Presentation on theme: "NORTH CAROLINA’S MULTIPLE RESPONSE SYSTEM POLICY TRAINING 2006"— Presentation transcript:
1 NORTH CAROLINA’S MULTIPLE RESPONSE SYSTEM POLICY TRAINING 2006 Welcome, make introductions of any MRS pilots’ staff and Division management team present.Housekeeping (bathrooms, refreshments, etc.)Note that portions of this slideshow are interactive through the use of hyperlinks.
2 North Carolina Department of Health and Human Services Division of Social ServicesFamily Support and Child Welfare SectionHolly McNeill – MRS Policy ConsultantOfficeR. Patrick Betancourt – MRS Program CoordinatorOffice
3 MRS is child welfare system reform through the application of family centered principles of partnership.During SFY the 100 county Departments of Social Services conducted CPS assessments on 111,581 children96,938 (about 87%) of these children were reported for neglect or dependency issues
4 Our practice has become inconsistent Why Reform?Our practice has become inconsistentWe focus on “incidents” and are not able to see the underlying needs of the familyWe need to move from the “We gotcha!” to the “How can we help?” attitude“One size does not fit all” in assessing the needs of 111,581 childrenWe need to adequately utilize our resources by spending the most time on the highest risk cases
5 Six Principles of Partnership Everyone desires respectEveryone needs to be heardEveryone has strengthsJudgments can waitPartners share powerPartnership is a process
6 Seven Strategies of MRS Collaboration between Child Welfare and Work FirstA strengths-based structured intakeChoice of two approaches to reports of child abuse, neglect, or dependencyCoordination between law enforcement agencies and Child Protective Services during the Investigative AssessmentRedesign of mandatory CPS In-Home ServicesChild and Family Teams during the provision of in home servicesShared Parenting meetings within the first 7 days of placement out of the home
7 Starting with Structured Intake all the way through to Permanency is EVERYTHING YOU DO…Starting with Structured Intake all the way through to Permanency isMRSapproach every call…every interview...every interaction with a child, parent, reporter, collateral contact, foster parent, and community partner using the six family centered principles of partnership
8 “Stepping Stones” of Family Centered Practice Safety of the child is the first concernChildren have the right to their familyThe family is the fundamental resource for the nurturing of children.Parents should be supported in their efforts to care for their children.A crisis is an opportunity for changeFamily members are our colleaguesFamilies are diverse and have the right to be respected for their special cultural, racial, ethnic, and religious traditions; children can flourish in different types of familiesInappropriate interventions can do harmFamilies who seem hopeless can grow and changeIt is our job to instill hope
9 The MRS Golden Rule?An easy way to remember it is to always consider: “how would I want to be treated if this was me and my family?”
10 Legislative History of MRS in North Carolina Session Law (Senate Bill 1005): effective July 1, 2001…no fewer than two and no more than ten demonstration countiesselected reports of suspected child neglectdata collection processesno state fundsrequired DHHS,DSS to develop a plan working with local departments of social services, to implement an alternative response system of child protection in no fewer than two and no more than ten demonstration counties in the statelocal DSSs were authorized to utilize family assessment tools and family support principles when responding to selected reports of suspected child neglectmandated that DHHS develop data collection processes that would enable the General Assembly to assess the impact of the demonstration project on issues including child safety, timeliness of response, timeliness of service, coordination of local human services, cost-effectiveness, and any other related issuesrequired that no state funds be identified for the purpose of implementing the project
11 Legislative History of MRS in North Carolina (cont’d.) Session Law (Senate Bill 1115): effective July 1, 2002…expanded to include suspected reports of dependency,required a report on the effectiveness of MRS no later than April 1, 2003,expanded the scope of the demonstration project to include suspected reports of dependency, as well as those of neglect, among those that may be responded to through the demonstration projectrequired the Department of Health and Human Services to provide the General Assembly with a report no later than April 1, 2003, on activities conducted in the demonstration project.
