by court until youth turns 21

27 27 Re-Entry into Foster Care ACL Re-enter unlimited times if under the statutory age limits Re-entry is intended to be accessible and easy NMD is eligible for benefits again as of the date that the Voluntary Reentry Agreement is signed and the NMD is placed in an eligible facility Link to Re-Entry Contact In Each County: Dependency: entry_contact_list_04_24_12.pdf entry_contact_list_04_24_12.pdf Probation:

28 28 Re-Entry into Foster Care (con’t) The county that maintains jurisdiction prior to youth exiting EFC, maintains payment/case management at re-entry If NMD contacts county of residence to re-enter, and the county provides courtesy supervision, county assists youth in completing re-entry forms, faxes/ s the same day to county of jurisdiction If county does not provide courtesy supervision, that county must immediately assist youth in contacting county of jurisdiction Case manager must file WIC 388 petition within 15 judicial days of signing the SOC 163

29 29 Hypothetical Visnu and Davion are brothers. Visnu turned 18 in December 2011 and Davion turned 15 years in December Their father has died and their mother is an alcoholic who is unable to care for them. Visnu has anger issues. He is in a special day class through his IEP at school. He goes to see a therapist once a week. Davion was recently arrested for robbery and is on probation. Through the local foster family agency, he was placed in Emily’s home when they first entered foster care in They share a room in Emily’s home. There are also 2 other minors in her home.

30 30 Hypo Review So now that Vinsu is 18 – is he eligible to participate in extended foster care? What about Davion? What additional information do you need? If Vinsu or Davion are eligible to participate but do not want to continue in extended foster care – what happens?

31 31 Benefits Youth Participating in Extended Foster Care Receive

32 32 Foster Care Benefits: What are the rates for the different placements? If the NMD remains in the same placement – the foster care payment amount will not change – the payment will continue to be paid to the provider If the NMD moves to a new placement, the amount will be based on the new type of placement. A SILP is the only placement type in which a NMD may be entitled receive the payment directly.

33 33 Extended Foster Care Benefits (AFDC-FC) – What Do NMDs Get? Same rates for placements for youth under age 18 (as of July 1, 2012) Foster Homes, Relatives, NRLG, and NREFM: Basic rate currently is $799 NMDs can receive dual agency rate, specialized care increments and/or wraparound services Foster Family Homes: Basic rate is $ Specialized Care Increments $18-$1,413 Foster Family Agencies: Non-Treatment: $ Treatment: $1, Intensive Treatment Foster Care (ITFC): $ Group Home Rate: $2,223-9,419 33

34 34 Extended Foster Care Benefits (AFDC-FC) – What Do NMDs Get? Two new placements for NMDs ( rates as of July 1, 2012) THP-Plus FC: New rates will be established (state has not yet released the new rates) Supervised Independent Living Placement (SILP): Limited to the basic foster family home rate of $799 No specialized care Possibly CalFRESH SILP rate will go up each July 1 with basic FFH rate 34

35 35 Benefits for Pregnant and Parenting Youth Pregnant and parenting youth are eligible for EFC Benefit Payment In a SILP, the parenting NMD can receive the foster care payment directly, including the Infant Supplement For parenting NMD’s in licensed/approved facilities, the Infant Supplement is paid to the provider Whole Family Foster Homes, as FFA’s or THP+FC host family homes, are also eligible for the $200 Shared Responsibility Plan payment

36 Placement Options for NMDs

37 Where are Older Youth Placed in Foster Care? 2, year-olds as of April 1, 2011

38 Placement Settings Traditional placement options still available to NMDs: Approved home of relative or NREFM Certified home of an FFA (includes ITFC) Foster Family Home Group Home (with limitations) Home of a Nonrelated Legal Guardian Small Family Home/Dual Agency Regional Center Homes THPP (with limitations) 2 NEW Placement Options for NMDs: THP-Plus Foster Care Supervised Independent Living (SILP)

39 39 NMD Must Be Placed in a Licensed or Approved Setting Youth over 18 has to be in a licensed/approved facility or home. There are new licensing/approval standards for NMDs (more later). NMDs may remain in their current placement without requiring a new placement agreement but if move, a placement agreement is required (more later). When the foster youth approaches age 18 and wants to remain in the same placement, the caregiver and the youth may want to work on a Shared Living Agreement that will help define the different roles as caregiver and young adult (more later).

