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HomeMy WebLinkAbout20041273.tiff RESOLUTION RE: APPROVE THREE YEAR PLAN FOR CORE SERVICES PROGRAM AND ANNUAL PROGRAM PLAN FOR CHAFFEE FOSTER CARE INDEPENDENCE PROGRAM AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Three Year Plan for Core Services Program and Annual Program Plan for Chaffee Foster Care Independence Program between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and the Colorado Department of Human Services,Division of Child Welfare Services,with terms and conditions being as stated in said plan, and WHEREAS, after review, the Board deems it advisable to approve said plan, a copy of which is attached hereto and incorporated herein by reference. NOW,THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado,ex-officio Board of Social Services, that the Three Year Plan for Core Services Program and Annual Program Plan for Chaffee Foster Care Independence Program between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and Colorado Department of Human Services, Division of Child Welfare Services be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said plan. The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 3rd day of May, A.D., 2004. BOARD OF COUNTY COMMISSIONERS �..� WELD COUNTY, COLORADO • '"�• U°� "' '( Robert D. Masden, Chair 1861 = , kto the Board ♦� ,` J , William H. rke, Pro-Tem lerk o the Board l�i`,n be,/ M. . eile ROV AS TO F[ M David E. Long Co y Attornej EXCUSED Glenn Vaad Date of signature: e--) -OV 2004-1273 SS0031 co ; SS � auSJ OS-/� D CORE SERVICES PROGRAM THREE YEAR PLAN FY 2005-2007 CHAFEE FOSTER CARE INDEPENDENCE ANNUAL PROGRAM PLAN FY 2004-2005 FOR WELD COUNTY(IES) REQUEST FOR STATE APPROVAL OF PLAN 0 If this box is checked please complete all portions of the plan related to Chafee Foster Care Independence Program(CFCIP),otherwise all statements throughout this document will be considered not applicable. This Core Services Plan is hereby submitted for Weld [Indicate county name(s)and lead county if this is a multi-county plan],for the period June 1, 2004, through May 31, 2007. The Plan includes the following: 4) Completed"Statement of Assurances"; 4) Completed Statement of the eight(8)required Core services to be provided or purchased and a list of county optional services, County Designed Program Services, to be provided or purchased; 4) Completed program description of each proposed"County Designed Service"; 4) Completed"Information on Fees"form; 4) Completed"Reunification Issues"form; 4) Completed"Direct Service Delivery"form; 4) Completed"Purchase of Service Delivery"form; 4) Completed"Projected Outcomes"form; Q Completed"Overhead Cost"form; 4) Completed"Final Budget Page"form; 4) Completed"State Board Summary";and, 0 Completed"100%Funding Summary"form. This CFCIP plan is hereby submitted for Weld [Indicate county name(s)and lead county if this is a multi-county plan], for the period July 1,2004 through June 30,2005. The Plan includes the following: 4) Completed "Request for State Approval"form 4) Completed"State of Assurances"form 4) Completed"Chafee Foster Care Independence Program"format 4) Completed "Direct Service Delivery"and/or"Purchased Service Delivery"form 4) Completed"Youth Direct"form 4) Completed "Final Budget page" This Core Services and Chafee Foster Care Independence Program Plan has been developed in accordance with State Department of Human Services rules and is hereby submitted to the Colorado Department of Human Services, Division of Child Welfare Services for approval. If the enclosed proposed Core Services and/or Chafee Foster Care Independence Program Plan is approved, the plan will be administered in conformity with its provisions and the provisions of State Department rules. The person who will act as primary contact person for the Core Services Plan is, David Aldridge and can be reached at telephone number 970.352.1551,ext.6290. The primary contact person for CFCIP is Mark Lindquist and can be reached at telephone number 970.352.1551, ext. 6245. If two or more counties propose this plan, the required signatures below are to be completed by each county, as appropriate. Pleas attach an addi' nal signature page as needed. 130411 Sign t re D RECTO , OUN DEPARTMENT OF SOCIAL SERVICES DA E JJJJJ 'L - r- 3O oy Sig C IR P C �P ERNATIVES COMMISSION DATE V , - t!���% MAY 0 3 2004 Signature, CHAIR, BOARD OF COUNTY COM •. O ., �- /J N, DATE Robert D. Masden , '�� an` 11861 ATTEST: MMEL%\ WELD COUNTY CLERK TOT E BOARD 411p`� U 00 BY: ' AA n•A-I.P2/1 DEPUTY CLERK T HE BOASp 2 c?Q'X/-/.?7,9 CORE SERVICES STATEMENT OF ASSURANCES Weld County(ies) assures that, upon approval of the Core Services-Chafee Foster Care Independence Program Plan the following will be adhered to in the implementation of the Plan: Core Services Assurances: • Operation will conform to the provisions of the Plan; • Operation will conform to State rules; • Core Services Program Services, provided or purchased,will be accessible to children and their families who meet the eligibility criteria; • Operation will not discriminate against any individual on the basis of race, sex, national origin, religion, age or handicap who applies for or receives services through the Core Services program; • Services will recognize and support cultural and religious background and customs of children and their families; • Out-of-state travel will not be paid for with Core Services funds; • All forms used in the completion of the Core Services plan will be State prescribed or State approved forms; • Core FTE/Personal Services costs authorized for reimbursement by the State Department will be used only to provide Core Services authorized in the county(ies)' approved Core Services Plan; • The purchase of services will be in conformity with State purchase of service rules including contract form, content,and monitoring requirements;and • Information regarding services purchased or provided will be reported to the State Department for program,statistical and financial purposes. 