SERVICE ARRAY CAPACITY & GAP ANALYSIS REPORT Children's...Sarasota Family YMCA, Inc. 13 Hillsborough Eckerd Community Alternatives 20 Charlotte, Collier, Glades, Hendry, Lee Children's

FLORIDA

CHILDREN’S SERVICE ARRAY

CAPACITY & GAP ANALYSIS REPORT

Areana Cruz MSEd • Crystal Dharmasena • Mary Armstrong PhD

Submitted: January 29, 2019

ii Florida Children’s Service Array Capacity and Gap Analysis Report

ContentsIntroduction and Purpose..................................................................................1

Survey ...............................................................................................................1

Survey Findings .................................................................................................2

Identified Interventions ..............................................................................2

Measuring Effectiveness ..............................................................................4

Interventions by County ............................................................................4

Funding and Capacity ................................................................................7

Future Funding ..........................................................................................7

Considerations ..................................................................................................8

AppendixAppendix A: Children’s Service Array Workgroup Members ..............................9

Appendix B: Survey Questions and Interventions ............................................10

Appendix C: Interventions Selected by CBCs ..................................................11

Appendix D: Interventions by County & Region ............................................13

Appendix E: Interventions by CBC, Funding Source, and Capacity ................17

Appendix F: CBC and Future Initiatives .........................................................25

AcknowledgementsThe USF team would like to acknowledge the Children’s Service Array Workgroup, Casey Family Programs, and the Florida Department of Children and Families for their feedback and assistance with the creation and dissemination of the survey and report.

Florida Children’s Service Array Capacity and Gap Analysis Report 1

Florida Children’s Service Array Capacity and Gap Analysis Report

Introduction and Purpose

Survey

Previous Secretary Mike Carroll of the Department of Children and Families (DCF) implemented a priority of effort (POE) intended to ensure a comprehensive service array for children and families served by the child welfare system in Florida. DCF formed a Child Service Array Workgroup (CSAW) consisting of child welfare stakeholders throughout the state (see Appendix A for a complete list of workgroup members).

The CSAW met over several months to develop a comprehensive list of the best interventions to enhance services for children in Florida’s child welfare system. The CSAW reviewed literature and findings from Florida State University (FSU) review of interventions for child welfare special report (2018), and Casey Family Programs (CFP) (Report Interventions Suited for Child Welfare, March 2018); and recommended a set of interventions that could apply to children served by the Child Welfare system within each of the clusters of need (detailed in the Phase 1 report). As a follow-up to the Children’s Service Array Phase 1 report, CFP contracted with University of South Florida (USF) to develop a current service array capacity and gap analysis survey. The survey was designed to identify the current service array capacity and potential gaps of interventions available to child welfare involved children in Florida. Team members at the University of South Florida developed a capacity and gap analysis survey to be administered to Community-Based Care Lead Agencies (CBCs) with guidance from CFP and CSAW stakeholders.

The survey was developed by USF in coordination with Casey Family Programs and the CSAW. The survey was administered through Qualtrics online survey system and sent to CBCs by DCF leadership. CBCs were given one month to submit survey responses and were sent reminders every two weeks. The survey asked about 29 different interventions (see Appendix B for a complete list of survey questions). Each CBC was asked to report on interventions available for children involved in the child welfare system in their catchment area. This meant that CBCs were asked to contact their own subcontracted providers, other providers funded by Medicaid or other sources, Managing Entities and other stakeholders in order to gather this information.

2 Florida Children’s Service Array Capacity and Gap Analysis Report

Survey FindingsIdentified Interventions

There were 22 surveys submitted with at least one survey response from each of the 19 CBCs in Florida (See Figures 1 and 2 for maps of CBCs and Managing Entities in Florida and the counties they cover). Some CBCs had providers that completed the survey online rather than sending their responses to the CBCs. If one CBC catchment area had more than one survey response the survey answers were combined by the USF evaluation team. Applied Behavioral Analysis, Child Parent Psychotherapy, Motivational Interviewing, and Trauma-Focused Cognitive Behavioral Therapy were the most commonly identified interventions. Coping Power Program, Opportunity Passport, and Treatment Foster Care Oregon (TFCO) were the only three interventions of the 29 that were not selected as being offered in Florida. One CBC reported offering none of the identified interventions, but reported in the comments that their service array consisted of interventions not listed. Communities Connected for Kids, Family Support Services of North Florida, and Families First Network identified the highest number of interventions. Communities Connected for Kids identified 19 interventions, Family Support Services of North Florida identified 17, and Families First Network identified 15 interventions (See Appendix C).