40 Limitations on Group Homes for NMDs Youth may only remain in group home if under age 19 AND continuing in group home is in NMDs best interest in order to complete high school or equivalent Decision on group home placement is to be a youth-driven, team-based case planning process

41 Group Homes for NMDs (con’t) Once NMD completes high school or turns 19, whichever is first, continuing in a group home is prohibited UNLESS NMD has a medical or mental health condition (participation condition #5) and continuing in group home functions as a short-term placement

42 Case Plan for Group Home Placements (ACL 11-77) If admission or continued placement in group home is necessary to finish high school or due to medical condition must detail reason in case plan. Case plan must specify: Why a group home is the best placement to meet the needs of the NMD How placement will assist NMD’s transition to independent living The treatment strategies that will be used to prepare the NMD for discharge to a less restrictive setting or more family like setting A target date for discharge from the group home Periodic review of the placement to ensure that it remains the best option for the NMD and progress is being made toward achieving the goal of independent living 42

43 Transitional Housing Placement Programs There are 3 types of transitional housing placements for foster youth and emancipated foster youth:  THPP for minor dependents  THP-Plus Foster Care for NMDs  THP-Plus (regular, not foster care) for emancipated foster youth who are either not to participating in EFC or are over age 21 43

44 Transitional Housing Program Housing There are 3 types of transitional housing models for foster youth and emancipated foster youth:  Host Family Home  Single Site  Scattered Site (not available to foster youth16-18 years old except grandfathered- in youth) 44

45 Transitional Housing Placement Program (THPP for foster youth 16-18) THPP ends at age 18 – after age 18, a youth continuing in foster care can participate in THP-Plus FC. There will be a transition period to move youth from THPP to THP-Plus FC - explained by CDSS by July 31, THPP currently allows minors to live in all 3 housing models (Host Family, Single and Scattered). Scattered site housing will no longer be available for THPP minor foster youth unless the minor youth was placed in scattered site prior to October 1,

46 THP-Plus Foster Care Budget Bill makes THP-Plus Foster Care a licensed placement by Community Care Licensing as a Transitional Housing Program Provider The existing THPP license is an umbrella licensing category that now covers two categories of providers: THPP providers serving youth 16 – 18 THP-Plus Foster Care providers serving youth 18 – 21 Makes THP-Plus FC an available licensed placement effective October 1,

47 THP-Plus Foster Care The All County Letter for THP-Plus Foster Care will be released by July 31, 2012 and will include i nstructions on the 4 steps needed to become a THP-Plus FC Provider: 1.Apply to CCL to become licensed as a Transitional Housing Program Provider 2.Become certified by an “applicable” county which may be similar to the Group Home/FFA host county letter of support process 3.CCL will subsequently license the provider as a Transitional Housing Provider 4.CDSS Rates will issue rate letter to provider 47

48 THP-Plus vs. THP-Plus FC HOW THEY ARE THE SAME o Provide youth a comprehensive range of supportive services, including educational, vocational & social support. o Affordable housing in three settings: o Scattered site (62%) o Single-site (25%) o Host home (13%) o Intensive case management: o 1 to 12 for non-parents o 1 to 8 for parents o Similar monthly rates (~ $2,500 - $2,800/mo) Host Family Home will have a lower rate than single or scattered o Both will have flat rate HOW THEY ARE DIFFERENT o THP-Plus FC is a IV-E eligible placement and will be licensed and THP-Plus is only certified by the county o Court supervision for THP-Plus FC o Child welfare or probation oversight o More comprehensive background clearance o Will use different data systems o Different ages o THP-Plus: 18 to 24 o THP-Plus FC 18 to 21 48

