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NCSACW Technical Assistance: NCSACW Technical Assistance: Lessons Learned from Four Lessons Learned from Four States and Guidance to States and Guidance to States and Communities States and Communities Putting the Pieces Together: 1 st National Conference on Substance Abuse, Child Welfare and the Dependency Court Baltimore, MD July 15, 2004 Nancy K. Young, Ph.D., Director Joe Anna Sullivan, IDTA Program Manager Shaila Yeh, M.S.W., Associate 4940 Irvine Blvd, Ste 202 Irvine, CA 92620 Phone: 714-505-3525 Fax: 714-505-3626 Email: www.samhsa.gov

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NCSACW Technical Assistance: Lessons Learned from Four States and Guidance to States and Communities. Nancy K. Young, Ph.D., Director Joe Anna Sullivan, IDTA Program Manager Shaila Yeh, M.S.W., Associate 4940 Irvine Blvd, Ste 202 Irvine, CA 92620 Phone: 714-505-3525 Fax: 714-505-3626 - PowerPoint PPT Presentation

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Page 1: Putting the Pieces Together:

NCSACW Technical Assistance: NCSACW Technical Assistance: Lessons Learned from Four States Lessons Learned from Four States

and Guidance to States and and Guidance to States and CommunitiesCommunities

Putting the Pieces Together: 1st National Conference on

Substance Abuse, Child Welfare and the Dependency Court

Baltimore, MD July 15, 2004

Nancy K. Young, Ph.D., DirectorJoe Anna Sullivan, IDTA Program ManagerShaila Yeh, M.S.W., Associate4940 Irvine Blvd, Ste 202Irvine, CA 92620Phone: 714-505-3525Fax: 714-505-3626Email: www.samhsa.gov

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Developing Knowledge and Providing Technical Developing Knowledge and Providing Technical Assistance to Federal, State, Local Agencies and Assistance to Federal, State, Local Agencies and

Tribes to Improve Outcomes for Families with Tribes to Improve Outcomes for Families with Substance Use Disorders in the Child Welfare and Substance Use Disorders in the Child Welfare and

Family Court SystemsFamily Court Systems

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10 Elements for Cross-System Linkages 10 Elements for Cross-System Linkages Among CWS, ADS and Dependency CourtAmong CWS, ADS and Dependency Court

Underlying ValuesUnderlying Values Daily Practice-Screening Daily Practice-Screening

and Assessmentand Assessment Daily Practice-Client Daily Practice-Client

Engagement and Retention Engagement and Retention in Carein Care

Daily Practice-AOD Daily Practice-AOD Services to Children Services to Children

Joint Accountability Joint Accountability and Shared Outcomesand Shared Outcomes

Information Sharing Information Sharing Training/Staff Training/Staff

DevelopmentDevelopment Budgeting/Program Budgeting/Program

SustainabilitySustainability Building Community Building Community

SupportsSupports Working with Related Working with Related

Agencies and Support Agencies and Support SystemsSystems

From CSAT Technical Assistance Publication (TAP) 27: Navigating the Pathways *Revised March 2003From CSAT Technical Assistance Publication (TAP) 27: Navigating the Pathways *Revised March 2003

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Program of In-Depth TAProgram of In-Depth TA

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In-Depth TA ProgramIn-Depth TA Program

Goal - Improve outcomes for families by:

Assisting selected states in the development of a scope of work and strategic planSupporting and guiding states in the implementation of planProviding access to other resources and expertise

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In-Depth TA ProgramIn-Depth TA Program

Each state assigned a Consultant Liaison (CL) available approximately 30 hours per month (offsite and some onsite)

Focus on statewide impactSupport state in forming multi-system leadership team capable of developing and implementing policy and practice change

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Cont.Cont.

Support state in developing and implementing sustainable policies and programs

Catalyst for Change

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In-Depth TA ProgramIn-Depth TA Program

Solicitation for Requests released in April 2003State and Territory CWS and ADS DirectorsCIP Directors5 Nominated Tribes

States/Territories/Tribes needed to demonstrate sustainable collaborative efforts between substance abuse, child welfare, tribes and family judicial systems

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In-Depth TA ProgramIn-Depth TA Program

Sites Selected ColoradoFlorida MichiganVirginia

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In-Depth TA ProgramIn-Depth TA Program