Figure 1. Florida Community-Based Care Lead Agency Circuit Map

Monroe

CIRCUIT

16CIRCUIT

16CIRCUIT

11CIRCUIT

11

BrowardCIRCUIT

17CIRCUIT

17

CIRCUIT

15CIRCUIT

15

CIRCUIT

19CIRCUIT

19

IndianRiver

Martin

Okeechobee

St. Lucie

CIRCUIT

20CIRCUIT

20

Charlotte

Collier

Glades

HendryLee

CIRCUIT

13CIRCUIT

13

Hillsborough

CIRCUIT

12CIRCUIT

12De Soto

Manatee

Sarasota

CIRCUIT

06CIRCUIT

06 Pasco

PinellasBrevard

Seminole

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18CIRCUIT

18

HardeeHighlands

PolkCIRCUIT

10CIRCUIT

10

Orange

Osceola

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09CIRCUIT

09

Citrus

Hernando

Lake

Marion

Sumter

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05CIRCUIT

05

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08CIRCUIT

08Levy

Alachua

Baker

Bradford

Gilchrist

Union

Putnam

Volusia

Flagler

St.Johns

CIRCUIT

07CIRCUIT

07

Clay

Duval

NassauCIRCUIT

04CIRCUIT

04Columbia

Dixie

Hamilton

Lafayette

Madison

SuwanneeTaylor

CIRCUIT

03CIRCUIT

03Bay

Calhoun

Gulf

HolmesJackson

Washington

CIRCUIT

14CIRCUIT

14

Franklin

Gadsden Jefferson

Leon

Liberty Wakulla

CIRCUIT

02CIRCUIT

02

EscambiaOkaloosaSanta

RosaWaltonCIRCUIT

01CIRCUIT

01

Palm Beach

Miami-Dade

Circuit Region Counties Lead Agency

1 Escambia, Okaloosa, Santa Rosa, Walton Families First Network

2 Franklin, Gadsden,Jefferson, Leon, Liberty, Wakulla Big Bend CBC, Inc.

14 Bay, Calhoun, Gulf, Holmes, Jackson, Washington Big Bend CBC, Inc.

3 Columbia, Dixie, Hamilton, Lafayette, Madison, Suwannee, Taylor Partnership for Strong Families

4 Clay Kids First of Florida, Inc.

4 Duval, Nassau Family Support Services of North Florida, Inc.

7 St. Johns St. Johns County Board of Commissioners

7 Flagler, Putnam, Volusia Community Partnership for Children, Inc.

8 Alachua, Baker, Bradford, Gilchrist, Levy, Union Partnership for Strong Families

5 Citrus, Hernando, Lake, Marion, Sumter Kids Central, Inc.

9 Orange, Osceola CBC of Central Florida

10 Hardee, Highlands, Polk Heartland For Children

18 Seminole CBC of Central Florida

18 Brevard Brevard Family Partnership

6 Pasco,Pinellas Eckerd Community Alternatives

12 DeSoto,Manatee, Sarasota Sarasota Family YMCA, Inc.

13 Hillsborough Eckerd Community Alternatives

20 Charlotte, Collier, Glades, Hendry, Lee Children's Network of Southwest Florida

15 Palm Beach ChildNet, Inc.

17 Broward ChildNet, Inc.

19 Indian River, Martin, Okeechobee,St. Lucie Communities Connected for Kids

11 Miami-Dade Our Kids of Miami-Dade/Monroe, Inc.

16 Monroe Our Kids of Miami-Dade/Monroe, Inc.Southern

LEGEND

Northwest

Northeast

Southeast

SunCoast

Central

Community Based CareLead Agency Map


Figure 2. Florida Managing Entity Map

Monroe

CIRCUIT

16CIRCUIT

16

Miami-Dade

CIRCUIT

11CIRCUIT

11Southern

BrowardCIRCUIT

17CIRCUIT

17

Palm Beach

CIRCUIT

15CIRCUIT

15

CIRCUIT

19CIRCUIT

19

IndianRiver

Martin

Okeechobee

St. Lucie

Southeast

CIRCUIT

20CIRCUIT

20

Charlotte

Collier

Glades

HendryLee

CIRCUIT

13CIRCUIT

13

Hillsborough

CIRCUIT

12CIRCUIT

12De Soto

Manatee

Sarasota

CIRCUIT

06CIRCUIT

06 Pasco

Pinellas

Suncoast

Brevard

Seminole

CIRCUIT

18CIRCUIT

18

HardeeHighlands

PolkCIRCUIT

10CIRCUIT

10

Orange

Osceola

CIRCUIT

09CIRCUIT

09

Citrus

Hernando

Lake

Marion

Sumter

CIRCUIT

05CIRCUIT

05

Central

CIRCUIT

08CIRCUIT

08Levy

Alachua

Baker

Bradford

Gilchrist

Union

Putnam

Volusia

Flagler

St.Johns

CIRCUIT

07CIRCUIT

07

Clay

Duval

NassauCIRCUIT

04CIRCUIT

04Columbia

Dixie

Hamilton

Lafayette

Madison

SuwanneeTaylor

CIRCUIT

03CIRCUIT

03Northeast

BayCalhoun

Gulf

HolmesJackson

Washington

CIRCUIT

14CIRCUIT

14

Franklin

Gadsden Jefferson

Leon

Liberty Wakulla

CIRCUIT

02CIRCUIT

02

EscambiaOkaloosaSanta

RosaWaltonCIRCUIT

01CIRCUIT

01

Northwest

Lutheran Services Florida, Inc.Circuits 3, 4, 5, 7 and 8 - HQ: Jacksonville

Serving Alachua, Baker, Bradford, Citrus, Clay, Columbia, Dixie, Duval, Flagler, Gilchrist, Hamilton, Hernando, Lake, Lafayette, Levy, Marion, Nassau, Putnam, St. Johns, Sumter, Suwannee,

Union and Volusia counties.Start Date: 7/1/2012

Central Florida Cares Health System, Inc.Circuits: 9 and 18 - HQ: Orlando

Serving Brevard, Orange, Osceola and Seminole counties.Start Date: 7/1/2012

Big Bend Community Based Care, Inc.Circuits 1, 2 , 3 and 14 - HQ: Tallahassee

Serving Bay, Calhoun, Escambia, Franklin, Gadsden, Gulf, Holmes, Jackson, Je�erson, Leon, Liberty, Madison, Okaloosa, Santa Rosa, Taylor, Wakulla, Walton, and Washington counties.

Start Date: 4/1/2013

Central Florida Behavioral Health Network, Inc. Circuits 6, 10, 12, 13 and 20 - HQ: Tampa

Serving Charlotte, Collier, DeSoto, Glades, Hardee, Highlands, Hendry, Hillsborough, Lee, Manatee, Pasco, Pinellas, Polk and

Sarasota counties. Start Date: 7/1/2010

Southeast Florida Behavioral Health Network, Inc. Circuits 15 and 19 - HQ: Jupiter

Serving Indian River, Martin, Okeechobee, Palm Beach and St. Lucie counties.

Start Date: 10/1/2012

South Florida Behavioral Health Network, Inc.Circuits 11, 16 - HQ: Miami

Serving Dade and Monroe counties.Start Date: 10/1/2010

Broward Behavioral Health Coalition, Inc.Circuit 17 - HQ: Fort Lauderdale

Serving Broward county.Start Date: 11/6/2012

Circuit BorderDCF Headquarter O�ces

MANAGING ENTITY

Measuring EffectivenessCBCs were asked to report on the effectiveness of the identified interventions. The responses varied by CBC. The most common measurement of effectiveness reported was looking at outcomes. This ranged from outcomes reported from therapists, other service providers, feedback from parents and children, noticeable behavior change, and using standardized assessments to gain information.

Interventions by CountyThe reported counties with the most interventions available were Duval, St. Lucie, and Okeechobee counties (See Appendix D for a complete list of intervention by County; see Figure 3 for a visual of intervention by County). CBCs were also asked to report on the most needed services for the counties in their catchment area. Each CBC reported a variation of services needed in their catchment areas. A prominent theme was the need for substance abuse services, ABA services, and an expansion of the capacity for currently implemented interventions (See Figure 4).


Figure 3. Visual of Interventions by CBC

Families First Network • Applied Behavior Analysis• Big Brothers Big Sisters • Child Parent Psychotherapy• Child and Family Traumatic Stress

Intervention • Combined Parent/Child Cognitive

Behavioral Therapy • Eye Movement Desensitization and

Reprocessing • Homebuilders • Mentors • Motivational Interviewing • Multi-systemic Therapy • Parent-Child Interaction Therapy• Real Life Heroes: Resiliency

Focused Treatment for Children and Families with Traumatic Stress

• Trauma Focused CognitiveBehavioral Therapy

• Trust Based Relational Intervention • Wraparound

Big Bend CBC• Applied Behavior Analysis • Child Parent Psychotherapy • Eye Movement Desensitization and

Reprocessing • Mentors • Motivational Interviewing • Trauma Focused Cognitive

Behavioral TherapyPartnership for Strong Families • Applied Behavior Analysis • Child Parent Psychotherapy • Combined Parent/Child Cognitive


Reprocessing • Motivational Interviewing • Parent-Child Interaction Therapy• Theraplay • Trauma Focused Cognitive Behavioral

Therapy • Trust Based Relational Intervention

Family Support Services of North FL• ACT Raising Safe Kids • Applied Behavior Analysis• Attachment and Bio behavioral Catch Up • Child Parent Psychotherapy • Cognitive- Behavioral Intervention for Trauma

in School • Combined Parent/Child Cognitive Behavioral

Therapy • Coping Cat • Eye Movement Desensitization and

Reprocessing • Functional Family Therapy • Homebuilders • Mentors • Motivational Interviewing • Multi-systemic Therapy • Parent-Child Interaction Therapy • Theraplay • Trauma Focused Cognitive Behavioral

Therapy • Safe Environment for Every Kid • Wraparound

Community Partnership for Children • Applied Behavior Analysis• Child Parent Psychotherapy • Combined Parent/Child Cognitive

Behavioral Therapy • Eye Movement Desensitization

and Reprocessing • Functional Family Therapy • Mentors • Motivational Interviewing • Trauma Focused Cognitive

Behavioral Therapy • Wraparound CBC Central FL • Applied Behavior Analysis• Combined Parent/Child Cognitive

Behavioral Therapy • Eye Movement Desensitization

and Reprocessing • Mentors • Motivational Interviewing • Trauma Focused Cognitive

Behavioral Therapy • Wraparound

Eckerd Community Alternatives–P/P• Big Brothers Big Sisters • Child Parent Psychotherapy• Mentors • Motivational Interviewing • Together Facing the Challenge

Eckerd Community Alternatives - H • Child Parent Psychotherapy • Combined Parent/Child

Cognitive Behavioral Therapy • Mentors • Motivational Interviewing • Trauma Focused Cognitive

Behavioral Therapy • Trust Based Relational

Intervention • Wraparound

Heartland for Children • Applied Behavior Analysis • Attachment and Bio behavioral

Catch Up • Big Brothers Big Sisters • Child Parent Psychotherapy • Combined Parent/Child Cognitive

Behavioral Therapy • Coping Cat • Eye Movement Desensitization

and Reprocessing • Mentors • Motivational Interviewing • Parent-Child Interaction Therapy • Trauma Focused Cognitive

Behavioral Therapy

Communities Connected for Kids • Applied Behavior Analysis • Attachment and Bio behavioral Catch Up • Child and Family Traumatic Stress Intervention • Child Parent Psychotherapy • Cognitive- Behavioral Intervention for Trauma in