49 49 SILP Overview Supervised Independent Living Placement (SILP) is a new placement option for NMDs ready for greater independence. Providers may be in the position of assisting a youth transition into a SILP. Limited to basic rate (currently $799.00/ month) and possibly CalFRESH NMD may receive the foster care benefit directly Settings may include but not limited to: Apartment living Renting a room (including w/ a relative) Shared roommate settings Dorms Living situations with adult siblings, appropriate extended family members/NREFM, tribal members, or mentors should be explored

50 Approving a SILP Two step process to approve a SILP Assess NMD’s “readiness” to live in a SILP – taking into account the particular placement at issue Health and safety inspection of the physical space Note: this is not required for youth living in dorms or other college housing

51 51 SILP Readiness Assessment Example reasons for denial: Rent and utilities exceed income Unstable income No knowledge of how to manage money Unable to care for self without assistance due to a medical or mental health condition If assessment determines that NMD is not ready for a SILP, areas of improvement should be turned into goals in their TILP Reason for denial should be documented on the assessment and provided to NMD If NMD disagrees, he/she has the right to a grievance process

52 52 SILP Sites SILP may not include living with biological parent Temporary absence rules apply Approving SILPs NMDs allowed to live in an unapproved SILP temporarily County must inspect new SILP within 10 calendar days Must be re-inspected annually Ensuring privacy Roommates and landlords not assessed Social workers should arrange inspections and home visits in such a way that respects young adult’s privacy 52

53 Pre-Placement Appraisal Process which includes a conversation with the case manager and caregiver to Determine the needs of the NMD, The ability of the caregiver to provide for those needs and Ensure the safety of everyone in the home Not necessary for approved homes (such as relatives or NERFM)

54 Placement Agreements If a NMD remains in his or her current placement NO new placement agreement is required Any change in placement requires a pre-placement appraisal and new placement agreement New Placement Agreement Forms have been developed SOC 152 – THP-Plus-FC Provider Agreement SOC 153 – FFA Agreement SOC 154B - Group Home Agreement SOC 156A – Foster Parents Placement Agreement SOC 157A - SILP Approval and Placement Agreement SOC 157B - SILP Checklist of Health and Safety Standards

55 55 Hypo Review So now that Vinsu is 18 – what are his options for placements? Can he remain in Aunty Em’s home? Can Visnu move into a SILP? What type of benefits will Visnu receive in EFC?

56 Placement Decisions and Supervision of Placements

57 Discussion Questions What do you think are areas of potential conflict between a provider and a NMD over the age of 18? What concerns do you have about providing ongoing housing/support to a foster youth after age 18? What are examples of things that you would do differently in providing housing/support to a youth after age 18 (as compared to the support you provide minor children in the home)? 57

58 General Guidance on Placement Decisions from ACL “It is expected that NMDs will be provided placements that are the least restrictive and encourage as much independence as possible, based on the NMDs’ developmental needs and readiness for independence.” “Decisions regarding continuation of current placements or moves to new placements shall be made in consultation with the NMDs.”

59 59 Expectations and Consequences for NMD Licensing Rule: The caregiver/provider shall develop, implement, and maintain written expectations, alternatives, and consequences for NMDs living in the home/placement. One way to address this is using the Shared Living Agreement (SLA) SLA is not a licensing requirement - it’s a best practice and a way to establish house rules/expectations 59

60 60 Shared Living Agreement (SLA) SLA is a basis for a written understanding between the NMD and caregiver/roommate and is recommended for when the youth enters EFC Should be broad in scope, covering aspects of shared daily living Each SLA should be individualized, reflecting specific values, concerns and personalities of all parties Should support NMD’s continued transition into adulthood Renegotiated and updated as needed and appropriate 60

61 61 Shared Living Agreement (SLA) Examples of what to include in SLAs: Mentoring/Skills/Interests Household Agreements and Customs Healthy and Safety Concerns Household Chores and Responsibilities Attendance and Performance at School and or Work Financial (allowances or personal spending) Drugs and Alcohol Conflict Resolution Curfews Guests 61

62 Emergency Placements Emergency placements may be necessary for NMDs Until regulations are developed, Manual of Policies and Procedures sections (temporary placements) and (emergency shelter care) apply Group homes still subject to limitations

