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Home My WebLink About830953.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 alter- natives 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, a copy of which is attached hereto and incorporated herein by reference, and WHEREAS, the period of time covered by the Weld County Place- ment Alternatives Plan is from State Board approval to June 30 , 1984 , 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 20th day of April, A.D. , 1983 . '-nfl /- BOARD OF COUNTY COMMISSIONERS ATTEST: / ' IG..c./t,c �i,vvA.tt) tv2M2' 'I WELD COUNTY, C ORADO Weld County Clerk and Recorder and Clerk to the Boa-rd Ch Carlso , Chairman By. -*Deputy�Co u t9-Clerk J T. Martin, Pro-Tem APPR6VED S O FORM: er �J /J �'� Gene R. Brantn� L unty Attorney Norman Carls•n J cque ' ne Jo n-on 830953 � Soo o i DAY FILE: April 25 , 1983 .' r•. 1/4 t.**614; 1 DEPARTMENT OF SOCIAL SERVICES PHONE(303)352-1551 P.O. BOXA GREELEY,COLORADO 80632 WinC. THE WELD COUNTY PLAN COLORADO 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 Al Orlofsky, Chairman Weld County Community Center Chris Matson, Vice-Chairman Windsor Police Department Anthony Bliss Partners , Inc. Ann Heiman Citizen Neil Henderson School District Six, Greeley Willard Jones Citizen Eugene McKenna Department of Social Services Karl Schmidli Weld Board of Cooperative Educational Services Diane Smith Weld Mental Health Center William Starks District Attorney's Office Jan Staudinger Our House, Inc. Lee Steele Probation Department Nancy Varner Citizen Ella Mae White Citizen Ralph Wooley Public Health Department Donna Wright Aims Community College The period to be covered by this plan is from State Board approval to June 30, 1984. The signatures below attest that this plan has been developed by the Plac- ent Alternatives Commission and approved by the Board of County Co i .sioner 7 At ORLOFSK , HA ''AN AN, CHAIRMAN WELD COUNTY PLAC/ENT ALT RNATIVES WELD COUNTY BOARD OF COUNTY COMMISSION COMMISSIONERS TABLE OF CONTENTS INTRODUCTION 1 HISTORY 1 PLANNING PROCESS 1 AMENDMENT PROCESS 2 APPEALS PROCESS 2 PLACEMENT ALTERNATIVES COMMISSION COMPOSITION 2 START-UP FUNDING 2 PROBLEM IDENTIFICATION 2 RESOURCES AVAILABLE 3 PLAN ESTABLISHMENT 3 EVALUATION 3 COST SAVINGS ANALYSIS 4 PERFORMANCE 6 Therapeutic Foster Care 8 Respite Care 10 Partners Plus 11 Specialized Residential Care Homes Out-Patient Psychological Services 13 PROGRAM EVALUATIONS 14 Therapeutic Foster Care 19 Respite Care 22 Partners Plus SUMMARY OF PERFORMANCE 27 RECOMMENDATIONS 27 PROGRAM # 1 - Therapeutic Foster Care 28 PROGRAM # 2 - Respite Care 31 PROGRAM # 3 - Partners Plus 36 PROGRAM # 4 - Parent Child Support System 41 SUMMARY OF ESTIMATED EXPENDITURES 44 EVALUATION 49 APPENDIX Therapeutic Foster Homes Profile of Children in RCCF or Group Care I Respite Care Respite Care Objectives, Methodology, Evaluation II Flow Chart XI Time Lines XIII Job Description XV Target Group XVII Location of Provision of Services XIX Letters of Support XX Partners Plus Out-of-County Placement Statistics XXIV Criteria for Choosing Group Care XXV Psychological Profile of Youth Placed in Group or RCCF Care XXVI 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 providions of Senate Bill 26. The Placement Alternatives Commission, since inception, has met monthly 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 out-of-state placement. Similarly, we have 25 children placed out of Weld County in any kind of alternate care. • 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, Department of Social Services , schools , and other human service agencies. Therefore, the Placement Alternatives Commission directed its focus on programs 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 eight program proposals have been submitted to the Commission for consideration and incorporation into the Weld County Plan. They are: Therapeutic Foster Care, Respite Care, Partners Plus , Specialized Residential Care Homes , Out-Patient Psychological Services , Parent-Child Support System, Weld Inter-Agency Consortium, and In-Home Intensive Treatment Program. Each of these proposals were analyzed in terms of both the objectives of the Legislation and Commission as well as whether or not it could be accomplished with the existing funding sources. Included in this year's plan are four programs which have been approved by the Commission. They are: A. Therapeutic Foster Care B. Respite Care C. Partners Plus D. Parent-Child Support System Specialized Residential Care Homes and Out-Patient Psychological Services are no longer required to be included in the county plan. AMENDMENT PROCESS The Weld County Placement Alternatives Commission considers this Plan subject to on-going amendment. The method for amendment will follow the same process as followed in the formulation of the Plan itself: sub-committee meetings, Placement Alternative Commission meetings, public hearings, approval by the Board of County Commissioners, and the submission to the State Department of Social Services for approval by the State Board of Social Services. APPEALS PROCESS Individuals, groups, organizations and agencies submitting proposals to the Weld County Placement Alternatives Commission which are subsequently rejected may request a hearing before the Board of County Commissioners. PLACEMENT ALTERNATIVES COMMISSION COMPOSITION The Weld County Placement Alternatives Commission currently is in compliance with the mandates of Senate Bill 26 regarding membership. The Commission includes representatives from a private RCCF, local school district, social services , mental - health, probation, public health (physician) , community center, an attorney, special education, local police department, Aims College (employment programs) , and members of the lay community. Total membership is sixteen, with eight representing the private sector. START-UP FUNDING The Weld County Placement Alternatives Commission is not formally requesting start-up funds for implementation of the proposed plan. PROBLEM IDENTIFICATION The Weld County Placement Alternatives 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. Baseline data regarding children currently in placement and costs can be found on the attached charts. (see appendix) The overall goals for the Weld County Plan are as follows: 1 . To reduce the rate of increase and expenditures in Residential Child Care Facilities. 2. To reduce the length of time that children are placed out of the home. 3. To provide supportive services to mentally, physically, and emotionally handicapped children and their families thereby preventing or reducing the need for institutional placements. 4. To provide specialized treatment to emotionally disturbed children.. to maintain them within the community and least restrictive placement thereby reducing the need for long-term residential placement. O RESOURCES AVAILABLE A. Foster Care allocation for the 1980 - 1981 fiscal year - $916,000 B. Foster Care allocation for the 1981 - 1982 fiscal-year - $998,309 C. Foster Care allocation for the 1982 - 1983 fiscal year - $998,309 D. Treatment Resources available in Weld County: Weld Mental Health Center, Community Center Foundation, local school districts, other human service agencies and private practitioners. PLAN ESTABLISHMENT The Commission, using the problem identification and overall goals , identified the target groups who are at high risk for RCCF or institutional placements due to physical , social or psychological handicaps. Alternative programs submitted to the Commission to achieve the goals are: A. Therapeutic Foster Care B. Respite Care C. Partners Plus D. Parent-Child Support System Objectives of the Weld County Plan are to provide less costly, community based services to the target groups thereby reducing the need for long-term residential or institutional care. EVALUATION Evaluation, or cost savings , will be measured by a comparison of total program costs versus traditional costs. Since the Weld County Placement Alternatives Commission's overall plan is directed towards the goal of reduction or elimination of need for RCCF placement or institutionalization, the traditional costs will be based on average cost per child presently in RCCF placement. The cost savings comparisons will include the 1980 - 81 , 1981 - 82, and 1982 - 83 annual cost savings. _ The following methods will be used to factor the traditional and program costs: 1 : RCCF costs are based on an average taken of actual RCCF placements by Weld County from August, 1980 through March, 1981 . The mean average is $1 ,300 per child. 