Consultant LiaisonsConsultant LiaisonsElizabeth Breshears - MichiganElizabeth Breshears - MichiganKari Demetras - VirginiaKari Demetras - VirginiaMary Nakashian - ColoradoMary Nakashian - ColoradoJoe Anna Sullivan - FloridaJoe Anna Sullivan - FloridaNicolette Pach – Judicial ConsultantNicolette Pach – Judicial Consultant

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Process of IDTAProcess of IDTA

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In-Depth TA ProgramIn-Depth TA Program

Initial planning calls with each state, Initial planning calls with each state, consultant liaison, IDTA manager and consultant liaison, IDTA manager and NCSACW staff NCSACW staff (July and August, 2003)(July and August, 2003)

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In-Depth TA ProgramIn-Depth TA Program

Kick Off meetings – Two days of Kick Off meetings – Two days of intensive, onsite work with state team intensive, onsite work with state team to develop the scope of workto develop the scope of work

Colorado – August 6 & 7, 2003Colorado – August 6 & 7, 2003

Virginia – September 8 & 9Virginia – September 8 & 9

Michigan – September 11 & 12Michigan – September 11 & 12

Florida – September 18 & 19Florida – September 18 & 19

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Process of IDTAProcess of IDTA

Scope of Work for In-Depth TAScope of Work for In-Depth TADeveloped by each site’s statewide team Developed by each site’s statewide team

during Kick Offduring Kick OffSOW defines roles and responsibilities of SOW defines roles and responsibilities of

state team, NCSACW and Consultant Liaisonstate team, NCSACW and Consultant LiaisonSOW reviewed and approved by Federal SOW reviewed and approved by Federal

Project OfficerProject Officer

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Process of IDTA Process of IDTA

The ContractThe Contract SOW includes:SOW includes:

Statement of Purpose or MissionStatement of Purpose or MissionWork Products and OutcomesWork Products and OutcomesAction Steps and Target DatesAction Steps and Target DatesWho is ResponsibleWho is Responsible

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Tools of CollaborationTools of Collaboration

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Collaborative Values InventoryCollaborative Values Inventory What Do We Believe about Alcohol and Drugs, What Do We Believe about Alcohol and Drugs,

Services to Children and Families and Services to Children and Families and Dependency Courts?Dependency Courts?Assesses how much a group shares ideas about values Assesses how much a group shares ideas about values

that underlie its workthat underlie its workHelps surface issues that may not be raised if Helps surface issues that may not be raised if

collaborative begins work with emphasis on programs collaborative begins work with emphasis on programs and operational issuesand operational issues

Facilitates discussion around areas of common Facilitates discussion around areas of common agreement and divergent viewsagreement and divergent views

Supports work toward consensus on principles as basis Supports work toward consensus on principles as basis of state or local priorities for implementing practice and of state or local priorities for implementing practice and policies changespolicies changes

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Collaborative Capacity InstrumentCollaborative Capacity Instrument

Reviews and Assesses the Status of Reviews and Assesses the Status of Linkages Across ADS and CWS Linkages Across ADS and CWS Agencies and Dependency Courts Agencies and Dependency Courts Self-assessment for ADS and CWS agencies Self-assessment for ADS and CWS agencies

and dependency courts preparing to work and dependency courts preparing to work together or who are seeking to move to a new together or who are seeking to move to a new level of cooperationlevel of cooperation

Designed to elicit discussion among and Designed to elicit discussion among and within both sets of agencies and the courtwithin both sets of agencies and the court

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Summary of State ProductsSummary of State Products

What Are the States Working On?What Are the States Working On?

The Elements of Collaboration – moving The Elements of Collaboration – moving from the conceptual to applied practicefrom the conceptual to applied practice

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Summary of State ProductsSummary of State Products

Values and PrinciplesValues and Principles All states are working on formalizing All states are working on formalizing

collaboration through MOUs or other collaboration through MOUs or other agreements – common values & principlesagreements – common values & principles

Most intend to issue a state-level Most intend to issue a state-level MOU/agreement and encourage or require MOU/agreement and encourage or require their development at the local leveltheir development at the local level

MOU as marketing toolMOU as marketing tool

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Summary of State ProductsSummary of State Products

Daily Practice: Screening, Assessment, Daily Practice: Screening, Assessment, Engagement & RetentionEngagement & Retention All states are looking at core elements of All states are looking at core elements of

screening, assessment, engagement and screening, assessment, engagement and retention and developing protocolsretention and developing protocols

Defining communication streams and Defining communication streams and practicespractices

CO – survey to identify most important CO – survey to identify most important elements for daily practice (a little marketing elements for daily practice (a little marketing too!)too!)