63 Placement of NMDs Who Re-Enter Placement in a licensed foster home where minors reside is allowed Pre-placement appraisal conducted County may elect background check for NMDs placed in homes with minors Placing agency has discretion to place prior to receipt of results based on results of appraisal Criminal record does not disqualify them from re- entry

64 64 New Licensing Standards for NMDs

65 65 Community Care Licensing The Community Care Licensing Division (CCL) is the agency responsible for setting standards to be implemented based on AB 12 In consultation with stake holders, CCL developed a set of interim standards to be applied to all of their licensed facilities Facilities include: small family homes, group homes, transitional housing programs, FFAs, foster homes Interim Standards available at: 65

66 66 How are Licensing/Approval Standards Different for NMDs? New licensing standards reflect status as adult Control over cash and property Right to own a car Control over health care decisions If Internet access in home, it must be made available to youth Allowed to be left at home unsupervised overnight Access to items needed for cooking and cleaning 66

67 67 Intake Procedures For NMDs ( ) If a new placement: A pre-placement appraisal is completed by administrator and/or social worker Appraisal shall include statement declaring the NMD is no threat Overview of the NMD’s health history (including physical and developmental disabilities & mental health conditions) Social factors, likes, dislikes, interests and activities 67

68 68 Intake Procedures For NMDs (con’t) Non-emergency placement facility staff shall: Obtain intake information from placement agency If information is not completed by placement agency If not received within 15 days then the facility staff shall seek the information from other sources Request Health & Education Passport, any Needs and Service Plan and Independent Living Plan for NMD Complete Needs and Service Plan If an emergency placement: NMD in facility shall not result in the facility exceeding its license 68

69 Needs and Services Plan ( ) Provider should create a Needs and Services Plan consistent with the TILP NMD shall participate in development of Needs and Services Plan Must contain the following information: Planned length of placement Removal and discharge procedures 69

70 70 NMDs Sharing Room with a Minor (84487) There are only 3 circumstances* when NMD can share room with a minor (applies to FFA, FFH or Group Home): 1. NMD and minor have been sharing bedroom before NMD turned 18; OR 2. NMD and minor are siblings; OR 3. NMD is sharing a bedroom with his/her own child *If none of the above apply, need an exception from licensing!

71 NMD sharing a room with another NMD ( 84487) “As long as both remain compatible and the licensee takes into account the NMDs health, safety, and best interest, a nonminor dependent may be permitted to share a bedroom with a nonminor dependent of the opposite sex.” (d)(1)(A) 71

72 Fingerprinting of NMDs Licensing rule: No fingerprinting required for NMDs Counties can use fingerprinting: Youth remaining in care in the same placement attaining age 18 – no fingerprints. Youth who exit and re-enter – they may be fingerprinted only for the purpose of assessing the safety and appropriateness of placement in a facility that has minors 72

73 Notification of Whereabouts (84461) If NMD wants to go away over night: The licensed FFA/FFH and Group Home staff shall report to NMDs case manager any prolonged absence or failure to return of NMD lasting more than 72 hours “that involves the NMD and threatens the physical or emotional health or safety of the NMD” If the caregiver wants to go away over night: Caregiver permitted to leave NMD in the home alone, including overnight (up to 72 hours with no notice to the case manager) If longer then 72 hours, caregiver shall provide written or verbal notification to the case manager and get prior approval. 73

74 74 A NMD’s Personal Rights (84472) Examples of personal rights that apply to a NMD: Allow NMD to acquire, maintain, and possess and use personal items Acquire, possess and maintain vehicle Select, obtain and store own food Adequate privacy for visitors To be informed by caregiver of laws regarding complaints and confidentiality of complaints Send/receive unopened mail Acquire, possess and maintain landline or cell phone Leave or depart the home at any time at NMD’s discretion To be free from unreasonable searches of personal belongings. Caregiver/Provider shall ensure NMD is verbally informed of these rights at time of placement and provided written information regarding agencies NMD can contact if rights are violated

75 75 Treatment/Fairness for NMD (84472) NMD has right “to have fair and equal access to all available services, placement, care, treatment, and benefits, and to not be subjected to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, sex, sexual orientation, gender identity, mental or physical disability, or HIV status.”