2. When a group home placement rather than RCCF care is the appropriate placement, the figure of $712 will be used. 3. Figures will be computed on the dates the child entered the program. 4. When foster care funds are used in support with the Alternatives Program they will be computed in the costs . 5. Institutional costs are computed on one RCCF placement at $1 ,700 and two Ridge placements at $2,562 per month. 6. Costs will be projected through June 30, 1983. • O ! O W LLl CC CC W' W n. Ln In C/1 F- F- Z Z W N 0 Cl LO LO W C ct r d- N 01 r-I N ti CO LO CO J J ✓ C.) 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PROGRAM EVALUATION: For fiscal year July 1 , 1982 to present. Projections for April through June 30, 1983. GOALS FOR THE PROGRAM WERE: 1 ) Prevention of multiple placement. 2) Prevention of more restrictive residential or institutional placements. ' . Both goals are being met. OTHER DESIRED OUTCOMES: 1 ) Permanent disposition in the best interest of the child. a . Return to parent's home. b. Long term foster care with guardianship. c. Termination of parental rights and adoption. 2) Cost savings (see fiscal report to the state) The program was designed to accomodate seven children for this reporting period. An average of seven children were served by the program in fact. Projections for April through June 1983 are that it will continue at the present level . At least one child is currently awaiting placement while no discharges are planned until August 1983. TYPE OF CHILD PLACED The type of child placed has been at the upper age level of the age qualifica- tions stated in the program guidelines i .e. between age nine and twelve. All children placed this year were boys with significant behavior problems. This selection reflects the fact of the limited space available in the program. Girls and younger children, even if they are significantly disturbed,are placed in conventional foster care. Only the most difficult to place pre- adolescent boys who often have failed in several previous placements and whose acting out more often includes property destruction, delinquency sexual aggression, violent tantruming and where enuresis and encopresis are more difficult to tolerate are ultimately placed in the program. The program does not accept children whose past behavioral repertoire includes and is likely to include in the future successful fire setting or other extra and intrapunitive behaviors which would threaten the life and physical well- being of the child or others in his environment. These children are referred for residential treatment. Page 2 PROGRAM PROGRESS AND SIZE ( See Table I) Ten children were served by the program this fiscal year, seven remain in the program. Of those children discharged this fiscal year: 1 ) One , J.R. , was placed in preadoptive placement four months after termina- tion of parental rights had been finalized. Adoption in his current place- ment is expected to be finalized by February, 1984. 2) A second child, T.M. , was returned to his mother's home in August, 1982 where he continues to thrive. Since this child is living in a neighboring county, the case is now being supervised by the local Department of Social Services there. 3) The third child leaving the program was placed with his natural father. He moved with him to an east coast state two months after return to this parent. 4) A fourth child , C.S. , who remains in the program, was returned to his mother's home on a trial basis in February, 1983 with prognosis of his continued good adjustment there being poor as the parent continues to be unable to provide for the child' s now more conventional needs. GOAL #1 PLACEMENT ENDURANCE The program has been successful in preventing multiple placements. Once children are placed in therapeutic foster care failure of placement becomes all but non- existant. Thus , of the children remaining in therapeutic foster care, all remain in their initial therapeutic foster homes. This has been consistent throughout the existence of the program since its inception in 1981 with only one exception. One child, J.R. , moved from one therapeutic foster home to another not because of his behavior, but because of changes in the foster parents marital situation. Significantly, the children in the program now have been in their placement for an average of 9.7 months , ranging from three to eighteen months individually. Overall , the children served by the program this fiscal year spent an average of 11 .1 months in placement. PLACEMENT HISTORY OF THE CHILDREN SERVED Prior placements of the children in the program now average 2.43 per child. Those served fiscal year 1982/83 averaged 2.4 prior placements and children served by the program since its inception in 1981 had experienced an average of 2.69 pre- vious placements. Number of previous placements range from zero to seven. Responsible for the decline in the average is the fact that, with increasing awareness of the program, appropriate referrals of children fitting the program are more often being made now without initial risk of failed placement in con- ventional foster care. Thus , of the seven children in the program now, three had not been placed and failed previously. 15 Page 3 • • GOAL #2 PREVENTION OF RESIDENTIAL PLACEMENTS Not one of the children served by the program so far has had to be moved to a residential or institutional setting. Thus , the program succeeds with Goal W2 as well . These successes can be attributed to several factors: 1 ) Specialized initial training of the foster parents caring for the children. 2) Monthly subsidy of $200.00 to cover property losses , stress and additional time and energy spent to care for the children. 3) Therapeutic foster parent support group two hours weekly with consulting psychologist. 4) Increased access to caseworker for consultation problem solving. 5) Selection of foster parents according to experience, personality, parenting style and behavior management skills. 6) Close communication of worker with school personnel and special selection of appropriate teachers. 7) Willingness of foster parents to work with natural parents. LONG TERM EFFECTS Only time will reveal the long term effects of therapeutic foster care as it relates to disposition at discharge. These are some preliminary findings on children discharged before this fiscal year. 1 ) One child, A.T. , who received weekend therapeutic foster care in spring and summer 1981 to aid her mother and stepfather in maintaining her in their home, upon reaching adolescense in November, 1982, had to be placed in foster care. She is adjusting very well in conventional foster care. 2) A second child, dismissed in August, 1981 , S.N. , is now cared for by her therapeutic foster parents without the subsidy while she awaits settling of legalities in a termination appeal . 