FAMILY INTERVENTION

SERVICESPRESENT:

A Successful Approach to Family Care and Collaboration

Patricia “Shannen” Davis, MSW, CAP (SPI)

Silvia Quintana, LMHC (DCF)Islem Pardinas, MSW (Our Kids)Larry Allen, LCSW, MBA(SFBHN)

PURPOSE To prevent and divert children from

entering the Dependency System. To assess family needs in an effort to

promote wellness. To engage families in accepting

community services.

OUR COLLABORATORS

• Child Protective Services

• Family Intervention Specialist

• Our Kids Intake

• Substance Abuse Treatment Providers

• Mental Health Treatment Providers

• Co-occurring Treatment providers

• Dependency Full case management agencies

• Domestic Violence providers

• Infant Mental Health Provider

• Safe at Home/Parents as Partners/ Family Empowerment Program

Referral Sources Providers

LOCATION OF SERVICES The following services are co-located at

the DCF Service Centers:100 Opa Locka Blvd. Miami, FL 401 NW 2nd Ave. Miami, FL 12195 Quail Roost Drive, Miami, FL

Child Protective Investigation (CPI)Family Intervention Specialist (FIS)Our Kids Intake (OK)

FAMILY INTERVENTION SPECIALIST PROGRAM

• On August 1, 2008, The Family Intervention (FIS) Program operated by Spectrum was embedded within each of the CPI locations North, Central and South as was intended by the legislators when the positions were authorized.

• The FIS program also adopted the best practice model approved by SAMHSA called Screening Brief Intervention Referral and Treatment (SBIRT) that incorporates Motivational Interviewing as part of the engagement techniques.

PROTOCOLFAMILY INTERVENTION SPECIALIST (FIS)

Call comes into the Hot Line where CPI suspects Substance Abuse and/or Mental Health need for services

CPI will contact FIS if suspected substance abuse or mental health are identified in the family.

FIS will make contact with family within 72 hours for assessment. FIS makes referrals to the community and SAMH system of care as appropriate.

REFERRALS RECEIVED FROM CPI BY FIS FY JULY 10-JUNE 11

Total individuals assessed: 5,525Parents: 3126Kids: 2399

Families Assessed: 1,512 24% of Parents assessed received a

positive drug screen 24% of Parents referred needed

Services

PARENTS WHO RECEIVED SERVICES

0.0%20.0%40.0%60.0%80.0%

100.0%

**Note: This data reflects only those individuals who received services through SFBHN funding. If other services were received through any other funding source, this data is not reflected here.

n=748 Average LOS: 38 days

PROTOCOL• If based on GAIN, drug/alcohol test, and

client interview no services are needed FIS reports findings to CPI.

• If Services are needed:• FIS continues to assess, engage, and link

the family to services• FIS reports weekly to CPI on status of family

and referrals• FIS provides results on ongoing

engagement to CPI at the end of 21 days including recommended services and linkage status to providers.

PROTOCOL FIS, Child Protective Investigator, Child

Protective Investigator Supervisor, Our Kids, Children Legal Services will staff case as needed.

FIS and Our Kids full case management agency if warranted will continue to engage and transition family into case management and other SAMH provider services.

BEST PRACTICES• Spectrum Program is the FIS provider.

They have been trained and use:• Screening, Brief Intervention Referral and

Treatment Model (SBIRT)• Motivational Interviewing• Solution Focused Case Management • Global Assessment of Individual Needs

(GAIN) Quick• Family Centered Practices being used by

CPI, FIS and OK are: Structured Decision Making and Trauma Informed Care

SERVICE ARRAY• Mental Health Services• Substance Abuse Services• Domestic Violence- Victim or Perpetrator• Children’s Mental Health• Full Case Management• Crisis Intervention• Intensive in-home services• Other Community Services

QUALITY IMPROVEMENT Quarterly staffing focuses on persons

who have dropped out of treatment, appropriate levels of care, appropriateness of referral and is really an in depth qualitative review from hotline to termination of supervision.

Quarterly meetings at the hubs focus on system issues as well as provide updated educational information.

DATA COLLECTION South Florida Behavioral Health

Network, SAMH, Our Kids, DCF/CPI units, will be responsible for Data tracking.

Data collected includes: Referral, linking, treatment completion, drop out from treatment, recidivism rate, referrals to dependency court.

MANAGING ENTITY The Southern Region’s Substance Abuse

and Mental Health (SAMH) Program Office entered into a contract with South Florida Behavioral Health Network on October 1, 2010 to oversee the Substance Abuse and Mental Health System of Care.

