The URL can be used to link to this page

Browse Search

Home My WebLink About800728.tiff RESOLUTION RE: APPROVAL OF WELD COUNTY PLACEMENT ALTERNATIVES PLAN 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, one function of the Weld County Placement Alterna- tives Commission is to prepare an annual plan, the purpose of which is to develop alternatives to the placement of children away from their parents and to find lower cost placement alterna- tives for those children that have to be placed, and WHEREAS, such a plan has been prepared and presented to the Board of County Commissioners for approval, and WHEREAS, the period of time covered by the Weld County Place- ment Alternatives Plan is from August, 1980 to June 30, 1981, and WHEREAS, the Board of County Commissioners has studied said plan and deems it advisable to approve the same. NOW, THEREFORE, BE IT RESOLVED by the Board of County Com- missioners of Weld County, Colorado that the Weld County Place- ment Alternatives Plan prepared by the Weld County Placement Alternatives Commission be, and hereby is, approved. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of June, A.D. , 1980. OF ATTEST a`1i t y�i WELD DCOUNTYCOLORADO UNTY COMMISSIONERS /7 Weld Count_y_ C ` Clerk and Recorder //II C ��/ (Aye) and Clerk to the C . W. Ki by, airman BY, ' 22 C t..,,f (ABSENT) r eputy Count lerk onard L. Roe, Pro-Tem PROVED ,A$ TO FORM: L- t-I44.,,,_ (Aye) /7 ! ' 17,it Norman Carlson County Attorney c. aP �lht Aye) Ly Dunbar ABSENT DATE SIGNED (Aye) June K. Steinmark DATE PRESENTED: JUNE 25, 1980 3O0O a DEPARTMENT OF SOCIAL SERVICES PHONE 1303) 352-1551 P.O. BOX A GREELEY,COLORADO 80631 4 O COLORADO WELD COUNTY PLACEMENT ALTERNATIVES PLAN County Commissioner Meeting, June 23, 1980 Request approval of the Board of County Commissioners for the Weld County Placement Alternatives Plan from 8/80 to 6/30/81. PURPOSE: To develop alternatives to the placement of children away from their parents and to find lower cost placement alternatives for those children that have to be placed. Annual WELD PROJECTS: Total Cost County Cost (1) Therapeutic Foster Care $ 27,200 $ 5,440 (2) Respite Care 22,040 4,408 (3) Partners Plus 21,390 4,278 $ 70,630 $ 14,126 FISCAL IMPACT: - 1980 Budget Year - Limited to Partners Plus where child can be diverted from more costly placements. - 1981 Budget Year - Consideration of the Board in the 1981 Budget, Social Services Department. EMcK:lch DEPARTMENT OF SOCIAL SERVICES PHONE (3031 352-1551 P.O.BOXA GREELEY,COLORADO 80631 COLORADO THE WELD COUNTY PLAN FOR ALTERNATIVES TO OUT-OF-HOME PLACEMENT The attached county plan has been developed under the direction of the Weld County Placement Alternatives Commission which includes the following members: NAME ORGANIZATIONAL AFFILIATION James Maley, Chairperson Weld Mental Health Center Eugene McKenna, Vice-Chairperson Department of Social Services Father Anthony Bliss Partners, Inc. Ann Heiman Citizen Tom Milan School District Six, Greeley Mel Okamoto District Attorney's Office Agnes Schmerge Plan De Salud Del Valle Dr. Karl Schmidli Weld Board of Cooperative Educational Services Lee Steele Probation Department Lee Trujillo Fort Lupton Police Department Ella Mae White Citizen Dr. John Wooster Weld County Community Center Foundation The period to be covered by this plan is from State Board approval to June 30, 1981. Tne signatures below attest that this plan has been developed by the P ent Alternatives Commission and approved by the County Commissioners. (dr/ a es ^ ey, airperson Bill Kiroy, cnair an Placement Alternatives Commission Weld County Board of County Commissioners TABLE OF CONTENTS INTRODUCTION 1 PLANNING PROCESS 1 THERAPEUTIC FOSTER HOMES 3 RESPITE CARE SERVICES PROGRAM PARTNERS PLUS 10 CONCLUSION 16 APPENDIX Therapeutic Foster Homes profile-Children in RCCF or Group Home Care 17 Respite Care Services Program Respite Care Objectives , Methodology, and Evaluation 18 Flow Chart �7 Time Lines 29 Job Description 31 Target Group 33 Location of Provision of Services 35 Letters of Support 36 partners Plus Out-of-County Placement Statistics 40 Criteria for Choosing Group Care 41 Psychological Profile of Youth Place in Group Care - RCCF 42 Large County Comparison Report 44 WELD COUNTY PLAN INTRODUCTION In January, 1980 , the Weld County Board of County Commissioners established and appointed the members of the Weld County Placement Alternatives Commission, in accordance with the provisions of Senate Bill 26. The Placement Alternatives Commission, since inception, has met bi-weekly to formulate and submit the attached Weld County Plan. HISTORY Weld County has historically taken a progressive , pragmatic, and conservative approach to the utilization of out-of-home placement. Even though the county's population base is in excess of 125,000, we currently have only one child placed out of state in a Residential Child Care Facility. Similarly, we have 32 children placed out of Weld County in any kind of group placement. By consistently utilizing the less restrictive and therefore less expensive alternatives when out-of-home placement is necessary for a child, the county has been able to maintain one of the lowest costs per placement in the state. This would not have been possible without the long-standing cooperation between the courts, Mental Health, Community Center, schools and other human service agencies. Therefore, the Placement Alternatives Commission directed its focus on proiects which would continue with this approach. PLANNING PROCESS In the beginning phases , the Commission analyzed the overall status of out-of-home placement within Weld County. This included examination of both the numbers of individuals so placed as well as the rationale for placement. Additionally, the Commission became familiar with the criteria used by Social Services staff in recommending group care versus foster family care and the typical -psychological profile of children placed in group care. (See appendix) A total of five project proposals were then submitted to the Commission for consideration and incorporation into the Weld County Plan. They were: Therapeutic Foster Care, Respite Care, Partners Plus , Parent-Child Support System, and Weld Inter-Agency Child Consortium:. Each of these were analyzed in terms of both the objectives of the Legislation and Commission as well as whether or not it could be accomplished with existing funding sources. Three projects which were approved and prioritized by the Commission in the following order are: A. Therapeutic Foster Care B. Respite Care C, Partners Plus The Parent-Child Support System was found to meet the objectives of Senate Bill 26, but was able to be considered for funding using other sources and will tentatively be implemented 1-1-81 without negatively impacting Senate Bill 26 funds. The Weld Inter-Agency Child Consortium is still under consideration by the Commission. Final decision on this project will be made only after the Commission has -had an opportunity to explore alternate approaches, models, and funding sources used in other areas of the state. The three projects which were approved are attached and constitute the body of the Weld County Plan. _2- PROJECT - Therapeutic Foster Homes • PROBLEM IDENTIFICATION Through a process of research, review, and assessment of children needing expensive RCCF placements we have been able to identify problems and barriers which cause or contribute to the placement in this type of facility. The largest contributing factor to long term placement and eventual RCCF placement is the lack of early intervention and expert treatment of children diagnosed as having severe emotional problems. Barriers to achieving expert treatment are caused by: Inflexible funding for specialized services, time constraints and priority setting preventing staff from providing intensive services to the child and foster parents, lack of experience, training, and incentive payments to foster parents to cope with disturbed children, and lack of development of local resources to provide highly specialized services to these children. Out of an average of 115 children in regular foster care, the Weld County Department of Social Services has identified twelve (12) children at risk of multiple placements, with eventual graduation of these children to group homes , residential treatment centers, and institutional care. TARGET GROUP Children one to twelve years of age who are diagnosed as having severe emotional problems , and normally cannot be maintained in regular foster care. Children who exhibit severe behavioral problems which make their survival in conventional foster care unlikely or would result in their having to be moved frequently. GOALS 1. Prevent multiple placements of children in regular foster care. 2. Prevent residential or institutional care of disturbed children and provide these children with a family setting. 3. Permanency Planning: (a) Placement of the child with parents or relatives. (b) Permanent foster care by plan (guardianship) . (c) Adoption by foster parents - full or subsidized. (d) Full adoption. ALTERNATIVE SOLUTIONS • 1. Residential Treatment Centers. 2. Institutional Placement. PROGRAM SOLUTIONS ' Study and certify three families who have the aptitude and motivation to: 1. Work with a team of professionals in providing therapeutic foster care for three disturbed children. 2. Provide a half-time caseworker to provide support and services daily, if necessary. Purchase psychological and psychiatric services based on the needs of the child. -3- RESOURCE ALLOCATION Foster Home Characteristics: 1. Loving parents with the ability to give clear and structured messages. 2. high frustration tolerance level. 3. Dedication to be involved in a continual educational process. 4. Willingness to provide transportation to and participate in therapy with the child. 5. Willingness to become involved in fostering the growth process of the natural parents by interacting with nurturing the latter, if feasible. 6. Willingness to limit the number of children in their home (including their own) to four. Supportive Services to be Provided to the Foster Family: 1. An available caseworker/specialist with a reduced caseload will provide consultation on parenting issues , emotional support, coordination of therapeutic services , assessment of need for special therapeutic services. 2. Relief day care. 3. Emergency relief by Homemaker. 4. Foster parents belong to an on-going study group/support group facilitated by the caseworker/specialist or the Agency foster care worker. 5. This study group has its origin in the initial training group which (in a minimum of 25 hours) acquaints foster parents with their job and provides them with a rudimentary understanding of child development, pathology likely to be encountered, emotional needs of affected children, methods for meeting those needs and strategies for emotional self preservation. 