12 Legislative History of MRS in North Carolina (cont’d.) Session Law (House Bill 397):effective July 1, 2003…no fewer than 10 and no more than 33 demonstration areasexceed max number if a county specifically requests inclusion and resources are availableoriginal pilots continuefamily-centered approach to CPScontinue the evaluation of MRSreport by April 1, 2004recommendations for statewide implementation must be included in the report
13 Legislative History of MRS in North Carolina (cont’d.) Session Law (Senate Bill 421): effective July 4, 2003 amended…N.C.G.S. § 131D-10.6A(b) to specify that each child welfare social worker must receive training on family centered practices and state and federal law regarding the basic rights of individualsN.C.G.S. §7B-302 to specify that the director or director’s designee may not enter a private residence for investigation purposes without specific criteria being met
14 4 Criteria for Home Entrance The reasonable belief that a juvenile is in imminent danger of death or serious physical injury.The permission of the alleged victim child’s parent or person responsible (adult) for the juvenile’s care.The accompaniment of a law enforcement officer who has legal authority to enter the residence.An order from a court of competent jurisdiction.
15 Session Law 2005-55 (House Bill 277) Defines both Family Assessment Response and Investigative Assessment Response.States that each county of the state shall use either the Family Assessment or Investigative Assessment response in response to reports of abuse, neglect and dependency.Leaves the assignment of the response to the county DSS DirectorRemoves the requirement to make a home visit in child care related CPS investigative assessments
16 Work First – Child Welfare Collaboration Mutually supporting activities designed to fulfill the Division’s Mission of ensuring safety, permanence, and well-being for North Carolina’s children and self-sufficiency for North Carolina’s families:ensures that children and adults are protected from abuse, neglect, exploitationenables citizens to maintain or achieve maximum self-sufficiency and personal independence through employment if possibleensures that every family and individual has sufficient economic resources to obtain the basic necessities of lifestrengthens family life in order to nurture our children so that they may become productive,healthy, and responsible adultsassists disabled and dependent adults, while ensuring they live in the most independent setting feasible with the least possible intrusion from public agencies
17 Enhancing Work First and Child Welfare Collaboration: Use one another as collateral contactsAttend each other’s staff meetingsMake joint home visitsMaintain regular communicationCreate complimentary plansInvolve Work First at the point of initial Child Welfare contactConsider which is the best service case managerCheck mutual histories at first contactCross train staff
18 Intake and Screening Reports of Suspected Child Maltreatment MRS does not change the intake processContinue using DSS-1402Consult manual material, forms, laws and policyMandates to notify reporters, LEA, DA, DCD, etc. remainConfidentiality of reporters remainsLimitation on contact with non-reporters (no extended intake)Agency’s “response clock” begins ticking at time of intake
19 Intake and Screening Reports of Suspected Child Maltreatment (cont’d.) Strengths Based Structured Intake does:Focus on family strengths in an effort to ensure the safety of childrenRespectfully allows reporters to be heard, supported, and encouragedEncourage the identification of collaterals and supportive agenciesImprove the quality and consistency of informationScreen for DV, substance abuse, medical insurance coverage, and “medical home” 100% of the timeProvides the foundation for the delivery of family centered services
20 Assignment of Reports for Assessment If, through structured intake, DSS determines that a valid CPS report has been received it must take action through protective services to ensure the safety of the childThat action is to respond using one of two approaches. In both responses (Family Assessment and Investigative Assessment) the DSS:Codes 210 on Day Sheets (DSS-2203)Initiates contact within mandatory time framesInvokes the jurisdiction of the court if needed the ensure child safety
21 “Switching Responses” (Investigative Assessment Family Assessment) No abuse, abandonment, or “special types” of report that remains as reported throughout the assessment may be completed as a Family AssessmentAn Investigative Assessment may be switched to the Family Assessment response if it becomes obvious that it could have been assigned as such if the true situation was known at intake
22 “Switching Responses” (Family Assessment Investigative Assessment) Any neglect or dependency report may be assigned initially and initiated as an Investigative AssessmentAny report initially initiated in the Family Assessment response may be switched to an Investigative Assessment if it becomes obvious it should have been assigned as such if the true situation was known at intake.