76 76 A NMD shall have control of his or her cash, personal property, and valuables in accordance with his/her developmental level At their request, the NMD shall be given assistance with managing their cash or personal property At anytime the NMD may entrust the facility with his/her personal property or cash resources The facility must then keep the NMD’s resources separate from the facility’s The facility must maintain an accurate and up-to-date itemized list of the NMD’s resources The facility may not make expenditures from the NMD’s resources for any basic services Safeguards for Cash Resources and Valuables (84426) 76

77 77 NMD’s Health Related Services (84475) NMD has to have access to first aid supplies appropriate to the needs of the NMD and privacy for first aid treatment If facility controls access to medications: If NMD requests, then staff has to assist with self- administration of medication Staff shall ensure that NMD stores medication and injections in a manner that ensures the safety of the other NMDs and children in the facility If the NMD cannot determine his needs for medication, facility staff shall determine the need of the NMD in accordance with medical instructions 77

78 Telephones and Internet (84473) Telephone service in the facility shall be readily accessible to a nonminor dependent. If the licensee subscribes to an Internet service, it shall be readily accessible to a nonminor dependent in the facility. A nonminor dependent may, if developmentally appropriate for the nonminor dependent and by arrangement with the licensee, have personal landline or cellular telephone service or a personal computer for Internet access in the facility. 78

79 Transportation (84474) Unless other arrangements are specified in the Transitional Independent Living Plan for a NMD, the licensee shall permit the NMD to arrange for his or her own transportation NMD who is able to operate a vehicle for transportation may, but shall not be required to, provide transportation to others. If the licensee provides transportation to a NMD at the request of the NMD, the licensee shall ensure that persons who transport a NMD use vehicles that are in safe operating condition. 79

80 80 Licensee shall assist NMD to develop self-sufficiency skills: 1.Financial literacy 2.Nutrition and healthy food choices, grocery shopping, meal prep 3.Identification of suitable home and home maintenance 4.Child care and children needs 5.Automotive maintenance 6.Educational and career development 7.Obtaining medical, dental, vision and mental health care 8.Access to community resources 9.Developing and researching goals 10.Self-care, including doing their own laundry 11.Drug and alcohol abuse awareness and prevention 12.Safe sex and reproductive health information Placement’s Responsibility for Care and Supervision of NMD (84475) 80

81 81 As developmentally appropriate, provide care and supervision to meet needs of the NMD Ensure a NMD parent provides care and supervision for his/her child NMD shall not be used as staff substitute Work to help NMD develop & maintain permanent connections Placement’s Responsibility for Care and Supervision of NMD (cont’d) 81

82 82 Residential Activities (84479) Information regarding emancipation shall be provided to NMD, including: 1.Requirements for trade, vocational or professional careers (internet) 2.Informational brochures on employment-related programs 3.Community-sponsored events promoting volunteerism, internships or employment 4.Salary information for trade, vocational or professional careers 5.Requirements for participation in Transitional Housing Program (THP)-Plus, THP Plus Foster Care and Supervised Independent Living Settings 82

83 83 NMD allowed to select and participate in activities of his/her choice. Activities shall be consistent with the agreed-upon expectations of living in the facility NMD may request assistance with attending college *links to below can be found on CCL website: 1.Application for admission 2.Contact with Foster Youth Success Initiative Liaison 3.Financial Aid 4.Participation in Extended Opportunity Programs and Services 5.College orientation and course planning 6.Enrollment, payment of fees Residential Activities (cont’d) 83

84 84 Removal Procedures for NMDs ( ) 7 day prior written notice required for non-emergency discharge Emergency removal includes Removal by law enforcement officers when a NMD is arrested Removal becomes necessary when the health and safety of the NMD or others in the home is endangered by the continued presence of the NMD Removal for emergency medical or psychiatric care