6. A small library of pertinent literature will be kept on hand for use by the parents. 7. Foster parents will participate in staff development appropriate to their needs. Therapeutic Services: 1. A budget will be set aside to cover cost of therapy for those children who cannot be dealt with by vendors who will bill Medicaid (approximately half of the children) . 2. Other available therapeutic services such as those of Weld County Mental Health Center, The Center for Therapeutic Learning, Community Center Foundation and School District Six shall be utilized to assess and treat the remainder of the children. • Services to Natural Parents: Natural parents will be involved in the process, where applicable , to facilitate the return of the children to their home and thus , to conserve costs. 1. A group of parents also facilitated by the caseworker/specialist or foster care worker and co-facilitated by one or more foster parents will meet regularly to provide: (a) Parenting training. (b) Nurturing and emotional support. (c) Aid in developing coping skills. 2. Where applicable, foster parents will meet informally with the child's parents for the purpose of: (a) Visitation -4- (b) Giving the child a sense of continuity. (c) Recreation to provide support and nurturance. 3. The natural parents , where indicated, will accompany the child to therapy to benefit, first hand, from those services. PROJECTION OF EXPENDITURES Calculation of Therapeutic Foster Care Costs (for three (3) children) Month Year Foster Care Maintenance (Food, shelter, and clothing) 580/.00 $6707.00 Incentive payments to foster parents (3 X $200 per month) 600.00 7,200.00 Case Manager (l time FIE-expenienced) 583.00 6,996:00 Psychological and psychiatric services 517.00 6,204.00 Totals $22o/.00 52/ ,20u.00 M3NITORING In addition to the services to the foster parents and/or natural parents listed in resource allocation, monitoring will also include: 1. Weekly supervision with the caseworker/specialist. 2. Appropriate team staffings with other professionals involved in the case plan at least monthly. EVALUATION Since these children historically would be in some :and of care all of their lives , the thrust of evaluation will be to determine whether care can be provided in a less restrictive , locally oriented way which will avoid the expensive out-of- county alternatives. Areas which will be evaluated are: (a) How many children can be kept within Weld County. Co) What are the constellations of services needed to do so. (c) What are the costs (human and purchased) necessary to do se. (d) How do these costs compare with RCCF costs. C -l' PROJECT - Respite Care Services Program INTRODUCTION The program outlined in this proposal is intended to address an unmet meed of the many Weld County families which contain a severely handicapped son or daughter. In these families the severely disabled child places tremendous respon- sibility on the parents and siblings for continual concern and care. In most cases daily life routines of the family must revolve around the provision of care for the handicapped family member with little or no relief available. The stress of responsibility, frustration, physical, and psychological exhaustion will steadily increase and create seemingly insurmountable family problems. A system of appropriate and available support for these families is needed in order to maintain the integrity of the family unit and provide the child the most natural environment to foster his/her highest potential development. The program presented would set up a workable system to provide appropriate respite services for such families. Respite services are defined as community based services to provide relief care for families or other caretakers of severely handicapped children. Respite care is short-term care, fium one hour to as much as 30 days , which allows parents and families relief from the respon- sibilities and demands encountered by the handicapped family member. This respite may be necessary for: 1. Family illness or hospitalization 2. Necessary personal appointments 3. To enable the family to take a vacation 4 . To help a family cope with an emergency 3. Singly for intermitent relief from the demands of daily care Respite care would be provided in the family home or at the provider's home by individuals identified and trained by Weld County Community Center. Coordination and the availability of apool of trained providers will allow parents the assurance of a safe, healthy environment for the short-term care of their children. The problem of respite care has previously been addressed by parent's groups , but has not met with success. An unsuccessful method attempted has been the use of parents in a respite co-op program. This method was not workable due to the lack of ongoing coordination and the additional stress placed on families to provide care for other handicapped children. Another method which has been attempted involved lists of potential baby- sitters drawn from interested University Special Education and Nursing students. Although this could meet some needs of parents of mildly handicapped children, the lack of coordination, specialized training for care of severely handicapped children, and availability of longer term (over one day) care, have not made this approach viable. Families in need of respite care services have not been able to utilize traditional caretakers, such as regular babysitters or relatives , due to the severity of medical and/or behavioral problems associated with their children. A need for specialized and ongoing training of caretakers for these children as well as coordination between families and providers is required. -6- Without appropriate respite services the only viable option available, at this time, is placement in a setting away from the home environment, which may frequently mean placement in an institutional setting. The children served by this program would be, as a result of the severity of their handicapping conditions, at high risk for the eventual necessity for out-of-home placement. Not making the provision of respite services available would increase the risk of placement. The respite program proposed would be available to all primary caretakers of severly handicapped children. The responsibility and stress created by the handicapped child affects foster parents, houseparents, and relatives entrusted with primary care in the same manner as it affects natural parents. The respite needs of these providers as well as natural families are recognized in the proposed program. NEED The need for a coordinated, ongoing respite program has been expressed by a majority of the parents involved in Weld County Community Center children programming. Children's services casemanagement staff at WCCCF have also expressed the same need. Beyond the direct WCCCF families identified as being potential consumers of respite services need has also been expressed by school personnel in School District Six and at Weld B.O.C.E.S. In addition, the Greeley Association for Retarded Citizens, Parent to Parent, and the Greeley Parents Association, three local parent groups , have requested the development of coordinated respite service. Letters of support and need from the groups named are attached. Current programs, in the county, which serve severely handicapped children and the approximate number of children served is listed below: Agency of Organization # of children served Weld County Community Center 60 Foundation School District Six-Special SO Help School Weld B.O.C.E.S. 20 School District Six-PEIP 18 pre-school BREATH (Babies requiring 4 emergency assistance in the home) St. Vrain Valley School 10 District (Weld County children) As noted above, there is an identified pool of approximately 165 children currently in programming within the county, whose families could potentially benefit from respite care services. Additional consumers would also be available by information disseminated through the three local parents groups. GOALS AND OBJECTIVES The goal of this program is to provide respite services in order to reduce stress within the families of severely handicapped children. This would con- sequently reduce the number of institutional placements. The following objectives have been identified to reach the proposed goal: 1. To recruit providers of respite care 2. To train providers of respite care 3. To coordinate services between families, providers , and other agencies which may be involved in the treatment process 4. To publicize the availability of respite care among the client population and the community at large. 5. Evaluation of program Specific methodology addressing the five identified objectives listed above is contained in Section I. Also addressed in Section I is an evaluation component, with time schedules, for each objective. BUDGET Respite Care Coordinator Salary $12 ,000 Benefits 2 ,040 Excess Cost Fund 8,000 *Office Supplies 400 *Equipment 500 *Rent and Utilities 1 ,000 *Telephone 250 *Secretarial Services 1 ,200 *i�4i leage 600 *Postage 50 $26,040 *In-kind donation - Weld County Community Center. Of the $26,040 total cost of the program, $22 ,040 is being requested from the Weld County Placement Alternatives Commission with the remainder of the costs being provided, as an in-kind donation, by the Weld County Community Center. The program would be staffed by one full-time Respite Coordinator. As noted in the. introduction, previous attempts at the provision of respite services have been unsuccessful for a variety of reasons. One of the major reasons for failure has been the lack of professional, ongoing coordination in the recruitment, training, and matching of consumers and respite caretakers. Another area of funding needed to insure a successful program is the avail- ability of providing both excess costs and supplemental funds for low income consumers. As stated in the Introduction, traditional babysitting services are not appropriate for the needs of severely handicapped children. In many instances, specially trained caretakers (registered nurses) would need to be recruited to meet the medical needs of the children being served. The cost of these trained caretakers would be in excess of the cost of traditional child care services. Many families caring for severely handicapped children face additional financial obligations , such as medical care, etc. To add the excess cost for child care services may be beyond the capability of these families. -P- Excess cost fund availability would be utilized, as necessary, for the purpose stated "above as well as subsidizing