3 CHAFEE FOSTER CARE INDEPENDENCE PROGRAM PLAN STATEMENT OF ASSURANCES Weld County(ies) assures that, upon approval of the Core Services-Chafee Foster Care Independence Program Plan the following will be adhered to in the implementation of the Plan: Chafee Foster Care Independence Program statement of assurances: • Funds shall be used exclusively for the purposes specified in the plan; • Funds shall not be used to supplant,duplicate or replace existing child welfare funds and; • Funds shall not be used for county budget shortfalls; • Assistance and services will be provided to youth who have left foster care because they have attained 18 years of age, and have not attained 21 years of age[Section 477(b)(3)(A)]; • Not more than 30 percent of the amounts allocated for CFCIP for a fiscal year will be expended for room and board for youth who have left foster care because they have attained 18 years of age, and have not attained 21 years of age[Section 477(b)(3)(B)]; • None of the amounts paid to the County Department from its allocation will be expended for room and board for any child who has not attained 18 years of age [Section 477(b)(3)(C)]; • The County Department will make every effort to coordinate the CFCIP program receiving funds with other Federal and State programs for youth (especially transitional living youth projects funded under part B of title ill of the Juvenile Justice and Delinquency Prevention Act of 1974); abstinence education programs, local housing programs, programs for disabled youth (especially sheltered workshops), and school-to-work programs offered by high schools or local workforce agencies[Section 477(b)(3)(F)]; • Adolescents participating in the program under this section will participate directly in designing their own program activities that prepare them for independent living and the adolescents will be required to accept personal responsibility for living up to their part of the program[Section 477(b)(3)(H)]; and • The County Department agrees to enforce standards and procedures to prevent fraud and abuse in the programs carried out under the plan. 4 CORE SERVICES TO BE PROVIDED/PURCHASED Place an"X"to indicate which of the following Core Services Program Services will be provided/purchased in accordance with State Department rules: X Home Based Intervention X Intensive Family Therapy X Sexual Abuse Treatment Services X Day Treatment X Life Skills X Special Economic Assistance X Mental Health Services X Substance Abuse Treatment Services List below"County Designed Service"that will be provided/purchased in accordance with State Department rules: Service Name: 1. North Colorado Medical Center--PsychCare,Youth Passages,Partial Hospitalization and Day Program,Day Treatment Alternative 2. Ackerman and Associates,P.C.,Foster Parent Consultation 3. Lutheran Family Services,Foster Parent Consultation 4. Lori Kochevar,LLC,Foster Parent Consultation 5. Transitions Psychology Group 6. Additional Funding for Evidenced Based Services to Adolescents(See attached.) • TIGHT Proposal • MST Proposal 7. Foster Care Caseworker III 8. RTC Utilization Caseworker HI Additional Funding for Evidenced Based Services to Adolescents If your county received additional funding from the additional$1.5 million dollars appropriated to fund evidenced based services to adolescents, and you would like to continue to receive the same funding for the same expansion or created of your evidenced based County Designed Program to adolescents, please indicate that on your Core Plan under County Designed. Your county must also document historical outcomes with regard to how these specific County Designed services demonstrate effectiveness in reducing the need for higher costs of residential services. Your county must follow the requirements set forth in Agency Letter CW-03-21-A, page 6 of the Request for Proposal, under the Needs Assessment, County Design Description and Projected Outcomes section. The County Designed Program may be renewed/re-approved at the sole discretion of the State Department, contingent upon funds being appropriated, budgeted and otherwise made available and other contract requirements, if applicable, being satisfied. If your county did not receive an award or you did not apply, you are welcome to apply by following the requirement set forth in Agency Letter CW-03-21-A. Please submit the Request For Proposal with the Core Services Plan, due April 30. FAMILY STABILITY SERVICES TO BE PROVIDED/PURCHASED Due to budget reallocations for state fiscal year 2004-2005, funding is not available for the Family Stability Services (FSS) based on Senate Bill 01-012. If a county would like to provide Family Stability Services as outlined in Colorado Department of Human Services Staff Manual Volume 7, at 7.310, with Child Welfare Block, Temporary Assistance to Needy Families (TANF), or county only funds (FSS falls under the Child Welfare Block), please contact Melinda Cox at 303.866.5962 for details and plan requirements. 5 CORE SERVICE COUNTY DESIGNED SERVICE Service Name: (1)Day Treatment Alternative(Purchased Services) (2)Foster Parent Consultation (Purchased Services) (3) Specialized Foster Home Recruitment, Certification, and Monitoring (Foster Care Caseworker III) (Direct Service Delivery) (4)RTC Utilization and Quality Assurance(RTC Utilization Caseworker III)(Direct Service Delivery) (5)Additional Funding for Evidenced Based Services to Adolescents(See attached.) • TIGHT Proposal • MST Proposal Optional services approved as a part of the county's Core Services Plan are approved on an annual basis. For a County Designed Service to be extended beyond one year, this portion of the plan must be submitted and approved annually by the State Department. Given that County Designed programs are not standardized across counties, it is important to provide detailed information as outlined below. This information can be use to justify continued funding of the program with the legislature. The information listed below is to be completed for each County Designed Service to be included in the County(ies)' Core Services Program Plan. 1. Describe the service and components of the service,define the goals of the program. 