1 BRINGING PREVENTION TO THE TABLE: STRATEGIES FOR IMPROVING OUTCOMES Julie Collins, LCSW Oct. 23rd, 2008

2 What we will cover Prevention –Definition –Continuum CBCAP Program –What it is and what it can bring to the table for improved outcomes Where Prevention fits in the CFSR/PIP process What this might mean in your work? Examples from States Discussion and Q and A

3 Prevention of Child Abuse and Neglect For the child welfare system, prevention usual means prevention of reoccurrence of abuse or neglect or prevention of removal once a child and family are involved with the child welfare system. It can also means prevention of a child returning to care/being removed from their caregiver. For programs such as the Community-Based Child Abuse Prevention (CBCAP) funded programs, prevention services are targeted towards prevention of child abuse and neglect prior to it happening or prior to any involvement with the child welfare system.

4 Continuum of Prevention of Child Abuse and Neglect Services Primary or Universal Secondary or Selected Tertiary or Indicated Primary prevention consists of activities that are targeted toward the community at large. These activities are meant to impact families prior to any allegations of abuse and neglect. Secondary prevention includes activities targeted to vulnerable families that have one or more risk factors, including families with substance abuse, teen parents, parents of special needs children, single parents, and low income families. Tertiary prevention consists of activities targeted to families that have confirmed or unconfirmed child abuse and neglect reports. These families have already demonstrated the need for intervention, either with or without court supervision. These are families that qualify for services under child welfare programs. These are families where there is an open case.

5 CBCAP Program To support development and expansion of community-based and prevention-focused programs and activities to support and strengthen families and prevent child abuse and neglect. To support meaningful involvement of all parents, including parents with disabilities, in planning, implementing and evaluation of prevention programs. To enhance States’ evaluation capability to determine effectiveness of funded prevention programs and activities.

6 CBCAP Program continued To promote greater linkages with other National and Statewide systems change efforts such as the Child and Family Services Reviews (CFSRs). To support training and technical assistance for lead agencies on program requirements, as well as support ACF Priorities, e.g., healthy marriage, responsible fatherhood, outreach to faith- and community-based programs, positive youth development, and the rural initiative.

7 CBCAP Target Populations Vulnerable families at risk of abuse or neglect. Special focus on specific populations: –Parents (all, new, teens, etc.). –Parents/children with disabilities. –Racial and ethnic minorities. –Members of underserved or underrepresented groups. –Fathers. Includes activities for General Population.

8 Authorized Activities under CBCAP Provide comprehensive supports for parents. Promote development of parenting skills, especially young parents or those with young children. Improve family access to formal and informal resources. Support needs of parents with disabilities through respite or other activities. Provide referrals to early health and development services. Promote meaningful parent leadership.

9 Other Authorized Activities Financing development of continuum of prevention services through public –private partnerships. Financing start-up, maintenance expansion, or redesign of Child Abuse Prevention programs and activities that are identified as unmet needs. Maximizing funding through leveraging funds for Child Abuse Prevention programs and activities. Financing public education activities that focus on health and positive development of parents and children and promotion of Child Abuse Prevention.

10 CBCAP Conceptual Framework

11 Prevention and the CFSR/PIP Key CFSR Outcomes where Prevention can “fit”: Indicators –Safety –Children are, first and foremost, protected from abuse and neglect. –Children are safely maintained in their homes whenever possible and appropriate. –Family and Child Well-Being –Families have enhanced capacity to provide for their children's needs. –Children receive appropriate services to meet their educational needs. –Children receive adequate services to meet their physical and mental health needs

12 Prevention and the CFSR/PIP Key CFSR Outcomes where Prevention can “fit”: continued Systemic Factors –Service Array and resource development Needs assessment for the full continuum Resource identification Filling gaps in the continuum of services through such means as joint RFPs to combine resources/reduce duplication, targeted legislation changes (new money for services for early childhood or infant mental health) –Responsiveness to community Participating in IVB planning Integration of plans to reduce duplication of efforts Community collaborations System reform efforts –Quality Improvement Participation in activities to review data especially around practice changes to refer at- risk families before reaching the level of an investigation