basic costs for low income families. The amount of subsidy necessary would be determined by utilization of a sliding fee scale. Families would be charged a basic rate of one dollar ($1.00) per hour for less'than overnight care. Charges for overnight care would be ten dollars ($10.00) per day for the first two days and five dollars ($5.00) for each additional day. -9- PROJECT - Partners Plus PROBLEM IDENTIFICATION Weld County, in its services to adolescents, has identified two problem areas contributing to the use of costly group and Residential Child Care Facilities. A. Through experience we have found it requires a minimum of ten hours per week of one-to-one _contact between a trained professional and an emotionally disturbed youth in order to produce significant change in the behavior of such youth. Due to time constraints, staffing limitations , and caseload standards , staff are unable to provide the necessary time to each youth. In addition, the Department of Social Services has been placed in a more adversary and protective role in regards to the youth, and therefore caseworkers find it increasingly difficult to engage youth in a positive and/or nurturing. relationship that may be necessary to meet the needs of the youth. B. Foster homes vary in their quality and capabilities. Many of our foster homes do an effective job in serving the children of the county. However, in regards to adolescents between the ages of 12 - 18 there are several problems confronting us in the use of foster homes. :among these problems are the following: 1. Few foster homes wish to care for adolescent children at all. Even fewer foster parents will accept or tolerate youth who have chronic behavior and/or emotional problems. 2. Many adolescents cannot attach to a set of parental figures. This may be due to the lack of trust based on previous neglect or abuse by their natural parents. The youth may be so accustomed to being on his own that having a parental figure to supervise them is very difficult for them to accept. Also, the connotation of having a foster parent can appear to mean giving up natural parents , particularly to a child who has limited conceptual ability and views the world only in concrete terms. 3. Natural parents are very threatened by the concept and role of foster parents. To the natural parent this means they are failures, and that someone else is being allowed to do their job and is trying to replace them as regards their child's affection. This can often lead to the natural parent subverting the foster care placement. 4. If a child cannot attach to a foster parent, then there are no controls on that child. If there are no controls , there cannot be any nuturing or treatment. 5. All families, including foster families, have their own values, limited resources of energy and time, sibling rivalries, and their own diff- iculties which may preclude a successful placement of a troubled youth. TAR= GROUP held County needs to improve in its ability to provide for those adolescents who may be able to remain at home if provided an intensive, nurturing relationship -10- by someone outside the home. If placement is necessary, we need to be able to provide foster care for adolescents who cannot go to a foster home for the above stated reasons , but who may be able to be treated in lesser care than a group facility. The target group of youth would be the following: 1. Youth whose family influences or peer group influences are such that removal from the home and/or community appears as the only alternative to overcoming these negative forces. These youth are not hard core delinquents, but are moving toward more serious trouble and expensive institutionalization, or group home placement due to their susceptibility to the negative influences of significant others. 2. Youth who do not need and/or have difficulty in attaching to a traditional foster family. These youth may not need the intensive structure or supervision provided by expensive in-county or private out-of-county group homes. This category could include youth already residing in such group facilities, and who will continue to reside in such facilities for want of another place to stay. In summary, the above type youth may have behavior and/or emotional problems which ordinarily would mean that foster care, and usually group home placement, would be the method of choice in ameliorating the situation. The personality of such adolescents may lend itself to attaching to and learning from someone if only that person had the time, training, support, and inclination to assume such a responsibility. (See appendix) GOALS For youth moving toward group home or RCCF placement: 1. To avoid or avert out-of-home placement altogether. If placement is necessary, to keep these youth in their county of residence. 2. To shorten the length of out-of-home placement to six months or less. The average length of placement for a youth placed out of Weld County is 1.5 years. (See appendix) 3. To provide good quality foster placement in less expensive care than group care. ALTERNATIVE SOLUTIONS We propose that Partners , Inc. and the Weld County Department of Social Services work together to preserve the positive learning experience and humanistic qualities that only a one-to-one relationship can offer a youth through its emphasis on intimate , personal interaction. To accomplish the previously mentioned goals, we propose to match a youth with an adult or childless couple for one year. The expectation of Partners, Inc. and our department is that such a partnership would continue indefinitely or as long as needed. In other words, the relationship would continue longer than a year though the intensity of support for that relationship and the objectives of that relation- ship would be less than in the initial one year period. This would provide a continuity of after care. -11- • There would be two types of Partners Plus relationships: • 1. The Senior Partner helps the Junior Partner while the Junior Partner is living at home, on independent living, in a foster home, or on his own. This can occur as a prevention of placement, or after placement with the Senior Partner or other foster care arrangement, or as an adjunct to current placement. _ Under these circumstances, the Senior Partner would be expected to contract with the Junior Partner around meeting specific goals. Ordinarily, in the traditional Partners, Inc. program, a Senior Partner is expected to spend three and one-half hours a week with the Junior Partner. In Partners Plus, the Senior Partner would be expected to spend a minimum of ten hours per week with the Junior Partner. The figure of ten hours was arrived at through a poll of our caseworkers in which the caseworkers were asked how much time they would need to spend with a troubled youth to keep him at home or in less expensive care. The ten hours per week would be spent utilizing the traditional relationship building activities available and organized by Partners, Inc. In addition, the extra time would be spent on meeting individualized prescriptive goals of the contract. The length of time of the paid Partners Plus contract would be from six months to one year. The Senior Partner would be paid $300 per month for his extra time, training use of skills, and effort with the Junior Partner. The Partners Plus program would be assigned one caseworker like our other specialized programs. In this way, the department could provide better support and continuity, and would provide the majority of the administrative , supportive, and supervisory functions of the Partners Plus program. 2. In this situation, the Senior Partner and Junior Partner live together. The Weld County Department of Social Services would license the Senior Partner as a foster parent, even though the term "foster parent" would not be used. The Department would have legal or voluntary custody of the youth. The Department's defined function, professional commitments , and legal obligations combine to again make the Department responsible and account- able for the child's welfare for as long as he remains in placement under the Department's care. Consequently, the Department must exercise a supervisory function as a component in this arrangement. This should help to clarify that the Department will supervise and provide the majority of the support for this type of partnership. The Junior Partner in this live-in situation will be covered by ?iedicaid. The junior Partner's personal needs , clothing, school supplies , etc. will be met out of the foster home allowance in effect for his age group. RESOURCE. ALLOCATION Partners, Inc. will initially recruit and train the single adults or childless couples to be used in this program. Partners , Inc. has an active and successful recruitment program which should prove an asset to the Department, which has had problems in recruiting foster parents for adolescents. Partners , Inc. also has a substantial bank of Senior Partners who are no longer active with their Junior Partner. The Department would provide additional training to the Senior Partners. Also, the Senior Partner will be asked to participate in foster parenting classes at their own expense if they are licensed as foster parents. The Department will pay Partners, Inc. on a one time basis a sum of $369.00 for each Senior Partner they provide for Partners Plus. The fee for the Senior Partner will be paid to Partners,. Inc. at the time the partners are matched. The breakdown of this fee is as follows : Recruiting and Training $120.00 Activities 89.00 Support Services 56.00 Management 104.00 $369.00 Projected number of Partners Plus partnerships in the first year is ten (10). Total cost for this would be $3,690.00 for one year. If the Partners Plus partnership fails within 6o days due to the Senior Partner discontinuing, Partners, Inc. will provide another Senior Partner free of charge. In the event the failure is due to the Junior Partner leaving town, being committed to an institution, etc. , and the Senior Partner is still willing and appropriate for another match, then the Department will utilize the Senior Partner again. _1 1_ ANNUAL COST PROJECTION - PHASE IN The plan for the proposed project would be broken into four phases or steps. The following figures project the cost of each of these phases. 