2. Indicate if a new Trails service detail is necessary for this County Designed Program or is the service detail already an option in Trials. 3. Define the eligible population to be served. 4. Define the time frame of the service. 5. Define the workload standard for the program: • number of cases per worker, • number of workers for the program, and • worker to supervisor ratio. 5. Define the staff qualifications for the service, e.g., minimum caseworker III or equivalent,see 7.303.17 for guidelines. • Define the performance indicators that will be achieved by the service,see 7.303.18. • Identify the service provider. • Define the rate of payment(e.g., $250.00 per month). North Colorado Medical Center-PsychCare-Youth Passages,Day Treatment Alternative(Purchased Services) 1. Adolescent Day Treatment Alternative is a program designed to address the multifaceted needs of adolescents experiencing significant emotional,behavioral,educational,interpersonal,familial problems,and adolescents suffering from a wide range of psychiatric disorders and chemical dependency.Program includes day treatment,and intensive outpatient services.Youth Passages utilizes a partial or day hospitalization model that provides specific therapeutic interventions that can be implemented with the family system or with the child's problem behavior while the child continues to reside at home.Day program is conducted in English while family sessions can be conducted in Spanish through a Bilingual therapist.Transportation for South County families provided through Weld BOCES and RE-8. 2. This service option is already in the Trails system. 3. 96 adolescents(10-18 years)per year,and/or(range of 5-18 years),7 monthly average capacity. 4. 37.5 hours per week for day treatment and 12 average hours per week for intensive outpatient services,for 6-10 weeks. 5. Total number of staff is five full-time staff members dedicated solely to adolescent services with per diem therapists and staff available as needed,and one MD contracted to see patients a minimum of once per week available for project based on projected average daily census of 12.Two staff members to five children ages 5 years to 13 years(minimum is one staff member to eight children.)Two staff members to six children ages 16 years and over(minimum is one staff member to 10 children.) 6. Staff members include one teacher,two behavioral health therapists,one behavioral health team assistant,one behavioral health youth clinical coordinator.Personnel staffing at Youth Passages meets or exceeds the standards enumerated in Volume VII(7.303.) The provider is North Colorado Medical Center,PsychCare,Youth Passages, 1801 16th Street,Greeley,C),80631. The hourly rate is$21 for face-to-face contact. Ackerman and Associates,P.C.,Foster Parent Consultation(Purchased Services) 6 I. This program provides foster care consultative services in the areas of(1)consultation and foster parent support,(2)mandated corrective action consultation,and(3)mandated critical care consultation through individual consultations referred by Weld County Foster Care Coordinators,or through self-referrals for group consultation services and training.By training foster care parents,the children are being maintained at a lower level of care so the children can RETURN home and avoid imminent risk of out of home placement. 2. This service option is already in the Trails system. 3. This program is open to all Weld County Certified Foster Parents. 4. Group training for referred group members is up to 20 hours per month,individual consultation a maximum of 5 hours per month,and the maximum for mandated training for corrective action is five hours per month.Individual consultations are through Department referral only. The duration of service for individual consultation is determined through the Department's foster care coordinators. 5. The program has a capacity of 30 hours per month.The program anticipates an average of 20 families for pm-approved group training,five families for corrective action,and about 30 families for critical foster care group consultation.The program anticipates serving up to 60 families with at least one contact and approximately 40 of these families with more than one contact.The yearly maximum for the contact is set at 120 two-hour groups,and 120 hours of individual consultation time.At each meeting one therapist is present.This represents 360 hours of therapist/client time per year.The monthly total average caseload is 30 hours.The total number of therapist hours is 30 per month and a maximum of 360 per year.There are seven individual providers supported by two administrative professionals and an independent contractor accountant.Providers are individually licensed and do not require clinical supervision except for a therapist who is being supervised by a licensed psychologist in the practice.The maximum caseload per supervisor is 60 families per year.Caseload monitoring is through tracking of time per foster parent.service per month.Staff includes four licensed psychologists,five professional counselors,and a licensed clinical social worker.All have specific training in helping to assist individuals in behavioral changes.All staff exceeds the minimum qualifications specified. 6. Service objectives include(1)improvement of household management competency,improvement of parental competency,the ability of the family to access resources.Clients referred to this program will choose training goals and objectives according to their perceived needs.In the case where the foster parent is sent for disciplinary action or critical care,the consultant and the foster care coordinators will help design specific outcome measures that are appropriate.Measurable outcomes are both formative and summative measures and outcomes.Formative measures include(1)how the foster family came into the foster parent support program,(2)attendance,(3)hours of total contact and training credits earned.Summative outcomes include(1)improvement in household management competency measured by pm and post assessment,(2) improvement in parenting competency as measured by pre and post assessment,(3)ability to connect with community,local state and Federal government.,(4)improvement