3) A third child, C.H. , returned to her parents in February, 1981 and remains there. To insure that future placements are kept at a minimum, sound permanency planning is necessary on behalf of these children who, in spite of much excellent treatment, • remained emotionally at risk. Although little has been gathered in the form of statistics to help predict post-placement success, these factors are generally deemed helpful in maintaining at risk children in a family setting: 1 ) Increased parental emotional health. 2) Motivation on the parent' s part to seek therapy when indicated. 16 Page 4 3) Sound support system: including friends, church group, extended family, past foster parents, caseworker, therapists. - 4) Appropriate, firm/loving teaching staff who support rather than compete with or seek to replace the parents. 5) Sound parenting skills. The key issue, however, remains the emotional health of the parent as all other factors cannot be utilized without this element. In making permanent plans then, parent health must be centrally considered if the program is to be successful in the long run. The program includes mandatory therapy for parents to facilitate promotion of parent emotional health. However, sound legal planning to insure appropriate disposition in case of parent failure has been found to be equally important so that appropriate substitute parenting can ultimately be made avail- able to children who cannot thrive by living with their parents. Possible parent groups will be considered for the coming fiscal year. a. To aid parents in determining whether to arrange voluntarily for long term care for their children and b. To aid healthier parents in coping with their emotionally at risk child after return home. The factors responsible for success of the placements in therapeutic foster care are as important in insuring success after the placement and will therefore be continually taken into consideration. IN CONCLUSION Therapeutic foster care has consistently attained it's stated goals, prevention of placement failure and prevention of residential /institutional setting. 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C � V? l-t-. 3 C Z O = C) ;7 , 1-- U H- •-D C CC CD r) LA 1R f` NEW PHONE NL iER 339-5360 3819 St. Vrain/Evans, Colorado 80620/303-353-6420 (Denver/303-825-7300) "Serving Individuals With Developmental Disabilities" weld county community center - foundation March 24 , 1983 Weld County Department of Social Services P .O . Box A Greeley , Colorado 80631 Attention : Earlene Bourns Dear Ms . Bourns , As requested , I am providing an evaluation of the Weld County Community Center Respite program . This evaluation will be from June , 1982 through the present date . According to the evaluation component contained in the original proposal , the aim of the respite services program was to reduce the number of out-of-home placements of the targeted population. The ten children contained in the target population were selected due to their high risk for out-of- home placement . Their high risk status was determined by comparison with Weld County children currently residing at the State Home at Training School in Wheatridge . Listed below are the targeted children and a brief description of their current status and respite services provided : 1 . S . V . Age 10 years Diagonsis - Profound mental retardation , seizure disorder , cerebral palsy , blind , deaf, non-ambulatory . 2 . J . S . Age 10 years Diagnosis - Profound mental/motor retardation , questionable vision , spastic quadreparisis, seizure disorder , non-verbal non-ambulatory . 3 . A . G . Age 3 years Diagnosis - Profound mental retardation resulting from child abuse , blind , non-verbal , non-ambulatory. 4 . V . R . Age 8 years Diagnosis - Cerebral palsy , profound mental retardation , seizure disorder , non-verbal , non-ambulatory . 71:73, John H. Wooster, Ed.D. y Member Agency of United Way of n eld County 19 Executive Director 5 . C . B . Age 15 years Diagnosis - Severe mental retardation , Cornelia de Lang syndrome , needs oxygen , has gastronomy tube . 6 . M. P . Age 4 years Diagnosis - Hydrocephalis , congenital absence of Corpus Callosum and large brain cyst , seizure disorder . 7 . J .S . Age 6 years Diagnosis - Profound mental/motor retardation , seizure disorder , non-verbal , non-ambulatory . 8 . R . T . Age 2 years Diagnosis - Severe mental retardation , severe cerebral palsy , visually impaired , non-ambulatory , non-verbal . 9 . Js . S . Age 5 years Diagnosis - Severe mental retardation, delayed motor skills and speech . 10 . M .W . Age 2 years Diagnosis- Severe mental retardation microcephaley , non-verbal , non-ambulatory . From July 1 , 1982 through March 24 , 1983 1 , 226 hours of respite care were provided to 25 families . The target group of 10 families received 600 out of 1 , 266 hours of Respite Care . One child , M . P . died July 17 , 1982 , and another , C . B . was placed in a nursing home due to her deteriorating health . She is not expected to live much longer . Two more children will be added to the target group on April 1 , 1982 . Sincerely , O C L7za Pat Woods Respite Care Coordinator 20 NEW PHONE N. 3ER 3819 St. Vrain/Evans, Colorado 80620/303-353 610(Denver/303-825.7300) "Serving Individuals With Developmental Disabilities" • weld county community center foundation . - March 25 , 1983 - Weld County Department of Social Services P .O . Box A Greeley , Colorado 80631 Attention: Earlene Bourns Dear Ms . Bourns , I left out some information on the evaluation report on the respite care program. The breakdown of hours per child is as follows : 1 . S .V . 100 2 . J .S . 224 3 . A .G . 100 4 . V .R . 68 _ 5 . C .B . moved to nursing home 6 . M.P . 5 ( deceased 7-18-82 ) 7 . J .S . 6 8 . R .T . 20 9 . J .S . 0 10 . M.W. 77 In 1981 -82 the target group received 275 hours of respite care . In 1982-83 the same group received 600 hours of respite care . Based upon use of the service so far this year I project another 500 hours of service to be given by June 30 , 1983 . If you have further questions please call me . Thank you ,� • Pat W`' �/oods John H. Wooster, Ed.D. \r Member Agency of United Way of Weld County Executive Director 91 WELD COUNTY PARTNERS PLUS Fiscal Year 1982-1983 OBJECTIVES • 1. To avoid or prevent out of home placement altogether. Goal : 20% of all those served will be kept out of paid placements. 2. To place children in lesser placements such as foster care or independent living. To minimize the length of stay in placement. Goal : 60% of all those served will be placed in least restrictive settings for a shorter period of time. 3. To create lasting relationships through the partnership that will continue beyond the paid period of the partnership. Goal 80% of all those served will maintain a relationship with their partner after financial compensation is discontinued. 