23 Key Points about “Switching Responses” should not be done frequentlyshould not be done without a thorough discussion of the case between the social worker and the supervisormust be done with supervisory approval and documentation in the record should also clearly show why such a decision was made, and how it helped ensure the safety of the child
24 Reports Appropriate for the Family Assessment Approach Those reports of:neglect (except abandonment and other special types of reports)dependencythat meet the statutory definition of: N.C.G.S.§7B-101
25 These include allegations a juvenile … does not receive proper caredoes not receive proper supervisiondoes not receive proper disciplineis not provided necessary medical careis not provided necessary remedial carelives in an environment injurious to his/her welfare
26 Also included are allegations that a juvenile… has been placed for care or adoption in violation of lawlives in a home where another juvenile has been subjected to abuse or neglect by an adult who regularly lives in the homeis in need of assistance or placement because he/she has no parent, guardian, or custodian responsible for the juvenile's care or supervisionwhose parent, guardian, or custodian is unable to provide for the care or supervision and lacks an appropriate alternative child care arrangementis involved in a situation where one DSS is conducting a reciprocal (conflict of interest) assessment on reports of neglect or dependency
27 Reports Appropriate for the Investigative Assessment Approach Those reports of:abuseabandonmentcertain “special types” of reportsthat meet the statutory definition of: N.C.G.S.§7B-101
28 These include allegations a juvenile … has been physically abusedhas been sexually abusedhas been emotionally abusedhas been involved in moral turpitude“special” types of reports
29 “Special” Types of Reports includes any report involving: a child fatality when there are surviving children in the familya child in custody of local DSS, family foster homes, residential facilities, and child care situations, and reciprocal investigative assessment on abuse reportsa child taken into protective custody by law enforcement officer or a physician, pursuant to N.C.G.S.§7B-308 and N.C.G.S. § 7B-500the medical neglect of disabled infants with life threatening condition, pursuant to Public Law (Baby Doe)a child hospitalized (admitted to hospital) due to suspected abuse / neglectabandonmentsuspicion or actual presence of a methamphetamine labchild under one year of age shaken or subjected to corporal punishment.
30 What’s different in how DSS responds? First…what does not change is the county department’s mandate to comply with all laws and administrative codes during the provision of child protective serves.
31 Conducting an Assessment using the Family Assessment Response Initiate within mandatory standard times frames (immediately, 24 hours or 72 hours from intake)DSS decides with whom to initiate initial contactRecommended first contact is with the parentsMost of the time first face-face contact will be with the parents and childInterview children (with permission of parent) in private as necessary to ensure safetyIn DV cases, never force adult victims or children to be interviewed or develop plans in presence of the perpetrator of violenceTake an MRS brochure and explain the process of the assessment
32 Conducting an Assessment using the Family Assessment Response (cont’d Conduct the Safety Assessment using the DSS-5231 to document findingsDevelop safety responses with the family if “Not Safe” or “Conditionally Safe”Allegation is never used to warrant a safety response…only address identified safety issuesIntroduce other structured decision making tools as appropriate to help engage and inform family of the Family Assessment processContact every collateral named by reporterParent chooses level of involvement with professional collateralsProtect the safety of non-professional collaterals as needed
33 Conducting an Assessment using the Family Assessment Response (cont’d Ask parents for collaterals and contact them prior to case decision / findingUse the CME / CFE (CMHE) programs as outlined in policyInvolve families in completion of all structured decision making forms as appropriateComplete the assessment within 45 days or document inability to do so and notify parentsCase decision / finding focuses on the level of need for services, not identification of a perpetratorCase decision / finding is made by worker and supervisor, or staffing teamDocument findings on DSS-5104
34 “Ceasing” the Family Assessment If the agency responds to a neglect or dependency report using a Family Assessment response and determines that there is clear evidence the allegations do not constitute neglect or dependency as defined in N.C.G.S. §7B-101, the agency can cease conducting that Family Assessment as long as the Safety Assessment (DSS-5231), Risk Assessment (DSS-5230) and Family Strengths and Needs Assessment (DSS-5229) reflect no issues of frequency or severity of maltreatment, no current safety issues and no future risk of harm.