1) PHASE I First three (3) months - A. Two (2) Partners -training (369 X 2) $ 738.00 B. Partners matched with 2 youth for 2 months (300 X 2 X 2) 1,200.00 Quarterly Sub-total $ 1,938.00 $ 1,938.00 2) PHASE II A. Training 2 additional Partners (369 X 2) 738.00 B. Partner matched with 2 youth for 2 months (300 X 2 X 2) 1,200.00 C. Partner cost from Phase I for 3 months (300 X 2 X 3) 1,800.00 Quarterly Sub-Total $ 3,738.00 $ 3,738.00 3) PHASE III A. Training 3 additional Partners (369 X 3) $ 1,107.00 L. Partners matched with 3 youth for 2 months (300 X 3 X 2) 1,800.00 C. Partners cost from Phase I and II (300 X 4 X 3) 3,600.00 Quarterly Sub-Total $ 6,507.00 $ 6,507.00 4) PHASE IV A. Training 3 Partners (369 X 3) $ 1,107.00 E. Partners matched with 3 youth for 2 months (300 X 3 X 2) 1,800.00 C. Partners cost from Phase I, II, and III (300 x 7 x 3) 6,300.00 Quarterly Sub-Total $ 9,207.00 $ 9,207.00 Total Annual cost of Phase In: $21,390.00 _i L_ • MNITJRING The process of referral and matching for Partners Plus program will be as follows: 1. Youth is screened and determined to be heading for or currently in need of out-of-home placement or group care. 2. Youth is evaluated by the Department as being appropriate for Partners Plus Program. 3. Youth is matched with a Senior Partner to live with in the Senior Partner's home or to be worked with by the Senior Partner while the youth is at home or in another temporary foster care arrangement. 4. The Department caseworker that is responsible for the Partners Plus Program, the Junior Partner, and the Senior Partner agree on individualized, prescriptive objectives to be contracted for. 5. Progress toward the objectives is evaluated weekly for the first eight (8) weeks and bi-monthly thereafter. Partners , Inc. will only be responsible for the recruiting and training of Senior Partners, in addition to the management of relationship building recreational opportunities which are available to all partnerships. The Department will provide additional training, supervision and Support to the Partners Plus people in regards to the special dynamics around foster care and/or working with the youth in his own home. Case records detailing individualized goals , foster care eligibility, custody arrangements, dates of placement, etc. , will be maintained at the Department and updated weekly and/or quarterly as needed. EVALUATION Each youth deemed appropriate for the Partners Plus program will be matched with a similar youth moving toward, going into, or already in group care or RCCF care. This should be feasible based on the placement criteria and psychological profiles included with this project. (See appendix) We will then compare each youth within and without the Partners Plus program regarding the following goals: 1. Avoiding placement and/or keeping the youth in county of residence. 2. Shortening placement to six (6) months or less. 3. Providing foster care for youth at less of an expense than group care. -15- CONCLUSION The three projects included in this plan address the problem of decreasing the frequency and cost of out-of-home placement through the extensive use of existing resources within Weld County. The resource allocation needed for im- plementation is as follows for the first twelve months. A. Therapeutic Foster Care $27,200.00 B. Respite Care 22,040.00 C. Partners Plus 21,390.00 Total $70,630.00 The Commission believes. that by implementing this plan, Weld County will be making positive first steps toward the goal of eliminating all unnecessary out-of- home placements. The Commission also believes, hcwaver, that these are only first steps and must be subject to change, addition, or deletion as the results of these attempts are evaluated. LICENSES CHILD PL-:C ENT AGENCY PROBLEM IDENTIFICATION Severely disturbed children (unattached ) who require frequent psychiatric • care. TARGET GROUP Five Weld County children, ages 2 to 13, requiring intensive psychiatric services and therapeutic foster care. GOALS Same as Therapeutic Foster Care. ALTERNATIVES • Same as Therapeutic Foster Care. PROGRAM SOLUTIONS Purchase of psychiatric evaluation end services from the Youth Behavior Center. PRCJECTION CF E r vDITUPES 1. Two (2) placements ($600.00' per child) $14,400 2. Out-patient services for three (3) children 5,400 ($150.00 per child) Total 19,800 tVA_, U..TIGN Same as Therapeutic Foster Care. I !iaerapety--„ c Foster Care • a.a • 10 ON O N O N Ca N N N N t CO co -n 4 r o in C . v3 F.O C' CD CO �� -7" rrl u V 0-i Cl. •-iO E E E = a r-. C d 0 0 - O 0 v S O...C a ... .� — E^ 0 U C7 24 24 t3: I--% Al I© 24 F. P c 0 0 0 0 - ?. 3 C a U C U U m e C. 1. .y1 a 7V.. >a H 1. i. 1. co IL C :4• r . . -i :L d d a., co d d d y C C .-, .i .ti - �• a .-i C u E -, a -1 ...I '-• '-i i' 0 co E C C V C C C = 6` N >a C X O Cc f-) c.-) 3 N N N N c CO U C v CC — a _ r_.--. < U a C H a z a >+ 0 C a a a 1, s. t 1. •2 �+ CD 'FO, 1�. Fes. V •�-,. >, . >a V V < > >a C C C C - i- F.c 0 C 7.. 1- _ 0 0 C C v G .J JJ ' .J ^J T v• a c S. L. 1 - L L 0 .^I 7 O C., J > U U U > U > U U > U C _ _ - V C C OC C _ - C c O C O O a - > = C e >a C a a• c C - - cc - ZI C C C _ L C' _ 3 C C Cr= _ C _ C C C ?. C. >") _ c _ U = L _ C ? .7. V ^ C' O a C' w -- - T L C E .� = � Co > _ C R {" - C C C' d ;-a d C a 7-- C ..7 C c] U 0 C C ^ P C > > 0 'OC 0 d `O -C+ 7 C a C - O - L U C E C C _ y ^ C C d -a _a FIN a a N _ _ _C ^' C' C - 7 1. _ > > _ -. C 1. C C - - = - d c d C' E Ea, ' .7 d C' C. .--i C• CU E G d Cr y ... C: z = UzU :J iC+ < U :' :a C: = G9 F Z :E == i .... CG _ > C U � O C c. .. .J - r-. C C) C C' Ir. rt n - L N C. 0 d tC G .,. C L^ ara O` N- V Crl !..-Nv^ 0 .- r .. 1. C C O C7 0 C C < d C :.) c.: C' I.. 1. , d 1- C � S O CI C = j s.. < `c 1 F. Z, Y F CO U E C.C. C-) U `a- !C — �= .i d e \ ..•1 .ri ,.: 4.1 • o 3 •. Cl C S lot o •O 0...4 CO m C0000 O_ m C 0 .C W u A u .C W 1J CO 3 1.• Z O O U 0. m m •.i u -.i C l+ U OD _ u CO 0 v 0 - 0 .0 `° C m n-4 '. '0 al 3 C 0 C C u 0. m P. F• CO W O•'O •.•1 U e l W aJ w a g OD•0 W G li < a .O L 0 ia -0•1 •E 4.4 m u O W CO Al A •.i -.4 W ..1 0•r1 •o W C m •e+ u 441 3 l+ CO w . 4 w r♦ W m m m •• C W Li OD W N r4 14 14 W u > C •.1 Y W .C OD0r1 0 C 41 ..-1 3 m •e4 CO • G U Y )4 u C •.I F w C U u 0.• C ..1 li m 0. CO 3 W u 0 G CO •.1 0 u .-i W m W 0 14 `1-1 DO a m W u a W -.i co N in .0 -.l d O l+ 'O O C m a+ W W O0 1+ N 'O W W Oa C-„ O W A •d A V. u .. m m u W .-•1 N C C u N u O.-C +-1 -" •.1 U m m > •.i 0. W O W w 00 G •.i r1--' C .. N m •.1 u.4 -et W .C X .C C t o - 3 0.'0 O N CO U W"u p,u O — m .•1 A 3 E . W C 1 O - ..i C ..-- + r • co .r4O 1- W .0000 LO 1'i A W - I, O ....4u 0 e.i .-i u • •-i .d • CI -.1 E Co C li 3 m 0 W 0 LL+ L.L. N. 'O m i.t C ..i 0 •.i '•i t N N C C -o U P. i-1 O m 0 m -.I .1 'O _ 'C W •.i u G u N W kV 1y ..i .p Co CO E y a) ttl no C.) .--I N 7 '-1 m 0 0 A C '0 L W W 4i 0 CLI N R7 '0 Li •.I 1J . G ..1 W W U 'O ..1 U •.i _o _ ' CD C C. to y1 Hi m A 'O m C m W CC 0 A W L N CO C O G m m W HI W a) 0.a. 14 W 0 0 a m'.4 U 0 C.) O. T N OD .d .• .-4 'O -N O -.i A W ••4 W U m L W u •.i 0 CO 0. C > C) m 14 C 1+ CO 'O CO +.+ 0 t1) 0 14 ....4� W m L -r4 W O. • W W •ei la N CO W -.1 -.-1 W m" U W 4 r N .= 0 w u 0) > C •U. CS N -.i 0 i-1 c Hiu 0 CO L+ W W C W CO D. CO al m 0 W u X sea m u W iJ 1. OD O m C CO OD N 14 C u -.4 -.1 +J m O OD u DO C li 6 W La OD 0 uC HiV) N •.i T w 0. CO ••i O •ri p. 1+ 4A O l+ w W •.1 • CO 0 .-40 l+ li 3 m w U W 0 W O B 0 U' ..Ui y L 0 C - 3 6 r4 7W-. m O U .-1 U w 14 t GO 1+ W 0 m ..4 L W )+ ..i m la C > •.i CO ..1 m W • u .-a >. > 0 •.Wi •G -•1 u ..i 0 U 7 0 'O > •.1 Yi W 0.C 0 m co u W -1 w Z •.4 Q 1+ U W U W • •.1 Lt C m 0 r1 1+ .-1 C W W u W00 0 N 0 N 0 0 G 7 -ei W ' '- A 4a .i CO u m m 0 W • W 0 0 C C Li•.i •.1 u W • 0.14 Mt ri .E O 4-) 1=. 14-.-1 o Cal C L •O. W U W r-.4 •-.40 W 0 W 0 u W m -.4 0) 'O O 'O CO CO • . CO 13 O 'O 'O U) Z u '0 m i.• W CV) 7 U U Z CO Z S r-1C .'-1 r1 W Z U G -,i -.i C U.-1` u. CO u 0 0 ' CO •..4. W. U W W r-4 m <n 6cn .r ea E.-6 h3 v) 33 m O w O W ... 1.1 C .� C 0 u •CO> C iJ O:A.-O - C m • L. U CO U .1-3 .-4 0 -ri • • • O - - W m ..i 0 L -- C4 el �T Vl NO 1� OJ 0% 0 — N el In W I-a 'O L a.i 0 W W 0 W W .-4w 1+ .S 4J ;a 4-4 , C 7 m w 0 aA ..4 m m 0 0. m 1a W 1. <• m W W -4 t .i 1 O C L -.4 P. iA- In O -.i 1 N I: ' Wi> WO L u m d O Gil • > u W Iy ..1 u F 7 -•i 0 H 0. GO U m .7 W U O 1+ la 0 o. o t -18- •"--, r• C .-I -C 0 L a -.. C. Z U 3 0 0 M • 7 O 0 1... o a > d m 4.1 m u v • m m d m p • a C C .0 9 (4 .Ca O m a.1 V ) M m OD m w a 1-4 0 CD Oa •.t 140 _ a w a K ... a. o e. OD a L. fa • a 0 a+ v L. a a u u c CO 0 C 0 C -4 u -O a E a a w L 1 o a •-• co U ,-.1 .a O ..a -.a -.4 3 0. U 11. CO a • a C u CO y O -.A 4 al a .. m , en. a a m e " O a 0.1 • CO l+ o 1-1 _ m a u U 7 -.NI C a m w m .. CO ,0 3 a N O OOy a r CC ...I w z c l.. 0 c CU to >+ 00 00 N • m 0 'O 3 C .--1 m N C a •.. CO 'O .. a 0 S a a) 0 0 0. 'O a N O m is Z o re CO a V C -.4 CD a a •.. O C U 1. a A C N > 0 0 m P. O C a 1. GI 7 1. GI a S N 0 N a 0 'O s •0 a ...1...1 as a .-1 6 .0 4 0 0% O 01 m a) CO -.1 $a m a 0 CO m C CD 0 m N .-t 1. a m CO CO la 4 a 'O el 7 a C 0 10 0 Ia a O d .-. P. C COT z W 3 _i o CO 0 m CO m O •.1 0 a 0 O H w U C O 5 a.1 > N a VI Et) C -.4 "a C 0 a co .-4 U •-. L L m u hi 0 CI a E r. 14 CO u 0 a ••l -,a • C 'O ydN = O U = O > •0 c > ---el 0 3a m-0dz CO 3c ] x m o .•. o •.. owwc» aao• C 3• a w o m 7 03 � w O '� C� A ..azP. F3 ;oxxxxxx c rn v 3 v M ea 04 0. 0 0 a) • . • • • CO . . . . . a -.. "+ Z CO a U b CU w OD a o: m a U v a w GD .-. • . . • • a ..1 • • - et v 1.11 %A, n CO 01 -C ra• G E -F C — • u) 4. 7 N a 2 4 0- 4 O a u O _C U -. Y > 0 C L -.a CL-C • a) 0 w - 3 .2 C D M '0 f•-• a 'U 7 41 C 7 -4 co u O a 0 • U _a_0_ M 'o m ..a 3 a a m .M• d u .C nD3 p u .C •9 .0 CO U 0 m .C • U -O 9 td -O m -.+ m CO a d >+ O p 0..a O u -a a 0 a .C m .0 M - Z m m .a M M u •.• ••-• •"4 • O M a •3 0. d 0 •.a d a 0 ... W > d m 111 •-• a M 3 s o •, U01O U M W d 0 .-1 0 0 Cu m u -.a a m u M 3 V a 0 u 0. 3 W 0 la 0 0. 0 U C a m --a a w s Y. CI) 3 0 m .0 • M 0 u a M C m C ._] 0a 0 H C W M C -A a C -O a 0 0 0 2 -d a [>.) 11 u> . 4 y mw ....4 a 1 .0 .0 -.a 0. a .,.1 •-1 0. OD0 m 4 _ 0 W .+ m C. 0 j re O '0 m .-a -.a ..a --• a t. W C M d a D M •D N gpg'W 14 u la d m Y 3 C N .C u 1 In O -14 0. G m d .m -4 O- - Y d`. . 0.0 M M Y ..a u .-a m u 7 d d K -in a W .a 0 C•M •F• U 0. M 0 -..1 m U m M -.�-1 �0 1>+. L O m M M .-1 0 N > C- d b .-.1 0 Y d a O•""04.110 ) 13 o m 3 6 6 -d0 COW m m A F 3 -.Ca 4 .-a W 7 .C m CO a) 2 • ._ v a L Ci y • M 0 ,a+ -•a M a + 7 m u 3 �a C m a m > dd a -.• C "4 U-.4 0 0 .O M U -.a N a m a M L m 0 W d 'O -1 C 0. O U 0. 0. O i 11 a. ad.. a s.+ -> C 8 I m 0 0 .2 .Ci W m CO u oC 0 0 7 Cr O -.+ u a --a ..a aC u v v .+ s C 9 u a m C M u M C B Y L a s B -C a u ..4 .a O 0 W C Y .p M N U-1 0..+ CO .C O O > P. M .--I m -1-1 M 1a O 000 y O C _ U U -0 C C C a C 0. a C u -.a M a O 0. O .0A ..a .L ..) 2 L o r1 � M -o M 0 0 CO u u • ..a 0. •o a ..a 7 a u a • u 0 F 0 0 m. m M 8 3 m Y co a .+ 0 o u ..a a d o c a M -p - L y .+ M N > C C .C m ..a .a O O 0 M 0.W ^i C ua m Y 0. CU l 0 -0 0 H OD al b -' O 'L7 - a Qm CO 03 0 a y .0 Y • a u � ..4 u -D L 0.1 y i C m U CO 14 00 M >. Y m 7 .C a --1 CO. -,C.1 .0 y 0 M .0 M c 01 00 u .-1 a0 E a a 2 C C Y M M CO M •> Y A --a L >• M 7 ...I.I ya. W M 0 ..a O O M Y a -a m o > .a-. IO. W O d I a1 I M 7 -•a M 0. 