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

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

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