HomeMy WebLinkAbout20072185.tiff RESOLUTION
RE: APPROVE MEMORANDUM OF UNDERSTANDING PURSUANT TO HOUSE
BILL 04-1451 WITH VARIOUS AGENCIES AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS,the Board has been presented with a Memorandum of Understanding Pursuant
to House Bill 04-1451 between the County of Weld, State of Colorado, by and through the Board
of County Commissioners of Weld County, on behalf of the Department of Social Services, and
various agencies, commencing July 1, 2007, and ending June 30, 2008, with further terms and
conditions being as stated in said memorandum of understanding, and
WHEREAS, after review, the Board deems it advisable to approve said Memorandum of
Understanding, a copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, ex-officio Board of Social Services, that the Memorandum of Understanding
Pursuant to House Bill 04-1451 between the County of Weld, State of Colorado, by and through
the Board of County Commissioners of Weld County, on behalf of the Department of Social
Services, with various agencies, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said memorandum of understanding.
The above and foregoing Resolution was,on motion duly made and seconded, adopted by
the following vote on the 1st day of August, A.D., 2007, nunc pro tunc July 1, 2007.
BOARD OF COUNTY COMMISSIONERS
1 / �, ELr.�OUNTY, COL.RADO
ATTEST: eintede/�� `i/ ,;�-il ' ` 1,f_
�-
_I�%iv d E. Long, Chair ,
Weld County Clerk to the Bo.�
, 4-
;
%i I �`�vTillia J-� , Prp-Tem
BY: C is
Deputy Clerk to the Board (/ '' '�
WilliVi
a
APPRO AS TOOa—
PRobert D. Masden
/At orney
Douglas R demacher
Date of signature: U 15crj
2007-2185
SS0034
c0-, 55
DEPARTMENT OF SOCIAL SERVICES
P.O. BOX A
GREELEY, CO. 80632
Website: www.co.weld.co.us
' Administration and Public Assistance(970)352-1551
Child Support(970)352-6933
O
•
COLORADO
MEMORANDUM
TO: David E. Long, Chair Date: July 30, 2007
Board of County Commissioners
FR: Judy A. Griego, Director, Social Services)hl&\ t/v vu
(
RE: Memorandum of Understanding Pursuant to HB04-1451,
"Collaborative Management of Multi-agency Services
Provided to Children and Families "
Enclosed for Board approval is a renewal of a Memorandum of Understanding(MOU) pursuant
to HB04-1451, Collaborative Management of Multi-azencv Services Provided to Children
and Families.
The parties, which comprise the Interagency Oversight Committee (IOG),to the Memorandum of
Understanding include: the Board of County Commissioners; 19th Judicial District; Probation—
19th Judicial District; District Attorney— 19 Judicial District; Centennial Board of Cooperative
Educational Services; School District 6; Weld County Division of Human Services; Weld County
Department of Public Health and Environment; North Range Behavioral Health;Northeast
Behavioral Health, L.L.C.; Island Grove Regional Treatment Center; Division of Youth
Corrections, United Way of Weld County, and the Chiefs of Police Association.
Late July 27, 2006, the final version of the Memorandum of Understanding was released for
signatures to the IOG by Kelly Schramm, Executive Director of the IOG.
The major provisions or revisions of the MOU are as follows:
1. Term: The term of the Memorandum of Understanding is July 1, 2007 through June 30,
2008.
2. Target Population: The target population for the lOG will consist of: children who are
placed out of their homes in placements that are not located in Weld County;juveniles
identified in the Juvenile Assessment Center and/or the MYAT Program; and children
who cross-over from the juvenile justice system to the child welfare system or from the
child welfare system to the juvenile justice system. The IOd2w.tll,prioritizeJtheae target
populations after it has collected data concerning each target population area and will
begin to develop protocols for serving each population irLorl of prierity.1,T `E vi
S„ 2S'. ;:100
013,A
2007-2185
MEMORANDUM Page 2
David E. Long,Chair,Board of County Commissioners
July 30,2007,2006
3. Outcomes: To be eligible for incentive funds,the LOG has developed outcomes for
education, child welfare,juvenile justice, and Health/mental health/other health
categories.
4. Community Planning: The LOG will consider ways to involve others who are doing
similar planning.
If you have any questions, please telephone me at extension 6510.
07-08 FINAL
MEMORANDUM OF UNDERSTANDING
PURSUANT TO HOUSE BILL 04-1451
This Agreement is made by and between the WELD COUNTY DEPARTMENT OF SOCIAL
SERVICES ("Social Services"), located at 315 N. 11`h Avenue, Greeley, CO, 80631, the 191"
JUDICIAL DISTRICT including PROBATION DEPARTMENT ("Probation"), located at 934
9th Avenue, Greeley, CO 80631, the WELD COUNTY DEPARTMENT OF PUBLIC HEALTH
& ENVIRONMENT ("Public Health"), located at 1555 N. 17th Avenue, Greeley, CO, 80631,
NORTH RANGE BEHAVIORAL HEALTH ("North Range") a non-profit organization,
located at 1306 11`h Avenue, Greeley, CO 80631,NORTHEAST BEHAVIORAL HEALTH,
LLC ("BHO") Behavioral Health Organization, located at 1306 11`h Avenue, Greeley, CO,
CENTENNIAL BOARD OF COOPERATIVE EDUCATIONAL SERVICES ("BOCES"),
located at 2020 Clubhouse Drive, Suite 230, Greeley, CO, 80631, WELD COUNTY SCHOOL
DISTRICT#6 ("District 6), located at 1025 9th Avenue, Greeley, CO, 80631, ISLAND GROVE
REGIONAL TREATMENT CENTER ("Island Grove"), located at 1140 M Street, Greeley, CO,
80631, DIVISION OF YOUTH CORRECTIONS, NORTHEAST REGION ("DYC"), located at
3997 S. Valley Drive, Suite 200, Longmont, Colorado 80504, WELD COUNTY DIVISION OF
HUMAN SERVICES ("Human Services"), located at 1551 N. 17th Avenue, Greeley, CO, 80631,
the 19`h JUDICIAL DISTRICT ATTORNEY ("District Attorney"), located at 915 10`h Street,
Greeley, CO 80631, UNITED WAY OF WELD COUNTY ("United Way"), located at 814 9th
Street, Greeley, CO 80632, and THE CHIEFS OF POLICE ASSOCIATION, located at Public
Safety Building, 919 7th Street, Suite E, Greeley, CO, 80631. Each signatory to this MOU is
referred to as a"Party", and collectively as "Parties".
WHEREAS, the Colorado General Assembly has determined that children and families who
receive child welfare services often benefit from treatment and services that involve multiple
agencies; and
WHEREAS,the Colorado General Assembly has determined that a more uniform system of collaborative
management may reduce duplication and eliminate fragmentation of services, increase the quality,
appropriateness and effectiveness of services provided, encourage cost-sharing among service providers
and ultimately lead to better outcomes and cost-reduction for the services provided to children and
families served; and
WHEREAS, the Colorado General Assembly has determined that it is in the best interests of the
State of Colorado to establish systems of collaborative management of multi-agency services
provided to children and families; and
WHEREAS, the undersigned originally entered into an agreement for the collaboration of
services to families and children who would benefit from integrated multi-agency services in
State Fiscal Year 2005-2006; and
WHEREAS, the undersigned desire to revise and renew their agreement for State Fiscal Year
2007-08; and
1
07-08 FINAL
WHEREAS, the undersigned agencies include all the agencies' required by statute (C.R.S. §24-
1.9-102);
NOW THEREFORE, in consideration of the premises and mutual promises and covenants herein
contained, the Parties agree as follows:
1. Term of this Agreement. This MOU shall be effective beginning July 1, 2007, and shall
expire June 30, 2008. The Parties may renew this MOU annually subject to mutual agreement.