35 “In Need of Services” Case Finding safety issues and future risk of harm is so great that the agency must provide involuntary services (the safety and risk of harm is so great that you can not “walk away” from this family)reported to the Central Registry with no perpetrator information entered
36 “Services Provided, No Longer Needed” Case Finding safety of a child and future risk of harm are no longer issues because the agency had been successful in “frontloading” necessary services during the family assessmentcontinued involuntary CPS supervision is no longer needed to ensure the child’s safetyreported to the Central Registry with no perpetrator information entereddocument any service referral deemed appropriate to meet the family's non-safety connected needuse services codes 122 or 330 to provide services under this finding, if this is available
37 “Services Recommended” Case Finding: safety of a child is not an issue and future risk of harm is not an issuenot appropriate if agency feels it needs to monitor compliance due to safety and future risk of harmDSS may have begun "plugging" services in during the assessment or will make the recommendation for services at the point of the finding for any service referral deemed appropriate to meet the family's non-safety connected needuse services codes 122 or 330 to provide services under this finding, if this is availablealso used when the agency makes referrals to community partnersreported to the Central Registry with no perpetrator information entered
38 “Services Not Recommended” Case Finding: appropriate for cases in which the safety of a child not an issuethere is no concern for the future risk of harm to the childthe family has no need for other non-safety related servicesreported to the Central Registry with no perpetrator information entered
39 Family Assessment Cases Key Points: In all things, at all times, ensure the safety of the childMake the process as transparent as possible so the family can “see” what is happening to them and their childrenRespect the family and partner with them to safely resolve issues of safety, permanence, and well being
40 Family Assessment Central Registry Issues: No perpetrator name or relationship entered on DSS-5104No maltreatment code will be reported“In Need of Services” will be reported in Field 21 as 05“Services Recommended” as 06“Services Not Recommended” as 07“Services Provided; No Longer Needed” as 08
41 Conducting an Assessment Using the Investigative Assessment Response Conducted according to the current CPS investigation process (Sections 1408, 1416, and 1418 in the Division’s current CPS manual)Develop a close working relationship with law enforcementMemorandums of Agreement developed to ensure an effective working relationship.Goals are to hold perpetrators accountable for harming children, reduce the number of interviews for children; and enhance the evidence gathering process for law enforcement
42 CPS In-Home ServicesInvoluntary CPS for cases “Substantiated” or found to be “In Need of Services”Coded 215 on Day Sheets (DSS-2203) (as long as Risk Ratings = Intensive, High, and Moderate)Family seen within 7 days of decision to begin service planningIn cases involving DV never force adult victims of violence or children to meet with, develop plans with, or be in the presence of the perpetrators of violence
43 CPS In-Home Family Service Agreements (DSS-5239) Serves as the foundation for working with familiesCompleted within 30 days of case decisionUpdated every 3 months, as often as circumstances warrant a change, or within 30 days of removalBased upon Strengths / Needs and Risk Assessments as documented with structured decision making tools
44 In-Home Services Foundations for Practice: Families are unique and distinctive.Families have their own culture and set of norms and all function differently.Social workers can better address risk, support and engage families in the process to promote planning and achieve positive change for children and families.In using this methodology, the three of the four core outcomes of safety, permanence and well being will be addressed within families with whom we work (self-sufficiency can be achieved through coordination with Work First’s Mutual Responsibility Agreement)
45 CPS In-Home Services in NC: Intensive/High RiskModerate RiskFamily Support (Low Risk) Voluntary Services provided by the DSS or an agency in the community
46 CPS In-Home Services provided to North Carolina children who… are “reasonable candidates for Foster Care in the absence of preventive services.”
47 Case Contacts in Intensive / High Risk Cases: Weekly Face-to-Face Contacts with the FamilyAll “Substantiated” or “In Need of Services” children and their caregivers twice per monthChildren who were “Unsubstantiated” or found not to need mandatory services at least once per month“Off Weeks” with as many significant family members as necessary to ensure the safety of the children“Significant family members” are those people in the home who can ensure the safety of the childrenTwo contacts with service providers per month (Mental Health, Educators, Daycare, Work First, Eligibility Services, etc.)Contacts may be made at the CFT MeetingsSW-SW Supervisor staff frequently enough to ensure safety…best practice suggests weekly but this is not a requirement
48 Case Contacts in Moderate Risk Cases: All “Substantiated” or “In Need of Services” children and parents twice per monthTwo contacts with service providers per month (Mental Health, Educators, Daycare, Work First, Eligibility Services, etc.)Contacts may be made at the CFT MeetingsSW-SW Supervisor staff enough to ensure safety…best practice suggests monthly but this is not a requirement
49 Child and Family Team Meetings (CFT) A CFT is a group of persons identified by and with the family who are committed to the child and family and are invested in helping them change.It utilizes a team decision making approach to:improve the agency’s decision making processencourage the involvement, support and “buy-in” of the family, extended family, and the community to the agency’s decisionsdevelop specific, individualized, and appropriate interventions for children and families.specific documentation of CFT is critical
50 Child and Family Team Rule #1! In all cases, at all times, the CFT meeting is WITH the family, not ABOUT the family.ENGAGE…ENGAGE…ENGAGE!!!Seek the family’s input and ideas!!!They are the experts!!!