in demonstrating higher skills and competency levels in fulfilling their roles for children in placement,(5)ability to meet the needs of biological children's adjustment to foster children in the home.The service provider is Ackerman and Associates,P.C., 1750 25'"Avenue,Suite 101,Greeley,CO,80634.The rate of this service is$350 per group and$85 per direct contact hour for individual foster parent consultation and mandated training for foster parents as stipulated by Weld county. Lutheran Family Services,Foster Parent Consultation(Purchased Services) 1. The Foster parent Education and Empowerment program is intended to provide support,training,and consultation services to Weld County foster and foster-to-adopt parents.The purpose of this program is to prevent the imminent move of foster children from one foster home to another,and to provide support services to foster parents toward improving their overall skills.The program will include ongoing topic support groups,home-based individual foster parent assessment and consultation,and training workshops. 2. This program is open to all Weld County Certified Foster Parents. 3. Group consultations are accessed through foster parent self-referral.Individual consultations are through Department referral only.This is a time-limited,home-based assessment and consultation services for new or inexperienced foster/foster adopt families,or families who have a corrective action plan.After assessment,the consultant will assist the DSS caseworker in devising a development or corrective action plan. Training workshops will b offered to all Weld County foster parents.The specific content of the training,time for the training,and fee will be included in each pre-approved proposal. 4. Ongoing support groups are expected to serve an average of eight participants.One group will be for foster parents and one group will be for foster-adopt parents.Additional groups may be added depending on need. The ongoing monthly basis is for 12 months.Home-based Individual Foster Parent Assessment and Consultation is time-limited(four weeks or eight hours of direct service.)Training workshops will be offered at Weld County's request.The specific content,time,and fee will be included in a pre-approved proposal.This provider estimates they will provide two trainings per year. 5. The Ongoing Topic Support Groups is budgeted for two groups per month of an average of eight participants.These groups will be open to new participants throughout the year.The current capacity for this program is 20 clients.Additional groups may be added if needed.The Home- based Individual Foster Parent Assessment and Consultation Program estimate is four individuals per family,receiving eight hours of direct service over a period of four weeks.The capacity for this program is two family units per week for a total of 26 families.Training Workshops will occur on an as needed basis.It is estimated that two training sessions will be provided throughout the year,serving potentially 30 foster parents.Currently there are.30 Fit(12 hours)of professional staff time budgeted for this program.There are five staff members who could offer services in this program,not including the program supervisors.The maximum caseload per supervisor is 1:7. 6. Clinician's assigned to this program are qualified by one of the following(1)a master's degree in social work or another human service field; and/or(2)a bachelor's degree in social work or another human service field and at least five years post-degree experience in family and children's services. Performance objectives include(1)no less than 85%of individual foster family households will show improved household management competencies as demonstrated by an improved financial situation,increased habitability of residence,equitable division of household responsibilities,etc.The service provider is Lutheran Family Services,3800 Automation Way,Suite 200,Fort Collins,CO 80525.The rate for services is$350 per group and$85 per hour for individual. Lori Kochevar,LLC,Foster Parent Consultation(Purchased Services) 1. This program provides foster care consultative services in the areas of(1)consultation and foster parent support,(2)mandated corrective action consultation,and(3)mandated critical care consultation.By training foster care parents,the children are being maintained at a lower level of care so the children can RETURN home and avoid imminent risk of out of home placement. 2. This program is open to all Weld County Certified Foster Parents. 3. This program is open to all Weld County Certified Foster Parents. 4. Group consultations are accessed through the foster parent as needed.Individual consultations are through Department referral only.The duration of service for individual consultation is determined through the Department's foster care coordinators. 5. The program has a capacity to serve 80 foster parents.Consultants would spend up to 14 hours a month providing services.With an average of eight foster parents per group,the total number of client hours provided over one year would be 1708.Staff includes three Family Preservation Specialists.All providers have a Master's or Doctorate in counseling.Supervisor to staff ratio is 1:2.Maximum caseload per consultant is 2-10 families.All consultants exceed the minimum qualifications specified. 6. Clients referred to this program will choose training goals and objectives according to their perceived needs.In the case where the foster parent is sent for disciplinary action or critical care,the consultant and the foster care coordinators will help design specific outcome measures appropriate to the Service objectives include(1)improvement of household management competency,improvement of parental competency, the ability of the family to access resources.The rate of this service is$350 per group and$85 per direct contact hour for individual foster parent consultation and mandated training for foster parents as stipulated by Weld county. Transitions Psychology Grout)(Purchased Services) 1. This program provides foster care consultative services in the areas of(1)consultation and foster parent support,(2)mandated corrective action consultation,and(3)mandated critical care consultation.By training foster care parents,the children are being maintained at a lower level of care so the children can RETURN home and avoid imminent risk of out of home placement. 