85 Plan of Operation (84422) What is it? A statement regarding whether the licensee intends to accept nonminor dependents. A description of programs or services to be provided by the facility consistent with assisting a nonminor dependent in preparing for emancipation from foster care. 85

86 What if I already modified my Plan of Operation but it has not been approved by CCL? CCL is allowing providers to serve youth over 18 as long as you have submitted a revised Plan of Operation – even if it has not been approved yet If you have not submitted a revised Plan of Operation – you need to do that to continue to serve youth over 18 (eventually, there will be no more exceptions from CCL) 86

87 What if a provider wants to “opt-out” and not provide housing for NMDs? You do not have to provide housing to NMDs – you have the right to maintain your existing Plan of Operation Statement Possible consequence: County may be less inclined to place minors in your facility because eventually there will be no more exceptions from CCL and refusal to provide for NMDs results in disruption in schooling 87

88 88 Hypo Review Davion who is 15 wants to be able to have access to his own medications without having to ask Emily. Is that permissible per the licensing rules? What about Visnu (who is 18) ability to access medications? If Emily needs to leave for a week can she have Davion be responsible Visnu while she is away?

89 89 Special Populations of NMDs

90 90 Youth in Delinquency & Extended Foster Care

91 91 Youth Involved in Delinquency System Youth involved in the delinquency system can participate in extended foster care under 3 circumstances: 1. Probation youth (wards) over 18 who are under the jurisdiction of the delinquency court with an order for foster care placement on his/her 18 th birthday – OR 2. Probation youth (wards) over 17 years, 5 months who transferred to “transition jurisdiction” and is under transition jurisdiction on his/her 18 th birthday – OR 3. Probation youth who was transferred to dependency system prior to age 18 and has order for foster care placement on his/her 18 th birthday

92 92 Group #1: Youth Involved in Delinquency System If a ward has NOT met his/her rehabilitative goals at age 18 and the Delinquency Court maintains jurisdiction, the youth can receive extended foster care benefits if the youth meets the definition of a NMD: Order for foster care placement on 18 th birthday Not yet 19 years old in 2012 (20 years old in 2013 and 21 years old in 2014) AND; Participating in or planning to participate in one of the five participation requirements. NOTE: NMDs under delinquency jurisdiction continue to be subject to the terms of their probation.

93 93 Group #2: Modification to Transition Jurisdiction Delinquency court now has the option to modify to a new type of jurisdiction: WIC 450 transition jurisdiction IF Ward in foster care placement HAS met his/her rehabilitative goals, AND Is older than 17 years, 5 months AND The delinquency court is ready to terminate jurisdiction

94 Why Transition Jurisdiction? How is this different from delinquency jurisdiction? Youth are not subject to any terms or conditions of probation. WIC 451(b) The case is managed as if the youth is a dependent (if the youth is a minor) or a non-minor dependent (if the youth is an adult). WIC 451(b) Why create this new jurisdiction? Important for eligible youth to be able to take advantage of extended benefits without remaining on probation/under delinquency supervision. Encourages former delinquent youth who may otherwise opt out to participate in services.

95 95 Assuming Transition Jurisdiction Court can consider assuming transition jurisdiction for a ward with a foster care placement order: 1.At the status review hearing held closest to a ward attaining 18 years of age, which must occur at least 90 days before the ward’s 18 th birthday; OR 2.When the court is prepared to terminate jurisdiction for ward over 17 years, 5 months of age. NOTE: Court can also assume transition jurisdiction at re-entry for eligible former wards who exited and wish to re-enter Rule 5.812(e), WIC 450, & 727.2(i) ***Form for Findings and Orders: JV-680

96 96 Supervision of Transition Jurisdiction Counties must decide whether Probation or Child Welfare will be charged with supervising transition jurisdiction youth Counties must also decide which court will supervise. Each county must modify its protocol for Section to include a provision for determining which agency and court shall supervise.