51 CFT Membership: (May Change as Case Changes) ALWAYS includes the family (no family..no CFT)Anyone significant to the family (family decides who this is)The child (if age appropriate)Safety resourcesFacilitatorSocial WorkerRelevant service providersFoster parents (if child placed)
52 CFT Frequency Intensive / High Risk Cases Within 30 days after the assessment case decisionQuarterly while the case remains open for CPS In-Home Services Intensive / High Services (or as often as needed to update the service agreement)Critical decision points in the case (removal of a child from the home or a change in placement)Any time a significant change in the service plan is needed to ensure the safety of the childPrior to any petition or court actionTo address the unique characteristics, and possible resolutions, for “stuck cases”Case closure (when requested by the family or a service provider)
53 Child and Family Team Rule #2! All Child and Family Team meetings conductedwhile the case has a High or Intensive risk ratingwill have a facilitator, except those thatinvolve case closure.
54 “Facilitator”Experienced, trained person with no or as little case responsibilities as possible who:manages the CFT meetingsbuilds trust in the partnership processmakes sure everyone is heardassures common understandinghelps team find common groundencourages the team to build creative ways to ensure the child’s safetyassures the meeting is WITH the family NOT ABOUT them (CFT Rule #1)
55 Intensive Family Preservation Services (IFPS) in CPS In-Home Cases Intensive, in-home crisis intervention servicesDesigned to help families with children at imminent risk of placementTime limited (usually a maximum 6 weeks)Smaller caseloads24 hour availability of staffIFPS worker becomes a member of CFT as long as IFPS in placeContacts of IFPS worker counted towards weekly CPS In-Home contacts as long as purpose is documentedIFPS workers provides DSS social worker with written documentationMeeting with DSS social worker, IFPS worker, and Family (best practice CFT meeting) within seven days of IFPS completion
56 CFT Frequency Moderate Risk Cases Within 30 days following the case decisionQuarterly while the case remains open for CPS In-Home Moderate Services (or as often as needed to update the service agreement)Use of a facilitator decided by the individual agency based upon what is needed to ensure safety of the child.
57 “Stuck Cases” and MRS (Moderate Risk…No Progress or No Cooperation) No progress made at Child and Family TeamDiscussion between SW and SupervisorUsing the Structured Decision Making tools evaluate:Safety (other reports? current safety issues?)Future Risk (what exactly are the risks to children?)Strengths / Needs (what issues remain unfilled?)If Safety and Risk warrant, file a juvenile petition for an adjudicationDocument all services offered and the family’s responses and progress (if any) if it is decided to close the caseNotify the family in writing of the decision to close the case (indicate their lack of progress will be considered if future CPS issues arise)
58 Family Support Services (FSS) Service Code 122 Community-based services to promote the well-being of children and familiesDesigned to increase the family’s strengths and stability to increase parents' confidence and competence in their parenting abilities, to afford children a stable and supportive family environment, and otherwise to enhance child developmentVoluntary services and can be provided by the agency, within the agency outside of CPS or in a community agencyLow risk (and some moderate) and the agency can "walk away" from this familyFamily can refuse or end for any reason at any time with no repercussions
59 FSS Guidelines Recommended CFT to conduct thorough assessment Explanation of client’s rights to end servicesUse Structured Decision Making tools as appropriate with family to plan servicesFamily Support Plan to document servicesOn-going assessment using Family Strengths & NeedsServices provided by DSS or any other unit in the agencyFace to face contact with a family member monthlyIntra-agency check for servicesDSS decides best agency case managerContact family within seven days to explain services
60 MRS and Placement Activities Shared Parenting MeetingBuilds relationship between birth and foster parentsHeld within seven days of placementDesigned to make all parents part of the “team” and engage them in issues related to the child’s daily lifeAllows birth parents opportunity to teach foster parents about their childChild and Family Team MeetingCFT when DSS believes a child cannot be maintained safely in the homeCFT meetings take the place of PPAT throughout the life of the case, until the child has achieved permanencyIf immediate safety threatened, ensure it first then convene the CFT the next business day
61 Finally…REMEMBER THAT FAMILY CENTERED PRACTICE IS ABOUT RESPECTING THE FAMILY WHILE ENGAGING THEM TO ENSURE THE SAFETY OF THEIR CHILDREN