School • Combined Parent/Child Cognitive Behavioral

Therapy • Eye Movement Desensitization and Reprocessing • Functional Family Therapy• Mentors • The Modular Approach To Therapy for Children with

Anxiety, Depression, Trauma or Conduct Problems • Motivational Interviewing • Multi-systemic Therapy • Positive Peer Culture • Real Life Heroes: Resiliency Focused Treatment for

Children and Families with Traumatic Stress • Safecare • Theraplay • Together Facing the Challenge • Trauma Focused Cognitive Behavioral Therapy • Wraparound

ChildNet Inc. Palm Beach • Applied Behavior Analysis• Child Parent Psychotherapy• Combined Parent/Child Cognitive


Reprocessing • Functional Family Therapy • The Modular Approach To Therapy for

Children with Anxiety, Depression, Trauma or Conduct Problems

• Motivational Interviewing • Multi-systemic Therapy • Parent-Child Interaction Therapy• Theraplay • Trauma Focused Cognitive Behavioral

Therapy • Wraparound

Kids First of Florida • Applied Behavior

Analysis • Big brothers Big Sisters• Child Parent

Psychotherapy • Eye Movement

Desensitization and Reprocessing

• Trauma Focused Cognitive Behavioral Therapy

Our Kids of Miami-Dade/Monroe, Inc. • Applied Behavior Analysis • Child Parent Psychotherapy• Combined Parent/Child Cognitive


Reprocessing • Functional Family Therapy• Motivational Interviewing • Multi-systemic Therapy • Parent-Child Interaction Therapy • Theraplay • Trauma Focused Cognitive Behavioral

Therapy • Wraparound

Children’s Network of Southwest FL• ACT Raising Safe Kids • Applied Behavior Analysis• Child Parent Psychotherapy• Eye Movement Desensitization and

Reprocessing • Motivational Interviewing • Multi-systemic Therapy • Parent-Child Interaction Therapy• Trauma Focused Cognitive Behavioral

Therapy

ChildNet Inc. Broward• Applied Behavior Analysis• Big Brothers Big Sisters • Child Parent Psychotherapy• Cognitive-Behavioral Intervention for Trauma in

School • Eye Movement Desensitization and

Reprocessing • Mentors • Motivational Interviewing • Multi-systemic Therapy • Wraparound

St. John’s County Board of Commissioners• Applied Behavior Analysis• Big Brothers Big Sisters • Combined Parent/Child Cognitive Behavioral Therapy • Eye Movement Desensitization and Reprocessing • Mentors • Motivational Interviewing • Trauma Focused Cognitive Behavioral Therapy• Wraparound

Brevard Family Partnership • Applied Behavior

Analysis • Mentors • Trauma Focused

Cognitive Behavioral Therapy

• Wraparound

Sarasota Family YMCA, Inc.• ACT Raising Safe Kids • Applied Behavior Analysis • Big Brothers Big Sisters • Child Parent Psychotherapy • Eye Movement Desensitization

and Reprocessing • Motivational Interviewing • Together Facing the Challenge • Trauma Focused Cognitive

Behavioral Therapy


Figure 4. Service Need by State and Region

Northwest Region: 1. In-Home Services 2. Trauma-Informed Services 3. Substance Abuse,

Evidence-Based Parenting, And Behavioral health Services

Northeast Region:

1. In-Home Psychiatric Services

2. Evidence-Based Interventions

3. Medicaid or non-CBC Funded Services

Central Region:

1. ABA Services 2. Mentoring and Residential

Housing 3. Licensed Psychologists

with Experience Suncoast Region:

4. ABA Services 5. In-Home Services 6. Substance Abuse and

Evidence-Based Services Southeast Region:

1. Child Psychiatric Services 2. ABA Services 3. Substance Abuse Services

Southern Region:

1. PCIT 2. Trauma-Focused

Interventions 3. EMDR


Funding and Capacity

Future Funding

CBCs reported on the funding source and capacity of each identified intervention. CBCs had the option to select CBC Lead Agency, Managing Entity, Medicaid, Grant, or other funding source. If ‘other’ was selected participants were asked to specify the funding source. Medicaid was the most commonly reported funding source. Mentors and Trust Based Relational Intervention were the only two interventions most commonly reported to be funded by the CBC. In regards to capacity, participants were asked if the identified intervention had a sufficient capacity to address the needs of children in the child welfare system. It was more commonly reported that the identified intervention did not have enough capacity to meet the needs of children in the child welfare system. Appendix E details the intervention by CBC, funding source, and capacity sufficiency.

Participants were asked about any future plans for implementing evidence-based practices and funding for those practices. Nine of the 19 CBC respondents indicated ‘yes’ and 10 indicated ‘no.’ The following interventions were reported as currently being implemented or will be implemented in the future:

• ART

• Family Connections

• Dialectical Behavior Therapy

• Dyadic Developmental Psychotherapy

• Neuro-sequential model of therapy

• Nurturing Parenting

• Telehealth

• Trust Based Relational Intervention (TBRI)

The most commonly reported funding source for these interventions was Medicaid, along with the CBC and Managing Entity. Appendix F details the CBC and future initiatives.

The survey allowed for participants to add additional comments at the end of the survey. CBCs reported the need for funding on every scale. They reported a need for Managing Entities to fund more evidence-based interventions, Medicaid expansion, and more flexibility of funding for behavioral health services. Below are a selection of comments that particularly underscored the funding challenges.

• The process for local providers to obtain a Medicaid ID is very difficult and limits the CBC ability to diversify funding streams.

• Supporting evidence based practice is difficult to implement due to cost of implementation and training of staff. Providers do the best they can to train staff. For example, Tykes & Teens, a local provider, is modifying their IMH training to do in-house. They are following the FAIMH movement toward 4 levels of endorsement. The goal of FAIMH is to roll out this certification FY19-20. All providers are striving to implement EBP with fidelity with limited resources.


ConsiderationsThere are a couple of considerations that should be taken into account when interpreting the findings from this survey. Key Components of the survey, including the capacity and measurement of effectiveness, consisted of open-ended questions. This allowed responses open to a great degree of interpretation. For example, some CBCs were more detailed in their responses regarding how the effectiveness of interventions is measured. One participant also noted this consideration, “Responses were gathered from contracted and Medicaid providers. It is unknown exactly how many therapists with specific certifications are employed with each provider. Continued research will be needed to further define exact capacity and need.” Also, CBCs had one month to compile information on the availability of the listed interventions. This timeframe could impact the amount of information that was able to be reported by the participants.


Appendix A: Children’s Service Array Workgroup Members Traci Leavine - Department of Children and Families (DCF)

Valery Dambreville - DCF

Chrissy Curtis - Community Based Care Integrated Health

Cori Bauserman - Big Bend Community Based Care

Gordy Pyper - Big Bend Community Based Care

Monique Myers - The Sarasota Y/Safe Children Coalition

Cheri Sheffer - Communities Connected for Kids

Shannen Davis - Our Kids

Jennifer Behnam - BRITE Consulting, Consultant for Casey Family Programs

Courtney Smith - DCF

Xiomara Turner - DCF

Celeste Putnam - DCF

Laurie Blades - Substance Abuse Mental Health Program Office (SAMH)

Mary Schrenker - SAMH

Ginger Griffeth - DCF

Janelle King - DCF

Bethany Gilot - DCF

Roderick Harris - Big Bend Community Based Care

Neiko Shea - Sunshine Health

Toby Pina - Sunshine Health

Mimi Graham - Florida State University (FSU) Prevention & Early Intervention

Policy

Carrie Toy - Zero to Three

Kim DelGaudio - Guardian ad Litem Program

Diana Cohn - Children’s Legal Services

Marianna Tutwiler - Florida Institute for Child Welfare (FICW)

Donna Brown - FICW

Jessica Pryce - FICW

Fawn Moore - Central Region DCF

Vanessa Snoddy - Central Region DCF

Ryan Duke - Central Region DCF

Tamira Williams - DCF

Chris Dyer - Heartland for Children

Angela Stills - Heartland for Children

Ashley Carraro - Brevard Family Partnerships

Beth Batten - Community Based Care of Central Florida

Karen Yatchum - Directions for Living

Joanne Robertson - Kids First of Florida

Shinlay Rivera - Partnership for Strong Families (PSF)