4. To minimize or eliminate delinquent behavior after partnership is formed. Goal : 70% of all those served will not be charged with further delinquent offenses. CURRENT PARTNERSHIP OVERVIEW Partnership A - August 1 , 1982 to present: Fourteen year old boy formerly in foster care, presently living with mother. Without Partners Plus, this child would be in placement. Program objective being met. Partnership B - October 1 , 1982 to present: Fourteen year old boy with no family to care for him. Presently in foster care doing very well . Partner had made a difference and allowed young man to remain in community. Partnership C - September 1 , 1982 to present: Sixteen year old girl currently in and out of parental home. A most difficult youngster, accepted for placement at Excelsior RCCF. Because of great efforts by Senior Partner, this child has not been in any paid placements since relation- ship began. Program objectives being met. Partnership D - November 1 , 1982 to present: Eighteen year old girl currently on independent living. Plans to graduate from high school in May. Very successful partnership. All program objectives being met. Partnership E - August 1 , 1982 to present: Seventeen year old male currently on probation. This child remains at risk, but in parental home doing fairly well . All program objectives are being met. 22 Weld County Partners Plus Fiscal Year 1982 - 1983 Page 2 • Partnership F - December 1 , 1982 to present: Fourteen year old boy with many emotional problems. Child remains in his own home. All program objectives are being met. TERMINATIONS OVERVIEW Partnership G - October 1 , 1982 to February 28, 1983: Seventeen year old boy with a history of delinquency. Placement was averted, delinquency pattern diminished. Terminated due to acceptance into the Job Corps. This youngster is maintaining contact with Senior Partner even though he is out of state. Partially successful in meeting program objectives. Partnership H - October 1 , 1982 to February 28, 1983: Sixteen year old girl with a history of unmanageability and multiple runaways. Child did not need placement or court related services during paid period of partnership. Currently in regular Partners program. Terminated in Partners Plus due to inability to put in the required number of hours. Successful in meeting program goals. Partnership I - December 1 , 1981 to October 1 , 1982: Eighteen year old delinquent male. Delinquency pattern stopped after he was matched. Placement was avoided altogether. Terminated due to entry into the Job Corps. Planning to spend vacation from Job Corps with former Partner. Successful in meeting all program objectives . Partnership J - August 1 , 1982 to November 30, 1982: Fifteen year old girl with a chronic runaway pattern. Actively delinquent. . Placed in foster care, shelter care and residential care. Currently on the run. Failed to meet any of the program objectives. Partnership K - March 1 , 1982 to July 1 , 1982: Fifteen year old male currently on probation as the result of on-going delinquent activity. Currently in foster care doing much better. Terminated in the Partners Plus program due to other supportive services. Will spend two week vacation with former Partner Plus in Nevada this summer. Partially successful in meeting program objectives. Partnership L - July 1 , 1982 to January 31 , 1983: Eighteen year old girl who was maintained on independent living thanks to Plus Program. No delinquent activity. Terminated due to emancipation. This girl is presently married and still calls or writes Senior Partner on a weekly basis. Successful in meeting program objectives. 23 Weld County Partners Plus Fiscal Year 1982 - 1983 Page 3 Partnership M - March 1 , 1982 to October 1 , 1982: Sixteen year old boy with many emotional problems, delinquent and a school problem. This child was maintained in his home and committed no further delinquent acts after he was matched. Terminated due to family moving out of county. Successful in meeting program objectives. Partnership N - March 1 , 1982 to January 31 , 1983: Seventeen year old delinquent youth on probation. Maintained in community (specialized group home) for almost a year. Nor further delinquent offenses but due to violation of probation and status offenses, placed in residential care. Some contact still evident with Senior Partner. Partially successful in meeting program objectives. Partnership 0 - May 1 , 1982 to January 31 , 1983: Sixteen year old girl with multiple problems. Placed in foster care, shelter care and residential care. Continued with her delinquency pattern. Terminated due to placement in RCCF outside Weld County. Unsuccessful in meeting program objectives. Partnership P - March 1 , 1982 to September 1 , 1982: Eighteen year old girl with previous self-destructive tendencies. Maintained on independent living until emancipation. Presently living with mother in California. Successful in meeting program objectives. 24 Objective•#1 Objective #2 Objective #3 Objective 011- Current Avoiding Lesser Contact With No Further Partnerships Placement Placements Partner Delinquency A S S S S B U S S S C S S S U D U S S S E S S S S F S S S S Terminations G S S S U H S S S S I S S S S J U U U U K U S S U L U S S S M S S S S N U U S S 0 U U S U P U S S S Key: U= Unsuccessful S= Successful Successful in Meeting Objectives 6 Partially Successful in Meeting Objectives 8 Unsuccessful in Meeting Objectives 2 25 Weld County Partners Plus Fiscal Year 1982 - 1983 Page 5 PROGRAM GOALS - EVALUATION #1 20% of all those served will be kept out of paid placement. Eight of sixteen youngsters = 50% were kept out of paid placements. Program goal met. #2 60% of all those served will be placed in least restrictive settings. Thirteen out of sixteen youngsters = 81 .2% were placed in least restrictive settings. Program goal met. #3 80% of all those served will maintain a relationship with their Partner after financial compensation is discontinued. Nine out of ten discharges = 90% maintain a relationship with their Partners. Program goal met. #4 70% of all those served will not be charged with further delinquent offenses. Eleven at of sixteen youngsters = 68.7% have stopped their delinquent behavior. Program goal partially met. At this time we have six current and on-going partnerships. We anticipate matching another sixyoungsters before the end of the fiscal year. We have had ten discharges F.Y. 82-83, most of them have been successful . It's important to note that 90% of former partnerships still maintain contact with one another. These are relationships that will continue in the future and will help our clients long after agency involvement has ceased. Overall , the Partners Plus Program is meeting its goals, while remaining a cost effective alternative to serve our clients. • 9g SUMMARY OF PERFORMANCE The 1982 - 1983 Plan for Weld County completes the third year in operation. Using the cost savings as an indicator for success , the Weld County Placement Alternatives Plan has demonstrated success in foster care savings by reducing or eliminating the need for RCCF and institutional placements. RECOMMENDATIONS The Weld County Placement Alternatives Commission has recommended and approved the continuation of the 1980 - 1981 , 1981 - 1982, and 1982 - 1983 Plan for the 1983 - 1984 year. The Commission is also considering other alternatives for 1983 - 1984 which, upon approval , will be presented to the State Board for approval and amendment to this Plan. • 27 PROGRAM #1 - Therapeutic Foster Care 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 a group of 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 parent - full or subsidized. (d) Full adoption. ALTERNATIVE SOLUTIONS 1 . Residential Treatment Centers 2. Institutional placement PROGRAM SOLUTIONS Study and certify families who have the aptitude and motivation to: 1 . Work with a team of professionals in providing therapeutic foster care for disturbed children. 2. Provide a full time caseworker to provide support and services daily, if necessary. Purchase psychological and psychiatric services based on the needs of the child. 92 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. 