0 • > 0.a C C u C M O C O 0..a .a U M u 1a. a) 0 -.a u o O C0 U L 0 CO.a > .0 0 0 O m 0 -r a CO 0 -.a C .1 0 a m Cr -•a a Y 0 Q C COO u C u M. u ..a m -I C ..-1 1 .a a.1 ..1 ..a Y O Co ..a a .a a m W 14 . l m 0. 0 m 0.t 0. a Y d 0. M m .--4 a .a M a 0. M m a-. m Y u m 44 Cu 0..-1 a .0 d a -.a a 0 0.4 0 coCC. 0 1-+ '3 0 3 0. 0 4 0.. ..Ca 3 .a -C >S.. U M - ••0 al •m a • N 1 •, • -- ill CD a w v ..a ..a a .1 > a.+ ..a 0 --4 E M • Cl. CO 0- m 4. CU C: G. O .y a a 'O .C -. 1.1 - > O C L ..q . CI. .C .1 1. O —• F 3 O .O I > CO - 2 I— C O --a CO 1.) -'> C C o O U nn a; 4 0 u 01 01 0 N 4 la 00 4 •-1 L F./-'\ m •--. 0 'rt'W . O. u a- - 10 w Y 1 C O u -•-1 Y W N 'O C Y C -.1 N 14 .1L •W C .-4 -•1 ••-1 01 W W C 0 K W t t WC V L m W L •.1 -.•1 m W B L W '.1 T W CO W Y t •7 0 'O N Y 10 Y L C Ill W E Y u Z a •o N W C W U ? O W CO 0 .0 m Y N W CO L O. O 4 .a C .0 r-1 V' •.1 C W C W m W Y O C W 1-. a O 0 H r1 T W W W Y C ID .C U4 C u C • -o W .•1 •0 O 'C 7 1 m 4 •3 co LLL •0 • m LL •-1 .C I m 0 V •> 0 W W L a 1 -044 .-1 - ? t 0 u N V m u m u u r1 Y Lk O W > 0 0 01 u N 3 U W u Y 0. \V ••+ W • C •r1 0 6 • •-1 O A W • L ...1 0 W L W 4 W L W CO W 0 3 3 0 • 3 W0 CD 0 m w 0 CO CO V 3 3 C ...1 -1 .C u 90 W 0 Y .'C 0 01 V E E• 0 0. > m •.1 0. W 0 > .-1 Y u u •-1 a•.1 T O m W C -m Y O •0 W r-1 W 4 • E G O tv O .n W 0 CO 3 • 0 •-1 CI)C •0 O 4 m w d' OO m m .0 0 CO u -• •0 B w a coW C .4 01 C m m u u G 41 3 o W W 7 m 0 0 .+ W co m W •-1 •.1 d .4 C 8 m V W u 0 Y A • 0 t o'•.J u U W 7 0 PI 0 m C W m W W V 9 .A C W 4i a m >•.0 0 ( W A O Y m U Y O A 0 co t 4 A 4 .> a ...-. .•. •.. I.Q w . .•l . Y 0. 14 W m m 0 C m •14 u 14 W r Y r1 W O > + -r'A O •a r•1 m 4 > 4 N W p W Y W 0 4 r•1 14 00 I. W .� W W 1 O m m O COW W a . W 0. > 7 .••1 Y m m 7 -•1 4 O 0 -a L •3 L 0 OW 4 W 0 m C t • m •3 -.A L •.0 O ) 14 00000 0 7 • •.1 4 m H u 3 u m u 0.a-r0 a OM u W 3 w u 6 ao W 3 0 u a E o a 0 ) 440- 4.7 ... o 7 • -0 W 1. 1 V O W t C J.) 110'O 44 U .S W C W C •.1 V V C e.. m W 0 4 u 0 C 0 > W A a.. 4 7 W M0 14 4 Z Ca A 0. 0 r. fa W u T r-1 W Y 4 0 W m 0. u m m O O03 ,-I-H 0. 4 C 0.0 >. - MI .0 m co u V C C OC 4 —e B ••1 W m .-1 7 0 U '0 W W -.1 •-1 co m O C -.4 U •.1 C M Y 'o .i U m m 4 0 co mr1• E O 111-. as •o C L W -.1 w O W O W r1 el m w C C S W O L CI • CO r+ CO 1 Y -y - 1.4 W L M A u al) m 0 0 [s. .C A t a) co W 0 L M 4 U 'O T US Art 1 W O W .0 •-1 4 0 0. ' m m W TO W .--.1 1 0 L ••b > 00 U 0. 0 •-1 C CO W W E 7 .••l ..1 U u L 4 -.C el O. W u y .•1 O C • O .C C g �.' 3 W T ? m > U u -.1 u 4 7 CO 3 CO u .0 V C 4 3 0. W m Y •.1 ..+ r1 ..� ..a -.1 W V 0 W w 4 CO 'o •O W m 3 W 7 L .C .C 0. V 0. W •-1 m W 0 W W W 7 W .C a Y OHO W O C Y Y t 0: o. 0. o• 7 u u -•-1 -.1 W C .•d 0 to co m m C u .-1 O. IS W 11 E .C 4 •-1 W --1 N W U W 0 -r1 W W la CO W 00 4 0 3 • S > +1 '•1 '-1 '-1 7 •.1 W t t o 0) 8 C0 14 m W 4 W C --1 U W 0' a Y -.1 C L •-1 U w C W t W 'o W CO C •.1 -.1 CO r+ 0 1 W Y I-4 C 0 --1 Y u E E W Y C 4 .-1 L Y •. CO V •.i r-1 W W •• 4 00 L co .C m --1 O .J •> r1 4 i 4 --1 W W u -.-1 4 CI A W W 0 m co E u .-1 0. 3 +l L OD 1W1 3 C W •.m1 E 01 0 w m .-4 C. 0 Z 0 U r11 F H IW.1 '0 w -.m+ >. co w 4 O .C > 4 •1-1 m r. A rl 14 u m .0 u 0. co 4 r-1 ••-1 m it 0 1.-- O 000 •—• 4 m m W A 6 L0 V u 'O W V COC W 11 3 C C 4 C 0 W -.1 L. Y rl CO m 4 C C O 'C W •-1 W 0 "0 O.•.1 O C > Y O W 0 r. • C C W W •-1 m •-1 E t r1 -.1 C •.1 C 0 O m W > 0 m -.1 m •.1 0 V A u C 7 u C 0.0 W 6 00 O W ..... 0 .C a W -1 '0 3 'o 'o •.1 4 O to 10 •-1 r-1 4 -.1 m 4 C •-1 U 4- Y CO m 0 W W 14 .1-1 0 ..-4 e 14 a 7 C W u u 'o u -.1 .61 7 -.1 m • 0 W T W 0 m r1 m W 4 00 u -.1 U C C .••1 m V •-1 N 4 W C 44 1l O 0 Z r1 C I W C •.1 CO '0 O C --1 C •.1 94 •.i 4 W W •-1 Y 4 --1 CO -.1 Y w -. S -.1 O 7 --1 3 .0 -r4 a 4 V O 4 '4 .C •.1 W 0 W 7 m .C C F T E W U 0' >. C C la C U /40 UA. W MNZ u Y 7 m m .-•1 m u m Y C O .-1 '-'1 7 7 .C CO W E -•-1 w --1 W T C W •.1 4 CO u O W U •-1 W 00 0. Y C O W m 0.V 4 Y l44 0 • • • • • CO el m C ..u-1 m t m •-1 m -.1 L Y C H C 6 — N el .0 u'l .Or'- W CO 7 •.1 > 0. 0 W 0. u CO C 00 7 W m in -.1 .-1 .C 1, m 4 CO T 0 0 C O 0 E V W - O 01 CO C4 W W Y Y U •-1 4 '0 CO) W W 41 .••1 0 1A W c/3 4 4 ..1 U U L 00 •-I m ar 4 0 3 W1 —I W •-1 4 W CO .-1 U .d > W CO + W el m W W m a w r1 1.1 U 0 CO " -1 O1 u u sl 4.141.1 < 3• E .0 0. 6 14 0 - 1 E 6 - C. 0 . N 4. ¢ 4 6 m .1 W W 'O L - ..y Y I O C 0.L W 11 W O +1 1' V W F 3 -- 4 > m o u 4 ,-1 0. W Q Y O C i1 •1 Iv ..1 0. > m m M 4 W F u 4 0 41 O W ' •'1 H O CO O H el C CO 3 W 4 W $ - co - In m 4.1 A • • W m CO a 2 CO el "Cl -.a CO 4 w t O 1 W > . a) .-+ u ..a A u w 1'+ W C •.a O m _ -4 In O-w u C O H A •.t ' 4 CO m B CO ••t 14 O at - W Os'0 W CO W C A C. W W B DO .y W a1 W 4 W .O O a.+ A O C J .-t A m 'O W 'O OD u W -.a 'C -.t +a C C 'O W •l O C C CO C 0 .� > 3 0 CO m .C •4 u -.1 ... A A o •.t • W Cal 4.1 4 1.1 •..4 A a 1.1 ••.-4 mm )... C m -.a C ua 3 m m • u 3 o E u awr W •3 W W W c m > 3 U •.1 A ' O 'O 4 'O 4 CO B CO 'O W • W • 7 .-1 > •4 A K. > W >-.C ...1 W on W > t., m .+ 4 B W O 4 w O C W OD > O a+ 0 y O W CO W CO o W W 4 CO A W ••+ 4 44 4 M C `4 mW m CO -- "" m 4 0. B a-aA W 0. m a W U 3 • 9 W L O .-a Y W 4 .-t m A W •.+ 4 -.. '0 3 W • m 'O 0 .-1 4 * • .-t m CO W 4 •4 0 m L 'Cl -_4 N 4'A -'1 'W O 3 C C el 11 O -'4 -.1 C '7 3 W 0 O' > COm H -.t > E > CO W m W O W 4 W 0 7 0 C 4 4 -.y W W .7 4 .+ 14 C "Cl 0..--1 'O m W - 0. 7 0.-.a' CO C W -.a -•+ •—a 4 U CO W A W E > 0- ,O CO ..t W •O • L +a m 0 ..t A 4 u W C C u >, .4 w 4 CO ti 4 -.a m 0 CO CO m a 0. W _c .--1 3 0. m -.t 6 to W A u N u at a) Ea C o W O W U -•a W m CO O +a 'O 14 A a-. '0 3 F 4 to m v v °a W -0 u 6 W on A W W • A W W o. C L W A 'O OD W m as W O el a. -.t AlU •.0 a CO .4 C z 7 CO c • A m > 4A 0 '7 m W U 44 ..a >, .-1 W o 3 •.a •.a C A m m tat 0 •-a 4 m 0 m • b CO 4 14 4 A -4 W 0. U V CO m b OD W J L W 3 14 C O W W W C u .0 u 'O O W W 0. m 4 3 W C.1 W 4 W m W A -.t W 4 7 >, U CO m 'O W W m •O CO -4 m .-1 -.1 7 m W A ."I A CO CO C > co W > O' W W •--i N O W W 4 4 0 A ••-1 N m M •.t 4 N 0 0 0 W '0 a L 3 .--1. C .--1 as •l W 0 m .-a W W C ••t O m m W -.1 >-. > Oj I W W m O C 3 '•� -.1 W A .AC J-1 a) m 0 -.c4 A m .C E •.ca m N 0) 70'.+ CO .-a 0 W 'O H W C 4 W C. .--t W -.t O CO A W C •'4 W CO m >+•.a A A a.. H 3 W o m -7 .-+ 3 u m m W 0 •4 C • 4 -•l 0071 .4 A • W E 3 N i C i > c c B t = O -0 U c •.+ C W W o •.1 to to c a 4 W ..a •,l 3 0 -.t > .-a 4 C _ W 0 •..l 0. m 1_ C CO 'O -4 0a 3 co C W u W W W DI O C W E '7 W 4 W A m '7 A 4 to W 0 o at to >,-.a u a+ u H U W L (J., ... •.t CO 144 W > -.1 4.4 -•+ A C W .t 0 .0 > •.a O. >, m .-t O L •.a A-) 44 m 'O 4 'O m C a aJ CO 44 E . OC0 0. CO A W, a m Vl A m m H G' B u m H a-. A W le W cc L. N -C .t W W '0 t O C 0 ' G. -4 4 m . aA W W in Y C 'O - 4 1 m O -.t t Q1 el U C W F 3 W > C •.a U a 10 a -. OD CO A 4 m W a m A u a .O -.4 A C '" 4 >a C u Q o W 4 W W A B 4 W > C o U -.+ L 'U 6 1 1-1 -.a 0 •4 .-a O A W aJ F. a.a U > -4 U > m o C 4 S 4 •4 ' W 141 o O W m C A 0 4 •-) U H CO W m 3 > a-. CO 0 c r. -27- v. /� u T'� De 04 I 0 r 4 W I . a a I u Y c m d m as o a m a w •-4 m �' • a o a C a °.L CO C 0 Y -w' a S u -ti u `u 0 I L •.1 C.L. a u .0 a .o •-4 U O 4.4 ✓ ✓ 0 0 C 0 > a ..1 ..1 C U 3 •-1 u > 4 t m t .-1 w •"I -- a 8 4 00 Y >...•a u m W to C to 0 u u •.. 0 -+ Y 4 .-1 4 W > W C Who O .O 0 •-a m Y a m 4 •.4 '.4C015 u 0 t a O.•-• 0 -.1 0 0 ha •-• •.a t 0 s a m 14c.“-10C > t 1-46 4 a C u a -.a c u •.. I a • > t u u N a L -o • T O a 44) 4.1 O Y C C 0 E CO a 4 3 •.4 0 3 0 a• to t ✓ C "' L 4 0 -+ u 0. 4 CO --• 0 .-4 L C. 4 C U C a -+ ••a O 0 0 • m .r •-1 m C u " 3 E Y CO .C 4 CO T a •-a 00 T a t 0 3 S ...1 .4 u u O -' --. .C —"' --• O. • C E --I 4 U 0 • .-• .M 0.-+ t. 0 a 0 4 -.a --1 T >. O a a .C 3 ••• u '-4 L t VW -a C a m ) 0 t -' .C 0 •.I I. •-• C E m > Y C a 4 a Y .0 0 -.a ✓ 4 S u .C•.• > 4 C 0 ..a ..+ ✓ U w 0 Y m u o..1 .w > a a .C - t •-• 0'7 3 0 •-• U 00...4 00 C a P. 3 I Q 4 C 00•.a Y u a m ua a CO w 1 a w ✓ a w 0 0 4.44440 414 14C0 T C a O.••a a w CO • m CO L 4 O ••>-• O • to O t., L O E u 0.0 Fs •44 4.4 u -._ O C.-T O L O •U .O O ..• 00 w u t✓ ..a 4 -+ m U . 4 a ••a T Y Y a a u 4 0. C 0 -+ m a•-1 a a ..4 > o > 03 c •>a o. a •a N 04 .-4 14 01 C 3 t a E O. 0 O. Y u O. O m -.• .. 4 E m L -a O O C a 0 0 0 L ••a L 4 ..a •.4 L 7 CO ,C CO 0 0 0 -.. ..a a Y a a O.-.a w ..1-� .4-43 u .+--1 4 E > u F•• 3 ✓ - Pa 3 w Y •-•• 'C E F+ w u -C• s O.w . m o d 7 3 m 0 L. 7 • a > L 0 Y m W . O 00 a Y N •-1 -. 4- C I .i m w 4 •.. ”400241) •-• 0 M C .0 0 •-• 0 u • ..a L - u La= aY 3 mtm a -• 0C U 4 - O • a C 7 .ti C m ✓ 0 O. 4 u 0.-- > 0 •a L .-a m • 0 m 0 0 ..a ... O. O E t m t a a m 0 a I a ,-• 4 ✓ T 1 •3 > m C w 0 e• a .4 u CO -+ L 3 C a ••� I --I 140 .-4 14 IIIC C .-• U C 4 a 0 •-1 O.-.0 CO L -a 0 0 0 ..-1 - t L V E O. 4.4t 7 0 m a - L _ u 0 C C c 0 t 6 a CO s a L t W L •-• L t 0 ..a 0 4 7 4 7 L C u w U C I > a O a m 0 .a u 0 a 0 0 O -A t o t m U ++ - L 00 a s U t ✓ 6-••• m t 3 3 4 u C -0 T C > a t t 'O 4 .--1 a •6 u hi 4 4 •-a .4.1 00 > O CI ..1 0 co O. a 7 Y 3 m c. C O '44 3 ✓ "^ CO 'O 0 4 a C m o w to a -.1 t a O T 4 4 O. m • a a 4 > a \ •-a U 4 t UL L 0 -.a at •.• 4 CO a .- a •.a u u a 4 w L C GO 4 .-4I u > •.• t Masai 0 to w a CO -.1 C 4 L T Y .N W -0 u 3 •-• m 3 .0 a u t m m L m m ✓ L CO a a a a .--1 a CO 7 a t •.a Y m •rl ••I .C L. T .S0 ..4 IS a 4 a CO W .-a Y CO •.• •.1 L U ✓ CC -.1 t as m •.• t a 3 OE-4 m -.1 u 00 > C 4 -.a E -a L >' m 0. •.+ m CO u CO 7 a a J ✓ a a 0 a 0 •--1 CO W W 4 > C -.4 4 • E a Y .-m• .>- CCL1 CO 3 m co ca u a -I - CO a 0 4 •-1 a a w ..+ -.+ a a 7 IA 0 -*-1 .. E u 0..0 . ... E ✓ -CCU w > "0 0 a W 01 C 0 4 u O C .4 LL 0 a -•. 4-1 •.4 4 .--1 --1 W CO CO t 7 T -- 00 t a 0 at •.• • O.-.+ Y MI C m IL: C U Y u u 4- 3 4 01 L ^• L T 3 m CO a ..4 -.4 CO O a O Y a U u ..� C U L t Cl. T t w T O 4 C C 0 U a 0 Y Y •-• Oa.C 0 0 0 •M L • •> 4.40. a .M a u ...1 > C Y O. m u u L m O. 4 C L o ---• O •C -.4 1.• 00 Y u a •J1 E U .I ✓ a .0 4 • 30 3 L $4 0 E 0I In M • u C u E n. a ..1 L 0 u a •nl •--1 Y ✓ L 4 Y• .-• O. G 0. CO 4 0 4 c 6 L 0 0 > C O. u w• a 3 a o u w m .- c 0] U c C. .i .J> O C L --• a.3 O ..• i. F 3 -J O v: t a.F C C •w Ch. 4.1C C • 0 U • -2 - . CI . u a/ CO .C 'r.' 1 a) Ea m ., ... mooawC 0 W ) C I.. u 6M •O r. .C w ..1 6 CO 11 N Cl ra W w al •.. .m•u ':fa - K C_. VD •` ..- . 0. .0. X u CO .Cl F L CO CO Cl W .. W C C W.-E.,.. 00 01 F_U d V - _. -- lc co L. ••-• .C A+.4) ,C •.. Cl Al .d W O " u: u o > Y ... W L L 'W E al 1. -O w W O L W > u • .. V CO CO •.1 L .C C i . CI .-1 1. ._. . -... k v w ..l O -O C >. U ..4 U v C w -. -C ... W u U > 00-.1 O w CO 3. co Cl MX W _. -_ .. G V 4 C1 Is] C1 _ - - - U +s C • N C O - . 00 al .C CO 1. 3 _. >: w .-1 C V .C W - _IV LI L4 W ^ -O al - - - - , > CO •O C]. - _. O8 iii I in O Cr 1J O .o CO CO +.4 F. U u • W G. .-1 'O O - .. ._ - 3 co - 'j -C V - - GO W U 6] M .•. W L - - D ti u W C u CO 1+ DD W ' u .