Christa Barton - PSF

Kristin Mosley - Family Support Services of North Florida (FSSNF)

Heather Lamb - FSSNF

Jennifer Anan - FSSNF

Lynnea Maystrick - FSSNF

Jeremy Cook - Community Partnership for Children

Christa Pate - Families First Network

Claudia McArthur - Families First Network

Josie Kirchner - Communities Connected for Kids

Dawn Liberta - ChildNet

Gayle McTighe - ChildNet

Jennifer Scoff - ChildNet

Kezia Salmon - ChildNet

Diane Schofield - Hands of Mercy Everywhere

Aimee Deen - Hands of Mercy Everywhere

Robyn Metcalf - Voices for Children

Linda Alexionok - Voices for Children

Lashawn Royal-Moore - DCF

Sue Aboul-Hosn - DCF

Marina Anderson - DCF

Angela Murray - Sarasota YMCA

Robert Brown - DCF

Alicia Dyer - DCF

Martin Marmol - DCF

Erica Wells - DCF

Shalonda McHenry-Sims - Kids Central

Tom Greenman - Community Based Care of Central Florida

Jessica Webster - Kids Central

Ray Fischer - Children’s Network of Southwest Florida

Mia Jones - PSF

Valerie Ray - Starting Point/Nassau County

Trudy Petkovich - Florida State Foster Adoptive Parent Association

Melissa Worthen - SAMH

Jan Widmer - Children’s Network of Southwest Florida

Emily Pritchard - SAMH

Angela Stills - Heartland for Children

Areana Cruz - University of South Florida

Michael Forster - St. Johns County Board of County Commissioner/Family

Integrity Program

Courtney Stanford - DCF

Randy Fleming - DCF

Lindsey May - All Star Children’s Foundation

Courtney Burnett - Kids Central

Jen Widmer - Children’s Network of Southwest Florida

Khalilah Louis-Caine - Saint Leo University

Peter J. Pecora - Casey Family Programs


Appendix B: Survey Questions and Interventions1. Please indicate all survey participants

2. Please select from the services listed, which ones your CBC and contracted providers offer children involved in the child welfare system?

16) Motivational Interviewing

17) Multi-Systemic Therapy (MST)

18) Opportunity Passport

19) Parent-Child Interaction Therapy (PCIT)

20) Positive Peer Culture (PPC)

21) Real Life Heroes: Resiliency Focused Treatmentfor Children and Families with Traumatic Stress

22) SafeCare

23) Safe Environment for Every Kid (SEEK)

24) Theraplay

25) Together Facing the Challenge (TFTC)

26) Trauma Focused Cognitive Behavioral Therapy(TF-CBT)

27) Treatment Foster Care Oregon (TFCO)

28) Trust Based Relational Intervention (TBRI)

29) Wraparound

1) ACT Raising Safe Kids

2) Applied Behavior Analysis (ABA)

3) Attachment and Biobehavioral Catch Up (ABC)

4) Big Brothers Big Sisters

5) Child and Family Traumatic Stress Intervention (CFTSI)

6) Child Parent Psychotherapy (CPP)

7) Cognitive-Behavioral Intervention for Trauma in School(CBITS)

8) Combined Parent/Child Cognitive Behavioral Therapy

9) Coping Cat

10) Coping Power Program

11) Eye Movement Desensitization and Reprocessing (EMDR)

12) Functional Family Therapy (FFT)

13) Homebuilders

14) Mentors

15) The Modular Approach To Therapy for Children withAnxiety, Depression, Trauma or Conduct Problems(MATCH-ADTC)

The following follow-up questions will be asked for each of the programs selected

» How is the identified service being funded?

» Is the capacity of the identified service sufficient to meet the needs of children involved in the child welfare system?

» What counties is the identified service available for? (If the service is available for all counties in your Circuit, please say “available in allcounties in Circuit served by lead agency”)

» How do you measure the effectiveness of the identified service?

3. Does your agency have any identified future plans for the implementation of evidence-based programs and funding for those programs(answers to this question should include funding that has been applied for and funding that has been secured)? If yes, please provide details.

4. What are the top 3 services you feel are needed for counties in your service area (by county)?

5. Are there any other comments you would like share?


Appendix C: Interventions Selected by CBCs Table C1 represents the interventions offered in CBC catchment areas throughout Florida and Table C2 shows the abbreviations and the full names for the interventions and CBCs represented in Table C1.

Table C1 Interventions Selected

BB CBC BFP CBCCFL CN-B CN-PB CNS

WFL CCK CPC ECA-H ECA- P/P FFN FSSNF Heart KC KFF OK PSF YMCA SJC Total

ACT X X X 3 ABA X X X X X X X X X X X X X X X X 16 ABC X X X 3 BBBS X X X X X X X X 8 CFTSI X X 2 CPP X X X X X X X X X X X X X X X X 16 CBITS X X X X 4 C P/C CBT

X X X X X X X X X X X 11

Coping Cat

X X 2

EMDR X X X X X X X X X X X X X X X 15 FFT X X X X X 5 HB X 1 Mentors X X X X X X X X X X X X 12 MATCH- ADTC

X X 2

MI X X X X X X X X X X X X X X X X 16 MST X X X X X X X 7 PCIT X X X X X X X 7 PPC X 1 RLH X X 2 Safecare X 1 SEEK X 1 TP X X X X 4 TFTC X X X 3 TF-CBT X X X X X X X X X X X X X X X X 16 TBRI X X X 3 WA X X X X X X X X X X X X X 12 Total 7 4 7 9 12 8 19 9 7 5 15 17 11 5 10 11 8 9


Abbreviations and full Intervention Names

ACT �� ACT Raising Safe Kids

ABA �� Applied Behavior Analysis

ABC �� Attachment and Biobehavioral Catch Up

BBBS �� Big Brothers Big Sisters

CFTSI �� Child and Family Traumatic Stress Intervention

CPP �� Child Parent Psychotherapy

CBITS �� Cognitive-Behavioral Intervention for Trauma in School

C P/C CBT �� Combined Parent/Child Cognitive Behavioral Therapy

Coping Cat ��

EMDR �� Eye Movement Desensitization and Reprocessing

FFT �� Functional Family Therapy

HB �� Homebuilders

Mentors ��

MATCH-ADTC �� The Modular Approach To Therapy for Children with Anxiety, Depression, Trauma or Conduct Problems

MI �� Motivational Interviewing

MST �� Multi-Systemic Therapy

PCIT �� Parent-Child Interaction Therapy

PPC �� Positive Peer Culture

RLH �� Real Life Heroes: Resiliency Focused Treatment for Children and Families with Traumatic Stress

SafeCare ��

SEEK �� Safe Environment for Every Kid

TP �� Theraplay

TFTC �� Together Facing the Challenge

TF-CBT �� Trauma Focused Cognitive Behavioral Therapy

TBRI �� Trust Based Relational Intervention

WA �� Wraparound

Abbreviations and full CBC Names

BBCBC �� Big Bend CBC, Inc.

BFP �� Brevard Family Partnership

CBCCFL �� CBC of Central Florida

CN-B �� ChildNet, Inc. Broward

CN-PB �� ChildNet, Inc. Palm Beach

CNSWFL �� Children’s Network of Southwest Florida

CCK �� Communities Connected for Kids

CPC �� Community Partnership for Children, Inc.

ECA-H �� Eckerd Community Alternatives Hillsborough

ECA- P/P �� Eckerd Community Alternatives Pinellas/Pasco

FFN �� Families First Network

FSSNF �� Family Support Services of North Florida, Inc.

Heart �� Heartland For Children

KC �� Kids Central, Inc.

KFF �� Kids First of Florida, Inc.

OK �� Our Kids of Miami-Dade/Monroe, Inc.

PSF �� Partnership for Strong Families

YMCA �� Sarasota Family YMCA, Inc.

