Presentation on theme: "Working Together as Child Intervention is Changing to Improve Outcomes for Children and Families June 16, 2014."— Presentation transcript:
1 Working Together as Child Intervention is Changing to Improve Outcomes for Children and Families June 16, 2014
2 Jon ReevesRegional Director Calgary and Area Child and Family Services
3 Calgary and Area CFS Child Intervention Practice Framework Practice PrinciplesOutcomesFour PrioritiesResearch and Trends in Child InterventionRe-capChanging Roles
4 Calgary and Area CFS Future Direction Child Intervention Practice Framework6, 5, 4
5 Calgary and Area CFS Future Direction Child Intervention Practice Framework Child Intervention practice in Alberta has, by evolution is become evidenced informed and collaborative based.A child intervention practice framework is a natural and expected continuation of a commitment to improving outcomes for children and families.
6 Calgary and Area CFS Future Direction Child Intervention Practice Framework A well-defined practice framework supports everyone involved in Child Intervention, provides confirmation that their work is important and valued, and guides their efforts to achieve the best possible outcomes for vulnerable children, youth, and familiesA practice framework outlines the core principles that underlies our approach to working with children, youth, families, and communitiesThe practice principles have now been affirmed and work is underway to embed the principles throughout the organization
7 Calgary and Area CFS Future Direction Child Intervention Practice Framework
8 Calgary and Area CFS Future Direction Practice Principles 1. Aboriginal ExperienceFirst Nations, Métis and Inuit people have always had their own ways of ensuring that vulnerable members, including children, are safe and protected. We honour this by recognizing their expertise in matters concerning their children, youth and families.2. Connection Children and youth are supported to maintain relationships that are important to them, be connected to their own culture, practice their religious beliefs and, for those in care, have a plan for their care where they are included in the decision-making process.
9 Calgary and Area CFS Future Direction Practice Principles 3. CollaborationWe are child-focused and family-centred. We collaborate with families, community agencies, and other stakeholders in building positive, respectful partnerships across integrated multidisciplinary teams and providing individualized, flexible and timely services to support these efforts.4. Continuous ImprovementWe share and use information appropriately. Our approach is outcome-oriented and evidence-based therefore we support innovative practice, monitor our performance and strive for continuous improvement.
10 Calgary and Area CFS Future Direction Practice Principles 5. Strengths-based Our approach is reflective, culturally responsive and strengths-based. Because all families have strengths and resources, we recognize and support the right and responsibility of parents to share in the decision-making process for them and their children.6. Preserve FamilyWe believe children and youth should be safe, healthy and live with their families, therefore we focus on preserving and reuniting families and building on the capacity of extended family and communities to support children, youth and families.
11 Calgary and Area CFS Future Direction Outcomes Vulnerable children live successfully in their communityChildren in temporary care are reunited quickly with familyChildren in permanent care are placed in permanent homes more quicklyYouth transition to adulthood successfullyAboriginal children live in culturally appropriate homes
12 Calgary and Area CFS Future Direction Four Priorities Improving Child Intervention PracticeAboriginal & Cultural EngagementPrevention and Early InterventionOrganizational Culture
14 Improving Practice -Front End Enhancements -Signs of Safety -Ongoing Case Management -Kinship and Family Teaming -Enhancing Permanency -Youth -Caregiver Support -OBSD
15 Improving Child Intervention Practice Front End Enhancements Started in April 2013Used AB Incidence Study 2008 as beginning foundation6 areas implementing beginning in July 2013Edmonton, Region 7 and 10, Calgary and 2 DFNA’sPractice Shift Assessment Currently underwayBased on the 6 principles of the Child Intervention Practice FrameworkSupport the 5 outcomes for children and families
16 Improving Child Intervention Practice Front End Enhancements Four Key components:Supervisor ConsultsIn Care ConsultationsFamily/Natural Support MeetingsReinforce Collaboration with Aboriginal Communities
17 Signs of Safety (SoS)The SoS is one such initiative that harmonizes with Child Intervention Practice Framework core values and principles Signs of Safety as one such initiative that supports the core values and principles to improve Alberta child intervention service delivery to families and children.SoS enhances the entire spectrum of child intervention, from front-line staff practice, to the roles and responsibilities of supervisors and managers, to on-going practice support for continues improvement in the discharge of Alberta child intervention duties in a flexible, values-based ethical waySoS is a child intervention practice approach that is designed to create a shared focus amongst all stake holders and facilitate professional collaboration in working with families
18 Improving Child Intervention Practice Ongoing Case Management Three key areas identified for ongoing case management are:Applying Front End and Signs of Safety Strategies to ongoing casesAddressing the medical needs of children and youthAddressing the mental health needs of children and youth through supports to caseworkers and caregivers
19 Improving Child Intervention Practice Ongoing Case Management Addressing the medical needs of children and youth:Pediatrics for Kids in Care is reviewing youth and children who came into care prior to P-KIC and ensuring they have access to a comprehensive pediatric assessment, oral health and a medical homerole of foster care, kin, group and residential caregiversrole of caseworker
20 Improving Child Intervention Practice Kinship Enhancement & Family Teaming Strategic Objective: To increase the number of children placed in kinship care, by defining and realigning kinship care with the outcome of increasing placements in kinship care.HistoryCurrent StatusActivities and FocusKinship SearchCultural KinshipFamily Teaming
21 Improving Child Intervention Practice Enhanced Permanency RelationshipEnduring relationshipsRecognizes the value of past and current significant relationshipsMaintaining a child’s positive connections to family history, traditions, race, ethnic heritage, culture, community religion and languageMaintains child’s connections to extended family, siblings, and other significant adults
22 Improving Child Intervention Practice Enhanced Permanency PlacementStable placementsMinimal disruptionsSense of belongingHealthy attachmentsLegalAdoptionPrivate guardianship
23 Improving Child Intervention Practice Caregiver Support In support of achieving our desired outcomes for our children in care, we will be supporting our caregivers in a different way.Support initiatives will be directed in three target areas:improving child well beingincreasing caregiver capacityemphasizing caregiver connection to the child’s case team and an integrated planOver the past 3 years, PSO has matched 70 to 90 children to foster care placements each month and worked to fill every vacancy in group and residential care as quickly as possible. Over the recent months, as Jon’s data so clearly shows, the pace of children entering care has greatly reduced. In December, for instance, we matched 29 children in foster care, only 17 of those were new entrants to the system, the other 12 were placement changes in which were able to reunite siblings, etc.The majority of foster care and PSO staff’s time went to negotiating matches and intakes, crisis management and seeking out new options when temporary or tenuous placements did not work out.