Each Party reserves the right to elect not to renew the MOU after expiration of the current term.
If any Party intends not to renew the MOU, it should give written notice of such intent at least
thirty (30) days prior to expiration of the Agreement.
2. Identification of Services and Funding Sources. The legal responsibilities and funding
sources of each Party who is a statutorily mandated agency, as such are related to children and
families who would benefit from integrated multi-agency services, are as follows:
a. Department of Social Services:
The Weld County Department of Social Services has legal responsibility to
protect children by providing assessment and services to abused and neglected children in
cases involving primary care givers. Services include screening, assessment and short-
term intervention, including case management and benefits. Children who have entered
the system receive services including assessment, case management, placement
recommendations, foster care, adoption, core services and economic assistance. Sources
of funding include federal, state and local funds for Child Welfare Administration, Core
Services and Temporary Assistance for Needy Families (TANF).
We estimate the cost of cash and in-kind services to be approximately $77,000 for
IOG staff and operating expenses, participation in IOG meetings, committees and data
collection efforts.
Additional programs offered through the Department of Social Services include:
i. Multi-Disciplinary Youth Assessment Team (MYAT):
MYAT is a collaborative project which supports children ages 10 to 17 and
consists of professionals from mental health services, substance abuse services,
health, various school districts, representatives from a faith based organization,
the juvenile justice system, and Employment Services. It strives to build on the
strengths of youth, families and the community by increasing protective factors
and reduce problematic behaviors, thereby promoting a safer community.
Treatment planning, individualized to the needs of each youth and their family, is
staffed by the MYAT Team to collaborate services and expertise. Focus is on
short term intervention utilizing the family's strengths and existing resources.
Partners include: Employment Services of Weld County; Weld County
Department of Social Services; Island Grove Regional Treatment Center; North
2
07-08 FINAL
Range Behavioral Health; Weld County Health Department; School District 6; St.
Vrain School District; Centennial BOCES; 19` Judicial District- Probation
Department; and Life Bridge. Funding for the project is provided by Weld County
Department of Social Services Temporary Assistance for Needy Families
(TANF).
It is anticipated that this collaboration will empower youth from 900 families
through contacts, follow-up and case management services. Total federal, state
and county funding is $412,560 provided through Colorado Works.
ii. Teamwork Innovation, Growth, Hope and Training(TIGHT):
The TIGHT Youth Corps Program engages adjudicated at risk youth in valuable
service projects that benefit the community; educational components designed to
improve the members' functioning levels in reading and math and prepare them to
re-enter school or obtain their GED; and life skill development activities to
prepare them for life after their Corps experience. Corps members participate in
these activities five days per week, eight hours per day. The goal of the TIGHT
Program is to eliminate or delay the need for confinement or out of home
placement by exposing participating youth to a variety of worthwhile projects
within their communities. Additionally, by being engaged in activities that
promote growth in self esteem and sense of community, Corps members are able
to realize that there are positive alternatives available to them. They learn that
when they make positive choices, the service they perform has value and that they
can and do make a difference in their communities.
Additionally, youth are engaged in a variety of activities that promote positive
development such as team building activities, conflict resolution training,
journaling and reflection activities, and first-aid and CPR training. A therapeutic
treatment model provides the necessary family based services, treatment, and
support that the youth need to remain at home. Partners include: Employment
Services of Weld County; Weld County Department of Social Services Youth in
Conflict Program; Probation, 19th Judicial District; Island Grove Regional
Treatment Center; Youth Emancipation Services; and Nelson, Wolf Associates.
Participating youth and their families will average 24. Total federal, state and
county funding is $298,478 from Core Service Funding and $62,400 from
Temporary Assistance for Needy Families (TANF).
b. Judicial District, including Probation Services:
The 19th Judicial District has legal responsibility to make the best possible
decisions for youth and their families while protecting the community in cases involving
dependency and neglect, delinquency, truancy, paternity and support and adoptions.
Sources of funding are appropriated funds from the State of Colorado.
The Probation Department has legal responsibility to provide court ordered
3
07-08 FINAL
supervision and/or investigation for juveniles in order to make them more successful
while also providing community safety. Services include coordination of services for
juveniles placed on probation, case plans outlining risks and needs, referrals to outside
treatment agencies, and monitoring progress in education, employment and treatment.
Sources of funding are appropriated funds from the State of Colorado.
We estimate the cost of cash and in-kind services to be approximately $9,500 for support
for staff and operation expenses as well as participation in IOU meetings, committee
meetings, executive committee and data collection.
c. School Districts:
The School Districts in Weld County have legal responsibility to provide free
public education to all residents of the state between the ages of six and twenty-one years.
Sources of funding include local, state and federal education funds, including property
taxes, specific ownership revenue, grants, entitlements and bond revenues.
The Centennial Board of Cooperative Educational Services (BOCES): BOCES
represents 10 of Weld County's 14 school districts and exists to provide high quality
programs and services through partnerships and collaboration which support the
educational priorities of and enrich educational opportunities for students. BOCES will
be responsible for MYAT participation. BOCES offers a variety of suspension and
expulsion programs, a drop-out retrieval process to get youth back into school, truancy
prevention and alternative high school programs, as developed among member school
districts.
Greeley-Evans Weld County School District#6: District 6 serves 18,500 students
in grades k-12 through 35 schools located in the neighboring cities of Greeley and Evans.
District 6 will be responsible for MYAT participation and offers pre-expulsion
interventions and expulsion classes through the learning lab. The truancy prevention
specialist offers case management interventions to encourage school attendance.
We estimate the cost of cash and in-kind services to be approximately $33,000 for
support for staff and operation expenses as well as participation in IOG meetings,
committee meetings, executive committee and data collection.
Fort Lupton(RE-6), Keenesburg(RE-3J) and Windsor(RE-4) School Districts:
These three school districts serve 7,173 students grades k-12 through 16 schools in Weld
County. The IOG has begun discussions to officially include these districts in the IOG.
d. Community Mental Health Center:
4
07-08 FINAL
North Range Behavioral Health Center has legal responsibility to provide
medically necessary mental health services. Services include a full range of inpatient and
outpatient mental health treatment services. Primary sources of funding include a
contract with the State of Colorado to provide services to the uninsured and underinsured
and a contract with Northeast Behavioral Health to provide medically necessary mental
health treatment services for individuals with Medicaid benefits.
We estimate the cost of cash and in-kind services to be approximately $23,000 for
support for staff and operation expenses as well as participation in 1OG meetings,
committee meetings, executive committee and data collection.