2. This program is open to all Weld County Certified Foster Parents. 3. Group consultations are accessed through the foster parent as needed.Individual consultations are through Department referral only. 4. The duration of service for individual consultation is six weeks for individual participants,and 26 weeks for group participants.The monthly capacity per group is 10 participants.Transitions has the capacity to serve 100 clients,or 65 family units. 5. The program expects to provide four different consultation and/or support groups per month.Foster parents will be encouraged to attend the same group monthly,but will be allowed to attend more than one group per month,based on need and approval or recommendation of Weld county.Members may attend alternative groups with advanced notice to Transitions when there are scheduling conflicts.Following the sixth session,the counselor and foster parent will again use the solution-focused scaling of content areas to measure progress.If goals have been met, the foster parent completes the group or defines new goals.If goals have not been met,the foster parent will have the option to continue in another series of group sessions with Weld county approval or be referred to other services.The maximum caseload per supervisor is 1:3. 6. All staff members have a minimum of a Master's degree in a counseling related field and are licensed professionals.Current staff members are Licensed Professional Counselors(LPC),but this provider would accept the related licenses of Licensed Clinical Social Workers,Licensed Marriage and Family Therapist,or Licensed School Psychologist.The Transitions supervisor is a Licensed Psychologist.The service provider is Transitions Psychology Group,810 11 Avenue,Greeley.The rate of this service is$350 per group and$85 per direct contact hour for individual foster parent consultation and mandated training for foster parents as stipulated by Weld county. Foster Care Caseworker III-1 FTE(Direct Service Delivery) 1. This FTE will do specialized recruitment,certification,and monitoring of foster care homes that will work with the most difficult youth or children;i.e.,sex offenders,severe mental health issues,etc. 2. A new trails service detail will not be necessary because this service is direct service delivery. 3. This program services children and youth aged 0-17 who receive an intense level of treatment.These children and youths'behaviors and needs are severe enough to require that only one such child reside in each identified home. 4. The time frame of this service is 12 months. 5. There is one FTE under this program.The number of cases per worker is 20.The ratio of workers to supervisor is 8:1. 6. The minimum qualification for this position is Caseworker III.Performance indicators are that the RTC placement numbers will be reduced and youth and children will be able to step down from RTC placements sooner.The service will be provided through an FTE position,direct service delivery.The rate of payment is that of 1 FTE. RTC Utilization Caseworker III-1 FIE(Direct Service Delivery) 1. The RTC Utilization Caseworkers will would work with Leslie Cobb and caseworkers that have children placed in RTCs to ensure that quality of RTC treatment plans and transition plans are in place with youth and children. 2. A new trails service detail will not be necessary because this service is direct service delivery. 3. The eligible population is any youth or child in an RTC placement. 4. The time frame of this service is 12 months. 5. The number of cases for this program is potentially any child in an RTC,but priority would be given to any cases where issues have been identified. There will be 1 FTE under this program.The worker to supervisor ratio is 8:1 (if the intake YIC supervisor supervises this position.) 6. The staff qualification for this service is Caseworker III.This service will shorten RTC placements and improve after care.The service is direct delivery.The rate of payment is that of 1 FTE. Additional Funding for Evidenced Based Services to Adolescents(See attached.) 1. TIGHT Proposal (See attached proposals for program description) 2. MST Proposal(See attached proposals for program description) 8 INFORMATION ON CORE SERVICE FEES Please check all that apply: ✓ Fees will not be assessed for Core Services Program Services. If above line is checked,STOP. Remainder of information does not need to be completed. The following fees apply for the programs checked above. Fees will be assessed for the following services:Check those that apply: Home Based Intervention Intensive Family Therapy Sexual Abuse Treatment Day Treatment Life Skills Special Economic Assistance Mental Health Services Substance Abuse Treatment Services County Designed Service(List Services Below) Fee assessment formula is the same for all services. State the formula here(attach additional sheets as needed). Fee assessment formula varies with service. State formula used for each service. 9 Reunification Issues Please indicate below how your county is addressing Reunification Issues with the children you serve in the Core Services Program. • Option B and IFT programs are offered to families while the child/youth is in foster care or another out-of-home environment. • Lifeskills programs work with parents to prepare them to be more appropriate when the child returns home. • We provided special training for our case aides to enable them to do more parent coaching during visitations. • Sexual abuse treatment programs look at resolving issues keeping the youth out of the home. 10 HOME BASED INTERVENTION SERVICES DIRECT SERVICE DELIVERY- CORE SERVICES PROGRAM CFMS—Function Code 1700, 1800 Definition 7.303.1 A Home Based Intervention:Services provided primarily in the home of the client and includes a variety of services which can include therapeutic services, concrete services,collateral services and crisis intervention directed to meet the needs of the child and family. Indicate information for each line service worker and his/her immediate supervisor for whom Core Services funding is proposed in whole or in part. Include only amounts that are to be charged to Core Services. Staff positions to be included are County Core Services employee positions and employee contract positions. 