97 97 Group #3: Modification to Dependency Jurisdiction Delinquency court must consider modification to dependency jurisdiction for a minor who: 1.Has met his/her rehabilitative goals 2.NOT eligible for transition jurisdiction (e.g. due to age) AND 3.Has order for foster care placement through delinquency OR was under dependency jurisdiction with order for foster care placement at the time he/she was adjudged a ward AND Appears to come within or remains within the description of a dependent child - AND - Return to the home would be detrimental

98 98 Group #3: Supervision Upon Resuming Dependency Jurisdiction As is the case with transition jurisdiction, counties decide which agency and court will supervise youth when jurisdiction is modified from delinquency to dependency pursuant to the procedures described in the previous slide. This must be addressed in the WIC protocol.

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100 Hypothetical 1 Julia was declared a ward of the court under WIC 602. On her 18 th birthday, she attends a delinquency court hearing. Because she has not completed her community service and her grades are terrible, the delinquency court finds she has not met her rehabilitative goals and continues her case. She has an order for a foster care placement, remains on probation, and is ordered to remain in her group home. Is Julia eligible to become a nonminor dependent?

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102 Hypothetical 2 Jon was declared a ward of the court pursuant to WIC 602. He is 17 years, 8 months old, has now met his rehabilitative goals and the delinquency court is ready to terminate jurisdiction. He currently resides in a Group Home. He is at risk of abuse or neglect and can not safely be returned home. Is Jon eligible to become a nonminor dependent? Same facts, but assume Jon was over 18 years old and that he had turned 18 while in a Group Home. Would he be eligible to become a nonminor dependent?

103 103 Hypo Review Davion was arrested for robbery and is on probation. He entered the delinquency system and is also still in foster care. What happens to his delinquency status once he completes his probation?

104 104 Youth With Disabilities

105 105 What is SSI/SSP? Supplemental Security Income / State Supplementary Payment Need-based program that provides cash aid and Medicaid to qualified individuals with low income, few resources, and who are: Age 65 or older, Blind, OR Disabled

106 106 Why Are We Talking About SSI? SSI benefits are an important safety net for those youth with serious disabilities Important resource for youth participating in EFC to aid in their transition planning Ongoing resource for youth once they leave foster care SSI is one of the only benefits available to youth with disabilities regardless of eligibility for AFDC-FC benefits Dual Agency Rate - linked to eligibility for AFDC-FC Specialized Care Rate - linked to eligibility for AFDC-FC Supplemental Security Income (SSI) - regardless of dependency status or eligibility for AFDC-FC benefits

107 107 SSI: Mandates for Youth Preparing to Transition AB 1331 requires counties to: Screen every youth in foster care for SSI eligibility between ages 16.5 and 17.5 Assist youth determined likely eligible with application When necessary to make an application, forego federal foster care benefits for one month Best Practice Guidelines instruct counties on screening and applications. Available at: * Goal: have SSI in place at age 18*

108 108 Timing the SSI Application for NMDs Timeline for application remains the same Ensuring SSI is in place at age 18 provides youth maximum flexibility and choice among benefits, services and supports Youth approved for SSI have same right to participate in EFC as all other youth at age 18 Offsetting rules apply – youth in EFC might receive SSI, AFDC-FC, or a combination of both benefits

109 109 SSI: New Requirements for NMDs If youth approved for SSI who actually receives a monthly SSI benefit elects to remain in EFC, county must assist youth in receiving direct payment Maintain representative payee account If youth is approved for SSI but receives federal foster care in excess of SSI – county must maintain SSI eligibility (using workaround) Youth can continue to receive SSI under child guidelines until age 22 if working on goals of IEP 109

110 What Is Different About SSI After Age 18 (from AFDC-FC)? A NMD can participate in extended foster care and receive SSI Offsetting rules apply – so NMD might receive either SSI, AFDC-FC or a combination of both benefits For NMDs who receive SSI while participating in EFC, the requirements for remaining in EFC are the same (the source of funding is the only difference) Must sign a mutual Agreement within 6 months of turning 18 (not a condition of payment) Must participate in six-month court review/administrative review Monthly visit with the social worker/probation officer Participate in TILP Meet one of the five participation requirements

111 111 SSI links to Medi-Cal (while in care and after the youth exits care) Often provides more support while a youth is in care and can help avoid homelessness once a youth exit cares SSI eligibility may qualify youth for permanent affordable housing – can use time in EFC to apply for these housing slots! Social Security has programs to help recipients pursue education or attempt work without losing eligibility Youth can receive school scholarships and receive SSI simultaneously Allows youth additional time to establish SSI eligibility under adult standards How Can SSI Help a NMD Prepare to Transition Out of Foster Care?