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. Foster parents belong to an on-going study group/support group facilitated by the caseworker/specialist or the agency foster care worker. 4. This study group has its origins 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. 5. A small library of pertinent literature will be kept on hand for use by the parents. 6. 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. 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. (b) Giving the child a sense of continuity. (c) Recreation to provide support and nuturance. 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 (average of ten (10) children) Month Year Foster Care Maintenance (Food, shelter, clothing) $2,810.00 $33,720.00 (10 FTE children X $281 per month) Incentive Payments to foster parents 2 ,000.00 24,000.00 (10 X $200 per month) 1 ,798.00 21 ,576.00 Case Manager (1 FTE - Caseworker IV - Merit System) Psychological and Psychiatric services 1 ,200.00 14,400.00 (10 FTE children X $120 per month) Totals $7,808.00 $93,696.00 MONITORING In addition to the services to the foster parents and/or natural parents listed in the 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 kind 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. The evaluation will be provided by the Weld County Department of Social Services in conjunction with review of the program by the Placement Alternatives Commission. Out of the group of high risk children, ten (10) children will be selected for placement in Therapeutic Foster Care. Ten (10) other children with similar profiles will be followed during the pendancy of the project. Records will be maintained by Social Services for both groups. The records will contain baseline data, monthly statistics on placements, monthly progress reports as well as self evaluation. The records will provide the following comparative data: 1 . Frequency of change in placement. 2. Graduation to RCCF or institutional care. 3. Comparative monthly costs of both groups. 4. Mental Health status - improvement or deterioration established by quarterly psychological evaluations . 5. Success or failure in meeting the permancy planning goals within one year. In addition, we are interested in evaluating the efficiency of the assignment on one full-time caseworker to ten children and foster parents as compared to simply purchasing specialized care from Residential Child Care Facilities. 30 PROGRAM #2 - Respite Care PROBLEM IDENTIFICATION The program outlined in this proposal is intended to address an unmet need 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 providion of care for the handicapped family member with little or no releif available. The stress of responsibility, frustration, physical , and psychological exhaustion will steadily increase and creat 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, from one hour to as much as thirty days, which allows parents and families relief from the responsibilities 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 5. Simply for intermittent 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 the Weld County Community Center. Coordination and the availability of a pool 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 on-going 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 on-going training of caretakers for these children as well as coordination between families and providers is required. 31 Without appropriate res Le services the only viable op_ ,on 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 , att -high risk for the eventual necessity for out-of-home placement. Not making the provision of respite services available, would increase the risk of placements. The respite program proposed would be available to all primary caretakers of severl) 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. TARGET GROUP The need for a coordinated, on-going respite program has been expressed by a majority of the parents involved in Weld County Community Center childrens 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 BDCES. 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 services. Letters of support and need from the groups named are attached. ( (See appendix) Current programs , in the county, which serve severely handicapped children and the approximate number of children served are listed below: Agency of children served Weld County Community Center 60 Foundation -- School District Six - 50 Special Help School' Weld B.O. C. E.S. 20 School District Six - 18 PEIP pre-school BREATH (Babies requiring emergency 4 - assistance in the home) St. Drain Valley School District 10 . (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 parent groups. 32 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 the program Specific methodology addressing the five identified objectives listed above is contained in Section I. (See appendix) Also addressed in Section I is an evaluation component, with time schedules , for each objective. PROJECTION OF EXPENDITURES Respite Care Coordinator Salary $14,418.00 Benefits 1 ,659.00 Sick and Annual Leave 1 ,521 .00 Excess Cost Fund 3,000.00 *Office Supplies 471 .00 *Equipment 589.00 *Rent and Utilities 1 ,177.00 *Telephone 294.00 *Secretarial Services 1 ,412.00 *Mileage 706.00 *Postage 59.00 $25,306.00 *In-kind donation - Weld County Community Center Foundation Of the $25,306 total cost of the program, $19,077 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 Foundation. The program would be staffed by one full-time Respite Coordinator. As noted in the Problem Identification, 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 , on-going 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 Problem Identification, 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. Excess cost fund availability would be utilized, as necessary, for the purpose stated 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. EVALUATION This section is an expansion of the evaluation system explained in the Appendix. Out of the pool of approximately 165 children identified in current programming, ten families were selected. These families were selected on the basis of the severity of handicap of their children which would constitute the population facing the highest risk for out-of-home placement. The determination regarding the out- of-home, and more specifically, institutional placement risk has been determined by current application for institutionalization and the comparisons of the charac- teristics of the identified children compared to the characteristics of Weld County children, under age 16, currently residing in Ridge Regional Center. Comparisons were made utilizing the following characteristics: 1 . Age at the time of institutionalization 2. Sex 3. County of Residence 4. Disability - • 5. Functioning level 6. Need assistance with. . . The following is the result of the above comparisons : 1 . The age range of the institutionalized population at the time of placement was from two years to eleven years. The age range of the target group is one year to nine years. The ages of the target group constitute theage range that institutionalization may most likely occur. 2. Sex of the institutionalized group is 86% male. Sex of the target population is 60% male. Research indicates that males are at a higher risk of institutionalization, 3. All individuals involved are Weld County residents. 