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Summary of State ProductsSummary of State Products

Daily Practice: Screening, Assessment, Daily Practice: Screening, Assessment, Engagement & RetentionEngagement & Retention FL – Model of Preferred PracticeFL – Model of Preferred Practice

Influence child casework overallInfluence child casework overall Multidisciplinary, family-focused and cross-systemMultidisciplinary, family-focused and cross-system Ongoing function of assessmentOngoing function of assessment Linkages to other needed partnersLinkages to other needed partners

MI and VA – protocols will include detailed MI and VA – protocols will include detailed implementation plansimplementation plans

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Summary of State ProductsSummary of State Products

Daily Practice: Services to Children of Daily Practice: Services to Children of Substance AbusersSubstance Abusers

Holistic and comprehensive approach to Holistic and comprehensive approach to family and child needsfamily and child needs

EPSDT and services to childrenEPSDT and services to children

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Summary of State ProductsSummary of State Products

Joint Accountability and Shared Joint Accountability and Shared OutcomesOutcomes

Establishing cross-system common goals and Establishing cross-system common goals and measurable outcomes for familiesmeasurable outcomes for families

Evaluating what is to come from In-Depth TA Evaluating what is to come from In-Depth TA and the collaborationand the collaboration

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Summary of State ProductsSummary of State Products

Joint Accountability and Shared Joint Accountability and Shared OutcomesOutcomes

Evaluating the implementation of plans across Evaluating the implementation of plans across system partnerssystem partners

Multi-tasking – other evaluation needs such Multi-tasking – other evaluation needs such as CFSRs and legislated reportsas CFSRs and legislated reports

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Summary of State ProductsSummary of State Products

Information Sharing and Data SystemsInformation Sharing and Data Systems

All states are working on improving All states are working on improving information quality and quantity within and information quality and quantity within and across systemsacross systems

Data systems cost money – existing Data systems cost money – existing springboardsspringboards

Track needs, services, progress and success Track needs, services, progress and success throughout family’s involvement with servicesthroughout family’s involvement with services

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Summary of State ProductsSummary of State Products

Budget and Program SustainabilityBudget and Program Sustainability

Funding is tight everywhere – new dollars are Funding is tight everywhere – new dollars are scarcescarce

Develop funding map to maximize existing Develop funding map to maximize existing fundsfunds

Lay low – good time for planning and Lay low – good time for planning and development activitiesdevelopment activities

Pilot programs – can’t afford one time shotsPilot programs – can’t afford one time shots Build a structure to support collaborative workBuild a structure to support collaborative work

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Summary of State ProductsSummary of State Products

Training and Staff DevelopmentTraining and Staff Development

Joint, cross-system training needed to Joint, cross-system training needed to implement new protocolsimplement new protocols

Use existing resourcesUse existing resources Women’s work and training are never doneWomen’s work and training are never done

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Summary of State ProductsSummary of State Products

Working with Related AgenciesWorking with Related Agencies

Essence of collaboration and In-Depth TAEssence of collaboration and In-Depth TA Who am I related to?Who am I related to? Who do I need to get to know better to serve Who do I need to get to know better to serve

families?families? When and how do we work together?When and how do we work together? Agencies exist at many levels – state-level Agencies exist at many levels – state-level

work as a means of modeling to local work as a means of modeling to local communitiescommunities

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Summary of State ProductsSummary of State Products

Working with the Community and Working with the Community and Supporting FamiliesSupporting Families

Family focus in all statesFamily focus in all states FL and VA – explicitly looking at community FL and VA – explicitly looking at community

resources and mentoring opportunities to resources and mentoring opportunities to achieve and support lifelong recovery and achieve and support lifelong recovery and healthy familieshealthy families

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It’s All About It’s All About Healthy FamiliesHealthy Families

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Lessons LearnedLessons LearnedA Panel DiscussionA Panel Discussion

Kari DemetrasKari Demetras Liz BreshearsLiz Breshears Mary NakashianMary Nakashian Nicolette PachNicolette Pach Joe Anna Sullivan, moderatorJoe Anna Sullivan, moderator

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Q: Why work to build collaborative policies, Q: Why work to build collaborative policies, programs and relationships?programs and relationships?