112 112 Best Practices: How Can Providers Help NMDs Who Are Eligible for SSI Assist NMD in applying for permanent affordable housing Gain understanding of SSI programs designed to help individuals work or pursue their education Ticket to Work Plan to Achieve Self Sufficiency Student Earned Income Exclusion Help youth get in with the Continuing Disability Review – appeal adverse decisions! (contact The Alliance for assistance)

113 113 Hypo Review Visnu has an IEP at school and is in a special day class. What can Aunty Em do in regards to SSI now that he is 18 years old?

114 114 Resolving Disputes

115 115 Types of Potential Disputes Eligibility issues Amount of benefits/denial of benefits Whether NMD meets a participation condition NMD disagrees with placement/SILP approval

116 116 Resolving Disputes: Eligibility & Amount of Benefits Benefits/eligibility disputes Amount of the benefit (ie: denial of specialized care increment, retroactive payments, etc) Termination of benefits Denial of federal eligibility These disputes are resolved through the administrative fair hearing process. County sends a Notice of Action regarding approvals, denials, or changes in eligibility Process to request a fair hearing is on the Notice of Action

117 117 Resolving Disputes: Whether NMD Meets a Participation Condition Attempt to resolve by talking to NMD or through team meeting with youth, caregiver and other interested parties If there is a dispute over participation –county can ask the court to terminate jurisdiction because the NMD is not participating: Social worker must document reasonable efforts to assist NMD in meeting/maintaining eligibility Court continues dependency jurisdiction over NMD unless the court finds: the NMD does not wish to remain in extended foster care – OR – the NMD is not participating in a reasonable and appropriate transitional independent living case plan.

118 118 Resolving Disputes: Whether NMD Satisfies a Participation Condition (cont’d) Court has 3 options to resolve disputes about participation: 1. Find the NMD is meeting a participation condition (benefits/eligibility continues) 2. Find the NMD is not meeting a participation condition and terminate jurisdiction (which terminates benefits) 3. Find the NMD is not meeting a participation condition but retain jurisdiction Eligibility worker can issue a Notice of Action to terminate benefits based on the court’s findings The NMD has right to a fair hearing to challenge termination of benefits If the court terminates jurisdiction – the NMD still has right to reenter at any time hitting the statutory age limit

119 119 Resolving Disputes: NMD Disagrees With Placement/SILP Approval Attempt to resolve disputes informally through discussions/team meetings If NMD is assessed as not ready Specific areas where NMD has needs should be addressed in TILP TILP should include a clear plan on what steps the NMD needs to take to be ready for a SILP Counties should develop grievance process for NMDs Disputes can be brought before juvenile court

120 Resolving Disputes: Administrative Hearing vs. Juvenile Court Administrative HearingJuvenile Court Eligibility Issues Federal foster care eligibilityParticipation Conditions Amount of Benefits/ Termination of Benefits Denial of SCI, Dual Agency Rate, Termination of Benefits (if the juvenile court retains jurisdiction) NO – Juvenile Court does not decide disputes regarding amount of/termination of benefits NMD failing to meet participation conditions 2 nd : IF the court finds the NMD is not participating but retains jurisdiction – county can terminate benefits and NMD has right to administrative hearing to challenge termination. 1 st : Whether NMD meets participation condition first resolved by Juvenile Court. Disagreements about placement (SILP approval) NO – administrative judge does not decide placement issues YES – juvenile court ultimate arbiter of disputes over approval/denial of placements 120

121 121 QUESTIONS?

122 122 Contact Information Anjuli Arora Dow Attorney, Policy and Training The Alliance for Children’s Rights Work: (415) Cell: (415) Angie Schwartz Policy Director The Alliance for Children’s Rights Work: (415) Cell: (415)


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