4: All individuals involved are multi-handicapped. Specific disabilities of the institutionalized group are listed below: _ . _ a. mental retardation _ 100% - b. speech impaired 100% c. non-mobile 57% - d. chronic medical condition 2°% e. hearing impaired/deaf 43% f. visually impaired/blind 43% g. seizure disorder 29% h. emotional/behavioral 14% disorder i . cerebral palsy 14% Specific disabilities of the target population include:. a. mental retardation 90,E b. speech impaired 90% c. non-mobile 80% d. chronic medical condition 0% e. hearing impaired/deaf 0% f. visually impaired/blind 50% 34 4 g. seizure disorder 80% h. emotional/behavioral 0% • disorder 80% i . cerebral palsy • As can be seen by the comparison, the target population involves a larger percentage of children who are non-mobile, visually impaired/blind, have seizure disorders and cerebral palsy. 5. The functioning level of all children in the institutionalized group is listed as profound. In the target population, 80% of the children function at the profound level and 20% at the severe level . 6. The areas that the institutionalized population need assistance with areas- listed: dressing bathing eating/drinking toileting stairs/ramps administering medication - public transportation 100% of the institutionalized population is dependent in the above areas. A comparison of the target population shows that 100% of the children are also dependent in the same areas. The above comparisons show that the current institutionalized population and the family based target group for respite services are identical in some areas (i . e. dependency needs, county of residence) and extremely similar in other areas (i .e. age range at time of institutionalization, disabilities, functioning level) . Utilizing this information, the current risk for institutionalization or out-of-home placement for the family based children is extremely high. It can targettc e u that munity ices , ten ldren in h . gr�opwill without beinstitutionalizedlduring thevnext siixlyears. Using the`mean age of the currently institutionalized group (6- 5) , . it is assumed that 90% of the target popu lation would be institutionalized within the next four years. The aim of the proposed respite care services program is to reduce the number of placements by the provision of respite care. The evaluation of the success of the program will be determined by a reduction in the expected rate of institutionalization. The expected rate, based upon the above information, would be placement of nine children over the next four years . Through the provision of respite services, the number of placements during _thectithe me eperiod will be reduced to five or 55. 5% of expected, showing a placement. The effectiveness of the respite program-will be monitored-annually by . determining the number of children placed during the year, the age of the child at time of placement, and the amount of respite services utilized by the family prior to placement. • - • 35 PROGRAM # 3 - 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 nuturing 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 and 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. TARGET GROUP - Weld 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 Qc by someone outside the home. If placement is necessary, we need to be able too 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 realtionship 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. �7 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 Parnters, 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 could tments, 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 Medicaid. 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 Partners. 38 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 third year is thirteen (13) . Total cost for this would be $4,797.00 for one year. If the Partners Plus partnership fails within 60 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. PROJECTION OF EXPENDITURES The projected costs for Partners Plus includes two components , addition of three (3) new Partnerships as well as on-going Partnerships from the previous plan, and costs of new Partnerships. 1 . Partnerships $46,800.00 (new and on-going) 13 X $300 X 12 months 2. Training of 13 Partners 4,797.00 (13 X $369) Total Annual Cost $51 ,597.00 MONITORING The process of referral and matching for the 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. 39 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 by 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 the 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 or residence. 2. Shortening placement to six (6) months or less. 3. Providing foster care for youth at less of an expense than group care. nn PROGRAM #4 - Parent Child Support System PROBLEM IDENTIFICATION Families have been identified within the county that have children with high risk of being placed in foster care. These families have multiple problems: low or inadequate income, unemployment, cultural isolation, ignorance of their child- ren' s needs, and of effective parenting. These parents are so "needy" themselves they are unable to recognize or provide for the needs of their children and as a result, children are abused and neglected. A number of these families have had children placed in foster care. It is expected that unless there is timely intervention, many children in these families will reach an acute stage where the children will be removed from their parents and full-time foster care will be necessary. Separation from parents and foster care placements translate into higher public costs, and often further emotional damage for family members. TARGET GROUP Families with pre-school children that are being neglected and/or abused. This includes families that have had older or previous children placed in foster care. This population is assessed to be significant. For example, in August, 1982 out of 56 protective service referrals received by the Department of Social Services, 38 could be identified as families probably needing immediate and intensive intervention. An average of twelve children from this group will be selected for treatment. GOALS 1 . Prevent repeated neglect and abuse of children. 2. Teach families to improve their functioning level and reduce the risk of out-of-home placements of their children. 3. Increase family knowledge or parenting skills. OBJECTIVES To maintain selected children in their own homes through early treatment intervention with selected families thus preventing full-time foster care. These families are evaluated to have: 1 . A record of child abuse and/or neglect. 2. To be in a situation where child abuse or neglect can reasonably be expected to occur. PROGRAM SOLUTIONS 1 . Intervention as soon after the initial referral as possible but no longer than 30 days. 2. Development and implementation of an individual treatment plan for each family. 3. Providing a positive child care experience for the pre-school child during the day. 41 4. Coordinating community resources to meet the needs of the individual family. 5. Providing transportation as needed for specialized services outlined in the treatment plan. 6. Intensive counseling work with parents to change behavior. 7. Children will be accepted in the project for a six month period. This treatment period may be extended an additional six months if progress has been shown and further treatment is indicated. RESOURCE ALLOCATION The Social Worker and Education Specialist will be supervised by the Parent Child Learning Center Director. Social Worker: 1 . The Parent Child Learning Center will provide a Social Worker on their staff, in addition to the regular Day Care staff, who will be responsible for the planning and implementing of individualized services for each family in the program. 