Family First Prevention Services ActDecember 18, 2018

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➢ Overview of Family First Prevention and Services Act

➢ OCFS Action Steps

➢ Data

➢ Questions

AGENDA

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• Federal law enacted on February 9, 2018

• Reforms federal financing to prioritize family-based foster

care and limit reimbursement for congregate care

• NYS status: in compliance with some; some state and local

changes needed - awaiting federal guidance

Family First Prevention Act (FFPSA)

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After first two weeks, IV-E funding available for the following congregate

care settings only:

• A qualified residential treatment program (QRTP)

• A specialized setting providing prenatal, post-partum or parenting

supports

• A supervised setting where the child may live independently if 18

years or older

• A setting providing high-quality residential and supportive services to

children who are survivors of or at risk of human trafficking, or

• A licensed residential family-based substance abuse treatment

facility

Requirements: Congregate Care

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• Trauma-Informed Treatment Model

• Licensed nursing and clinical staff on-site during

business hours and on-call after hours

• Family participation in treatment and six months post

discharge family support services

• Nationally accredited

Requirements: Qualified Residential Treatment

Program (QRTP)

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• Assessment of child required within 30 days of placement

by “qualified individual”

• Court assessment due within 60 days of placement

• Placement beyond one year (or non-consecutive of 18

months) requires approval by “head of state”

Requirements: Assessments

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Provides new Title IV-E reimbursement at state option, for:

• Mental health and substance abuse prevention and treatment services

• In-home parent skill-based program

Funding is limited based on the following conditions:

• child at imminent risk of foster care

• promising, supported or well-supported program with rigorous

evaluation strategy

• 12 months maximum funding

Title IV-E Prevention Services

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• Requested the two-year delay permitted under law

• Established stakeholder group with goal of developing a “Family First

Work Book”

• Three convenings conducted to date:

✓ Reducing reliance on Congregate Care

✓ Increasing use of Foster Boarding Homes

✓ QRTP and Business Process Mapping

• INF in process/additional guidance as federal guidance received

OCFS Action Steps

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Assisting counties and agencies to collaborate in

implementation of the FFPSA by:

• Providing data and assistance in analysis

• Providing information about strategies for reducing reliance on congregate

care and increasing the recruitment and retention of foster boarding homes

• Assessing the capacity of counties and agencies to comply with the

Assessment and the QRTP requirements

• Analyzing the fiscal implications

OCFS Action Steps

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DATA

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How much Title IV-E reimbursement is at

stake?

$68,001,772 , 36%

$122,800,787 , 64%

Non-Home-Base Care Home-Based Care

In RFY 2016, NYS received

$190,802,559 in Title IV-E

reimbursement.* Non-home based

care settings accounted for 36%,

or $68,001,772, of those dollars.

*Title IV-E eligible expenditures are reimbursed at 50%.

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How does NYS’ use of RC compare to other states?

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Figure 1. Number of Children in Foster Care in Residential Care Settings on September 30th 2016 by State

Other States with state supervised county administered CW system

NYS is 3rd largest contributor to residential care (RC) nationwide.

Only Texas and California have more children in RC.

Source: Kids Count Data Center(2018)

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How does NYS’ use of RC compare to other states?

8%

11%

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12%13%

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Figure 2: Percent Children in Foster Care in Residential Care Settings on September 30th

2016 by State

Other States with state supervised county administered CW system

Nationally 12% of foster care children were cared for in RC settings in 2016; NYS was higher at 16%.

Despite having one of the largest #’s of children in RC, NYS relies on RC less often than several states with smaller foster

care systems.

Source: Kids Count Data Center(2018)

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NYS use of Residential (Congregate) Care: 18%NYS use of Residential (Congregate) Care: 18%

On 12/31/17

# Youth in Foster Care 17,400

# Youth in Residential Care 3,200

% in Residential Care 18% (NYS)

To achieve a 12% reliance on congregate care, 2,100 youth would be in residential care.

That’s about 1/3 fewer youth.

To Achieve National Average

17,400

2,100

12% (National)

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How many foster homes do we have? On 12/31/17 there were:

How many foster homes do we have? On 12/31/17 there were:

12,000 Foster/Relative Homes

1,300 homes that have never fostered

10,700 Active Foster Homes

More than half (6,000) have never fostered a teen.

More than half (6,000) have never fostered a teen.

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• From each annual group of newly-certified, non-kin homes, about 20%

of homes never receive a placement.

• Most of this group is identifiable within 6-months of certification.

• From each annual group of newly-certified, non-kin homes, about 25%

of homes will take at least 5 children during their service.

• About a third of non-kin foster homes will foster at least one teenager.

**Based on 8-year profile of use of foster homes through December 31, 2017.

OCFS Chapin Hall foster home and child

placement data:

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QUESTIONS?