SCJ �� St. Johns County Board of Commissioners

Table C2 Abbreviations and the Full Names

Appendix C: Interventions Selected by CBCs


Appendix D: Interventions by County & Region Northwest Region

County Interventions Total

Bay Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Eye Movement Desensitization and Reprocessing (EMDR), Motivational Interviewing 4

Calhoun Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Motivational Interviewing 3

Escambia

Applied Behavior Analysis (ABA), Big Brothers Big Sisters, Child Parent Psychotherapy (CPP), Combined Parent/Child Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing (EMDR), Homebuilders, Motivational Interviewing, Parent-Child Interaction Therapy (PCIT), Real Life Heroes: Resiliency Focused Treatment for Children and Families with Traumatic Stress, Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Trust Based Relational Intervention (TBRI), Wraparound

12

Franklin Applied Behavior Analysis (ABA), Motivational Interviewing 2

Gadsden Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Eye Movement Desensitization and Reprocessing (EMDR), Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF-CBT) 5

Gulf Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Motivational Interviewing 3 Holmes Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Motivational Interviewing 3 Jackson Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Motivational Interviewing 3

Jefferson Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Motivational Interviewing 3

Leon Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Eye Movement Desensitization and Reprocessing (EMDR), Mentors, Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF- CBT) 6

Liberty Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Motivational Interviewing 3

Okaloosa Big Brothers Big Sisters, Child Parent Psychotherapy (CPP), Homebuilders, Mentors, Motivational Interviewing, Real Life Heroes: Resiliency Focused Treatment for Children and Families with Traumatic Stress, Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Trust Based Relational Intervention (TBRI), Wraparound

9

Santa Rosa

Applied Behavior Analysis (ABA), Big Brothers Big Sisters, Child and Family Traumatic Stress Intervention (CFTSI), Child Parent Psychotherapy (CPP), Combined Parent/Child Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing (EMDR), Homebuilders, Motivational Interviewing, Multi-systemic Therapy (MST), Real Life Heroes: Resiliency Focused Treatment for Children and Families with Traumatic Stress, Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Trust Based Relational Intervention (TBRI), Wraparound

13

Wakulla Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF-CBT) 4

Walton Applied Behavior Analysis (ABA), Big Brothers Big Sisters, Child Parent Psychotherapy (CPP), Homebuilders, Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Trust Based Relational Intervention (TBRI), Wraparound

8

Washington Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Motivational Interviewing 3

Northeast Region

County Interventions Total

Alachua

Applied Behavior Analysis (ABA), Big Brothers Big Sisters, Child Parent Psychotherapy (CPP), Cognitive-Behavioral Intervention for Trauma in School (CBITS), Combined Parent/Child Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing (EMDR), Motivational Interviewing, Parent-Child Interaction Therapy (PCIT), Theraplay, Trauma Focused Cognitive Behavioral Therapy (TF- CBT), Trust Based Relational Intervention (TBRI)

9

Baker Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Combined Parent/Child Cognitive Behavioral Therapy, Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF-CBT) 5

Bradford Applied Behavior Analysis (ABA), Big Brothers Big Sisters, Child Parent Psychotherapy (CPP), Combined Parent/Child Cognitive Behavioral Therapy, Motivational Interviewing, Trauma Focused Cognitive Behavioral 5


Therapy (TF-CBT)

Clay Applied Behavior Analysis (ABA), Big Brothers Big Sisters, Child Parent Psychotherapy (CPP), Eye Movement Desensitization and Reprocessing (EMDR), Trauma Focused Cognitive Behavioral Therapy (TF-CBT) 5

Columbia Applied Behavior Analysis (ABA), Big Brothers Big Sisters, Child Parent Psychotherapy (CPP), Combined Parent/Child Cognitive Behavioral Therapy, Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF-CBT)

5

Dixie Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Combined Parent/Child Cognitive Behavioral Therapy, Motivational Interviewing, Theraplay, Trauma Focused Cognitive Behavioral Therapy (TF-CBT) 6

Duval

ACT Raising Safe Kids, Applied Behavior Analysis (ABA), Attachment and Biobehavioral Catch Up (ABC), Child Parent Psychotherapy (CPP), Cognitive-Behavioral Intervention for Trauma in School (CBITS), Combined Parent/Child Cognitive Behavioral Therapy, Coping Cat, Eye Movement Desensitization and Reprocessing (EMDR), Functional Family Therapy (FFT), Homebuilders, Mentors, Motivational Interviewing, Multi-systemic Therapy (MST), Parent-Child Interaction Therapy (PCIT), Safe Environment for Every Kid (SEEK), Theraplay, Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Wraparound

18

Flagler Applied Behavior Analysis (ABA), Eye Movement Desensitization and Reprocessing (EMDR), Functional Family Therapy (FFT), Mentors, Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF- CBT), Wraparound

7

Gilchrist Applied Behavior Analysis (ABA), Big Brothers Big Sisters, Child Parent Psychotherapy (CPP), Combined Parent/Child Cognitive Behavioral Therapy, Motivational Interviewing, Theraplay, Trauma Focused Cognitive Behavioral Therapy (TF-CBT)

6

Hamilton Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Combined Parent/Child Cognitive Behavioral Therapy, Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF-CBT) 5

Lafayette Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Combined Parent/Child Cognitive Behavioral Therapy, Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF-CBT) 5

Levy Applied Behavior Analysis (ABA), Big Brothers Big Sisters, Child Parent Psychotherapy (CPP), Combined Parent/Child Cognitive Behavioral Therapy, Motivational Interviewing, Theraplay, Trauma Focused Cognitive Behavioral Therapy (TF-CBT)

6

Madison Combined Parent/Child Cognitive Behavioral Therapy, Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF-CBT) 3

Nassau

Child Parent Psychotherapy (CPP), Cognitive- Behavioral Intervention for Trauma in School (CBITS), Combined Parent/ Child Cognitive Behavioral Therapy, Functional Family Therapy (FFT), Mentors, Motivational Interviewing, Parent- Child Interaction Therapy (PCIT), Theraplay, Trauma Focused Cognitive Behavioral Therapy (TF-CBT)

9

Putnam Functional Family Therapy (FFT), Mentors, Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF-CBT) 4

St. Johns Applied Behavior Analysis (ABA), Big Brothers Big Sisters, Combined Parent/Child Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing (EMDR), Mentors, Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF- CBT), Wraparound

8

Suwanee Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Combined Parent/Child Cognitive Behavioral Therapy, Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF-CBT) 5

Taylor Combined Parent/Child Cognitive Behavioral Therapy, Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF-CBT) 3

Union Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Combined Parent/Child Cognitive Behavioral Therapy, Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF-CBT) 5

Volusia Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Combined Parent/Child Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing (EMDR), Functional Family Therapy (FFT), Mentors, Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Wraparound

9

15

Central Region County Interventions Total Brevard Applied Behavior Analysis (ABA), Mentors, Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Wraparound 4 Citrus

Hardee

Applied Behavior Analysis (ABA), Attachment and Biobehavioral Catch Up (ABC), Big Brothers Big Sisters, Combined Parent/Child Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing (EMDR), Mentors, Motivational Interviewing, Parent-Child Interaction Therapy (PCIT), Trauma Focused Cognitive Behavioral Therapy (TF-CBT)

9

Highlands

Applied Behavior Analysis (ABA), Attachment and Biobehavioral Catch Up (ABC), Big Brothers Big Sisters, Combined Parent/Child Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing (EMDR), Mentors, Motivational Interviewing, Parent-Child Interaction Therapy (PCIT), Trauma Focused Cognitive Behavioral Therapy (TF-CBT)

9

Hernando Lake

Marion

Orange Applied Behavior Analysis (ABA), Combined Parent/Child Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing (EMDR), Mentors, Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Wraparound

7

Osceola Applied Behavior Analysis (ABA), Combined Parent/Child Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing (EMDR), Mentors, Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Wraparound

7

Polk

Applied Behavior Analysis (ABA), Attachment and Biobehavioral Catch Up (ABC), Big Brothers Big Sisters, Child Parent Psychotherapy (CPP), Combined Parent/Child Cognitive Behavioral Therapy, Coping Cat, Eye Movement Desensitization and Reprocessing (EMDR), Mentors, Motivational Interviewing, Parent-Child Interaction Therapy (PCIT), Trauma Focused Cognitive Behavioral Therapy (TF-CBT)