1 2 3 4 5 6 7 8 9 10 11 12 13 Position Job Title Gross Monthly Monthly Monthly Percent Percent Percent of Percent Total Number Total Number Monthly Fringe Travel Operate of of Salary Salary Salary Monthly of Direct Salary Salary Funded Funded by Funded by Direct Month Service Funded by TANF Regular Service of Cost Cost by 100% Admin Cost 80/20 1800 (3+4+5+6) 1700 TOTAL 11 INTENSIVE FAMILY THERAPY DIRECT SERVICE DELIVERY- CORE SERVICES PROGRAM CFMS—Function Codes 1710, 1810 Definition 7303.1 B Intensive Family Therapy:Therapeutic intervention typically with all family members to improve family communication,functioning,and relationships. Indicate information for each line service worker and his/her immediate supervisor for whom Core Services funding is proposed in whole or in part. Include only amounts that are to be charged to Core Services. Staff positions to be included are County Core Services employee positions and employee contract positions. 1 2 3 4 5 6 7 8 9 10 11 12 13 Position Job Title Gross Monthly Monthly Monthly Percent Percent Percent of Percent Total Number Total Number Monthly Fringe Travel Operate of of Salary Salary Salary Monthly of Direct Salary Salary Funded Funded by Funded by Direct Month Service Funded by TANF Regular Service of Cost Cost by 100% Admin Cost 80/20 1800 (3+4+5+6) 1700 TOTAL 12 LIFE SKILLS DIRECT SERVICE DELIVERY- CORE SERVICES PROGRAM CFMS—Function Codes 1720, 1820 Definition 7.303.1 C Life Skills: Services provided primarily in the home that teach household management,effectively accessing community resources,parenting techniques,and family conflict management. Indicate information for each line service worker and his/her immediate supervisor for whom Core Services funding is proposed in whole or in part. Include only amounts that are to be charged to Core Services. Staff positions to be included are County Core Services employee positions and employee contract positions. 1 2 3 4 5 6 7 8 9 10 11 12 13 Position Job Title Gross Monthly Monthly Monthly Percent Percent Percent of Percent Total Number Total Number Monthly Fringe Travel Operate of of Salary Salary Salary Monthly of Direct Salary Salary Funded Funded by Funded by Direct Month Service Funded by TANF Regular Service of Cost Cost by 100% Admin Cost 80/20 1800 (3+4+5+6) 1700 TOTAL 13 DAY TREATMENT DIRECT SERVICE DELIVERY-CORE SERVICES PROGRAM CFMS—Function Codes 1730, 1830 Definition 7.303.1 D Day Treatment:Comprehensive, highly structured services that provide therapy and education for children. Indicate information for each line service worker and his/her immediate supervisor for whom Core Services funding is proposed in whole or in part. Include only amounts that are to be charged to Core Services. Staff positions to be included are County Core Services employee positions and employee contract positions. 1 2 3 4 5 6 7 8 9 10 11 12 13 Position Job Title Gross Monthly Monthly Monthly Percent Percent Percent of Percent Total Number Total Number Monthly Fringe Travel Operate of of Salary Salary Salary Monthly of Direct Salary Salary Funded Funded by Funded by Direct Month Service Funded by TANF Regular Service of Cost Cost by 100% Admin Cost 80/20 1800 (3+4+5+6) 1700 TOTAL 14 SEXUAL ABUSE TREATMENT SERVICES DIRECT SERVICE DELIVERY- CORE SERVICES PROGRAM CFMS—Function Codes 1740, 1840 Definition 7.303.1 E Sexual Abuse Treatment: Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization sexual dysfunction, sexual abuse perpetration,and to prevent further sexual abuse and victimization. Indicate information for each line service worker and his/her immediate supervisor for whom Core Services funding is proposed in whole or in part. Include only amounts that are to be charged to Core Services. Staff positions to be included are County Core Services employee equivalent positions and employee contract positions. 1 2 3 4 5 6 7 8 9 10 11 12 13 Position Job Title Gross Monthly Monthly Monthly Percent Percent Percent of Percent Total Number Total Number Monthly Fringe Travel Operate of of Salary Salary Salary Monthly of Direct Salary Salary Funded Funded by Funded by Direct Month Service Funded by TANF Regular Service of Cost Cost by 100% Admin Cost 80/20 1800 (3+4+5+6) 1700 TOTAL 15 COUNTY DESIGNED SERVICE DIRECT SERVICE DELIVERY- CORE SERVICES PROGRAM CFMS—Function Codes 17_, 18_ Definition 7.303.1 J County Designed Services:innovative and/or otherwise unavailable service proposed by a county that meets the goals of the Core Services Program. Indicate information for each line service worker and his/her immediate supervisor for whom Core Services funding is proposed in whole or in part. Include only amounts that are to be charged to Core Services. Staff positions to be included are County Core Services employee positions and employee contract positions. 1 2 3 4 5 6 7 8 9 10 11 12 13 Position Job Title Gross Monthly Monthly Monthly Percent Percent Percent of Percent Total Number Total Number Monthly Fringe Travel Operate of of Salary Salary Salary Monthly of Direct Salary Salary Funded Funded by Funded by Direct Month Service Funded by TANF Regular Service of Cost Cost by 100% Admin Cost 80/20 1800 (3+4+5+6) 1700 Foster Care Caseworker III RTC Utilization Caseworker TOTAL $-0- 16 HOME BASED INTERVENTION SERVICE PURCHASE OF SERVICE CORE SERVICES PROGRAM Indicate information for each Trails provider from whom Core services are proposed to be purchased. 