MANAGING ENTITY FUNCTIONS System of Care development and

management Utilization Management Network Management and sub

contractual relations Continuous Quality Improvement Technical Assistance and Training Data Collection Reporting and Analysis Planning

BEHAVIORAL HEALTH SERVICES AVAILABLE IN THE NETWORK

• Detoxification• Crisis Stabilization• Addiction Receiving FacilitiesAcute• Outpatient• Intensive Outpatient• In Home-On Site• Residential• Comprehensive Community Service

Teams (CCST)

Treatment

• Wraparound (Flexible Funds)• Clubhouses• Drop-In Centers

Support Services

OUR KIDS OF MIAMI DADE AND MONROE Lead CBC for Miami Dade and Monroe

County System of Care development and

management Utilization Management and Continuous

Quality Improvement Network Management and sub

contractual relations Technical Assistance and Training Planning

SERVICES AVAILABLE Dependency Full Case Management service for all case

through 6 Community Providers Intake Foster Care Placement and Licensing Shelter and Residential Group Care Level of care assessments Nurse Case management Adoptions Independent Living services

Intensive in-home family preservation services through two program Safe at Home and Parents as Partners for High Risk Families where there are safety threats

Case Management through Family Empowerment Program for moderate to low risk families

Since 2009 Our Kids is using Children’s Research Center’s Evidence Based structured Decision Making Tool to guide all service decision.

O K I N T A K E S F I S C A L Y E A R 2 0 1 0 - 2 0 1 1(TOTAL NUMBER OF CHILDREN N=4,835)

Family Preservation (n=3,308) Court (n=1,525)0

500

1000

1500

2000

2500

3000

3500

473

1389

1446

596

392

537

Num

ber o

f Chi

ldre

n

Family Empowerment Pro-gram

Parents As Partners

Safe At Home

Court-In-Home

Relative/Non-Relative

Licensed

7/27/2011For purposes of this analysis, cases from other states and counties (ICPC and OTI) were excluded.

TYPES OF SCENARIOS

Prevention Services

Diversion Services

Dependency

PREVENTION SERVICES If a family is at risk of becoming

involved with the Dependency System and could benefit from services based on assessment and recommendations, referrals will be made to SAMH providers and other community providers as needed.

DIVERSION SERVICES If a family is found to need SAMH/CW

services and CPI finds that there are some risk factors, staffing will be held between Our Kids intake, CPI, CPIS, CLS and FIS.

Service recommendations will be made in an effort to divert the family from the Dependency System.

DEPENDENCY If a family is found to be at risk and

diversion is not an option the CPI,CPIS, FIS, Our Kids Intake, CLS will staff the case and make appropriate treatment and services recommendation based on assessment as the case is moved to the Dependency System.

PROCESS MAPPING OF CPI, FIS, OKFamily Intervention Specialists / SAMH Process Map (DRAFT- REVISED as of 11/10/2009)

Our

Kid

s In

c.Su

bsta

nce

Abus

e an

d M

enta

l Hea

lth

Prov

ider

sSo

uthe

rn R

egio

nFa

mily

Inte

rven

tion

Spec

ialis

t (FI

S)H

otlin

eR

epor

ter

Chi

ld P

rote

ctiv

e In

vest

igat

ions

Ser

v.

Cen

ters

Receive and Process the call Accept

Call to the Hotline

Reject

Assign to Respective

Region

Accept the report Assign to the Service Center

Receive and determine if SAMH/ FIS services are

needed

If SAMH/FIS services are

need Complete referral and submit to FIS

See CPI Process Map

Assess the call

Receive the referral

CPI & FIS go out on the

investigation.FIS complete assessment

(GAIN Q)& drug screen

assessment (GAIN Q)& drug screen within 72 hrs

Provide CPI with weekly report on

status of case

Engage & link family to service for 21 days from

the day of referral

Receive status report from FIS

Complete assessment with treatment

recommendations & status of Family. Submit

to CPI & O.K. (if applicable) at the end of

21 days

Receive assessment and recommendation report from FIS at the

end of 21 days, if applicable

Receive assessment and recommendation report from FIS at the

end of 21 days

FIS & OK will continue to engage &

transition family to In-Home case management

services

CPI, FIS, and OK staffing to determine services

recommendations and if family is engaged in

developing a service plan

Continue providing services to family (mental health,

substance abuse, domestic violence, and other services

as needed)

If family drops out of

treatment and refuse

additional care

NO

YES

See Prevention Referral Procedures

For prevention, diversion and dependency

cases a staffing will be held between

CPI, CPIS, FIS, and OK

for appropriate services as

needed

OK will receive referral to provide

prevention or diversion services

NO

If services are not needed based on

assessment (GAIN Q)

CPI will continue with the investigation.

NO

YES

CPI and OK staffing to determine services

recommendations and if family is engaged in

developing a service plan.Case is

closed within 60 days by

CPI and FIS

OK and SAMH

provider will notify

CPI

See CPI Process Map

Is FIS available

YES

NO

YESTreatment and

services are completed

NEXT STEPSNarrowing front door

Revision of protocol

Developing a plan to mine data from FSFN, Medicaid, SFBHN, and Our Kids databases for Adults and Children

QUESTIONS