1. SafeCare Colorado Office of Early Childhood Webinar Thursday, January 9 th, 2014 1 Julia Blomberg, MS SafeCare Colorado Administrator julia.blomberg@state.co.us 303.866.4291

2. SafeCare Colorado SafeCareCO@childrenscolorado.org 2

3. 3 3 Focusing on Prevention TitleDescription / Key Components Core Services Additional funding for all counties to meet Core Services needs Allows more resources to support families in keeping kids safely in their homes SafeCare In-home prevention service designed to stabilize families and prevent child maltreatment Parents are assisted through services addressing child behavior management, planned activities training, home safety training and child health care skills All services are voluntary and assist families that are not part of the child welfare system Program resources include home visits, family coaches and access to other services that may be of need to a family, i.e., food assistance, work assistance, child care assistance, etc. Will be made available to Colorado communities through The Kempe Center

4. 4 4 Focusing on Prevention TitleDescription / Key Components Nurse Family Partnership Introduces first-time parents to caring maternal and child health nurses A bridge between Nurse Family Partnership nurses and county caseworkers to ensure that first-time moms-to-be have access to county-provided assistance programs Will be implemented under the direction of Dr. David Olds Community Response Program Draws on public, private and community supports to keep kids safe A promising practice for preventing child maltreatment and strengthening family functioning by increasing a family’s protective capacities Will serve families that have been reported to a county child protective agency for alleged child abuse or neglect but are either screened out or closed after initial assessment Participation is voluntary, and reaches out to families earlier when they are facing stress in an effort to prevent child abuse and neglect

5. Why use SafeCare? How does SafeCare benefit the department? Associated with reduced home visitor staff burnout and turnover SC is cost-effective: Of the 11 Child Welfare programs recently studied by the WA State Institute of Public Policy: SC costs the least ($102/family), has highest Benefit to Cost Ratio ($14.65/dollar spent) of all 11, and has a 100% odds of a positive net value—only 4 of the 11 have these odds How does SafeCare benefit children and families? SC parents improve skills in child health, safety, and parent-child interaction (assessed by independent observations) SC prevents child maltreatment incidents and risk for families 26% less re-reports (i.e., screened-in) for SC families with a previous case in assessment or open- for-services phase (Across 7 years: 33%, vs. 45% re-reports for service-as-usual) 75% reduction in substantiated reports for SC families with a previous substantiation (Across 3 years: SC had 15% substantiated; Family Preservation had 44% substantiated) Decreases in self-report measures of maternal child abuse potential and depression 5

6. Why use SafeCare?cont. Families like SC More likely to enroll in, more satisfied with, and found SC services to be more culturally relevant than service-as-usual (CPS families randomly assigned to SC or standard in-home behavioral health services) How does SC benefit diverse children and families? SC materials available in Spanish SC works with diverse families (Latino and American Indian) Similar improved recidivism reduction found (AI; Latino studies in progress) Reduced parental depression (AI; Latino studies in progress) High family rating of Cultural competency, Working alliance, Service quality, Service benefit (Latino & AI) 6

7. Timeline August 2013: Cohort 1 RFA released / Technical Assistance Conference Call / Letters of Intent received / Updated Q&A’s sent several times September 2013: 9 RFA’s received representing 29 counties / 4 sites chosen by Prevention Steering Committee representing 16-17 counties Partners included Public Health, Home Visiting Agencies, Family Resource Centers, and private providers October – December 2013: Multiple Implementation Team meetings planned with key leaders and champions at sites, in human services and the community, to initially build client base, plan for anticipated barriers, and continuously adapt to changes during the roll-out January 2014: National SafeCare Training and Research Center (NSTRC) will complete orientation meetings and trainings at sites All Cohort 1 sites will be finished with orientation and training, and home visitors will be accepting referrals by February 10, 2014 7

8. Timeline cont. January-December 2014: NSTRC provides ongoing coaching for home visitors at 4 sites + 2 coach/trainers at Kempe Spring 2014: Kempe/CDHS webinar to discuss progress and lessons learned thus far, and open for questions from potential Phase II sites. Kempe available to work with interested potential Phase II sites before RFA released. Mid-May to Mid-June 2014 (tentative): Next RFA released and due in 4 weeks / Sites chosen July – December 2014 (tentative): Implementation Team work with Cohort 2 sites January 2015 (tentative): Kempe to complete orientation and trainings with Cohort 2 sites 8

9. Adams Alamosa Arapahoe Archuleta Baca Bent Boulder Chaffee Cheyenne Clear Conejos Costilla Crowley Custer Delta Denver Dolores Douglas Eagle Elbert El Paso Fremont Garfield Gilpin Grand Gunnison Hinsdale Huerfano Jackson Jefferson Kiowa Kit Carson Lake La Plata Larimer Las Animas Lincoln Logan Mesa Moffat Montezuma Montrose Morgan Otero Ouray Park Phillips Pitkin Prowers Pueblo Rio Blanco Rio Grande Routt Saguache San San Miguel Sedgwick Summit Teller Washington Weld Yuma Creek Mineral Juan SafeCare Colorado – Year 1 Implementation DRAFT MAP Broomfield Mesa Public Health 4.5 home visitors Southwest Region Public Health 3.5 home visitors Denver/JeffCO Savio 6 home visitors Northeast Region Baby Bear Hugs 4 home visitors Revised: 10.28.13 JB Ute Mountain Ute Tribe Southern Ute Tribe Site 1 Site 2 Site 3 Site 4