2 3 4 5 6 7 8 9 10 PROVIDER NAME Trails Amount of Amount of Amount of Number of Payment Cost Per Number Total Cost Resource/Provider Contract Contract Contract Units of Rate per Month of Per Provider Number Funded by Funded by Funded by Service Unit of (6 x7) Months (8 x 9) 80/20 100% TANF Month Service of Cost Ackerman and 2916 100 $80.00 $8,000 12 Associates, P.C. Lutheran Family Services 45080 30 $84.02 $2520.60 12 North Colorado Medical 45080 160 $71.45 $11,432.00 12 Center-PsychCare-Youth Passages Youth Emancipation& TBA 85 $81.29 $6909.65 12 Services, Inc. Various 381 $323.76 $28,862.25 TOTAL $92,385.60 Identification of unit is: ✓ H = Hourly, D= Daily,W=Weekly, M = Monthly, E= Episode 17 INTENSIVE FAMILY THERAPY PURCHASE OF SERVICE CORE SERVICES PROGRAM Indicate information for each Trails provider from whom Core services are proposed to be purchased. 2 3 4 5 6 7 8 9 10 PROVIDER NAME Trails Amount of Amount of Amount of Number of Payment Cost Per Number Total Cost Resource/Provider Contract Contract Contract Units of Rate per Month of Per Provider Number Funded by Funded by Funded by Service/ Unit of (6 x7) Months (8 x 9) 80/20 100% TANF Month Service of Cost Ackerman and 2916 50 $80.00 $4,000.00 12 Associates, P.C. Mediation, 39595 20 $150.60 $3,012.00 12 Communication, & Training, Inc. Various 76 $237.60 $7,012.00 TOTAL$92.358.60 Identification of unit is: ✓H = Hourly, D= Daily, W=Weekly, M= Monthly, E = Episode 18 LIFE SKILLS PURCHASE OF SERVICE CORE SERVICES PROGRAM Indicate information for each Trails provider from whom Core services are proposed to be purchased. 1 2 3 4 5 6 7 8 9 10 PROVIDER NAME Trails Amount of Amount of Amount of Number of Payment Cost Per Numbe Total Cost Resource/Pr Contract Contract Contract Units of Rate per Month r of Per Provider ovider Funded by Funded by Funded by Service/ Unit of (6 x7) Months (8 x 9) Number 80/20 100% TANF Month Service of Cost Ackerman and Associates, P.C. 2916 150 $85.00 $12,750.00 12 CARE-Parent Advocate 62085 27.5 $69.49 $1,910.98 12 CARE-Visitation Interactional 62085 51.75 $71.58 $3,704.26 12 Supervised Visit .5 $41.08 $20.54 12 Transportation .75 $33.61 $25.21 12 Lori Kochevar, LLC 5820 120 $85.00 $10,200.00 12 Lutheran Family Services-VS 45080 Monitored Visit 17.42 $69.79 $1,215.74 12 Therapeutic 166.50 $94.91 $15,802.51 In-Home 12.83 $94.91 $12,152.58 Case Consultation 22 $59.85 $1,316.70 Transportation 105 $46.31 $4,862.55 Lutheran Family Services(A) 45080 Home Based Parent Coach HBT 30 $84.02 $2,520.60 12 Parent Coach 46.67 $65.15 $3,974.00 12 Transitions Psychology Group TBA 90.67 $85.68 $7,785.74 12 Youth Emancipation& Services, TBA 85 $81.29 $6,909.65 12 Inc. Weld County Department of TBA 163 $18.10 $2,942.88 19 Human Services ($13.92 + $3 Fringe) Various 1089.59 $1,085.77 $88,093.94 Identification of unit is: ✓ H = Hourly, D= Daily,W =Weekly, M = Monthly, E = Episode $423,079.80 20 DAY TREATMENT PURCHASE OF SERVICE CORE SERVICES PROGRAM Indicate information for each Trails provider from whom Core services are proposed to be purchased. 2 3 4 5 6 7 8 9 10 PROVIDER NAME Trails Amount of Amount of Amount of Number of Payment Cost Per Number Total Cost Resource/Provider Contract Contract Contract Units of Rate per Month of Per Provider Number Funded by Funded by Funded by Service/ Unit of (6 x7) Months (8 x 9) 80/20 100% TANF Month Service of Cost North Range Behavioral 80103 153.33 $88.69 $13,598.84 12 Health 548.83 $194.63 $106,818.78 (Daily Rate) 153.33 $88.70 $13,600.37 Various 3935.49 $391.02 $192,537.99 TOTAL$46,808.70 Identification of unit is: H = /Hourly, ✓D = Daily,W=Weekly, M= Monthly, E= Episode 21 SEXUAL ABUSE TREATMENT PURCHASE OF SERVICE CORE SERVICES PROGRAM Indicate information for each Trails provider from whom Core services are proposed to be purchased. 2 3 4 5 6 7 8 9 10 PROVIDER NAME Trails Amount of Amount of Amount of Number of Payment Cost Per Number Total Cost Resource/Provider Contract Contract Contract Units of Rate per Month of Per Provider Number Funded by Funded by Funded by Service/ Unit of (6 x7) Months (8 x 9) 80/20 100% TANF Month Service of Cost Ackerman and 2916 135 $80.00 $10,800.00 Associates, P.C. Adolescent& Individual 1518534 36.25 $55.06* $1,993.75 Development Various 177.25 $87.00 $12,793.75 TOTAL $46,192.80 Identification of unit is: V H = Hourly, D= Daily,W =Weekly, M = Monthly, E = Episode • This figure represents the following hourly rates, Individual/family$50; Stallings • with family/client, $50; and Episode rates of Group Session$35; Evaluation, $500; Polygraph (average)$225.The cost of the evaluation is dependent on services provided. The polygraph rate is a variable rate dependent on cost of polygraph. Notebook(one time at first group session)is$10. 22 SPECIAL ECONOMIC ASSISTANCE PURCHASE OF SERVICE CORE SERVICES PROGRAM Indicate information for each Trails provider from whom Core services are proposed to be purchased. 2 3 4 5 6 7 8 9 10 PROVIDER NAME Trails Amount of Amount of Amount of Number of Payment Cost Per Number Total Cost Resource/Provider Contract Contract Contract Units of Rate per Month of Per Provider Number Funded by Funded by Funded by Service Unit of (6 x7) Months (8 x 9) 80/20 100% TANF Month Service of Cost Various 45062 $10,000.00 3.2 261.78 837.70 12 TOTAL $10,000.00 Identification of unit is: H = Hourly, D= Daily,W =Weekly, M = Monthly, ✓ E = Episode 23 MENTAL HEALTH SERVICES PURCHASE OF SERVICE CORE SERVICES PROGRAM Indicate information for each Trails provider from whom Core services are proposed to be purchased. 2 3 4 5 6 7 8 9 10 PROVIDER NAME Trails Amount of Amount of Amount of Number of Payment Cost Per Number Total Cost Resource/Provider Contract Contract Contract Units of Rate per Month of Per Provider Number Funded by Funded by Funded by Service/M Unit of (6 x7) Months (8 x 9) 80/20 100% TANF onth Service of Cost North Range Behavioral 80103 $97,544.00 12 Health Various TOTAL$97,544.00 Identification of unit is: ✓ H = Hourly, D= Daily,W =Weekly, M = Monthly, E = Episode 24 SUBSTANCE ABUSE TREATMENT SERVICES PURCHASE OF SERVICE CORE SERVICES PROGRAM Indicate information for each Trails provider from whom Core services are proposed to be purchased. 