2. The Parent Child Learning Center Social Worker will utilize and work cooperatively with existing programs offered through the Weld Mental Health Center, Community Center Foundation, AIMS Community College, Weld County Public Health Department and any other appropriate agency. 3. Case acceptance and treatment plans will be supervised and administered through the Weld County Department of Social Services. 4. Since the constructive involvement of the natural parents will be necessary, the Social Worker will be conducting many sessions in the family home when the parent(s) are available. 5. The Social Worker will also be available to train and work with the Day Care staff in assuring each child is given the individual treatment necessary for continuation of the family treatment plan. 6. The Social Worker will spend 80% of her time with project parents and children and 100% of her time on the project. Education Specialist: 1 . The Education Specialist will spend 100% of her time on project assignments. 2. Since most children from multi-problem families exhibit some behavior problems and/or developmental delays , the Education Specialist will develop an educational behavioral assessment and treatment plan for each child in the project. Since the School District programs ordinarily do not deal with children under the age of 4, this assess- ment will allow the Center to begin working with the child at an earlier age and reduce the length of time a bad behavior can become learned. 3. The Education Specialist will work closely with the Community Center Foundation and the Mental Health Center and use existing resources and programs available. PROJECTION OF EXPENDITURES The projected costs for this project at the Parent Child Learning Center are based on an average of 12 children from 10 to 12 families. AO Month .6 Months 1 FTE Social Worker - MSW or equivalent $1 ,500 $ 9,000 1 FTE Education Specialist 1 ,200 7,200 1/8 Clerical • 85 510 1/8 Director 150 900 FICA 352 2,112 Travel - Social Worker 88 528 Children 264 1 ,584 Specialized Services 120 720 Program Supplies 220 1 ,320 Office Supplies 25 150 Purchase of Services-Psychologist Consultant 100 600 Program Services 432 2,592 $4,536 $27 ,216 ADMINISTRATION The Parent Child Learning Center will provide the above stated services for — Weld County in compliance with rules and regulations set forth by the County and the Colorado State Department of Social Services. Although case referrals may come from anywhere, the County Department of Social Services is responsible for case acceptance or rejection (intake) and referral to the Project. As the Weld County Department of Social Services has fiscal responsibility for project monies, termination of project placements, if necessary, must also be the responsibility of the Weld County Department of Social Services. MONITORING 1 . Monitoring the progress of all families in the program will be done weekly by the Parent Child Learning Center and the Department of Social Services. 2. Attendance of parents at group/individual sessions will be expected unless illness should occur. 3. Quarterly staffings with other service providers to ensure compliance with all facets of the treatment plan will be expected. EVALUATION The Department of Social Services and the Parent Child Learning Center will meet as necessary to make evaluation of project cases. Where there is dis- agreement, the case will be referred to the Department of Social Services Division Supervisor and Administration for a decision. Department of Social Services will monitor appropriate case records and reports. The following criteria will be used to determine the success of the project: 1 . While in the project there will be no new referrals of abuse or neglect from 90% of the target group and foster care will be avoided for 85% of all children in the project. 2. Six months after discharge from the project, 75% of the target families will have avoided foster care entirely for all of their children. 3. Upon completion of the program, parents will show increased parenting skills. Parents will improve in 50% of the defined areas on the Parent Child Interaction (PCI) Checklist thus diverting families from the foster care system. LD IV • CV CV N to N. N O N V 00 co MI r .— M� r CO M CO N N 01 C L:3 t) f O O O 0 O to co to 0 0 0 N N I. n as O V cY N. 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L() i a so H N a H ai,.= r a i Q W ti = cn = N 0 F W O ciD 0-] a) '-J r '-J -O -D 0 Q CO J -r aJ as a) a a) r a) W P. E e W N Z ++ > U > > .C > .. W H (7 •.- an U •r ME IL) f� a) 4-3 W 4-) L 4- 4-' O- V -P W CO N O [.l U CD V -I-, V O F U m a) r- a) CO C CU 0 W zz E H • O i4- Q4- A- 4- Q) 4- El 6 F O 0 a)4- in 4- i 4- i 4- H �l G 49 Z w -= v a r n3 v rt v z I-- a.. a� Ca_ Iwo w • • • • 0.. V H F 0 U 0 U r N co W C V R. Q H Q G W U • C in U) Fr] F W .. A0 EVALUATION The process of evaluating the programs is specifically detailed in each program description. The overall evaluation plan and monitoring will include the following: 1 . The evaluation will measure the outcome of eliminating the need for out-of-home placement, less restrictive placement and reducing or eliminating the need for expensive RCCF placements or institutionalizations. 2. Each evaluation plan will be administered and implemented by the agency responsible for individual program implementation. Therapeutic Foster Care and. Partners Plus will be evaluated by the Weld County Department of Social Services. Respite Care will be evaluated by the Weld County Community Center Foundation. Parent Child System will be evaluated by the Parent Child Learning Center and the Department of Social Services. 3. Data to be collected includes: Number of children served, cost of the program and cost savings. Data will be collected on a quarterly basis. 4. The Placement Alternatives Commission will receive quarterly written evaluations on each of the programs. In addition, monthly project reports on each program will be provided. The Weld County Board of County Commissioners will receive a yearly impact statement and evaluation of the success or non-success of the Weld County Plan. I I I I y m 06 0 C- I-- I-- I— T ON CO N 4 O N O\ N N N N '., CD I•tl I f') U to co \O '.D %D 1.D CD - in VIED — !.O r -5,9- v • a of a a, v a: ' O E E E E at - P. 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F 3 0 y -C _ ., c L U C y 0 n 4) 7 C C) u U 0C O D U ..-0) 0 -1 U L` JD C 0 C > L' RE5PITE PROVIDERS • lRECkutTinEN'r •I • - 1 /� REFERENCES APPLI CHDO1, I • CHECKED APPLILATIcit> PtOCESI STOPPED i - INTaRv Ir W _ - A Nib µom€ VIS •r • I I T2N� 1 CONTio UOVS tNSERV&E� Fnp�nolanl_ TRAi n1 Iniv I TY2NC,. FKDv1DEM gv1RED Pass 8570 CO/npC- rNC'( I PaicWC- •oC Fgoa ibCR w,rl F-h M.LY (F rPLaLE0 EJV) visit • {{1J1TIHl N-11 VI:. IT � FAm1LY SETS UP /jb DlripNAL V/SITS /.� EEPS I t_ooRD11Ja7�P K _. ConuTFCT WITI-I bon-4 i PFFPll E;, I . 1 Rank),DER. U`_TED 1^, DIRECTORY OF RESPITEE PCov IDC2;, CE,, ro F ArA.I L I EL> p.ppLtcAnor 1 . I JCREENIr�1(� -moo CAE TERrn IrvE As5.ESs F..r.,,cr ►\-1e=En5 ✓`} C-4tLX S 1,EEt T MEET WITH FArrnnL'T 11yvpLv - OTl- EFi GENERI • OR_ SPECIALIZEp ACING}' I E P So iIN r FF L '1 PAIR PR_ovtDE R W4T�l F AMiLY 1 nl E CT- WITH S- CPt-HCEMENT VISIT bl> FER A pLES AND PkQV DE p_ I C�pRtFY •.4 ESP'ONSI 13fLITl E S j l 1 ( in:,T?flL ViSiTJ mti_Y AS!,vrv1c , i CrJa(_DrvJAiUC' Pt�'IC. hF�l�`,151Li . ,FOB f^� PLflLEIYIEtJT li �� IN� f Sc - 1 ItJr.. UP /I3DIT-KiriRL ICH(LDJ KlEEM fW_ t • VISSTS • IN • . I • I 1 1 I I CC. I I 1 1 . I I . I ----co i 0 I O 1--4 I K !JD I Y O Y L I In Lap H - a TH Y -T_� ----- I -I I I I C 1'1 C! Lb -.a V i CJ > --4 G 44.4 2 U m O V O _ � O - a al al P w d a ...-1 L 3 am m -O -.a _0 m O v ti t. >G u - -U+ .Ui E m '� L V w G C E C U O C cal - a Ci U H U m N .