Additional programs offered through the North Range Behavioral Health include:
i. Multisystemic Therapy (MST):
MST is an intensive family- and community-based treatment modality that
addresses the multiple determinants of serious antisocial behavior in juvenile
offenders. MST addresses the multiple factors known to be related to delinquency
and therefore strives to enhance both the safety of the individual and family
directly receiving MST services as well as the safety of the greater community in
which the youth resides. MST delivers intensive home-based services via
therapists fully trained in MST and supported through weekly supervision and
telephone consultation with an MST System Supervisor. Therapists carry a small
and demanding caseload, and length of treatment averages 2 to 5 months. The
program targets 11-18 year old chronic offenders who are often deeply involved
with delinquent peers, experiencing problems at school and abusing substances.
MST strives to "empower parents with the skills and resources needed to
independently address the difficulties that arise in raising teenagers and to
empower youth to cope with family, peer, school, and neighborhood problems."
Within a context of support and skill building, the therapist places
developmentally appropriate demands on the adolescent and family for
responsible behavior. The MST program avoids or reduces lengthy placement in
Residential Treatment Center care and is offered in partnership among NRBH and
DSS.
The number of youth and families to be served in MST on average is 77. Total
State general fund and Medicaid funding is $518,620. DSS will contract for up to
$204,604 through Core Service funding, and Senate Bill 94 will contract up to
$24,296 for MST services.
ii. Functional Family Therapy (FFT):
FFT is an intensive family-based treatment that addresses the pervasive patterns of
relational dysfunction known to be determinants of conduct disorder, violent
acting out and substance abuse among youth 11-18 years old. FFT addresses the
multiple factors known to be related to delinquency and therefore strives to
5
07-08 FINAL
enhance both the safety of the individual and family directly receiving FFT
services as well as the safety of the greater community in which the youth resides.
FFT delivers intensive home-based and out patient services via therapists fully
trained in FFT and supported through weekly supervision and telephone
consultation with an FFT National Consultant. Therapists carry caseloads of 12-15
families and length of treatment averages 2 to 6 months. FFT targets 11-18 year
old chronic offenders whose family relationships are characterized by pervasive
patterns of resentment, disrespect, anger, and hopelessness. In addition, youth
being treated through FFT are often involved with delinquent peers, abusing
substances and experiencing difficulty in their school environment. FFT strives to
empower parents with the skills and resources needed to increase management of
family conflict, address the difficulties that arise in raising teenagers, and work
together to decrease referral behaviors. These results are achieved when family
relational patterns are changed and warmth and effective communication between
family members are increased. The FFT program also avoids or reduces lengthy
placement in Residential Treatment Center care and is offered in partnership
among NRBH and DSS.
The number of youth and families to be served in FFT on average is 168. Total
State general fund and Medicaid funding is $252,100. DSS will contract for up to
$110,000 through Core Service funding, and Senate Bill 94 will contract up to
$23,297 for FFT services .
e. Behavioral Healthcare Organization (Formerly known as Mental Health
Assessment and Service Agency):
Northeast Behavioral Health, LLC has legal responsibility to manage and pay for
medically necessary mental health treatment services for individuals with Medicaid
benefits who have certain mental illnesses (covered diagnoses). Services are provided via
contracts with providers and include assessment, outpatient, residential and inpatient care.
Its source of funding is a contract with the State of Colorado to administer the Colorado
Medicaid Community Mental Health Services program in Weld County.
We estimate the cost of cash and in-kind services to be approximately $14,000 for
support for staff and operation expenses as well as participation in 1OG meetings,
committee meetings, executive committee and data collection.
f. Health Department:
The Weld County Health Department has legal responsibility to prevent disease,
disability and death and to promote healthy behaviors by developing health programs
6
07-08 FINAL
which meet the needs of the people of Weld County. Services include relationship
counseling to youth and families through individual or in small groups, in homes,
churches through youth groups and Quinceanera ceremonies and a teen counselor who
deals with abstinence, family planning, and contraceptive, STD and pregnancy issues.
Sources of funding include Weld County, the State of Colorado and fees for services.
We estimate the cost of cash and in-kind services to be approximately $14,500 for
support for staff and operation expenses as well as participation in JOG meetings,
committee meetings, executive committee and data collection.
Other: Additional programs or parties, who are not statutorily mandated agencies, are
participating in the IOG and this agreement:
g. Division of Youth Corrections (DYC): The Division of Youth Corrections is
responsible for management and oversight of State-operated and privately contracted
residential facilities, and for community alternative programs that serve and treat youth
aged 10-21 years who have demonstrated delinquent behavior. Programs and services
administered by or under contract with the Division serve over 8,000 youth throughout
Colorado. The Division is also responsible for allocating funds by formula to each
judicial district in accordance with Senate Bill 91-94 to develop local alternatives to
incarceration as a means of reducing reliance on costly residential placement. Local
SB91-94 programs serve approximately 12,000 youth per year.
We estimate the cost of cash and in-kind services to be approximately$4,000 for
support for staff and operation expenses as well as participation in JOG meetings,
committee meetings and data collection.
h. District Attorney's Office, including Juvenile Diversion: The District Attorney's
Office has legal responsibility to seek justice and punishment where appropriate and
assure community safety through juvenile prosecution; and to provide alternative forms
of punishment and rehabilitation to first time, non-violent youth offenders ages 10-17
through the Juvenile Diversion program. Juvenile Diversion helps youth avoid formal
prosecution. The District Attorney's Office has also collaborated with the community to
develop a Juvenile Assessment Center.
We estimate the cost of cash and in-kind services to be approximately $15,000 for
support for staff and operation expenses as well as participation in 1OG meetings,
committee meetings, executive committee and data collection.
i. Juvenile Diversion Programming (Juvenile Diversion): is authorized
under C.R.S. §19-2-303 in which the General Assembly declares its intent to
establish a juvenile diversion program to provide community-based alternatives to
the formal court system that will reduce juvenile crime, recidivism, change
7
07-08 FINAL
juvenile offenders' behavior and attitudes and reduce the costs within the juvenile
justice system.
The Chief Deputy District Attorney refers appropriate first-time, non-
violent juvenile offenders, ages 10 to 17, whose cases are legally sufficient for the
filing of formal charges in the traditional court system, to the Director of the
diversion program for consideration. The diversion program provides case
management and referral of juveniles accepted into the program to appropriate
community agencies as needed to address issues with the juveniles and their
families to prevent further criminal behavior. Diversion agreements are entered
into, which may include such activities as community service, restitution,
attendance at educational programming offered by diversion case managers,
school attendance, cooperation with school policies, referral for substance abuse
or mental health treatment and projects to encourage future endeavors. When a
juvenile successfully complete his/her diversion agreement, the case is closed
without the filing of formal charges.
It is anticipated that the Juvenile Diversion program will divert 100
juveniles from the traditional court system in FY 2007-2008. The FY 2006-2007
budget for diversion programming included state (SB94) and local (Weld County)
funding in the amount of$112,012.
i. Family, Youth and Children (FYC) Commission: The Families, Youth, and
Children Commission reviews and advises the Board of County Commissioners regarding
core service programs including the TIGHT Program and the MST Program, other
Residential Treatment Center prevention programs, and MYAT. Representatives of the
ten-member Commission include a physician or licensed professional, an attorney, and
representatives from local law enforcement agency, probation department, mental health,
local school district, foster parent/adoptive parent, child protection team, an accountant,
and a clinic nurse.
We estimate the cost of cash and in-kind services to be approximately$2,500 for
support for staff and operation expenses as well as participation in IOG meetings,
committee meetings and data collection.
j. Island Grove Regional Treatment Center: Provides comprehensive alcohol and
drug treatment center serving nearly 7,000 individuals annually. Island Grove offers
detoxification, residential, and outpatient services to adults, adolescents, and men or
women primarily in Weld and Larimer Counties, and provides approved domestic
violence and offender programs.
