IV-E Prevention Family First Implementation & Policy Work Group LPRO: Legislative Policy and Research Office

IV-E Overview family situation comes to the attention of child welfare mental health services substance abuse prevention and treatment in-home parent skill-based programs child(ren) removed from home and enter foster care foster care maintenance payments and administrative payments LPRO: Legislative Policy and Research Office

IV-E Prevention Beginning October 1, 2019: IV-E available for up to 12 months for services for families of children who, without these services, would likely enter foster care, and pregnant and parenting foster youth. No income test Per family/episode Uncapped partial matching dollars LPRO: Legislative Policy and Research Office

IV-E Prevention Services include: mental health services substance abuse prevention and treatment services in-home parent “skill-based” programs (parent training, home visiting, individual and family therapy) Services and programs must be identified and specified in prevention plan for each child prior to providing services. LPRO: Legislative Policy and Research Office

IV-E Prevention family situation comes to the attention of child welfare prevention plan written for child(ren), identifying services and foster care prevention strategy mental health services substance abuse prevention and treatment in-home parent skill-based programs child(ren) remain safely at home or with relative caregivers LPRO: Legislative Policy and Research Office

Prevention Program Requirements Trauma Informed Services or programs provided under an organizational structure and treatment framework that involves understanding, recognizing, and responding to the effects of all types of trauma and in accordance with recognized principles of a trauma-informed approach and trauma-specific interventions to address trauma’s consequences and facilitate healing. LPRO: Legislative Policy and Research Office

Prevention Program Requirements practice has a book, manual, or other available writings that specify the components of the practice protocol and describe how to administer the practice there is no empirical basis suggesting that, compared to its likely benefits, the practice constitutes a risk of harm to those receiving it if multiple outcome studies have been conducted, the overall weight of evidence supports the benefits of the practice outcome measures are reliable and valid, and are administered consistently and accurately across all those receiving the practice there is no case data suggesting a risk of harm that was probably caused by the treatment and that was sever or frequent LPRO: Legislative Policy and Research Office

Evidence Standard Services and programs that meet the requirements for being a promising, supported, or well-supported practice shall be IV-E eligible. Promising: At least one study that used some form of control group (e.g., wait list study, placebo group) to determine effect. Supported: At least one study that used a random control or quasi-experimental trial to determine effect; sustained effect of at least 6 months. Well-supported: At least two studies that used a random control or quasi-experimental trial to determine outcomes; sustained effect of at least 1 year. LPRO: Legislative Policy and Research Office

Outcome Assessments & Evaluation The state must collect and report to HHS the following: The specific services/programs provided Total expenditures provided Duration of services/programs provided Placement status of child(ren) at the beginning and end of 12 month period, and whether entered foster care within 2 years The state must have a well-designed and rigorous evaluation strategy for promising, supported, or well-supported practice. HHS may waive this requirement. The state cannot receive FFP for program or service unless the evaluation strategy is included in the 5 year Prevention Plan.* *HHS must provide technical assistance LPRO: Legislative Policy and Research Office

Clearinghouse HHS shall, directly or through grants, contracts*, or interagency agreements, evaluate research on the prevention services and programs, including culturally specific, or location- or population-based adaptations of the practices, to identify and establish a public Clearinghouse of the practices that satisfy each category. The Clearinghouse shall include information on the specific outcomes associated with each practice, including whether the practice has been shown to prevent child abuse and neglect and reduce the likelihood of foster care placement by supporting birth families and kinship families and improving targeted supports for pregnant and parenting youth and their children. *Abt Associates was awarded the contract to build the Clearinghouse LPRO: Legislative Policy and Research Office

Questions, Concerns, & Next Steps Develop Provider Survey Disseminate Provider Survey Analyze results (build map) What else? LPRO: Legislative Policy and Research Office