Better outcomes for families – ability to respond Better outcomes for families – ability to respond to a broader range of needsto a broader range of needs

Better use of scarce resourcesBetter use of scarce resources No one system has the skills, training or time to No one system has the skills, training or time to

respond comprehensively to whole family’s respond comprehensively to whole family’s needsneeds

Collectively, multiple systems possess much Collectively, multiple systems possess much greater knowledge about familiesgreater knowledge about families

Collectively, multiple systems have a wider Collectively, multiple systems have a wider range of service and response options range of service and response options

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More benefits of collaboration …More benefits of collaboration …

With assistance from other systems, Child welfare will With assistance from other systems, Child welfare will be better able to address CFSR deficiencies and be better able to address CFSR deficiencies and Program Improvement Plan strategiesProgram Improvement Plan strategies

Better address new CAPTA requirements for Better address new CAPTA requirements for substance exposed newbornssubstance exposed newborns

Teamwork brings a wealth of perspectives and Teamwork brings a wealth of perspectives and strengthsstrengths

Multidisciplinary casework is better able to assess the Multidisciplinary casework is better able to assess the needs and strengths of familiesneeds and strengths of families

Together we can help families recover and stay Together we can help families recover and stay together together

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Q: What should we consider in getting started? Q: What should we consider in getting started?

How many families involved with child welfare have substance How many families involved with child welfare have substance use disorders impacting placement or child safety and risk use disorders impacting placement or child safety and risk decisions?decisions?

How many substance abuse treatment clients have children How many substance abuse treatment clients have children who may be at risk of abuse or neglect?who may be at risk of abuse or neglect?

Does child welfare have the funds and expertise to adequately Does child welfare have the funds and expertise to adequately provide all substance abuse treatment needed by families and provide all substance abuse treatment needed by families and required to meet reasonable efforts standards? required to meet reasonable efforts standards?

In times of tight budgets, retrenching and planning for the In times of tight budgets, retrenching and planning for the future is a great use of time future is a great use of time

Even if there is no new money, what can we do differently Even if there is no new money, what can we do differently without new money?without new money?

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Q: Who should be at the table?Q: Who should be at the table?

The basics: child welfare, substance abuse The basics: child welfare, substance abuse prevention and treatment, dependency court – prevention and treatment, dependency court – but consider mental health, domestic violence, but consider mental health, domestic violence, law enforcement, TANF and Medicaid, etc.law enforcement, TANF and Medicaid, etc.

Co-equality of participants (no system “trumps” Co-equality of participants (no system “trumps” another at this table)another at this table)

Reach high and low, near and far (State and Reach high and low, near and far (State and local gov’t staff, policy and program planners, local gov’t staff, policy and program planners, service providers, consumers, etc.) service providers, consumers, etc.)

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Q: How do we create a workplan?Q: How do we create a workplan?

Retreat (off-site if possible)Retreat (off-site if possible) Consider establishing a core group of 3-6 Consider establishing a core group of 3-6

to plan for the meetingto plan for the meeting Allocate at least two days for the initial Allocate at least two days for the initial

meetingmeeting Bring in a neutral outsider to facilitateBring in a neutral outsider to facilitate Be task oriented – know what you want to Be task oriented – know what you want to

accomplishaccomplish

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More on workplansMore on workplans

Agree on discrete products that should come Agree on discrete products that should come out of your plan out of your plan

Good plans are measurable, include Good plans are measurable, include reasonable timelines, and indicate who is in reasonable timelines, and indicate who is in charge of the various action stepscharge of the various action steps

Agree on a method to monitor progress: Agree on a method to monitor progress: who, when, howwho, when, how

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Q: How might we structure work processes Q: How might we structure work processes and meetings?and meetings?

Identify leadershipIdentify leadership Consider having levels of participation:Consider having levels of participation:

LeaderLeaderCore teamCore teamWork horsesWork horsesAdvisorsAdvisors

Share the work through specific work groups (ad Share the work through specific work groups (ad hoc or standing?)hoc or standing?)

Let purpose drive frequency, length and meeting Let purpose drive frequency, length and meeting formatformat

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Q: What challenges might be anticipated?Q: What challenges might be anticipated?

Lack of a common languageLack of a common language Perception that it’s too difficult or not worth Perception that it’s too difficult or not worth

itit Competing prioritiesCompeting priorities Staff turnoverStaff turnover No new fundsNo new funds Data/Information BlanksData/Information Blanks

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Never, never, never, never, Never, never, never, never, never, never give up.never, never give up.