11

Seminole Combined Parent/Child Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing (EMDR), Mentors, Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Wraparound 6

Sumter

Southeast Region County Interventions Total

Broward Applied Behavior Analysis (ABA), Big Brothers Big Sisters, Child Parent Psychotherapy (CPP), Cognitive-Behavioral Intervention for Trauma in School (CBITS), Eye Movement Desensitization and Reprocessing (EMDR), Mentors, Motivational Interviewing, Multi-systemic Therapy (MST), Wraparound

9

Indian River

Applied Behavior Analysis (ABA), Attachment and Biobehavioral Catch Up (ABC), Child and Family Traumatic Stress Intervention (CFTSI), Child Parent Psychotherapy (CPP), Cognitive- Behavioral Intervention for Trauma in School (CBITS), Combined Parent/Child Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing (EMDR), Functional Family Therapy (FFT), Mentors, The Modular Approach To Therapy for Children with Anxiety, Depression, Trauma or Conduct Problems (MATCH-ADTC), Motivational Interviewing, Multi-systemic Therapy (MST), Theraplay, Together Facing the Challenge (TFTC), Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Wraparound

16

Martin

Applied Behavior Analysis (ABA), Child and Family Traumatic Stress Intervention (CFTSI), Child Parent Psychotherapy (CPP), Combined Parent/Child Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing (EMDR), Functional Family Therapy (FFT), Mentors, Motivational Interviewing, Multi- systemic Therapy (MST), Real Life Heroes: Resiliency Focused Treatment for Children and Families with Traumatic Stress, Theraplay, Together Facing the Challenge (TFTC), Trauma Focused Cognitive Behavioral Therapy (TF- CBT), Wraparound

14

Okeechobee

Applied Behavior Analysis (ABA), Child and Family Traumatic Stress Intervention (CFTSI), Child Parent Psychotherapy (CPP), Cognitive- Behavioral Intervention for Trauma in School (CBITS), Combined Parent/Child Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing (EMDR), Functional Family Therapy, Mentors, Motivational Interviewing, Multi-systemic Therapy (MST), Positive Peer Culture (PPC), Real Life Heroes: Resiliency Focused Treatment for Children and Families with Traumatic Stress, Theraplay, Together Facing the Challenge (TFTC), Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Wraparound

16

Palm Beach Applied Behavior Analysis (ABA), Child Pare nt Psychotherapy (CPP), Combined Parent/Child Cognitive Behavioral 10


Therapy, Eye Movement Desensitization and Reprocessing (EMDR), Functional Family Therapy (FFT), The Modular Approach To Therapy for Children with Anxiety, Depression, Trauma or Conduct Problems (MATCH-ADTC), Motivational Interviewing, Multi-systemic Therapy (MST), Parent-Child Interaction Therapy (PCIT), Theraplay, Trauma Focused Cognitive Behavioral Therapy (TF- CBT), Wraparound

St. Lucie

Applied Behavior Analysis (ABA), Attachment and Biobehavioral Catch Up (ABC), Child and Family Traumatic Stress Intervention (CFTSI), Child Parent Psychotherapy (CPP), Cognitive- Behavioral Intervention for Trauma in School (CBITS), Combined Parent/Child Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing (EMDR), Functional Family Therapy (FFT), Mentors, The Modular Approach To Therapy for Children with Anxiety, Depression, Trauma or Conduct Problems (MATCH-ADTC), Motivational Interviewing, Multi-systemic Therapy (MST), Real Life Heroes: Resiliency Focused Treatment for Children and Families with Traumatic Stress, Safecare, Theraplay, Together Facing the Challenge (TFTC), Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Wraparound

18

Suncoast Region County Interventions Total

Charlotte Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Eye Movement Desensitization and Reprocessing (EMDR), Motivational Interviewing, Multi-systemic Therapy (MST), Parent-Child Interaction Therapy (PCIT), Trauma Focused Cognitive Behavioral Therapy (TF-CBT)

7

Collier Applied Behavior Analysis (ABA), Motivational Interviewing, Multi-systemic Therapy (MST), Trauma Focused Cognitive Behavioral Therapy (TF-CBT) 4

DeSoto Applied Behavior Analysis (ABA), Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF-CBT) 3 Glades Applied Behavior Analysis (ABA), Trauma Focused Cognitive Behavioral Therapy (TF-CBT) 2 Hendry Applied Behavior Analysis (ABA), Trauma Focused Cognitive Behavioral Therapy (TF-CBT) 2

Hillsborough Child Parent Psychotherapy (CPP), Combined Parent/Child Cognitive Behavioral Therapy, Mentors, Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF- CBT), Trust Based Relational Intervention (TBRI), Wraparound

7

Lee ACT Raising Safe Kids, Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Eye Movement Desensitization and Reprocessing (EMDR), Motivational Interviewing, Multi-systemic Therapy (MST), Trauma Focused Cognitive Behavioral Therapy (TF-CBT),

7

Manatee ACT Raising Safe Kids, Applied Behavior Analysis (ABA), Big Brothers Big Sisters, Child Parent Psychotherapy (CPP), Motivational Interviewing, Together Facing the Challenge (TFTC), Trauma Focused Cognitive Behavioral Therapy (TF- CBT)

7

Pasco Big Brothers Big Sisters, Child Parent Psychotherapy (CPP), Mentors, Motivational Interviewing, Together Facing the Challenge (TFTC) 5

Pinellas Big Brothers Big Sisters, Child Parent Psychotherapy (CPP), Mentors, Motivational Interviewing, Together Facing the Challenge (TFTC) 5

Sarasota Applied Behavior Analysis (ABA), Big Brothers Big Sisters, Child Parent Psychotherapy (CPP), Eye Movement Desensitization and Reprocessing (EMDR), Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF-CBT)

6

Southern Region County Interventions Total

Miami-Dade

Applied Behavior Analysis (ABA), Child Parent Psychotherapy (CPP), Combined Parent/Child Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing (EMDR), Functional Family Therapy (FFT), Motivational Interviewing, Multi-systemic Therapy (MST), Parent-Child Interaction Therapy (PCIT), Trauma Focused Cognitive Behavioral Therapy (TF- CBT), Wraparound

10

Monroe Functional Family Therapy (FFT), Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Wraparound 4


Appendix E: Interventions by CBC, Funding Source, and Capacity

Intervention CBC Funding Sufficient Capacity

ACT - ACT Raising Safe Kids

Children's Network of Southwest Florida Grant Yes

Family Support Services of North Florida, Inc. Medicaid Yes

Sarasota Family YMCA, Inc.

Medicaid No County

ABA - Applied Behavior Analysis

Big Bend CBC, Inc. Managing Entity No Medicaid Brevard Family

Partnership CBC Lead Agency No

CBC of Central Florida CBC Lead Agency No Medicaid

ChildNet, Inc. Broward CBC Lead Agency No Medicaid

ChildNet, Inc. Palm Beach

CBC Lead Agency

Yes Managing Entity

Medicaid Children's Network of

Southwest Florida CBC Lead Agency No Medicaid

Communities Connected for Kids

CBC Lead Agency No Medicaid Community Partnership

for Children, Inc. CBC Lead Agency No Medicaid

Families First Network Medicaid No Private InsuranceFamily Support Services

of North Florida, Inc. CBC Lead Agency No Medicaid

Heartland For Children CBC Lead Agency

Yes Medicaid School System Funding

Kids First of Florida, Inc. CBC Lead Agency Yes Medicaid

Our Kids of Miami-Dade/Monroe, Inc.