8
07-08 FINAL
We estimate the cost of cash and in-kind services to be approximately$17,500 for
support for staff and operation expenses as well as participation in 1OG meetings,
committee meetings and data collection.
k. United Way of Weld County: United Way allows more than 14,000 Weld
County residents and business to invest their donated dollars in more than 80 local
partnering programs and services that focus on providing children and youth a good start,
connecting people to services and volunteer opportunities, and assisting people through
crisis and moving on to self-sufficiency.
We estimate the cost of cash and in-kind services to be approximately $4,500 for
support for staff and operation expenses as well as participation in IOG meetings,
committee meetings and data collection.
1. Weld County Chiefs of Police Association: Fosters communication and effective
working relationships among the multiple law enforcement agencies located in Weld
County. Membership includes the leadership and employees of Weld County law
enforcement agencies and their customers. Law enforcement functions and services
include administration, supervision, training and field operations.
We estimate the cost of cash and in-kind services to be approximately 82,500 for
support for staff and operation expenses as well as participation in JOG meetings,
committee meetings and data collection.
m. Weld County Government — Including the Weld County Division of Human
Services (WCDHS): As a comprehensive Colorado Workforce Center, WCDHS
connects resources for employment, education, and training services at the local, state and
national level. Self-service resources promote personal and career development, furnish
access to Internet tools for employment and training opportunities, and provide
information about local and regional employers and labor markets. Staff services include
labor exchange and job referral, skills assessment, eligibility screening for career
counseling and training programs, and individualized employer services.
We estimate the cost of cash and in-kind services to be approximately$28,500 for
support for staff and operation expenses as well as participation in IOG meetings,
committee meetings and data collection.
n. Juvenile Assessment Center (JAC): The purpose of the JAC is to provide a
coordinated, multi-agency, single entry site for services and resources that contributes to
9
07-08 FINAL
the safety of youth, families, and the community through prevention, intervention,
comprehensive assessment and improved access to services.
Juveniles that are referred to the JAC are assessed for drug and alcohol usage, mental
health issues, educational needs, and family problems to help determine which services
are most appropriate for the individual. Once the assessment is complete, the juvenile
and his or her family are referred to agencies whose services will best meet their needs.
Services include: Diversion, Restorative Justice, Mediation, Case Management, Drug
and Alcohol Counseling, Mental Health Treatment, Life Skills Training, and Parenting
Classes.
In addition to the services mentioned above, the JAC provides the IOG office space,
telephone service, computer, basic office supplies and standard office equipment at no
cost to the IOG.
We estimate the cost of in-kind services and contributions to be approximately
$11,000 for office space, supplies and materials; participation in IOG meetings,
committee meetings, and data collection assistance.
Approximate Total cash contributions from all IOG partners and agencies for staff and
operational expenses = $100,000
Approximate Total in-kind services/contributions from all IOG partners and agencies =
$156,500
Approximate Grand Total= $256,500 Total
3. Functional Definition of Population to be Served.
a. The Parties to this MOU agree that the functional definitions of children and
families who would benefit from integrated multi-agency services (the "Target
Populations") are:
i. Children who are placed out of their homes in placements that are not
located in Weld County. (51 youth placed in Therapeutic Residential Child Care
under 18yrs of age)
ii. Juveniles identified by the Juvenile Assessment Center and/or the MYAT
program who are:
10
07-08 FINAL
(1) Arrested by police but not detained at DYC, including diverted and
no-file cases and youth who are appropriate for prevention or early
intervention efforts;
(2) Truants;
(3) Abusing alcohol and/or drugs;
(4) Expelled and/or suspended from school; and
(5) Beyond the control of their parents, guardians/care givers. (JAC =
800 youth under 18 yrs of age. MYAT= 900 families & youth)
iii. Children who cross-over from the juvenile justice system (DYC) to the
child welfare system (DSS) or from DSS to DYC. (103 total youth under 18 yrs
of age; 94 youth with a DSS open service or placement going to DYC, 9 youth
going from DYC commitment to DSS)
b. With respect to each of the above target populations, the JOG will identify at least
the following:
i. The number of children/youth comprising the target population;
ii. Other relevant demographic information concerning the target population;
iii. How the target population is currently identified/assessed;
iv. The entry point(s) for the target population;
v. The services currently received by the target population; and
vi. The cost to provide services to the target population and the sources of
funding for such services.
4. Oversight Group. The Parties agree to continue the Interagency Oversight Group,
"IOG", whose membership shall be comprised of a local representative of each Party to this
MOU, each such Party having voting member status.
a. Membership requirements are:
i. Designate a policy and decision-making representative or designee;
ii. Attend and actively participate in regularly scheduled meetings;
iii. Assume personal responsibility in oversight of the project by reading
reports, making recommendations and managing conflict in a professional,
problem-solving manner;
11
07-08 FINAL
iv. Assume solution focused responsibility for oversight of the financial status
of the project;
v. Participate in both short and long-term planning and goal setting;
vi. Provide input and recommendations; and
vii. Assume personal responsibility to help assure the project remains mission-
driven.
b. The members of the IOG will elect the following officers: a Chair, a Vice-Chair, a
Treasurer and a Secretary. The officers shall serve as the Executive Committee of the
IOG, shall develop the agenda for each meeting and shall perform such other tasks as are
appropriate or requested by the IOG.
c. The IOG has adopted an Operating Agreement, a copy of which is attached hereto
and incorporated herein by reference Appendix A. The Operating Agreement may be
amended by a majority of the members.
d. Procedures for resolving disputes by a majority vote of those members authorized
to vote are:
i. The dispute must be submitted in writing to the Chair;
ii. The Chair will attempt to resolve the conflict by facilitating discussion and
seeking solution through consensus agreement;
iii. If consensus agreement is not achieved, the membership will vote on the
issue and recommendations will be made to the executive director or department
head of each Party to this MOU;
iv. The executive director or department head of each Party will have final
authority concerning personnel and fiscal matters related to their contribution and
participation on the project.
e. Other voting members may be added to the IOG membership by a majority vote of
the members authorized to vote.
f. The IOG will meet at least monthly.
g. The IOG has established the following committees:
12
07-08 FINAL
i. Information Management & Evaluation: To make recommendations
concerning data sharing, including identification, collection, analysis and use of
various types of data to further collaboration. To make recommendations that
concern the establishment of outcomes and outcome monitoring.
ii. Services: to make recommendations concerning delivery of services, to
identify gaps in services and to make recommendations about ways to integrate
existing duplicative planning efforts.
iii. Oversight and Management: To make recommendations concerning the
staffing of the IOG, formal contracts or agreements and preparation of statutorily
required and/or other reports.
h. In the event that the IOG identifies a need for a different committee structure, the
following process shall be followed for creation of such committee structure:
i. IOG members will be asked to voluntarily participate on committees.
ii. Nonvoting members from other community representatives will be
included in the committee for purposes of input, evaluation and recommendations
to the IOG.