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SAFERRSAFERR

Screening and Assessment for Family Screening and Assessment for Family Engagement, Retention and Recovery Engagement, Retention and Recovery ––

SAFERR: Guidance for States and SAFERR: Guidance for States and Communities Serving Families with Communities Serving Families with

Substance Use Disorders in Child Welfare Substance Use Disorders in Child Welfare Services and Dependency CourtsServices and Dependency Courts

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RationaleRationale Goals of DHHS in the 1999 Report to Congress, Goals of DHHS in the 1999 Report to Congress,

Blending Perspectives and Building Common Blending Perspectives and Building Common Ground;Ground;Assuring timely access to comprehensive substance Assuring timely access to comprehensive substance

abuse treatment servicesabuse treatment services Improving the ability to engage and retain clients in Improving the ability to engage and retain clients in

care and to support ongoing recoverycare and to support ongoing recovery One of NCSACW’s most common technical One of NCSACW’s most common technical

assistance requestsassistance requests In-Depth TA State applications consistently In-Depth TA State applications consistently

mentioned the need for assistance with this areamentioned the need for assistance with this area Lack of tested models and instrumentationLack of tested models and instrumentation

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DevelopmentDevelopment

October – October – Key Expert MeetingKey Expert Meeting November – November – Review and Input from Review and Input from

Community Expert PanelCommunity Expert Panel December – December – Review at NCSACW Review at NCSACW

Researchers’ ForumResearchers’ Forum February – February – Shared with In-Depth TA Shared with In-Depth TA

State TeamsState Teams

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PurposePurpose

To introduce the concepts of screening To introduce the concepts of screening and assessment for family engagement, and assessment for family engagement, retention and recoveryretention and recovery

To provide guidance to States and To provide guidance to States and communities to make appropriate communities to make appropriate adaptations that lead to improved adaptations that lead to improved outcomes for children and families outcomes for children and families

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OrganizationOrganizationAssessment is a continuum and series of tasks Assessment is a continuum and series of tasks to determine:to determine: Presence and ImmediacyPresence and Immediacy

Is there an issue present?Is there an issue present?What is the immediacy of the issue?What is the immediacy of the issue?

Nature and ExtentNature and ExtentWhat is the nature of the issue?What is the nature of the issue?What is the extent of the issue?What is the extent of the issue?

Developing and Monitoring Change, Developing and Monitoring Change, Transitions and Outcomes of Treatment and Transitions and Outcomes of Treatment and Case PlansCase PlansWhat is the response to the issue?What is the response to the issue?Are there demonstrable changes in the issue?Are there demonstrable changes in the issue?Is the family ready for transition?Is the family ready for transition?Did the interventions work?Did the interventions work?

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PremisesPremises

1.1. Limited information exists on the Limited information exists on the crossover issuescrossover issues

2.2. CWS cannot and should not do it aloneCWS cannot and should not do it alone

3.3. Assessment cannot be “siloed”Assessment cannot be “siloed”

4.4. Assessment if not a one-time processAssessment if not a one-time process

5.5. Assessment must attend to culture and Assessment must attend to culture and gendergender

6.6. It’s the team not the toolIt’s the team not the tool

7.7. Joint training is fundamentalJoint training is fundamental

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PremisesPremises

8.8. People make decisions, tools don’tPeople make decisions, tools don’t9.9. The role of supervisors is criticalThe role of supervisors is critical10.10. Timing is essential for earliest Timing is essential for earliest

interventionintervention11.11. It’s about the whole familyIt’s about the whole family12.12. Child development assessments are Child development assessments are

crucialcrucial13.13. There is no research-based answerThere is no research-based answer14.14. This is rocket scienceThis is rocket science

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Definitions of Terms and ProcessesDefinitions of Terms and Processes

ScreenScreen Child Abuse Child Abuse ReportReport

Immediate Need Immediate Need TriageTriage

In-Person Safety In-Person Safety AssessmentAssessment

Preliminary Preliminary Protective Protective HearingHearing

DiagnosisDiagnosis In-Person In-Person Response/ Risk Response/ Risk AssessmentAssessment

Court FindingsCourt Findings

Multi-Multi-Dimensional Dimensional AssessmentAssessment

Family Family assessmentassessment

Petition Filed; Petition Filed; Preliminary Preliminary Protective Protective HearingHearing