• 44 .r > W C -C E E a1 Cl O U o . C) - c C L -- -) 0 . . F 3 1 F n L C yLi: "! C C O V W• C u 1 m m 1 CO V ••+ J in -C " . .C W 0 W 0 H ••a W O -.a L T C • N 4 W W a) u • 1.1 O .-a O C 0 --a D.Or .0 •.. L Y CO u 7 u-L •.a .0 W U .CO O 4. o 0. W ' O u -.a U W .4 b0.C 0 B C C C O • •.4 O 0 O Z to V O Y W -.1. .-a a O 0 7 W 0 C III U 3 C C .+ u W ...1 O L W u V N m as N •.1 0. .. m 3 8 m O • •.I 0 W .-1 m 7 L m 1•+ u W •.a 0 W O .0 L 0. 3 ••a m 140 140 1) V B 00•.4 C L - 0 4.1 .C 4 -.1 .0 0. W 9 I u a) 3 ..4 m0 • W 0) • u• W m 3 ••a u CO u•.a 3 D. B N O •al w C V 'O u W B 0.'0 u O 0 ••1 N L C. 3 C .-a V Y CO U .-a C O O ••1 T C > m .r C • •.1 04 7 W m u 0 W 0 ..7 m .a m 3 7 -.1 ..a 0 1+ W W N W W W CO Cl •.a O • CO C •.a B m V a t u ..a • W 1+ W O L m Y 14 O C C N m bD 01 3 V Y 44 a W 0 3 W W > U'3 V N Oa 3 u t U W m u m CO 0 0 V .-a O 10 L •.a 1+ t u N 41 W W u w ... 44 u C to U 0. 0 1• L T T.+ 0 C u N u u V 7 Y U 7 u CO u 0. m 3 C 7 W V m 0. u A u W 0 m 00 CO CO 0 4 m 0 C W C C W in W O -n•-.4 N W O 14 V -.a L W N O 44 N u 4a 8 4+ u 4a E 9 O -.4 al W P 40,-4-08_0.10- •.a .•-1 u -.a W 04 C_ O ? ..1 N O •.1-_U m 0 C m I) V U B u N O W O •.1 V ..1 ‘14 L0 W 7 -1/1 w 0. C N u N 0 O u14 I) 0 7 0 .-a C u W W u 0.V u > 8 C .•1 It m Y m Call ►t U co 00 .-a al 0 -.a .a W W U > •.1 4-d 13 0 W W. K N 6 O V .•-1 W W O by C N O 0 N O I a 5 . COO N -.1 L CID 40 44 C C ,,CC O u .C 04 141 W O •.1 0 •.a L L O N 0 •.a N O W -.a 1. at 6 0 V 3 3 u 6 u 44 •N •.1 F U m u 0 m co V u m 3 u as -- O (.1 w 0. — .0 w 0. 1) 1) 7 0 • W y 0) 0 O W .-1 W O O L .•a L a' 4.3 Y Y -.a Y C m 4 3 w i 0 L. W W c co q Lii -.a u O.-a W C H y m > •.a .-1 CO 1. --a O .. D) N 3 ..1 1.4 •0 6 C N CI .Y CO .a 0) 01 --4 • C Y m •0 CO 3 W -.a m 1+ E .4 \ a co 1• L to m V m W W 0 N 0 V • -.-1 V W N V N to U -.a W E 13 V u Call ' W al 0 U W /a V m W 40 0 1. U L CO L O W • O N 0 u -.a N .O Y Y E 8 to co bD u -.a .-4 P. .1 W C 7 W 0. 0 G ..a L u -.a V W Ca t) m fa m to CO Y TO C a in -.1 U 0. - W C u U L W CO 0 m > •.a CO N 0 •-I C -o u A 44 co 0) 00)0 01 C N N W u m a) 1a r1 H .O Y m CO m o m 0) 0. '0 W .-a a) L U C N 1+ 0. W V •.a 'Cl m C 0) .el T ••a CO > N 3 •.a u 44 CO >. W u C C) .+ 0 0 C bD0 .-I4.1 V -.a CO ..C .,U. 0 9 0 01 0) L a) ••1 W .-' OD u •0 > C 0 14 1+ .0 u 1a G Y -.a 1+ C ..1 14 0. m i Cu, m L O C -.1 00 0.V 00 > W •ti m O '0 0 a) C C a) 1a .•1 .a CO a m 01 1. Y Y m -.•1 m -.a -.1 CO >I 1a u 0. • •-1 CO C Cl 40 0 V W .-y C) U m O.L m -.1 W L 01 > W .--1 W V m W C m u W CO 0 u •.a CO B U -.1 Y Y m W U Y U -.4 a) 0 > C -.a .-1 N N •.4 L 0 44 C C) to u I . > 0 000. 0. W > 0 W 0 W L to 1a a) ..] la U CI w V 1+ -.1 00 Y to la N O 0. W a) O 1a W N N W m 9 p a) N C O m o '•.a 1. u .-•1 O 0 W .0 W T 4a 8 40 W 7 W N 1 u U a) E N 0 4a 40 3 L O L C F-' •.a .a L u 0 -.a O T W co u .0 u O I 11 4 a)u V V T-.1 u 8 a CO 4-4 a) g Y Y o W 3 >. N W W Y .--1 O W U C O W HI CO L u 14 0....4 ..4 m .C m O 40 8 > V •.1 O .+ .0 u u u •.r • u Ca 1„ .-1 .4 V m '0 .-a 44 -.+ C C u m C O 0 40 .-a 4-I 0) W W .0 m 0 a) 0 40 a) 0 4a U) W < L V -.1 < > m C U L V E U OC ... U •.1 U W .-1 O CO 14 -.1 -.1 W ...I > C V •.a 0. E 0'>. u ..a W 0 W 10 m w N C •.y E L N OD W > W 0 C W 7 O. 0 u 0. CO ? I0 N u -.. ID N m 1••1 W b] b+ 6 Pa 0 C L +-1 W W V .C 1 4 > u O C L -C G Q L in co y W C -• .. M 8 u F 3 W C m L w m u O C . PI O W T W -.a N Y U Y ;7 IV V 0 .-a > .' > C) -.a ..4 N 7 Iti 2 •-•1 .0 W o- C-.a 7 .-40.1 m 0. W 0 DO u 6-.1 W 14 .7 C to N W 1• © O O > m L m O U F CO u Y .-4 •4 • Iti > _2c_ I .. :.. ' L. y • . -p C I a� u 0 9'-'‘. d •fl t2 p' c CO .-1 •• u 0 > Y • •--• ( E 'S) 0 C C• n W E o f Cit. 00.) p a -• t) c 21 0 E 'D d C W .A ai u U .A CV 0. .A to u DJ OD ai CO n E •A E N in .A > in d u N in Of .l T N C N W 0 •.... T > 0 O Y •- d •A 0 .-+ 7 3 w w E •+ 6 0 •-•1 01 N .A T W 0 C > a) > 0 0 tU Si 0 0 I0 CO N (t 3 V ..• •A W 0 3 N .A W O Y 14 10 W 0 0 3 W Y O w • .a 0 Y 0 Y in W 0 d G 0 L -PI C N 1'-1 u u 'O •-a C OT O B d U MC -0 C W V Y o 0 E ~ u N 0 • 'D D 0 0) ••-4 C) -A GI •A -A W .•-D u 0 OD CC 0 -A W E 0 O •A aJ C > w U •to - 1 •ta Y u ', -0 > E 'O u W 0 OD 0 Y C .C •D -A 0 w u C W 3 0 0 u WOO O N W •• E Y E a) J 0 CO C OD'•• •A > ..C w W 0) 0 5 WO a) .A -A •A O C OD-0 •-I 0 0 00) 0W u d Y -A W Is N -p . OD .0 01 J 5 N •A 0• a.1 G •A C •-• I C N C J .A 0 u O 'O 0 y_ O • N r > 0) or. N 3 3 •A 3 O u DD u •A u 0.2 •0 Li 0 -C W •A u 0 N N W Y C 0 U O G v N U T u OD CO >C 0 > V y C- •-r _.. > W -0 WA. N W .• F. •A •A 3 W = CMG C C C C C •A 3 O U Ia -O1 -A = 01 m 0 W u > •-• CO > 0) 0) O 0 •A 0 -A o 0 I-I W O O E 0 -C 0 W 0 C 0 C 3 00 0 0 C O1 O W d •A N u 0 0 0 0 0 0 0 •A O O D.•A .C ODD 6C I- -6 .O -.-a w u a '> •A u 6.) J V P -O L� 'Y1 lb. Y •-. •A O 0 O c u N O C _. •--• a) 14 •, N u •A Y •A • •A I• - V t- • 0.) ••• W .0 ..W 0 • • Y -A - N 1-• > 3 O I--• Y OD -.A N .a N 7 •O ••-1 N .A N 11 u LL >• I •-• O .c • .-• .A C 01 U > L D W t 01 p -y 0 y u -A CU U 0 •A i L 0 T C a, y d C y u 0 0 .A L W E w W OD •-) 0. L E O O C -o 0 -o N -W y --..4i C O -C 0 -0 0 0 -D -O .0 OD +-) .0 0 a) 0 L C CO 0 -A 00 - C C W E C 0 -.i -0 - - •.Ca .C W 0 0 a) - c u - .c a) > d L W u te V O N •a V I OD OD -A .C 0 C C > r 0 -0 -•• -y 0) N W ✓ U .) •, ) 0 U 0 W 0)• ..• d E d > = V 0 A E 'D I• W V y •A a (O Y 0 14 N 0 d 01 N N L •A 0) •A V 0 6 N C 0 u ..+ E cc E a Y ) - U u %-s -0 0 t W •A D OD W u 0 W CD 0 .0 w 0) 0 OD C OD 0- u U C .0 a) O FI W I. .a U • - W 0)) 0 0 W 0) OD 0 W T 0 •-I• .•• dP d W W u 0 •-• 0 A d :) 0 -A U 14 10 Y - W a, C 4) CD y 3 W W H .L aa 0 C r 0 01 -C vi 0 V u to m 0 5.... —aC ..c E .A 0 o .c a1 3 W 3 3 .0 C • O = w 3 01 N 0) 0) 0 ') H. ••ci E c c co C W C 'O C = C •A a A0) A U 0' 0- g c I0.• -4 -E w E '0 E N E E U 0 OD u Y •A Y •A Y .� Y .a G O CO 0) U 01 > d 0 W D > d W N •, a) u O a, .a a+ -0 t L O 0.•A O) d 0 W U u W u G O N .-y c C) N P d C1 0 U) U 0 0 r. > W C •A E . D. ID in L. - a, a cc L C) -` > D C C- -c E ., - it O - A Y t•• 3 0t O 14 - •0 d _1 a G 0 •.. n >> C 0 (1 La > a, •, c I 0-4 H v C 0 • W o U ••1 U c ' Li y c ' O 0 L C > ca -26- I ,'ESPITE PROVIDERS RECkUIT,nENT T EFERENC�S 1-_APPLAGfl.n01J C.NECIcEp APPL1 LATO*f f ocES'. ST*- PPE]) V AND Nome VI s or FbaITiO nip, 1— TrzN(s C cMITP4 uOUS yNSERvi:_E TRAie�rni� 1 Ti2NG- �OVIDE-O REpui tE.D Jl PA SS SS,o C.omPL rErvcy Pnie_4Nc -ac PRo.fia[R w" 4 F..,rel.L y (fla pi-ALE noENf 1 tt • Vesir ! _ I 1 1 t1Tt Vi t IT 1 +� FAM'i-Y SETS up a ADar-nOlvAL. WSrrs CooRerkiAraR. KEEPS CrDNrvcr wrrH 6°TH PARTIE2• 1�OV e DER_ LIST'Et. " IIRECrORY OF PITT Pe veDcP.2., -27- tvlCE& To FAMJLIEei • APPLIcAnoN • 1 .4cREENI NE, To be TERmINE ELI6ISIL ry 7 ... ASSESS Fokrn,a_r NecD5 AssE."..S Cw,c..p'S /.1EE'd5 T MEET WITH FAmILY 1NVOLVC OTHER. GENERIC OR SPECIRLIZEb AGEPJGy FEPSoNtFI • {FAIR . PQOVIDEP� • fECY WITH I I wIT\.4; FAr.m �IFF�REn1T f- ('RCPLACEmENT VISIT pROv,DEI' , LLA2IFY aOLES AND ti •..:. RESPor sIbIL1r1E5 T ( INITIAL VISIrJ r FAmIL( ASS LimcS LOeRoIw)Arot REVIEt RE5porJS(51L_ITT. ,FoQ' PLACEMENT TO INsu1 SCTTING UP ADDITlOrrAL CHI Lois SJEEPS AOff r VISITS . -28- e I . .r. I i I Ch. - • I I I CO I I . ' h I I I h Cl O I a I % In F I Z 0 X d r m I m m Z H a I< F F m 1-0 CU m -.. U u.I m >•.. CU O m v tat COv m U O t s .Yi P F m O al a .•1 is 3 a m m m 'O - W L > O. W.11 .4 m d m.-I Y u _ 01 G O0 u al O CO N CO C m I .O ..a U CO m ••I C O 1' .w 7 al -.U+ 00 B 0' m m-.4 CO •C. •.1 C co C M ••I C 41 m .TI m C ..I B > C 7 m U 'O m C. B m m 0 3 m G' •',4 •..I Y ..4 C 0. H •.a B CO m -.I C CU U l0 CO 00 TO+ 1N 8•L m m b 00 > B C to U O CU C ••I .1-1 01 > 0e4 C• m u l.+ m C w 4 w al ii.I •W m I •m -•I u C B m O 0. L Y Y N m m V "'r -.I 0 > Y U U U •C N 'O O C m 0' U C C C C N H F `-• OC 'O w 14 C Y 17 •rl m m m C L. •.I m m u .I al -.4 U a la m •.+ C u m w C • Si Y u m w > .,� m m COCIO Oj y u m 8 u O C U m • • 1-4 U u 0 0 O Coo C H O U C CO ++ m CO m • N O U O XI al L.� al •.-I U 0 CI .O H 0...0 CO m v 'G m m U u 'C T W CJ, 0 m O mcr, O 01 C OS L I+1 O v F .a m 0 O F H C CO 0 A • O I-. H F N . / N • . • as • .I • Ol • T . P.. T C 0 0 H a m a. T 5 v H Z R -- T T I 43 H a I-' T mom. .a H • • .-I 03 W W •.a •.-1 W .C 10 LI W u ...4 ..4.I u -.1 W •.+ •.1 O GI C C C C 0. u of Of -O 0) > C C W •••1 W W w CO OD m W W W L - ••1 W •.1 •0 L B O W C •.1 •.I B co Li 00 U••-, u 0. 14 O C .-f O co W• O W O O N 1+ W t WI 01 ••1 B W W O u B W 00 I. 0 W O W ++ 0 a 10 00 10 •.• N W O. 0 N 0. > u U 0 m- C W W 10 B 5 w O 7 m W U N W T W .••• I W I 00 Y T W •O W W W N u U•.I 0.C 3.0 L LN O. r•1 3 C U •O U L1 Y I:1 .4•4 -.I U U U••I 0 V •0 0. O -.I 0 -0 C -.I ••I •.-1 U ••I > O 10 40 A C W W - 1 . • ..-1 u 1.8 W >> .--I •04 ”C 0. > •• W L W I ••+ 0. L L 10 0 m C W 7 W .-+ Ol C - 14 ..4 00 ® O .ti .0 4-4 .0 W C C CO > • F- C C V .1 O •.1 • O .-I W Z W W W N .a W CO L 0 0 O H 0 F- •.I W W > a U 10 W U 0a 0 1+ 0. D .+ C W U 0 00 0 C L 0.-.a W W 00 W C to 1.. --a /.. "7 0 O >> W .+ CO • q 0 07 U 0 43 IL H CO U u .--• Q oO U 0 • i -4 0. .. _ • r - JOB DESCRIPTION • • I. TITLE: Respite Care Services Coordinator II. ODALIFICATIONS: B.A. degree in Special Education, Rehabilitation, Early Childhood Education or Related Field. III. DIRECTLY RESPONSIBLE TO: Residential Services Team Leader - IV. PRIMARY RESPONSIBILITIES: A_.Direct Provision of Services: Recruiting potential respite caretakers through • advertisement and contact with generic and specialized agencies and organizations within the community. Malang • the availability of respite services known to potential consumers through established media channels and organ- rations serving handicapped children. Provide direct general training to respite caretakers on an initial and on-going basis-and arrange for specific training through resource people from WCCCF or other agencies. Develop and coordinate matches between respite caretakers and consumers. Follow-up on quality of respite care. B. Records: Develop and maintain appropriate record keeping to log all qualified respite providers, and the use of respite care including, names of providers and consumers, reason for respite care, characteristics of children served, number of hours of service being provided, and training provided. Any other record keeping,necessary to comply with federal or state. regulations, or as determined necessary by the Residential Teat Leader, will be completed within allotted time limits. C. Equipment and Facilities: Responsibilities for equipment and facilities include adequate care and maintenance of work area and care of assigned program supplies and equipment. An inventory of assigned equipment will be required, as necessary, by the team leader. D. Finances: Maintain record of travel and other related costs on a monthly basis. Dee established agency procedure for the • requisition of all supplies and equipment. Assist the • team leader in the development of budget by proving estimates of travel and supplies needed. -31- t V. ONGOING ACTIVITIES:_ A. Regular Activities: • Regular activities include weekly attendance at residential services team meetings, on-going recruitment of respite care providers, training; both initial and on- going and evaluation of services. • ' B. Program Development: Participation in program development will take place through team meetings and on-going evaluation of services provided in accordance with ,the written program proposal_ Other participation:=in program. development will be at the descretion of the team leader.._ C. In-Service: In-service training will be provided to all respite care providers as well as current community center staff who may be involved in the respite care program. VI. RELATIONSHIPS WITH COMMUNITY AGENCIa: Rapport with all community agencies serving severely handicapped children as well as rapport with all potential resources will be maintained. The relationship with com- __ -munity agencies and organizations will include the provision - - - -- - - of in-service training and the exptp.