5. Establishment of Collaborative Management Processes.
a. After reviewing the information set forth in paragraph 3(b) above, the IOG will
establish priorities with respect to the target populations identified above and will, in
order of priority, develop a collaborative management plan for each. The collaborative
management plan shall be designed to reduce duplication and eliminate fragmentation of
services provided, to increase the quality, appropriateness and effectiveness of services
and to encourage cost-sharing among service providers. On January 18, 2007, IOG
members approved a Collaborative Management Plan to address the target population
identified in section 3(a)(i) above. A copy of this plan has been included in this MOU as
Appendix B.
b. The IOG is authorized to establish individualized service and support teams
("ISSTs") to develop service and support plans for and to provide services to the target
populations. These plans shall address risk-sharing, resource-pooling, performance
expectations, proposed outcomes and outcome monitoring and staff training. The plans
shall include protocols for serving each target population.
c. The IOG of Weld County has enjoyed the following success in establishing
collaborative management processes:
13
07-08 FINAL
• Significant decrease in the placement of children into congregate care settings outside
of their home community.
• Formation of an out of home placement Utilization Review Team (URT) reflecting
the cross system membership of and under the auspices of the Interagency Oversight
Group (IOG).
• Development of a process to reinvest moneys saved and incentive moneys earned.
• Development of an operating agreement for the IOG and its members.
• Success in bringing disparate agencies to the same table to jointly plan and jointly
deliver services to children and families.
• Combining of diverse agencies such as Island Grove (ADAD), human services,North
Range (mental health), public health, and judicial into the recently opened Juvenile
Assessment Center.
• Cross Agency release of information forms developed and approved.
• Acting as advisory board to the Colorado Prevention Partners Project.
• IOG forming a 501c3 Non-Profit Corporation.
c. The IOG has agreed to the following action plan with respect to continued
development of collaborative management processes:
i. The IOG will continue to expand and develop the URT team in the
following ways:
a. Identify and include additional agency and community representatives
b. Expand the URT and its protocols to include staffing for multiple agencies
c. Identify and develop alternatives to placement through the utilization of
ISSTs or team decision making processes
d. Coordinate services for youth returning home through the utilization of
ISSTs or team decision making processes
e. Clearly define URT member roles and resources available
f. Utilize URT reviews to help identify gaps in service for youth that are in
need of, or at risk of being placed in out of home care.
ii. The IOG will hold a Strategic Planning Session in the fall of 2007 in
which they will develop action plans for addressing future program
outcomes for the target populations.
iii. IOG members will participate in Juvenile Information Sharing Training
provided by the Office of Juvenile Justice and Delinquency Prevention —
Information Sharing to Prevent Juvenile Delinquency Project. Through
their participation, the IOG will:
a. Implement planning and receive guidance in the application of
Juvenile Information Sharing guidelines.
14
07-08 FINAL
iv. IOG members will continue to explore the possibility of implementing the
usage of a single, common assessment tool and single family service plans
for youth served by multiple publicly funded child serving agencies
(mental health, substance abuse, department of social services programs,
etc.).
v. The IOG will establish a working relationship and contract with the
University of Northern Colorado to develop an evaluation and assessment
process which will:
a. Evaluate service delivery outcomes by tracking the number of children
and families served and the type of service provided, and assess the
quality and effectiveness of services provided to children and families
b. Evaluate the outcomes of the collaborative efforts including the change
in duplication and elimination of service fragmentation, the extent of
cost-sharing and cost-shifting among service providers and the
characteristics of collaborative interaction among members.
c. Provide data, when available, to the IOG to assist in the completion of
quarterly reports required by HB04-1451.
vi. The IOC will continue to act as the Prevention Policy Board to the Weld
County Colorado Prevention Partners (CPP) Program and support the CPP
as they move forward with their Strategic Plan to implement evidence
based prevention policies, programs and/or practices that will: reduce
substance abuse; prevent the onset and reduce the progression of substance
abuse; build prevention capacity and infrastructure at the State/County
level; and develop a replicable, sustainable prevention model through
partnerships between State and communities.
vii. The IOG of Weld County has partnered with the IOG of Larimer County
to plan for and submit a collaborative grant application to the
Administration for Children and Families (ACF), Children's Bureau to
improve the permanency outcomes for children affected by
methamphetamine and other substance abuse. This grant provides funding
for regional partnerships that provide, through interagency collaboration
and integration of program and services, activities and services that are
designed to increase the well-being of, improve permanency outcomes for,
and enhance the safety of children who are in an out-of-home placement or
are at risk of being placed in an out-of-home placement as the result of a
parent's or caretaker's methamphetamine or other substance abuse.
Through this planning process, the following positive outcomes will be
achieved:
15
07-08 FINAL
a. Experience in having IOG agencies from multiple counties partner and
plan to improve permanency outcomes for youth through resource-
pooling, establishing system wide performance expectations,
monitoring outcomes, training staff, and collaboratively planning to
develop and/or enhance programs that positively impact children
affected by methamphetamine and other substance abuse.
6. Authorization to Contribute Resources and Funding. Each Party to this MOU
represents that it has the authority to approve the contribution of time, resources and funding to
solve problems identified by the IOG in order to create a seamless, collaborative system of
delivering multi-agency services to the IOG target population. The Parties to this MOU have
agreed to contribute funding to continue to employ an executive director to the JOG.
7. Reinvestment of Moneys Saved. Reinvestment of monies resulting from (i)
waivers granted by the federal government; (ii) any state general fund savings realized as
a result of implementation of services provided pursuant to the MOU; and (iii) state
incentive monies will be determined based upon priorities established at least annually
by the IOG. Weld County Department of Social Services chooses to participate in
surplus distribution for general fund allocations.
Reinvestment priorities will be identified by using information and data
developed through the implementation of the collaborative management plan.
IOG member agencies, with the support of the JOG Executive Director, will
develop a draft plan to address the identified priorities. Other community entities and
service providers, families receiving services and other stakeholders will be invited to
review the draft plan and to provide input into the development of the final plan. At a
minimum the final plan shall include:
a. a definition of the target population to be served;
b. a detailed budget;
c. identification of services to be provided;
d. evidence of collaboration, including proposed or potential
reduction of duplication, elimination of fragmentation, risk-sharing and
resource-pooling;
e. performance expectations and outcome monitoring with respect to
individuals and families served and to system-wide outcomes.
The IOG will receive community input, review and approve the final plan by a
majority vote prior to the expenditure of any funds to meet the identified priorities for
the target population.
With respect to the state incentive monies, the priorities for reinvestment shall be
16
07-08 FINAL
for one-time, rather than ongoing, expenditures. Consultation and training and providing
start-up funds to programs that will become self-sustaining would also be considered
one-time expenditures. Priority will be given to programs that meet the criteria of being
Evidence Based, Best Practice, or Promising Practice programs.
8. Performance-Based Measures.
a. The Parties hereby determine that they will attempt to meet performance measures
specified by the Colorado Department of Human Services ("DHS") and elements of
collaborative management as defined by rule of the State Board of Human Services
("State Board"). The procedure established pursuant to paragraph 7 above shall be used
to determine how incentive monies received by the Weld County Department of Social
Services shall be reinvested by the Parties.
Please see attached Weld County Proposed Outcomes in Appendix C.
9. Confidentiality Compliance. Parties agree that the Parties and IOG shall follow state
and federal laws concerning confidentiality. Any records used or developed by the IOG or its
members or by an ISST that relate to a particular person are to be kept confidential and may not
be released to any other person or agency, except as provided by law.