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Definitions of Terms and ProcessesDefinitions of Terms and ProcessesTreatment PlanTreatment Plan Case PlanCase Plan Adjudication Adjudication

and Dispositional and Dispositional Hearing; Court-Hearing; Court-ordered Case ordered Case PlanPlan

Treatment Treatment MonitoringMonitoring

Case Plan Case Plan MonitoringMonitoring

Court Review Court Review HearingsHearings

Transition Transition PlanningPlanning

Permanency Permanency DeterminationDetermination

Permanency Permanency HearingHearing

Recovery Recovery ManagementManagement

Family Well Family Well BeingBeing

Case ClosedCase Closed

Outcome Outcome MonitoringMonitoring

Outcome Outcome MonitoringMonitoring

Outcome Outcome MonitoringMonitoring

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Prerequisites to Effective Prerequisites to Effective Screening and AssessmentScreening and Assessment

CollaborationNo one set of workers has skills, training or time to respond comprehensively to whole family’s needs

CommunicationTogether the systems posses much greater knowledge about families than on their own

Team-buildingCo-located staffMultidisciplinary teamsStaffings

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Critical Role of Values and Critical Role of Values and Shared PrinciplesShared Principles

Issues to AddressIssues to AddressWho is the client Who is the client – – parent, child, family?parent, child, family?Can AOD users/abusers/addicts/alcoholics Can AOD users/abusers/addicts/alcoholics

be effective parents?be effective parents?What is the goal What is the goal – – recovery, child safety, recovery, child safety,

family preservation, economic self-family preservation, economic self-sufficiency, meeting statutory timelines for sufficiency, meeting statutory timelines for permanency?permanency?

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Critical Role of Values and Critical Role of Values and Shared PrinciplesShared Principles

How to Address these IssuesHow to Address these IssuesUse tools such as the Collaborative Use tools such as the Collaborative

Values Inventory to uncover underlying Values Inventory to uncover underlying issues and develop common principles issues and develop common principles for working across systemsfor working across systems

Ensure conversation happens at policy, Ensure conversation happens at policy, supervisory and front-line levelssupervisory and front-line levels

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Common Themes Among Common Themes Among Systems’ PrinciplesSystems’ Principles

Despite differences among CWS, ADS Despite differences among CWS, ADS and dependency courts there is and dependency courts there is commonality in their value bases and how commonality in their value bases and how they approach familiesthey approach families

Common themes includeCommon themes include:: Need for individualized service responsesNeed for individualized service responses Timeliness of service provisionTimeliness of service provision Sensitivity to gender and cultureSensitivity to gender and culture Focus on family-centered approachesFocus on family-centered approaches

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SAFERR Guidance SAFERR Guidance Three Systems, Three Processes & Three LevelsThree Systems, Three Processes & Three Levels

Three SystemsThree SystemsCWSCWSADSADSDependency CourtDependency Court

Three ProcessesThree ProcessesPresence and ImmediacyPresence and ImmediacyNature and ExtentNature and ExtentTreatment and Case Plan Development and Treatment and Case Plan Development and

MonitoringMonitoring

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Three LevelsThree Levels Fundamentals for Improved PracticeFundamentals for Improved Practice

Basics for Collaborative PracticeBasics for Collaborative Practice

Better PracticeBetter PracticeMore Advanced Level of Collaborative Practice More Advanced Level of Collaborative Practice

backed up with Databacked up with Data

SAFERR Model PracticeSAFERR Model PracticeThree Systems and Families are Working Together Three Systems and Families are Working Together

in Collaborative Practice with Monitored Outcomesin Collaborative Practice with Monitored Outcomes

SAFERR Guidance SAFERR Guidance Three Systems, Three Processes & Three LevelsThree Systems, Three Processes & Three Levels

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Presence and ImmediacyPresence and Immediacy

Questions to be answeredQuestions to be answeredIs there an issue present?Is there an issue present?

What is the immediacy of the issue?What is the immediacy of the issue?

How they are typically answeredHow they are typically answeredEach system has typically screened for their own area of Each system has typically screened for their own area of expertise, as well as receiving referrals from outside expertise, as well as receiving referrals from outside agenciesagencies

Screens for SUDs in ADSScreens for SUDs in ADSChild abuse report and safety assessment in CWSChild abuse report and safety assessment in CWS

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Presence and ImmediacyPresence and Immediacy

Summary of GuidanceSummary of GuidanceADS screens for status of childrenADS screens for status of childrenCWS screens for SUDsCWS screens for SUDsCourt ensures that screens are being conductedCourt ensures that screens are being conductedStandardized tools and protocols for communication across Standardized tools and protocols for communication across systemssystemsData collected is recorded in statewide databaseData collected is recorded in statewide database

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Nature and ExtentNature and Extent

Questions to be answeredQuestions to be answeredWhat is the nature of the issue?What is the nature of the issue?What is the extent of the issue?What is the extent of the issue?