24 Improving Child Intervention Practice Reconnect Youth Lifelong partnerships are an essential part of permanencyPermanency outcomes and options look different for youth with most (92%) aging out of permanent careWe need to look at more creative ways to meet the permanency goals for youthRegional Youth TeamsCurrent formation of Youth Assessment Team that will focus on our Front End strategies and using SOS, along with our partnering agencies at the HUB.Future Steps: Contracting SIL etc.
25 Improving Child Intervention Practice Outcome-Based Service Delivery (OBSD) OBSD….the journey continues:OBSD started in Region 3 July 2009 with Woods Homes and the Forest Lawn MSTAboriginal OBSD started July 2013 with an alliance of Pathways, Boys and Girls Club and Enviros called Mahmawi-atoskiwinThrough OBSD the CFS and lead agency work collaboratively to achieve the 5 outcomesMeasurement of Outcomes data (Provincially and Regionally) show OBSD sites achieve better outcomes in family preservation, family reunification and reoccurrence after file closure
26 Improving Child Intervention Practice Outcome-Based Service Delivery (OBSD) OBSD…the journey continues:Collaboration is a key principle of OBSD and is also a key principle of the Child Intervention Practice Framework, Signs of Safety practice approach and Front End practice approachHaving OBSD with a lead agency provides increased opportunities for flexible, responsive and creative service provisionProvincially and Regionally OBSD agencies are developing consistent tools and interpretation of the tools for assessing and measuring child development and parenting capacity over time and the effectiveness of interventions i.e. Ages and Stages, Family Assessment Tool, CAFS.
27 Improving Child Intervention Practice Outcome-Based Service Delivery (OBSD) Next StepsOBSD will continue to be implemented in Region 3.Learnings from Woods/Forest Lawn, Aboriginal Services/Mahmawi-atoskiwin, other provincial OBSD sites and the current practice shifts will be used to inform the continued implementation of OBSD.Based on current practice shifts, OBSD agency role will focus on the early involvement and front end practice.OBSD agencies will be expected to focus on increasing family wellness and utilizing models that have promising evidence and research.The gradual implementation of OBSD will continue this fall with a tender.
29 Aboriginal and Cultural Engagement Aboriginal Framework 2009, began the development of the Aboriginal FrameworkPrinciplesCulture and LanguageSelf DeterminationHolistic ApproachOngoing Learning/Best Practice
30 Aboriginal and Cultural Engagement Diverse Cultures Cultural brokerage program with Muslim communityExpanding cultural brokerage program to include ethno cultural backgrounds (of the majority of our referrals)The Cultural Brokerage Program will:Centre around the mentorship and connection of children and youth to their communityAssist families with navigating with CIAwareness/prevention/education between ethno cultural committees and ourselves.Cultural kinship/foster care recruitment
32 Prevention and Early Intervention (EI) As a region, we are committed to implementing the Prevention and Early Intervention Framework
33 Prevention and Early Intervention (EI) The framework is about implementing a continuum of evidence-based prevention and early intervention services that will effectively address the key drivers that cause children and youth to require child intervention services.There are a number of key elements of the framework which will influence and shape the work we want to do in the region.
34 Calgary and Area CFS Future Direction Research and Trendsin Child Intervention
35 Front-End Practice Sites CFSD - Resulted in Intervention Calgary and Area CFS Future Direction Research and Trends in Child InterventionFront-End Practice Sites CFSD -Resulted in Intervention85/15
36 Calgary and Area CFS Future Direction Research and Trends in Child Intervention
37 Caseload Trends in Region 3 Calgary and Area CFS Future Direction Research and Trends in Child InterventionCaseload Trends in Region 3Service SoonerMore At HomeMore EngagementMore Kinship
38 1. Screening Started by Group I.D. Calgary and Area CFS Future Direction Research and Trends in Child Intervention1. Screening Started by Group I.D.
39 Calgary and Area CFS Future Direction Research and Trends in Child Intervention 4. CP & FE Caseload
40 5. Family Enhancement Caseload Calgary and Area CFS Future Direction Research and Trends in Child Intervention5. Family Enhancement Caseload
41 Calgary and Area CFS Future Direction Research and Trends in Child Intervention 8. In-care Caseload
42 Calgary and Area CFS Future Direction Research and Trends in Child Intervention 9. Kinship Care
44 Calgary and Area CFS Future Direction - Recap Focus on 4 prioritiesRealign front end service deliveryUse research and data to enhance practiceAlberta Incident StudyBrain Development ResearchUse evidence informed and best practice programming to meet our outcomes
45 Complex child and youth management Changing Roles – How will foster care and kinship fit into this “new world of practiceReunificationPermanencyComplex child and youth management
46 Calgary and Area CFS Future Direction Questions?