CBC Lead Agency

Yes Managing Entity

Medicaid Partnership for Strong

Families CBC Lead Agency No Medicaid


CBC Lead Agency No Medicaid

School Board Funding St. Johns County Board

of Commissioners Medicaid No

ABC - Attachment and Biobehavioral Catch Up Managing Entity Yes



Medicaid Self-Pay

Family Support Services of North Florida, Inc. Medicaid No

Heartland For Children CBC Lead Agency Yes

BBBS - Big Brothers Big Sisters

ChildNet, Inc. Broward Local Fundraising Efforts Yes Eckerd Community

Alternatives Pinellas/Pasco

Other No

Families First Network

Grant

No

Corporate Partners Community Partners

Foundations Advocacy Groups

Government Funding Leadership Giving Society

Heartland For Children Primarily through private donations & grants

with less than 20%of budget coming from government sources

No

Kids First of Florida, Inc. Other No Partnership for Strong

Families Other Not Specified

Sarasota Family YMCA, Inc. County No

St. Johns County Board of Commissioners Non-Profit No

CFTSI - Child and Family Traumatic Stress Intervention


Managing Entity

Yes Yes Medicaid

Self-Pay Sliding Scale

Families First Network Medicaid

Yes Private Insurance Sliding Scale

CPP - Child Parent Psychotherapy

Big Bend CBC, Inc. CBC Lead Agency Yes Medicaid

ChildNet, Inc. Broward CBC Lead Agency

No Medicaid CSC



CSC Children's Network of

Southwest Florida Medicaid No


Managing Entity

Yes Medicaid Self-Pay

Community Partnership for Children, Inc. Medicaid Yes

Eckerd Community Alternatives Hillsborough



Eckerd Community Alternatives

Pinellas/Pasco DFL (lost the funding) No


Managing Entity

No Medicaid Private Insurance

Sliding Scale Family Support Services

of North Florida, Inc. Grant No

Heartland For Children Medicaid No Kids First of Florida, Inc. CBC Lead Agency Yes


CBC Lead Agency Yes Medicaid Partnership for Strong



CBC Lead Agency

No Managing Entity

Medicaid Grant

St. Johns County Board of Commissioners

Managing Entity No

Medicaid

CBITS - Cognitive-Behavioral Intervention for Trauma in School

ChildNet, Inc. Broward DOE Yes


Managing Entity


Family Support Services of North Florida, Inc. Medicaid No

Partnership for Strong Families Grant Not Specified

C P/C CBT - Combined Parent/Child Cognitive Behavioral Therapy

CBC of Central Florida CBC Lead Agency Yes Medicaid



Grant


Managing Entity

Yes Medicaid DCF contract for CAT

Community Partnership for Children, Inc. Medicaid Yes

Eckerd Community Alternatives Hillsborough CBC Lead Agency Yes


Managing Entity



of North Florida, Inc. Medicaid Yes

Heartland For Children CBC Lead Agency Yes Medicaid CBC Lead Agency Yes



Managing Entity


Families CBC Lead Agency Yes Medicaid


CBC Lead Agency

No Managing Entity

Medicaid

Coping Cat Family Support Services

of North Florida, Inc.

Managing Entity No

Medicaid Heartland For Children Medicaid No

EMDR - Eye Movement Desensitization and Reprocessing

Big Bend CBC, Inc. CBC Lead Agency Yes Medicaid

CBC of Central Florida CBC Lead Agency Yes Medicaid ChildNet, Inc. Broward Medicaid Yes


Managing Entity Yes


Southwest Florida Medicaid Yes


Managing Entity

Yes Medicaid Grant

Self-Pay Community Partnership

for Children, Inc. Medicaid No


Managing Entity



of North Florida, Inc. CBC Lead Agency No Managing Entity

Heartland For Children Medicaid No Kids First of Florida, Inc. CBC Lead Agency Yes


CBC Lead Agency No Self-Pay Partnership for Strong


Sarasota Family YMCA, Inc. Medicaid No


Managing Entity No Medicaid

FFT - Family Functional Therapy


CBC Lead Agency Yes Managing Entity

Medicaid


Managing Entity



Community Partnership for Children, Inc.




CBC Lead Agency

No Managing Entity Medicaid

Grant

HB - Homebuilders Families First Network CBC Lead Agency No

Family Support Services of North Florida, Inc. CBC Lead Agency No

Mentors

Big Bend CBC, Inc. CBC Lead Agency No Other Brevard Family

Partnership CBC Lead Agency Yes

CBC of Central Florida CBC Lead Agency Yes ChildNet, Inc. Broward CBC Lead Agency Yes

Communities Connected for Kids CAT Team DCF funding Yes

Community Partnership for Children, Inc. CBC Lead Agency No

Eckerd Community Alternatives Hillsborough CBC Lead Agency No


Pinellas/Pasco Other No

Families First Network CBC Lead Agency No Family Support Services

of North Florida, Inc. CBC Lead Agency No Grant

Heartland For Children CBC Lead Agency

No Medicaid Schools/Volunteers


Managing Entity No

MATCH-ADTC - The Modular Approach To Therapy for Children with Anxiety, Depression,

Trauma or Conduct Problems


Managing Entity Yes

Medicaid


Managing Entity


MI - Motivational Interviewing

Big Bend CBC, Inc.

CBC Lead Agency

Yes Managing Entity

Medicaid CBC of Central Florida CBC Lead Agency Yes

ChildNet, Inc. Broward CBC Lead Agency Yes Broward County ChildNet, Inc. Palm

Beach Managing Entity Yes Medicaid

Children's Network of Southwest Florida Medicaid Yes



Managing Entity



Managing Entity No

Medicaid Eckerd Community

Alternatives Hillsborough CBC Lead Agency Yes


Pinellas/Pasco Managing Entity Yes


CBC Lead Agency

Yes

Managing Entity

Medicaid Grant

Private Insurance Sliding Scale


Heartland For Children Medicaid Yes Our Kids of Miami-Dade/Monroe, Inc.

CBC Lead Agency No Managing Entity

Partnership for Strong Families


Medicaid


Managing Entity Yes

Medicaid St. Johns County Board

of Commissioners Managing Entity

Yes

MST - Multi-systemic Therapy

ChildNet, Inc. Broward Medicaid No CSC


Managing Entity Yes


Southwest Florida

Medicaid Yes


Managing Entity



Managing Entity


Sliding Scale

Family Support Services of North Florida, Inc.

Managing Entity

No Medicaid Grant


Managing Entity Yes

Medicaid


PCIT - Parent-Child Interaction Therapy


Managing Entity Yes


Southwest Florida Medicaid No


Managing Entity



of North Florida, Inc. CBC Lead Agency No Medicaid

Heartland For Children Medicaid Yes Our Kids of Miami-Dade/Monroe, Inc. Grant No

Partnership for Strong Families CBC Lead Agency No

PPC - Positive Peer Culture Communities Connected for Kids

Managing Entity Yes

RLH - Real Life Heroes: Resiliency Focused Treatment for Children and Families with

Traumatic Stress


Medicaid Yes Self-Pay

Sliding Scale Families First Network Medicaid Yes

Safecare Communities Connected for Kids Grant Yes

SEEK - Safe Environment for Every Kid Family Support Services of North Florida, Inc. Grant No

TP - Theraplay

ChildNet, Inc. Palm Beach Grant Yes


Managing Entity



of North Florida, Inc. Medicaid No

Partnership for Strong Families Medicaid No

TFTC - Together Facing the Challenge

Communities Connected for Kids Grant No


Pinellas/Pasco Medicaid No


Medicaid No Other

TF-CBT - Trauma Focused Cognitive Behavioral Therapy

Big Bend CBC, Inc. CBC Lead Agency No Medicaid

Brevard Family Partnership


Medicaid

CBC of Central Florida CBC Lead Agency Yes Medicaid



Managing Entity Yes Medicaid Children's Network of

Southwest Florida Medicaid Yes


Managing Entity Yes Medicaid Community Partnership

for Children, Inc. Managing Entity No Medicaid



Managing Entity

Yes Medicaid Private Insurance


of North Florida, Inc. CBC Lead Agency Yes Medicaid

Heartland For Children Medicaid Yes Kids First of Florida, Inc. Medicaid No




Families CBC Lead Agency Yes Medicaid


Managing Entity Yes Medicaid

Grant



Medicaid

TBRI - Trust Based Relational Intervention


Families First Network CBC Lead Agency Yes Partnership for Strong

Families CBC Lead Agency No

Wrap - Wraparound

Big Bend CBC, Inc. Managing Entity

No Medicaid Grant

Brevard Family Partnership CBC Lead Agency No

CBC of Central Florida Grant No ChildNet, Inc. Broward Medicaid Yes


Managing Entity Yes Medicaid Communities Connected

for Kids Managing Entity Yes Medicaid

Community Partnership for Children, Inc. CBC Lead Agency No


Families First Network CBC Lead Agency

Yes Managing Entity Medicaid

Family Support Services of North Florida, Inc.