10. Reports. Commencing January 1, 2007, and each January 151 thereafter, pursuant to
Section 24-1.9-103, C.R.S., the IOG shall provide a report to the executive director or head of
each Party to this MOU. The report shall include:
a. The number of children and families served through the ISSTs and the outcomes
of the services provided, including a description of any significant improvement in
outcomes for the target population;
b. A description of the estimated costs of implementing the collaborative
management approach and any estimated cost-shifting or cost-savings that may have
occurred by collaboratively managing the multi-agency services provided through the
ISSTs;
c. An accounting of moneys that were reinvested in additional services provided to
the target population due to cost savings that may have resulted from or been due to
meeting or exceeding the performance measures specified by DHS and elements of
collaborative management established by the rules of the State Board;
d. A description of any identified barriers to the ability of the state and county to
provide effective services to the Target Population; and
17
07-08 FINAL
e. Any other information relevant to improving the delivery of services to the Target
Population.
11. Termination of MOU. The Parties acknowledge that withdrawal from this MOU of any
statutorily required Party will result in the automatic termination of this MOU and termination of
the collaborative system of delivery of services developed hereunder. The withdrawing Party
shall assist the other Parties to achieve an orderly dissolution of the collaborative system with as
little disruption as possible in the delivery of services provided to Recipients.
a. Any Party may withdraw from this MOU at any time by providing 30 days written
notice to all other Parties.
b. Any Party may withdraw from this MOU or modify the level of its commitment of
services and resources hereunder, effective immediately, in the event of loss or reduction
of resources from its funding source identified herein. Any Party withdrawing due to loss
of funds will provide notice of withdrawal, in writing, within 30 days.
12. Miscellaneous Provisions.
a. This writing constitutes the entire MOU between the parties hereto with respect to
the subject matter herein, and it shall be binding upon said parties, their officers,
employees, agents and assigns and shall inure to the benefit of the respective survivors,
heirs, personal representatives, successors and assigns of said parties.
b. No portion of this MOU shall be deemed to constitute a waiver of any immunities
the parties or their officers or employees may possess, nor shall any portion of this MOU
be deemed to have created a duty of care which did not previously exist with respect to
any person not a party to this MOU.
c. It is expressly understood and agreed that the enforcement of the terms and
conditions of this MOU and all rights of action relating to such enforcement shall be
strictly reserved to the undersigned Parties, and nothing in this MOU shall give or allow
any claim or right of action whatsoever by any other person not included in this MOU. It
is the express intention of the Parties that any entity, other than the undersigned parties,
receiving services or benefits under this MOU shall be an incidental beneficiary only.
IN WITNESS WHEREOF, the Parties hereto, through their authorized representatives, have
executed this Memorandum of Understanding effective from the date first written above.
18
07-08 FINAL
MEMORANDUM OF UNDERSTANDING
PURSUANT TO HOUSE BILL 04-1451
HB 04-1451 MOU 7-1-07
THE BOARD COUNTY COMMISSIONERS, WELD COUNTY
By: Date: AUG 01 2007
Its: David E. Long /�/(/v i e. EL
%
ATTEST:
���
WELD COUNTY CLERK TO THE BO• 181'6! ._p,10
5�� �Ai - •� •I „�1O
BY DEPUTY CLERK T O THE BOARD ('CT � t
'w
19
a1O2- cries
07-08 FINAL
HB 04-1451 MOU 7-1-07
THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES
By: Adtei J
� r Date: 7/3 0/
Its. or
20
07-08 FINAL
HB 04-1451 MOU 7-1-07
THE 19TH JUDI L DI TRIC Q'
By: 6 J Date: l) 6- 0
rl
Its: Dis'lrict Court J ge
21
07-08 FINAL
FIB 04-1451 MOU 7-1-07
PROBATI DEP� E T, T 19TH JUDICIAL DISTRICT
By: /1A., • Date: g - )
Its: Chief Probation Officer
22
07-08 FINAL
HB 04-1451 MOU 7-1-07
THE WELD COUNTY�!)EPAI�TME1 OF PUBLIC HEALTH AND ENVIRONMENT
By: nW,l� lVil /Ilv( 11 �L,t Date: 7/3 c(0 7.
Its: Executive Director
23
07-08 FINAL
HB 04-1451 MOU 7-1-07
NORTHRANGE/� BEHAVIORAL j HEALTH
BY: !it/44744.'.1VI`° Gv Date: J N 1 y 3 (97
Its: Executive Director
24
07-08 FINAL
HB 04-1451 MOU 7-1-07
NORTHEAST tin BEHAVIORAL HEALTH, LLC
BY: Date: "` - 3 p— O 7
Its: Executive Director
25
MOU-July 1,2007
MOU
CENTENNIAL BOCES�j
By: //G( e((ale Date: r- 27-
Its: Executive Director
26
• 07-08 FINAL
HB 04-1451 MOU 7-1-07
WELD COUNTY SCHOOL DISTRICT#6
By: i Date: /1-/3-0?
Its: Director of School Safety&Security
•
• 27
07-08 FINAL
HB 04-1451 MOU 7-1-07
ISLAND G OVE REGIONAL THE TMENT CENTER
By: ,d(ie $6t) Date: 7730A 2
Its: Executive Director
28
• 07-08 FINAL.
HB 04-1451 MO1: 7-1-07
DIVISION OF YOU Tl1 CORRECTIONS. NORTIIEAST REGION
By: ��l('"_ 141 —c- Date: / 764.7/2
Its: Regional Director
•
• 29
07-08 FINAL
HB 04-1451 MOU 7-1-07
DISTRICT ATTORNEY, 19T
THH JUDICIAL DISTRICT
By: ��UL-aDIu t, Date: VF/4 7
Its: District Attorney
30
07-08 FINAL
HB 04-1451 MOU 7-1-07
4
WELD CO, T AN SERVICES
By: Date: y/x, /C .7
Its: 1e,Cufive Director
31
07-08 FINAL
HB 04-1451 MOU 7-1-07
UNITED W Y OF W UNTY Y3/07
By: Date:
Its: Exec tive Director
32
07-08 FINAL
HB 04-1451 MOU 7-1-07
WELD COUNTY CHIEFS OF POLICE ASSOCIATION BY: 94..A7 Date: s - 3^ a7
"1
Its: l/
33
07-08 FINAL
Appendix A
HB-1451 INTERAGENCY OVERSIGHT GROUP
OPERATING AGREEMENT
This Operating Agreement is adopted by the Members of the HB-1451 Interagency
Oversight Group (IOG) to set forth the expectations and guidelines of the Members for working
together in a collaborative effort.
I. Purpose.
The IOG exists pursuant to state law to implement collaborative management processes
with respect to services to children and families who would benefit from integrated multi-agency
services. The collaborative management processes are intended to reduce duplication, eliminate
fragmentation of services, increase the quality, appropriateness and effectiveness of services,
achieve better outcomes and encourage cost-sharing among service providers.
II. Planning Goal.
The IOG's planning goal is to intervene successfully with families before they enter the
judicial system through the child welfare and/or juvenile justice systems; and upon their entry
into these systems, to expedite the positive resolution of their treatment or case plans. The IOG
agrees to attain this goal through collaborative processes which address: (i) risk sharing; (ii)
resource pooling; (iii) development of performance expectations; (iv) outcome monitoring; and
(v) staff training and development.