+ntion of WCCCF respite care services as directed and/or: approved by the team leader. • VII. RELATIONSHIPS WITH COMMUNITY AT LARGE: All Weld County Community Center staff will maintain - - - professional status within the community-at large which will-reflect a .positive image of. the agency. II. PROFESSIONAL RESPONSIBILITi s: . _ -_ - . _ All professional staff are encouraged, but not required, to become an active-member of appropriate organizations. Organizations include the Council for Exceptional Children, The American- Association of Mental Deficiency, The National Association for Retarded Citizens, etc. - - Respite Care Services Program In order to more fully evaluate the impact on out-of home placement, as a result of the proposed respite program, the following evaluation system will be utilized. In the needs section of the proposal a pool of. approximately 165 children, currently in programming within the county, was identified. Information received from various. sources showed that these families could potentially benefit from the availability of a respite care services program. • For specific evaluation purposes ten families have been selected from this pool. The particular families selected are those which contain children who are severely/profoundly handicapped and are at the greatest risk of out-of-home placement. .These children range in age from 1 year to 10 years and currently reside in their family home. Three of the children listed below are currently on a waiting list for a Residential Child Care Facility and may be placed if such a facility is developed in Weld County in the future. With- out respite care and the future development of a county RCCF these children would be placed in an institutional setting in the near future. The families of the remaining high-risk children have expressed a desire for respite care- or have discussed the need. for out-of-home placement in the future ,although are not on a specific institutional waiting list at this time. Listed below are the children whose families would receive priority respite services . Included is the child ' s age and diagnosis . 1 . C.M. Age 31 years Diagnosis - Severe Mental Retardation of unknown etiology, Seizure disorder , non-verbal 2. D.B . Age 3 years Diagnosis - Severe Mental/Motor Retardation , Seizures , non-verbal , non-ambulatory ,, Spastic Quadriplegia . 3 . 0.H. Age 9 years- • Diagnosis - Cerebral Palsy , non-ambulatory 4 . C.H. Age 31 years -- Diagnosis - Profound Mental/Motor Retardation , Seizure disorder , hydrocephalis , non-verbal , non-ambulatory 5 . V.R. Age 4 years Diagnosis - Cerebral Palsy , Severe Mental Retardation, Seizure disorder , non-verbal , non-ambulatory 6 . J .S. Age 81/2 years Diagnosis - Profound Mental/Motor Retardation, questionable vision, Spastic Quadreparisis , Seizure disorder , non- verbal, non-ambulatory -33- 7 . J .S . Age 3 years Diagnosis - Severe Mental/Motor Retardation, Seizure disorder, non-verbal, non-ambulatory 8. T.W. Age 3 years Diagnosis - Seizure disorder , syndrome, Profound Retardation, non-verbal, non-ambulatory 9 . M.P. Age 1 year Diagnosis - Hydrocephalis , congenital absence of Corpus Callosum, and large brain syst, Seizure disorder 10 . M.C. .- Age 3 years Diagnosis - Microcephalic, Severe Mental Retardation, non-verbal Prior to the beginning of the project a questionaire will be developed and be completed by the families of the ten children listed. This questionaire will address the families current feeling and need in regard to out-of-home placement, the preceived need for respite services , and the specific difficulties encountered which may lead to out-of-home placement. The questionaire will be repeated at six month intervals and the effect of the respite program will be evaluated by expressed changes in parent attitude toward out-of-home placement and the number of placements made from this high-risk group. • -3L- Respite Care Service! vrogram Location of provision of Services This appendix is intended to clarify the primary method of service delivery and the physical location of the service. Weld County Community Center adheres to the philosophy of service provision in the least restrictive environment. As this applies to, respite care services .it implies that respite services should be provided, whenever-feasible-, in then.natural environment of the child. Providing' short terme'respite care in the child ' s home will Have the least disruptive effect on the child and may place the parents in a more comfortable position, therefore increasing the utilization of the service. Under certain defined circumstances it may not be feasible or in the best interests of the family or child for respite care to be provided in the child' s home. These particular cir- cumstances would involve serious illness or death of a family member . In these situations respite care in the home of the care- taker , for a short period of time , may make the need for long term out-of-home placement unnecessary by providing relief during a period of extreme, family stress and disorder . It is anticipated that these extreme cases of respite need out .of the home environ- ment would be the exception. The need for program flexibility, to provide all types of services , is an integral component if the project is to be success- ful. • -35- • -� Cornerstone • Builders Inc. 4 , 4'14Y 11! I .. IM I 11:9 • • March 7, 1980 • Weld County Community Center Foundation, Inc. 1422 8th Avenue, Suite D Greeley, CO 80631 Attention Mr. John Wooster, Executive Director Subject: Respite Care Services Program Gentlemen: Being a parent of a mentally retarded child, we believe that the program such as the one you are proposing would be a welcome addition to the com- munity. This type of care is very hard to find in this area, and speaking for all the parents in our association we believe this would be a very beneficial program to have available. This area of services has a great deal of interest on our part, and we wish you the best of luck in getting the program started. If you have any questions or need more information, please do not hesitate to call me. ince ent D. lls, Chairman Parents Association of Greeley KDM/ch -36 CLD LOUR 1 7--N RESIDENTIAL Ate' RESIDENTIAL PLACEMENT COMMITTEE >AT NATOLI,Chairperson 2235 2nd Annul Greeley,Colorado 80631 0031 3 53-64 20 • • Mr. Allan Orlofsky March 7, 1980 Residential- Team Leader 1422 8th Avenue Suite B Greeley CO 80631 -Dear Mr. Orlofsky, We the members of the Weld County Residential Placement Committee feel there is a need in Weld County to develop respite care facilities. - We have had numerous requests from parents and: other agencies within the community to provide short term respite care.. On certain occassions we have been asked to provide long term respite care in extenuationg circumstances. For instance, due to illness and/or death in the family, vacations, parents have limited resources for their children's care. At the present time our only alternative for these situations is the Ridge State Home and Training School and due to the extremely long waiting list this resource is very limited. We fully support your endeavors to establish a respite care program as it is a needed service in our continuum. Sincerely, Qat » Wlu Pat Whitcomb Chairperson-Residential Placement Committee -37- GREELEY-WELD ASSOCIATION FOR RETARDED CITIZENS • WELD COUNTY HEALTH DEPARTMENT - WELD MENTAL HEALTH rn.,.,i,o,ry rrurto rflhINfATIfN INC. - WELD COUNTY DEPARTMENT OF SOCIAL SERVICES • March 7, 1980 • Dr . John H . Wooster, Executive Director Weld County Community Cehter Foundation, Inc . 1422 8th Avenue Suite B - Greeley, Colorado 80631 Dear Dr. Wooster: Because of the urgent need for a respite care program, the Association for Retarded Citizens Association of Greeley endorses the Respite Care Services Program that Weld County Community Center proposes to help fill this community service gap. Parents° foster parents and relatives who have the res- ponsibility of constant care of disabled individuals often find themselves in need of a temporary respite care service . We feel that a good respite /care program would add to . ,, comprehensive community services planned to keep the disabled -- individual in his or her community . Sincerely, t_- (Mrs . ) Ruth R . Bruce , Pres . Association for Retarded RB/r Citizens of Greeley • • -38- • March 11, 1930 Mr. Al Orlofsky Weld County Community Center • 1422 8th Ave. Greeley, Colorado - - i Dear Mr. Orlofsky: We of Parent To Parent express our enthusiastic support for your efforts in providing a respite care program to families of severely handicapped children. Ever since our- organization (which serves as a support group for parents of all handicapped children) has been meeting we have recognized the need for a service of this type. Some of us have children with such severe health problems that it is very difficult to find suitable people to care for them. This situation puts an additional strain on families who already endure more stresses than the average family. These parents of special children need to have someone they can trust and can depend on to care for their children preferably on a regular basis. This occasional break from the constant strain of caring for a severely handicapped child could go a long way to maintaining the parents' mental health _ and even the parents' marital relationship. Ultimately the child benefits from an improved family life. At this time there is no program or person who provides a respite care service although a definite need for this service exists in the Weld County area. We are hopeful that funds for extablishing a full time coordinator to train people to implement the program will be provided. Such a service would be a tremendous help to families of children with severe handicaps and health problems. We fully support your efforts in this important area. Sincerely, /271 Z-CIA Mary Stack Contact Person Parent To Parent • -39- V C 0 0 O Li 6 U - co to O----, N- N N- .4 N- . N /1 h C)C,.