-+ O d >-. co m -.+ c; ..+ 7 a. -.� G E C . ..a ..� a m C H -r4 C 1. -o .r in G T. E > r _ u u c N c O 3 2 0- -.+ -,. u -.+ 0 CC i• -.-1 9 2 a -., G u V > 9 CD rt` -C "0 E C 2 O O a C - u .-4 u > C 1-4 H1O 2 C0_ .E a1 .0 m � co O G C 0 1. - .. <n -n 0 c -.4 c;._. 1.4 0. C u C) V C l+ L w a L H Cl I c -. V C c r. O a a a n r. Cl L -n 'O V 4 > C 1. E. C -•� > G 2 C 4-1 u u u ,.) oC 2 2 y Cr 1r ^4 a U N C e [fir'U C O c. ^ C• CI > G U C G G cJ C O G C) i c u u m v I U i+ c B u --1 >. C >+ 0U U O c O H Vi 0 0 � .O r+ G.V mIn v - Dc O — n V r Y V ... U V -i _ " C> V O c. - C C c C C .-. t. 4ti n - 3 • • al cc a C 1 H - cC •s] P. __ 0 -4 TTT — _. 1 -G. a (" .{ c -F 0. u - m m u u .,. ... CI .0 L 0 u CO L L C) -.. -.I u CO C C 0. u m I —O C) > C C C) ..... C) C1 W 0 00 CO CI C) L -.a v -.I v B o m C -., CJ O C) L, o.-.I CO u 00 a.7 C m 1. -N I. 1-1 0 0 > o .--, q ..,O 0 M 0 O lc.) . F o u 4 u < C 0 0 0 H • H • JOB DESCRIPTION • . . - I. TITLE: Respite Care Services Coordinator II_ QUALIFICATIONS: 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. Making the availability of respite services known to potential consumers through established media channels and organi- zations serving handicapped children_ Provide direct general training to respite caretakers on an initial and on-going besis.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 Team Leader, will be completed within allotted time limits. C. Eouivment 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. Use established agency procedure for the requisition of all supplies and equipment. Assist the team leader in the development of budget by proving estin=tes of travel and supplies needed. vv • 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. RELATIONSHIPS WITH COMMUNITY ACENCIE_ : Rapport with all community agencies serving severely handicapped children as well as rapport with all potential resources will be maintained. The relationship with corn- ___munity agencies and organizations will include the provision - - of in-service training and the explanation of WCCCF respite care services as directed and/or approved by the team leader. VII. Ra.ATIONS IPS 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. III. PROFESSIONAL RESPONSIBILITIES: _ All professional staff-are encouraged, but notrequired, - 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 Pre.. ram 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 varioua 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 . O.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 8, years Diagnosis - Profound Mental/Motor Retardation, Questionable vision , Spastic Quadreparisis , Seizure disorder , non- verbal , non-ambulatory • vuTT • • 7 . J .S. Age 3 years Diagnosis - Severe Mental/Motor Retardation , Seizure • - disorder , non-verbal , non-ambulatory 8. T.W, . .. Age 3 years Profound -• Diagnosis - Seizure disorder , syndrome, • 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 e tceived feeling and need in regard to out-of-home placement, 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 changes n deefft o tf he eerespitetude program will be evaluated by expressed toward out-of-home placement and the number of placements made from this high-risk group. • - 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 the: natural environment of the child. Providing- short term"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. • YTY Cornerstone io 1 • ,;.,f ; '.e, Builders Inc. . 41 +9 Y p . Harch 1, 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 a e such yas- the one type ofcae reoissing verywould behard to findlinmthisdareaT, and to tspeaking' for This ren for all the parents in our association we believe this would be a very beneficial program to have available. 1 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 y • • Kent D. lls , Chairman Parents Association of Greeley KDMJch XX • 30R-353-6411 Ate' RESIDENTIAL PLACEMENT COMMITTEE 'AT NATOLI,Chalr➢arwf 2235 2nd AvenueGreeley.Colorado Colorado 60631 1303) 353-6420 - - - a March 7, 198D • Mr. Allan Orlofsky 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 co...uunity 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 60 -t-c-c-ntic Pat Whitcomb Chairperson-Residential Placement Committee GREELEY-WELD ASSOCIATION FOR RETARDED CITIZENS X -WELD COUNTY HEALTH GEPARTMENT-WELD MENTAL '`"'ALT` t.. rr.,Tr o cniin'IATI(1N INC. - WELD COUNTY DEPART]IENT OE SOCIAL SERVICES • • - March 7 , 1980 • Dr . John H . Wooster, Executive Director Weld County Community Center Foundation, Inc . 11+22 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-- possibility of constant care of disabledindividuals 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, Ctf7 -� > " ( Mrs . ) Ruth R . Bruce , pl . Association for Retarded • RB/r Citizens of Greeley March 11, 1980 • Mr. Al Orlofsky Center Weld County Community H 1422 8th Ave. Greeley, Colorado Dear Mr. 0rlofsky: We of Parent To Parent ostofamiliesur enthusiastic severelysupport handicapped children. in providing a respite care program support group for parents of all Ever since p our- organization (which serves ge as a have reognized the need for a service hfntiispted children)S has been a meeting of this type. Some of us have children with such severe health This lsituation it is very difficult to find suitable people to care for them.ies who already apver an e additionalin on children needtoore havetresses some than average � for a severely 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 handicapped child could go a long wav to maintaining the ta child parents' benefits from he alth and even the parents' marital relationship. Ultimately an improved family life. At this time there is no program ser vice exists n ho pov eseaW respite itencare erea. service although a definite need for this We are hopeful that funds for establishing a full time^coos service would ai train a People to implement the program will be provided. tremendous help to familieseffortsthis f childre n with severe ereahandicaps and health problems. We fully support yo Sincerely , /:?4 Ji J Mary Stack Contact Person Parent To Parent T •C, - • Op` gyp. • gyp. I.., m C) t- 0Hn O oo Q'. CO i a ., .4 r. .-1 ,y • Js K m V , O ; - m C CJ1 2 V - - 1.4 E _ .. ,. . V v > v 1 men V V V R. C C L m n } F L C - E _ -C .C Vol° - V O V a C m m .c .-` t to -.a m C V > + y e h C - C O. -.-1 .C• ? HI O C m [A G-. 1J O rl i m .n y 4.e- O to oot N C } H >, - O _ W -re-• F. ?^ . F. ..-a H _. .ti v 1-4 Y W - ,O C) V V 6 - V C U _ - y0 .o -.4 O F Z .-i O C G. v „�-1 V 4 V .i F. ..y F. v ,-t' '"-{ .--1 .--4 a ,-1 hm. 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H X U > > > > U G p < < < C CD O C C G oEH t • CRITERIA USED BY CASEWORKERS IN CHOOSING GROUP CARE OVER FOSTER FAMILY 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. • 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-sociaLbehavior 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. 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 foimula (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 foii,auas 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-bond 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) . vv,„ - 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 disl appoinuucut; 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 stiuug 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 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 - . notions on his behavior. TREATAT PLAN Goals: Develop image of treaunent 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 inpact 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.) Hello