III. Membership.
The Members of the IOG are the designees of the agencies who: (i) serve or have an
interest in children and youth and their families in or at risk of being in the judicial system; and
(ii) have entered into a Memorandum of Understanding (MOU) to engage in collaborative
management processes. The MOU provides that the designees shall be policy and decision-
making representatives of the agency who have the authority to approve contributions of time,
resources and funding to solve problems identified by the IOG.
Members should demonstrate the ability and commitment to: (i) regularly attend and
participate in the IOG meetings; (ii) represent the interests and needs of their agencies and the
populations they serve; (iii) view services to children, youth and their families on a global level;
and (iv) understand the mandates and needs of other IOG agencies.
34
07-08 FINAL
Members who miss a meeting are responsible for taking necessary steps to apprise themselves of
the content of the meeting.
IV. Decision-Making Process.
The IOG will use a consensus decision-making process by identifying and exploring the
interests of all Members and reaching decisions that satisfy these interests to the greatest extent
possible. In the event consensus cannot be reached, the decision will be made by a majority vote
of the Members. However, no vote shall compel the specific action or expenditure of monies by
any agency if that agency determines that it is contrary to its mandates, contract provisions,
applicable statute or regulation, availability of funds or best interest.
V. Guidelines for Member Communications.
The Members of the JOG shall strive to comply with the following guidelines for their
communications with one another:
1. Speak candidly, but respectfully.
2. Listen as an ally, not an adversary.
3. Share all relevant information.
4. Participate fully, but encourage and allow others to do so also.
5. Not interrupt or engage in side conversations.
6. Avoid personalizing issues.
7. Check for understanding; ask questions.
8. Not dwell on things that did not work in the past.
9. Confine comments to the topic under discussion.
10. Show a willingness to think about new ideas.
35
07-08 FINAL
Appendix B
Weld County
Out of Home / Out of County Placement
Collaborative Management Plan
PHASE 2
TARGET POPULATION
Children and families who would benefit from integrated multi-agency services that have children that are placed,or
are at risk of being placed out of their homes/out of the county for treatment.
PURPOSE
UTILIZATION REVIEW TEAM
The Utilization Review Team is a multi-agency team modeled after the Weld County Department of Social Services'
(DSS)Utilization Review Committee. The original model,developed and implemented by DSS,has been modified
by the Interagency Oversight Group of Weld County to expand agency representation,clarify agency roles and
enable the team to review potential out-of-home/out-of-county placements from all partner agencies.
The purpose of the Utilization Review Team is to review out-of-home and out-of-county placements,and insure the
least impacting,clinically appropriate treatment for the children and youth of Weld County,ultimately reducing child
welfare and mental health out of home/out of county placements that are consistent with the best interests of the child
and the safety of the community.
GUIDING PRINCIPLES FOR PROTOCOLS
Pursuant to the mandate of C.R.S. §24-1.9-102,the members of the Weld County Interagency Oversight Group
(IOG)have agreed to appoint work groups to develop protocols for serving specific target populations. These
principles are intended to provide guidance to such work groups and to the IOG concerning the development of such
protocols. Upon adoption,each protocol shall become a part of the collaborative management plan of the IOG.
1. The protocols shall be collaboratively developed by staff designated by the agencies that serve or
should serve the relevant target population.
2. The protocols shall promote administrative and service delivery cooperation and coordination.
3. The protocols shall address risk-sharing and resource-pooling.
4. The protocols shall include proposed outcomes,outcome monitoring and staff training.
5. The protocols shall be based on the understanding that,to the extent allowable under applicable
36
07-08 FINAL
law,the affected agencies will share pertinent and relevant information concerning mutual clients.
6. The protocols shall specifically delineate the roles and responsibilities of all parties.
7. The protocols shall establish details of how affected agencies integrate their services to the
relevant target population.
8. Prior to implementation,the protocols shall be reviewed and approved by the members of the
IOG.
PROTOCOLS
I. Utilization Review Team
The Utilization Review Team is a multi-agency committee that has been given authority to review and make
recommendations for out-of-home and out-of-county placements. These recommendations will insure the least
impacting clinically appropriate treatment for the children and youth of Weld County while reducing child welfare
and mental health out of home/out of county placements that are consistent with the best interests of the child and the
safety of the community.
This team will review and obtain prior approval of such out of home placements as follows:
A. Review for approval caseworker/agency requests for placement of children and youth in
more costly and restrictive foster care; i.e.,out-of-state placements,therapeutic residential
child care facility,etc. Review of all CHAP placements and rate negotiations.
B. Review for approval,at a minimum every six months,ongoing CPA foster care
placements,to include a CPA case manager or therapist,and youth,when appropriate,to
ensure that children are returned to their parents or the community,as appropriate.
C. Review for approval,at a minimum of every three months, ongoing TRCCF/RCCF/PRTF
placements,to include a facility case manager or therapist,and youth,when appropriate,to
ensure that children are returned to their parents or the community,as appropriate.
D. Review at discharge to determine the success of the placement.
II.Utilization Review Team Composition
A. Social Services Utilization Review Specialist or Designee;
B. Social Services Business Office Representative Rate Negotiator or Designee;
C. Caseworker presenting child for placement;
D. Foster Care Coordinator
E. Representative from Weld County School District 6 or other school district;
F. North Range Behavioral Health Representative(BHO);
37
07-08 FINAL
G. TRCCF/CPA provider representative;
H. Weld County Probation Representative;
1. Department of Youth Corrections Representative;
J. Substance Abuse Provider Representative;
K. The youth's designated therapist/provider will be present to update progress of youth.
L. Youth age 12+may be invited to participate in their case-specific review.
M. Parent(s),GALs,and CASAs shall be invited to participate in their case-specific review.
III.Utilization Review Team Commitments
Each member agency will:
A Clearly identify the resources that they can commit to serving the youth
presented before the Utilization Review Team. This may be accomplished
through the development of Memorandums of Understanding between the
Utilization Review Team and each member agency.
B Insure that the designated agency representatives know the limitations of their
services and the requirements of the funding they bring to the table.
C Insure that the designated agency representatives have the authority to commit or
decline the use of their agency identified resources.
D Sign appropriate confidentiality and release of information agreements.
IV.Types of Placements Reviewed
A. All requests(see attachment/form PRT FORM)for children or youth to be placed in any
higher-level care other than County Certified Foster Care Homes. These requests shall
consider,at a minimum,the caseworker's proposed outcome and length of stay in the
placement.
B. Any request to transfer a child or youth from one higher-level placement to another
higher-level placement and any TRCCF/RCCF/PRTF lateral placement changes.
C. Children in foster care placements for six months to assess if treatment and permanency
plan goals are being met. After the first 6-month review,the youth will be reviewed on an as
needs basis.The PRT will determine when the case will be re-reviewed.
D. Any other foster care case the committee determines should be subject to follow-up or
more frequent review due to the critical nature of the placement.
E. The CANS is completed by the Mental Health Professional at the time that the placement
38
07-08 FINAL
referral is received from the Caseworker and/or agency representative,when a higher level
of care other than a foster care homes is being requested.
NOTE: Non-DSS agencies requesting case review are not required to utilize item E.
(CANS)as a mental health assessment. This assessment may be utilized when appropriate
and requested by member agency.