10. SafeCare 101 Evidence-based, in-home parent-training curriculum Behavioral, skill-based model Targets parents with children ages 0-5 Designed for high risk families Teaches parents a broad range of skill Targets multiple risk factors for abuse and neglect Focuses on typical daily activities Highly structured, but flexible in its delivery Services provided in-home SafeCare relies on behavioral principles 10

11. 15 to 18 sessions 5 to 6 sessions per module Home Safety Module Health Module Parent-Infant or Parent-Child Interaction Module Typically once a week Depends on parent’s initial skills and skill acquisition 1 to 1.5 hour sessions Scheduled when assessment/training most applicable (e.g. nap, bath) SafeCare Program Overview Assess (session 1) Train (sessions 2-5) Assess (session 6) ExplainModelPracticeFeedback 11

12. 12 Home Safety Module – Targets risk factors for environmental neglect and unintentional injury. Home visitors teach parents to childproof the home. Health Module – Targets risk factors for medical neglect. Home visitors teach parents when to treat at home, call the doctor, or visit the emergency room. Parent-Child/Parent-Infant Interactions Module – Targets risk factors associated with neglect and physical abuse. Home visitors teach parents to provide engaging and stimulating activities, increase positive interactions, and prevent challenging child behavior. SafeCare Modules

13. Home visitor (5 days) Learning goal: How to deliver SafeCare with fidelity Coach (1 day) Learning goal: Learn to conduct fidelity monitoring and provide supportive feedback to SafeCare home visitors Trainer training (3 days) Learning goal: Learn to train new home visitors and coaches to deliver SafeCare and coach SafeCare with mastery TT is meant for within org/system training HV training Coach Trainer SafeCare Interactive Workshop Training 13

14. Implementation Plan Plan: Roll-out SafeCare at 4 sites in Year One + 3 (or more) sites in Year Two + 3 (or more) sites in Year Three. Site = 1 or more County + Public Health and/or Community Based Agency(ies) to house home visitors. The National SafeCare Training and Research Center (NSTRC) will provide training and coaching for all cohort one sites, in addition to two Kempe staff who will be quickly moved through the home visitor/coach/trainer process. The Kempe Center coach/trainers will train subsequent cohorts (2 and 3) and will be able to provide coaching to sites who choose to not advance a home visitor and house a coach on site.

15. Colorado’s Continuum PrimarySecondaryTertiary Program Area 3 (Prevention) Program Area 3 (Prevention) Program Area 4 (YIC) Program Area 4 (YIC) In-Home Service Out-of -Home PreventionReferral Imminent Risk PA3 Funding Sources: TANF, NFP, CCR Core CW Block SAFE CARE IV-E Waiver Funding Promoting Safe and Stable Families Collaborative Management Funding AssessmentCase Program Area 5 (CPS) Program Area 6 (Permanency) Trails tracks child and family, date of birth, ethnicity, service, and leave reason. 15

16. Families at risk of entering the child welfare system Families without current open child welfare involvement Families with at least one child ages 0-5 years Families must reside within the 17 counties selected to participate in Cohort 1 Referrals to SafeCare Colorado Child welfare Screened out referrals Closed assessments Closed cases Community agencies Must meet high risk eligibility criteria Who is eligible? 16

17. Adams Alamosa Arapahoe Archuleta Baca Bent Boulder Chaffee Cheyenne Clear Conejos Costilla Crowley Custer Delta Denver Dolores Douglas Eagle Elbert El Paso Fremont Garfield Gilpin Grand Gunnison Hinsdale Huerfano Jackson Jefferson Kiowa Kit Carson Lake La Plata Larimer Las Animas Lincoln Logan Mesa Moffat Montezuma Montrose Morgan Otero Ouray Park Phillips Pitkin Prowers Pueblo Rio Blanco Rio Grande Routt Saguache San San Miguel Sedgwick Summit Teller Washington Weld Yuma Creek Mineral Juan SafeCare Colorado – Year 1 Implementation DRAFT MAP Broomfield Mesa Public Health 4.5 home visitors Southwest Region Public Health 3.5 home visitors Denver/JeffCO Savio 6 home visitors Northeast Region Baby Bear Hugs 4 home visitors Revised: 10.28.13 JB Ute Mountain Ute Tribe Southern Ute Tribe Site 1 Site 2 Site 3 Site 4 17

18. 18 This form is being modified – a final version can be emailed as a follow up to the webinar.

19. 19 This form is being modified – a final version can be emailed as a follow up to the webinar.

20. SafeCare Colorado SafeCareCO@childrenscolorado.org 20 Julia Blomberg, MS SafeCare Colorado Administrator julia.blomberg@state.co.us 303.866.4291