13 Prevention and the CFSR/PIP CFSR/PIP Process where Prevention can “fit”: Planning calls –Important to hear what is going on and how it will take place –Timeframes Statewide Assessment –Helping with the service array – identifying resources and gaps –Linking with the data to understand how programs/services might need to shift to address the gaps –Assist with case reviews Onsite review Exit meeting –Important to understand what the whole system needs to be working on to know where can impact –Often see/hear the info differently than others so might have good insights as to how to address PIP kickoff meeting and subsequent PIP planning meetings –Input to how the prevention (key program components) could help state

14 Prevention and the CFSR/PIP PreventionState Mention of primary prevention or involvement of the Children's Trust Fund or Community- Based Family Resource and Support/CBCAP program as part of the array of services to prevent abuse and maintain safety FL, IL, MI, MO, NC, NH, OK, PA, RI, UT Note: all are states where the CBCAP grant dollars are administered by the child welfare agency Use of the words primary and secondary prevention FL, NC, MI, NJ, OK, RI Finished or in the process of developing a state plan for prevention NM, RI, TX, Taken from An Analysis of Primary and Secondary Child Abuse and Neglect Prevention in the Child and Family Service Reviews and Program Improvement Plans

15 Prevention and the CFSR/PIP IN 2007 CBCAP Application: Forty-four States report some coordination between the CBCAP programs and their CFSR/ PIP/ CFSP process. This coordination usually entails having prevention representation on PIP workgroups and/or participation on Statewide advisory committees for the CFSR/PIP/CFSP process. Some States have specifically identified CBCAP funding priorities or other activities based on the findings of the CFSR/PIP. Thirty-one States report strong fiscal and programmatic coordination between their Promoting Safe and Stable Families (PSSF) program and CBCAP. Several States are using blended funding pools, which include PSSF, TANF, and the Early Intervention Program, Part C Adapted from 2007 CBCAP Applications Summary report by Melissa Brodowski continued……..

16 Prevention and the CFSR/PIP States with CFSR/ PIP Linkages –Strong coordination (PIP) (14): AL, AK, CA, IA, KY, MN, NV, NJ, NY, ND, PR, PA, SD, WY –Participating in stakeholder groups/ CFSR/PIP committees (30): AZ, CO, CT, DE, DC, FL, GA, ID, IL, IA, KS, LA, ME, MD, MA, MI, MO, MT, NE, NH, NC, OK, OR, RI, SC, TX, VT, VA, WA, WI –Early collaboration (4): AR, HI, MT, WV –No CFSR linkage discussion in application (4): MS, OH States blending CBCAP & PSSF funds for RFPs (7): AK, CA, KY, MN, ND, OK, WY States with CBCAP/ PSSF linkages (31): AL, AK, AZ, CA, CO, FL, GA, ID, IL, IA, KS, KY, LA, MA, MI, MT, NE, NV, NJ, NY, NC, ND, PR, OR, SC, SD, TN, UT, VA, WV, WY Adapted from 2007 CBCAP Applications Summary report by Melissa Brodowski

17 Examples of Key Program Areas Prevention Plan Needs Assessment Collaboration - Partnerships Connections to networks in the community Parent Leadership/engagement System reform Leveraging Funding

18 Discussion and Q and A Please share your questions and comments! When the audio lines are un-muted, please keep background noise down. If there are loud noises or conversations around your phone, use your mute button or use – *6* to mute your line *6* to unmute your line

19 Resources FRIENDS National Resource Center for Community Based Child Abuse Prevention- National Resource Center for Organizational Improvement Child Welfare Information Gateway –

20 Contact Information Julie Collins –CWLA’s Project Director for FRIENDS NRC for CBCAP –