V. Recommendations and Decision Authority for Placements
A. The Utilization Review Team reviews and makes conclusions for placements.
B. If a consensus on conclusions is not reached by the Utilization Review Team,additional
steps may need to take place to reach a final decision.
• Disputes that may need to be resolved:
o Level of placement,
o Appropriate level of service,
o Service provider(s),
o Payer source.
• Resolution options:
o Group consensus,
o Team decision making,
• A team is assigned to review the case for additional resources and
options. If a solution is not reached,the case may be brought before the
URT for re-review.
o Referral to Directors from involved agencies for resolution.
NOTE: The final decision to take on risk or to commit resources will lie with the affected
agencies and their administration.
C. If the court deviates from the recommendations of the evaluation for placement,as per
Colorado Revised Statues §19-2-907(5)(a), §19-3-508(5)(b)(I),and §19-3-701(6),the court
shall make specific findings of fact relating to its decision, including the monthly cost of
placement,if ordered. A copy of such findings shall be sent to the Chief Justice of the
Supreme Court,who shall report monthly to the Joint Budget Committee and annually to the
House and Senate committees on health,environment,welfare,and institutions on such
placements.
VI. Utilization Review Procedures
A. The Utilization Review Team will meet weekly. Caseworkers and/or agency
representatives will be pre-scheduled for 15-20 minute reviews.
39
07-08 FINAL
B. The Caseworker and/or agency representative will present the Utilization
Review Specialist with the Utilization Review Team Agreement 1-week prior to
scheduled review. The agreement will have the assigned agency supervisor's
signature indicating that the placement plan has been reviewed by the supervisor,
pending URT authorization.
C. The caseworker and/or agency representative presents the case to the URT.
D. The URT reviews and determines approval,disapproval,or conditional approval in the
allotted scheduled time.
E. The URT documents its decision by each individual signing the appropriate form and files
such form in the child's case record.
F. Emergency Placements: Placement requests that arise after hours,on
weekends or holidays, for a child needing emergency placement into a
CPA/WCFH/TRCCF/RCCF/PRFT or emergency removal from any placement
are at the discretion of the Emergency Duty worker AND supervisor. If a child
is placed within a CPA/WCFH/TRCCF/RCCF/PRTF in this emergency
situation,the Service Utilization Unit Representative will be notified by the
caseworker no later than 9:00 a.m. on the next working day.ALL EMERGENCY
PLACEMENTS WILL BE CONSIDERED TEMPORARY PLACEMENTS
UNTIL CPA/WCFH/TRCCF/RCCF/PRTF PROTOCOL IS COMPLETED.
G. A worker placing a child/youth in a TRCCF/RCCF/PRTF without first contacting
the Service Utilization Unit to initiate the above process will be subject to personnel
action such as a corrective action.
H. The decision for placement will be final and will represent the agency's position in
the matter. Caseworkers and/or agency representative will be expected to incorporate
such decisions into Treatment Plans as these are presented to the Court.
VII.Quality Improvement Processes:
A. The Utilization Review Team and the IOG Outcomes Committee will initially meet
once every two months to review program outcomes and determine the team's progress.
• Services provided will be reviewed and evaluated for their effectiveness in producing
desired outcomes.
• Recommendations will be made as to the utilization or improvements that can be
made to currently utilized services.
• Services needed,and not available in Weld County will be identified through this
review process.
B. All recommendations for improvement or program development will be made as a
result of peer review of best practices,evidence-based practice,and promising practice
literature. The URT will determine potential services and processes for bringing to,
building upon or improving in Weld County. Research and/or best practices will be
used to dictate viable methods of reducing child welfare and mental health out of
home/out of county placements that are consistent with the best interests of the child
and the safety of the community.
40
07-08 FINAL
C. A training/orientation for referring agencies and new team members will be
developed. This training/orientation will address and review the protocols and purpose
of this Collaborative Management plan and will be delivered on an as needed basis.
Through this training process, staff from the partnering agencies will gain a working
knowledge of the URT process and will be able to appropriately refer cases for review.
NEXT STEPS
• Modify the PRT form to accommodate the URT Protocols
o Add a section for partner agencies to submit comments on cases prior to case review
o Add a section to document decisions and recommendations. This section could also be
forwarded to the court or other agencies to document recommendations.
O
• Review URT procedures and modify appropriately to:
o Insure agency participation
• Develop criteria for bringing cases to the URT for review
o Identify and meet necessary staffing and additional resource needs
• Develop an interagency MOU between the URT and member agencies that:
o Clearly define the services that the agency can provide the URT
o Clearly define the resources that the agency can commit to the URT
o Defines agency commitment and involvement in the URT process
• Activate Information Management/Outcomes Committee or work team — establish a process for
identifying desired outcomes and reporting procedures
o Identify outcomes data that shows successes and/or areas of improvement
o Define terms and data sets
o Identify information to track
o Improve process for gathering data from multiple agencies
o Address confidentiality issues with sharing information among multiple agencies
• Develop training/orientation for referring agencies and new team members.
41
07-08 FINAL
Appendix C
HB04-1451 IOG of Weld County
Outcomes 2007-08
Outcome Measure Data
Category Outcome Source
Reduce the total number of special needs CBOCES,
Reduction of out of home,out of county
kids placed out of home or out of county School
placements for special needs kids for educational services by 2% District Data
Education Reduce the number of youth considered CBOCES,
Truancy truant in a school year by 2% School
District Data
Increase the number of IOG identified TRAILS,
children that remain at home at the end of MYAT
services by 1%
Meet needs and services of child,parents and For Other Planned Permanent Living
foster parents Arrangement(OPPLA)—
non-relative long-term foster care children
in the lOG target population,Increase the
number who remain in the foster home by
Child Welfare 1%
Improve the number of lOG target TRAILS
children who are in out-of-home
Children returning home within 12 months
placement,who have a removal date that
does not exceed twelve months by 1%
Reduce the number of IOG target TRAILS
children who were in out-of-home care
Re-entry into out of home care after return home who returned home and who is returned to
out-of-home care within a fiscal year by
1%
Reduce the total number of juveniles DYC
Level of DYC Commitments adjudicated delinquent,and who are
sentenced to a DYC placement by 1%
Reduce the number of juveniles who are DA Juvenile
Recidivism keeping kids from re-offending(Youth under the supervision of Juvenile Diversion,
not being criminally prosecuted as a result of Diversion,Probation,Parole or SB-94, Probation,
Juvenile Justice diversion program activities) who are subsequently adjudicated Parole,SB-94
delinquent on a new charge by 2%
Reduce the number of juveniles who,in a DA Juvenile
Youth offenders not advancing or graduating to fiscal year,are originally charged with a Diversion,
more serious crimes misdemeanor who are subsequently Probation,
charged with a felony offense by 1% Parole, SB-94
Health/Mental Number of hospitalizations,including initial Reduce the number of youth who are NRBH
Health/Other admits,from Child Welfare and Juvenile Justice admitted to a psychiatric inpatient setting
Health populations (establish a bench mark)
42
07-08 FINAL
Reduce the number of youth who are re- NRBH
Reduce the number of re-admits to hospitalization admitted to a psychiatric setting 90 and
at 90& 180 days 180 days after discharge from a previous
inpatient episode by 2%
Increase family/caretaker involvement in NRBH
Increase family/caretaker involvement in child's child's treatment by implementation of a
treatment treatment contract during initial intake
session.(establish a bench mark)
43
Hello