How they are typically answeredHow they are typically answeredDiagnosis and multi-dimensional assessment in ADSDiagnosis and multi-dimensional assessment in ADS

Use, abuse, dependenceUse, abuse, dependenceClient motivation and stages of changeClient motivation and stages of changeLevel of careLevel of care

Risk assessment and family assessment in CWSRisk assessment and family assessment in CWSPractice-based modelsPractice-based modelsEmpirical modelsEmpirical modelsFamily strengths and level of functionalityFamily strengths and level of functionality

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Nature and ExtentNature and Extent

Summary of GuidanceSummary of GuidanceSUD diagnostic information shared with CWS within 7 SUD diagnostic information shared with CWS within 7 daysdaysMulti-dimensional assessment conducted by ADS Multi-dimensional assessment conducted by ADS within 30 days and shared with CWS within 7 dayswithin 30 days and shared with CWS within 7 daysPrecipitating incidents in CWS case shared with ADSPrecipitating incidents in CWS case shared with ADSCWS observations and screen results shared with ADSCWS observations and screen results shared with ADSRisk and family assessment information shared with Risk and family assessment information shared with ADS within 30 daysADS within 30 daysCourt receives all diagnostic and assessment Court receives all diagnostic and assessment informationinformationCWS, ADS, court/attorneys and family meet to discuss CWS, ADS, court/attorneys and family meet to discuss assessment results and develop case planassessment results and develop case plan

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Developing and Monitoring Change, Transitions Developing and Monitoring Change, Transitions and Outcomes of Treatment and Case Plansand Outcomes of Treatment and Case Plans

Questions to be answeredQuestions to be answeredWhat is the response?What is the response?Are there demonstrable changes?Are there demonstrable changes?Is the family ready for transition?Is the family ready for transition?What happens after discharge?What happens after discharge?Did the interventions work?Did the interventions work?

How they are typically answeredHow they are typically answeredDevelopment and monitoring of individual treatment Development and monitoring of individual treatment plans (ADS) and case plans (CWS)plans (ADS) and case plans (CWS)Success is monitored by the lack of return to the systems Success is monitored by the lack of return to the systems

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Developing and Monitoring Change, Transitions Developing and Monitoring Change, Transitions and Outcomes of Treatment and Case Plansand Outcomes of Treatment and Case Plans

Summary of GuidanceSummary of GuidanceADS treatment plans include objectives related to child ADS treatment plans include objectives related to child safety and well-beingsafety and well-beingCWS case plans incorporate objectives related to CWS case plans incorporate objectives related to parents’ treatment and recoveryparents’ treatment and recoveryCourt supports treatment and case plan monitoring and Court supports treatment and case plan monitoring and compliancecompliancePlans are jointly reviewedPlans are jointly reviewedTeam development and monitoring of a single family-Team development and monitoring of a single family-driven plandriven planOutcome data is routinely monitored, shared and used Outcome data is routinely monitored, shared and used for program planningfor program planning

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Where are we Headed with Where are we Headed with SAFERR?SAFERR?

Compendium of Products – Fall 2004Compendium of Products – Fall 2004 Summary, Prerequisites & Guidance for Summary, Prerequisites & Guidance for

PolicymakersPolicymakers Details of the Programmatic Content Details of the Programmatic Content Appendices of Instruments and ToolsAppendices of Instruments and Tools Implementation WorkbookImplementation Workbook

Key Steps for implementationKey Steps for implementationToolsTools

Page 68: Putting the Pieces Together:

Other Things to Look ForOther Things to Look For

Compendium of Training CurriculaCompendium of Training Curricula Understanding Substance Abuse and Understanding Substance Abuse and

Facilitating Recovery: A Guide for Child Facilitating Recovery: A Guide for Child Welfare WorkersWelfare Workers

On-line TutorialsOn-line Tutorials Understanding Child Welfare and the Dependency Understanding Child Welfare and the Dependency

Court: A Guide for Substance Abuse Treatment Court: A Guide for Substance Abuse Treatment Professionals Professionals