Medicaid St. Johns County Board

of Commissioners Managing Entity No


Appendix F: CBC Initiatives CBC CBC Initiatives

Big Bend CBC, Inc. No identified future plans

Brevard Family Partnership No identified future plans

CBC of Central Florida Children's Home Network's Kinship Navigator Program is rated promising and we have increased their CBCCF contract amount and have cosponsored a recent federal grant application together

ChildNet, Inc. Broward No identified future plans

ChildNet, Inc. Palm Beach No identified future plans

Children's Network of Southwest Florida

Individual providers have indicated plans for future development of ART, Telehealth, and Neurosequential Model of therapeutic. All Medicaid. One provider is involved in discussion with CBC to expand Dyadic Developmental Psychotherapy, also Medicaid

Communities Connected for Kids No identified future plans


No identified future plans

Eckerd Community Alternatives Hillsborough

No identified future plans


Pinellas/Pasco No identified future plans

Families First Network TBRI as a part of the contract that includes adoption component therapy

Family Support Services of North

Florida, Inc. FSSNF currently utilizes a wide array of evidence based services. FSSNF is always look for more funding sources through grants and partnerships in the community for additional evidence based practices.

Heartland For Children

HFC has plans to bring in Trust Based Relational Intervention (TBRI) in the next few months. Funding is already secured.

Kids Central, Inc.

Family Connections is a multi-faceted, community-based service program that works with families in their homes and in the context of their neighborhoods. According to the California Clearinghouse, Family Connection Collaborative (FCC) scientific rating is 3 (Promising Research Evidence) and has a High Child Welfare Relevance. Family Connections offers linkage and referral, case management, in-home intervention, and service plans using an evidenced-based family assessment. The goal of Family Connections is to help these families meet the basic needs of their children and reduce the risk of child neglect. Each FCC Clinician is a Masters Level Clinician in the Human Services field who provides a multitude of clinical interventions to address our families specific and individual needs. Motivational Interviewing, CBT, TF-CBT, DBT, SF-CBT, Parenting, Financial Wellness, Crisis Management, Resource Support, Social Connections, Behavioral Management, etc. The Assistant Clinical Director is Masters level clinician who meets weekly (or more) with each clinician to review the


progress of each family. Group Supervision is held weekly, and FCC participates in Webinars and Trainings related to FCC topics on an ongoing basis. Within the first 30 days of service, the FCC Clinicians will complete the Initial FAF Assessment (Family Assessment Factors Rating Scale) with the family. This assessment helps to identify the family's challenges and protective factors. Once the FAF is done, the Comprehensive Family Assessment (CFA) is completed (within first 30 days). This assessment is the narrative to the FAF. This assessment helps to determine the goals, objectives that will be addressed in the development of the Family Plan. Both the FAF Assessment and the Comprehensive Family Assessment incorporates each of the six protective factors. Nurturing Parenting Programs® (NPP) is a set of evidence-based curricula for prevention, intervention and treatment of child abuse and neglect. This in-home parenting program uses a strength-based, research-derived approach designed to ensure families receive the education and tools they need to replace negative patterns with new, positive, nurturing patterns, thus honoring the emotional, physical and spiritual health of the young ones in their care. The Nurturing Parenting Program has a scientific rating of 3 (Promising Research Evidence) and has a High Child Welfare Relevance. The program uses the Adult and Adolescent Parenting Inventory tool which incorporates the six protective factors. Family Group Decision Making Program (FGDM) is an effective model of practice which addresses the needs and incorporates the strengths of families in relation to child safety, permanency and wellbeing. The FGDM approach considers family strengths, family engagement, and informed family decision making as core values when working with children and families. FGDM empowers families to take an active and leadership role in developing plans and making decisions to promote the safety, permanency, and wellbeing of their children. The FGDM service models are considered best practice approaches to serving the needs of families who are at risk of entering the child welfare system. Utilizing a model that supports family involvement over the entire course of the case, as opposed to a one-time event, truly demonstrates actualization of a family-centered, empowerment focused paradigm. The scientific rating for FGDM is 3 (Promising Research Evidence) and has a High Child Welfare Relevance. FGDM utilizes the FRIENDS Protective Factor survey tool is used at the beginning and end of services.

Kids First of Florida, Inc. In the process of finding programs and funding for these services

Our Kids of Miami- Dade/Monroe, Inc.

The Our Kids Strategic plan for 2018-2021 lists several objectives the use a combination of CBC, ME, Medicaid, SAMSA and grant funding.

Partnership for Strong Families

PSF has implemented Family Connections which is an evidence-based program rated as a promising practice since 2014, for Family Support Services (FSS - safe and high/very high risk) when the family is willing to participate and meets eligibility criteria for the program for all 13 counties. CBC (PSF) funds Family Connections. Nurturing Parenting Program is also being implemented to fidelity in Alachua County. NPP may be funded through the MEs (if Family Intensive Treatment Team-FITT/ Substance Abuse-SA client) in Alachua, Madison, and Taylor Counties or PSF (all others). PSF is working to implement NPP to fidelity in Columbia County currently as well as parent readiness concepts across the catchment area. All parenting providers use evidence-based curriculum, but may not currently include components such as the parent/child observation component. PSF also refers for and CBC funds individualized therapy that includes TF-CBT for children with sexual behavior problems. Dialectical behavior therapy is available in Alachua County and funded through the CBC. Adoption competent therapy is also provided and funded by PSF. No other funding has been applied for at present time. However PSF continues to work with the MEs and behavioral health providers regarding the access and availability of Medicaid and other funded services in all 13 counties. We also work with the ME regarding services that the ME funds. Geographic areas/counties that are less populated as well as PSF's large geographic catchment area constitute a challenge in supporting some evidence-based programs locally in each county. Our UM system allows for routine reviews of gaps and flexibility to work to fill those gaps when identified and sustainable. Some behavioral health providers have voiced that they are also hesitant to accept referrals with a specific service or intervention narrowly identified by child welfare, as they are clinically completing a behavioral health assessment and making clinical recommendations (and may draw or choose from a few available interventions to provide the best intervention during the course of services and treatment as well as have flexibility to identify a clinician in the local area can provide an evidence-based or informed practice, approach, or program that is therapeutically/diagnostically indicated to address the individualized needs of the individual and/or family). One anticipated challenge with funding is Medicaid


reimbursable rates not being feasible to support some evidence-based programs that are costly and resource intensive to support in terms of fidelity reviews and other support/upfront costs required from program developers to implement and maintain the evidence-based program.

Levy County will soon have a MAT program available in Chiefland. Two new CAT teams in Dixie, Gilchrist, Levy and Baker, Bradford Union (and Nassau) will bring additional wraparound services to these communities. The WhyTry Program is currently available in Alachua County and offered through PSF’s Resource Centers. The WhyTry Program is a resilience education program that provides hands-on solutions for dropout prevention, violence prevention, truancy reduction, and increased academic success. WhyTry is evidence-based. PSF utilizes programs that include Wraparound processes and services. Wraparound processes and services are offered in Alachua, Baker, Bradford, Columbia, Dixie, Gilchrist, Hamilton, Lafayette, Levy, Madison, Suwannee, Taylor, and Union Counties. The funding source is CBC Lead Agency, Medicaid, or Managing Entity.

Sarasota Family YMCA, Inc. No identified future plans

St. Johns County Board of

Commissioners Wraparound - CAT - ME

Documents

SERVICE ARRAY CAPACITY & GAP ANALYSIS REPORT Children's...Sarasota Family YMCA, Inc. 13 Hillsborough Eckerd Community Alternatives 20 Charlotte, Collier, Glades, Hendry, Lee Children's