� O' MO • ar H (A N In O ONO. C> - P. ,.y .-I «I .-I .y a gat CO O a U m C fa • w E E m w C O t • ,m u 0 co • C L• aS • a, - y w R0 m . t =.. .C OD .V y ca a7 a, 9. .. y • <-m y CO {� I.•. y 0 H QS O .. .� W O M,. - P m. H .-1 n a9 '- �O _.W ;-,X-. w ?� ii0 as H N Ia A 0 u .7 }-4 _ o I.-.4 O 'C m C V C O - O -.4O o P }i u _.J ' m C .. - u .-a w a1 r'l "4 C P. •a. .•I _ - fa - U 0 W C I-. ,C• ,C .� . F E+ 3 3 E 0 O +t 14 ii, 4. •C CO w j m 10 C m C m w ' w a, N U y •O .•I F CC a .--t 0 -+ O C C. a, a, - V a y y y y a •,y.,_. W W . C: C KIm C C C C C C C C 'C " -C, P. E $.•W ca P.-I E E0 0 0 0 0 0 0 'p u E E E E E "E .mu a > C U a3 N N O O t- N N .-1 C) C ...1 P. E CM V C.) a m y CCD .-I S 7 R N p �' o\D CO >. w • y 0 n• I E a a y a O v O C C N O m +' C N .r G C 0 N 1 x m - E N t cd «I .�-I -4 In � .«-4 .--I -4 ^i CTF N t� H d .-I C C ., a • x C = .-4 .-a .) O ^ N 's- ; H C) L �ED - E, ED O p LL ; F P. E. U ZCCi n ,) m R co. C 0 c O ha a• j m .-4 O C Z 0 OE Z a ~ .C] U ' .--4 E C'1 c 0. a C E la- < S .a U a,E r j yam- Z p R 0 Om ^ u - 0 W o C { C C ..- Z -.4._•-v) ti .C • > R. I'n N N N H In N «4.-4 .+ 0 0 0 C C C N C > CC tC..y E yW -.,C C ¢ .. H TC U C C C C .o HO [.7 m fK J C F -40- F - _.-.'S : ICC CRITERIA USED BY CASEWORKERS IN CHOOSING GROUP CARE OVER FOSTER FAx'1LY CARE:• Youth 12-18/years of age who are usually placed in group care based on the following major criteria used in choosing between foster care and group care. 1) The child's need and ability to form close relationship. If the child has experienced little pain and rejection and is willing to risk himself easily, foster care may be seen as appropriate. If the child has been severly damaged and is untrusting or.unrisking, group care may be the placement of choice. 2) Child's need for structure. A certain amount of testing by all children in placement is expected. Certain foster parents can maintain caring and control . --- --through this testing period. Under such circumstances growth and problem solving .ean occur. More often, a foster family refuses to tolerate severe testing. Structure in foster care is dependent on the child forming a close relationship with the foster parents and this close relationship or attach- ment only occurs through a series of negative and positive interactions over a sustained period of time. Each placement failure lessens a child's chances for success in any type of placement as well as deepending the child's psy- chological problem. Unfortunately, when a child has provocative behavior, group care, with its emphasis on control, is often chosen. The paradox is that the more provocative a child's behavior, the more the child ususally needs intimate and sustained nurturing. This type of nurturing is not a characteristic of group care. 3) Nature of the family relationships. If return to the family of origin seems impossible, stable foster care placement may be the placement of choice. This, of course, depends on the already mentioned factors of the child's need and -- ability to form close relationships, need for structure, age and dynamics of the natural family. It is not uncommon for natural families to sabotage a child's relationship with a foster family due to fear of emotionally losing that child. • -41- PSYCHOLOGICAL PROFILE OF YOUTH PLACED IN GROUP CARE - RCCF Ways of perceiving the world: 1. Self-perception as inferior to others. No felt capacity of be responsible for control of self and environment. Sees self as "low man on the totem . pole." Dependent on rules of others. for keeping him out of trouble. 2. Self description in conventional and socially desirable terms. Initially describes himself as "normal", except when interviewed with regard to specific behavioral incidents. 3. Anti-social 'behavior ego-alien.- Uncomfortable With "delinquent" label. Typically feels that he bacame involved in_the delinquent act as a result of external forces. 4. Overestimates the power of others. Sees control or "giving" figures as having expectations of him to conform to their standards, and assumes the powers of others to be overwhelming when he does not meet these expectations. 5. Absence of sense of belonging, including to delinquent subculture. 6. Non-resection of adults. He has not given up completely on establishing satisfying relationships with adults even though he is pessimistic and typically anticipates rejection. 7. Attempts to handle situations with a formula (surface conformity) , trying to bring about desired outcomes. 8. Anxiety arises when (a) he is rejected by significant adult or peer group, or when (b) he becomes aware of "demand" from others which he feels unable to meet. Ways of responding to the world: 9. Rigid application of formulas. Use of formulas tends to be indiscriminate, stereotyped, inflexible and absolutistic. Major formulas involve (a) his buying support through immediate conformity to the demands of others , or (b) when formula appears 'to fail, he will force others to reject him via his misbehavior. 10. Situation-bound in the extreme. has difficulty relating to anything beyond the present situation. 11. Need for social approval. Completely dominated by this need. Major focus of social interactions is to avoid pain or punishment and/or seek approval for his behavior. 12. Self-presentation as passive. Appears fearful of assertiveness. Feelings of •resentment are present but expression is usually suppressed. May confront but only if he has given up on the relationship with the adult. 13. Pattern of flight. Major methods of handling crises are those of psy- chological withdrawal or actual flight (runaway) . -42- • 14. Relationship with adults. Is able to develop strong dependency relationship with sympathetic adults. 15. Relationship with peers. Important to him to have companions but, as with adults, fearful of rejection. Peers tend not. to trust him. • 16. Reasons for delinquency. Offense behavior as one or more of the following - . meanings: Attempt to gain peer approval; fear of and/or flight from dis- appointment; emotionally non-supportive, indifferent or rejecting parental or other adult figures.. 17. Attitude towards delinquency. In the presence of peers, may allow eagerness to commit delinquent acts, but evidences -no strong loyalty to a delinquent - code apart from its capacity to meet or not meet his needs for immediate approval from individual member of a group. Cannot say "no" to demands or j suggestions for deviancy. May superficially atone for his wrong deeds. When unable to avoid the consequences, he may become sullen, resentful, pouty. 18. Acceptance of emotionality. May admit to emotions (anger, sadness, fear) in interview situation, but tends to minimize the influence of these . .motions on his behavior. TREADENtr PLAN Goals: Develop image of treatment agent as giving, caring, non-threatening in order to help youth feel valued as a person and feel a sense of belonging. Increase recognition of and differentiation among his or her feelings. Help youth accept legitimacy of his feelings; increase awareness of his impact on others and their impact on him; change self-definition in direction of security in decision making, ability to meet demands of others, ability to assert himself with others, capacity for growth, personal worth. Encourage identification with adequate adult (Partner, foster parents.) - -43- • REPORT TO WELD COUNTY PLACEMENT ALTERNATIVES COMMISSION Large County Comparisons The Weld County Department of Social Services has over the years expended less in Foster Care%5Unds per FTE placement than most other large counties within the. State. This has come about through the efforts of staff who -have been trained to avoid out-of-home placements where possible and through strong administrative review of requests to place children in the more costly facilities. Follow-up to measure placement progress is also built into the review system. The average net cost of placement in Weld was the lowest among the ten large counties measured in the January, 1979 State Planning Study (1). Similarly, Weld led the other large counties by having the lowest cost for children placed in Residential Child Care Facilities (RCCF). These conclusions are based on the attached schedules derived from the State study and from Colorado State Department of Social Services reports. There is little objective evidence to suggest that this placement approach, where high cost facilities have been avoided, has been detrimental to the children placed. Children have been placed in higher cost facilities where it is assessed that this is a need. Therefore, there is the feeling of Weld County Department of Social Services staff that Weld has been working substantially within the spirit and toward the objectives of Senate Bill 26 before it was enacted. This is not to say that the Department is complacent with the status quo. Every effort will be made to improve our existing programs and work with our community in exploring and adapting new initiatives that meet the intent of Senate Bill 26. Eugene McKenna:lch 6-10-80 (1) "Study of the Prevention of Out-Of-Borne Placement of Children", Office of State Planning and Budgeting, January, 1979. • -44- . 0 • 0" .i '-4 i • 05 r 41 I. cc 0 y C . c 0 N O fn tf.%CU N O CU .-4 CO ZD. tr. F .-1 .-i N N M CV t+tl Cr)N CU C) _ - - C cr - y a' - !L V 7 re CO F c CO OD ... W C .i xC CO C F W k C Z U , r_ a �. 2 U r1.0 t—00 in to CO O CO N C-- CtiaV .-I U CV .I fns t—.I%p N to fn ON y o .a z w .-i _2 .-1 .-i 0 ' fa ..> W W .i CO H.• w 0 O m F 4' W A C -.-I ti E w _ W w I . C) O ea Y. ‘c) N.i .-1 t— in O fn to ON.i to� C _ O W W ON to ON ON-7-NO in N I-1 fn to . W CD A .-t ,4 N ri M fn fn n'1 tf\tV OA C) M .i .--t - ,O z .-- m —I < Z < .i 0 U J w O y y J - to E 0 E U d -) O HoI CO r1 ‘..D OD C9 O t— fn .i CO CJ �O W CV CO CV CO til-2 .-i t— tf1 P. .c c, t- fn_, c,„..4_..1-i ON N M ON -2 to in t%-2 to NO O _N t— P. R CU CU CU M Cr)fns J to in N C- X a, C C ' E • g 0 -or? .K 44.- is fri • 0 t i, C C 7 0 W O N I. w W O >a a) a) O 1. U.. m r W C W 1.. 0 t. 0 0 y E .-4 C C CO •O CO E ai .I W CO C V C .-I -i ,O E w > 0.. F on E .-t P. m i A p •.i 4 > . c 2 .-i to 7 1• W co w C ¢. ,.i C 7 C fa i. 4. W C 0 0 W W 0 C 7 to Cu a) .-i 1. W 'O 0 I. W C W 7 W .I -. U 3 = CQ .3 P. < •7 t2 EP C , 3 CCC < E .ah W Q G] a-) C •1 y W • y- .•.. W to a.) W W K• 0 C O _ C O Ald at W m N U W O) co 1. y c > mu . F., aJ C E < O a > O W W W Is .-4 < ,.. E ca) al a O R. a, v. CO C P. -P m U C C ^ CP C U CO CO CO . F C. 1. G Ili .-" J > w r > w Cf < O-. < O .-.• -45- Hello