2 3 4 5 6 7 8 9 10 PROVIDER NAME Trails Amount of Amount of Amount of Number of Payment Cost Per Number Total Cost Resource/Provider Contract Contract Contract Units of Rate per Month of Per Provider Number Funded by Funded by Funded by Service/M Unit of (6 x7) Months (8 x 9) 80/20 100% TANF onth Service of Cost Signal Behavioral Health 27818 $52,398.00 N/A E See N/A 12 Network, Inc. Menu of services Various TOTAL$52.398.00 Identification of unit is: H = Hourly, D= Daily,W =Weekly, M = Monthly, ✓ E = Episode 25 COUNTY DESIGNED SERVICES PURCHASE OF SERVICE CORE SERVICES PROGRAM Indicate information for each Trails provider from whom Core services are proposed to be purchased. 2 3 4 5 6 7 8 9 10 PROVIDER NAME Trails Amount of Amount of Amount of Number of Payment Cost Per Number Total Cost Resource/Provider Contract Contract Contract Units of Rate per Month of Per Provider Number Funded by Funded by Funded by Service/ Unit of (6 x7) Months (8 x 9) 80/20 100% TANF Month Service of Cost North Colorado Medical 63973 3080 $19.00 $58,520.00 12 Center-Psych Care-Youth Passages(Hourly) Ackerman & Associates, 2916 5.83(H) $85.00 $495.55 12 P.C. 5(E) $350.00 $1,750.00 Lori Kochevar, LLC 5820 5.83(H) $85.00 $495.55 12 5 (E) $350.00 $1,750.00 Lutheran Family Services 45080 5.83 (H) $85.00 $495.55 12 5 $350.00 $1,750.00 Transitions Psychology TBA 5.83 $85.00 $495.55 12 Group 5 (E) $350.00 $1,750.00 Various Providers TOTAL $99,468.50 Identification of unit is: V H = Hourly, D= Daily, W=Weekly, M= Monthly, V E = Episode 26 PROJECTED CORE SERVICES OUTCOMES FOR PERFORMANCE INDICATORS FOR FY 2004-2005 FOR FY 2005-2006 FOR FY 2006-2007 Service Over 85%1 85%-25%2 Under 25%$ Total Clients Served Home Base 15 22 31 68 Intensive Family Therapy 9 12 51 72 Life Skills 42 252 126 420 Day Treatment 6 1 2 9 Sexual Abuse Treatment 15 8 5 28 Mental Health Treatment 60 0 0 60 Substance Abuse Treatment 0 461 0 461 Special Economic Assistance 47 0 0 47 County Design (List) 158 34 68 260 1-Client meets 86%or more of the treatment goals 2-Client meets between 85%-25%of the treatment goals 3-Client meets 24% or less of the treatment goals 27 CORE SERVICES PROGRAM OVERHEAD COST 1. DIRECT SERVICE A. Total Salary/Fringe/Travel/Operating Costs of Line Service Workers and their Immediate Supervisors B. Formula Percentage Allowed for Overhead Costs 15% C. Provided Service Overhead Costs(A X B) 2. PURCHASED SERVICE A. Purchased Service Dollar Amount $800,321.00 B. Formula Percentage Allowed for Overhead Costs 3.4% $0-50,000 =5% $50,001 -100,000=4.9% For each $50,000(in total expenditure)increase the overhead decreases by.1 %. C. Allowed Amount for Overhead Costs(A X B) $27,210.91 D. Base Overhead Cost Allowed $500.00 E. Purchased Service Overhead Costs(C+ D) $26,710.91 3. TOTAL OVERHEAD COSTS(1C+2E) DISTRIBUTION OF OVERHEAD COSTS AMONG SERVICES` SERVICE Provided Service Purchased Service Total Overhead Overhead Costs Overhead Costs Costs 1. Home Based Intervention $3,141.11 2. Intensive Family Therapy $3,141.11 3. Sex Abuse Treatment $1,570.55 4. Day Treatment $1,591.50 5. Life Skills $14,384.71 6. County Designed Service $3,381.93 COLUMN TOTALS $27,210.91 * Formula to determine overhead cost by service: Step 1: total provided service cost(by service)x 15%= provided service overhead cost Step 2: total purchased service cost(by service)x% listed in 28 =Y $500 divided by the number of purchased service=Z, then Y+Z=overhead cost Step 3: Provided service overhead cost plus purchased service overhead cost equals total overhead cost. 28 GENERIC COST SUMMARY SHEET 1. Account Code 2. Total number of children to be served by provided services 3. Total number of children to be served by purchased services 4. Average number of children (total 2 +3+12)to be served monthly 5. Total number of families to be served 6. Average number of families to be served monthly 7. Employee FTE number(should be the total staff listed on Direct Service Delivery Page) 8. Provided cost Overhead cost(From Overhead cost summary sheet) Total provided cost 9. Monthly provided cost per child [this is determined by dividing the total provided cost by the number of children to be served from provided services and then dividing that total by the number of months the service will be provided.] 10. Purchased cost Overhead cost(From Overhead cost summary sheet) Total purchased cost 11. Monthly purchased cost per child [this is determined by dividing the total purchased cost by the number of children to be served from purchased services and then dividing that total by the number of months the service will be provided.] 12. TOTAL COST REQUESTED[Total provided cost Total purchased cost] 13. Total 80/20 service cost requested 14. Total 100%service cost requested 29 FINAL BUDGET PAGE FY 2004-2005 CORE SERVICES CHAFEE FOSTER CARE INDEPENDENCE PROGRAM CFMS Service Name Other Other Chafee Foster Total Funds Total Funds Total TOTAL Function DSS Source Care 80/20 100% FSS FUNDS Code Funds Funds Independence 100% Funds 1700 1800 1905 CHAFFEE Foster Care Independence Program(See attached) 1783 Home Based Intervention None None None $57,847.56 $34,538.04 None $92,385.60 1784 Intensive Family Therapy None None None $57,847.56 $34,538.04 None $92,385.60 1785 Lifeskills None None None $338,463.84 $84,615.96 None $423,079.80 1730 Day Treatment None None None $29,309.43 $17,499.27 None $46,808.70 1740 Sex Abuse Treatment None None None $28,923.78 $17,269.02 None $46,192.80 1850 ADAD None None None 0 $52,398.00 None $52,398.00 1845 Mental Health Services None None None 0 $97,544.00 None $97,544.00 1800 Special Economic Assistance None None None 0 $10,000.00 None $10,000.00 County Design-Purchased None None None $62,282.54 $37,185.96 None $99.468.50 Services County Design-Direct Service (FTE) County Design-TIGHT Proposal(See attached) County Design-MST Proposal (See attached) TOTALS $574,674.71 $385,588.29 $960,263.00 CFMS Function Codes 17xx denotes 80/20 funded Core Service CFMS Function Codes 18xx denotes 100%funded Core Service CFMS Function Codes 2850 Chafee Foster Care Independence Program Purchased, Direct Services and Youth Direct CFMS Function Codes 2810 Room&Board Reimbursement For Emancipated Youth CFMS Functions Codes for Family Stability Services will be determined by funding source: Child Welfare Block or County Funds. Please contact Melinda Cox at 303.866.5962 for more information. 30 STATE BOARD SUMMARY CORE SERVICES PROGRAM FY 2004-2005 80/20 FUNDING COUNTY(IES) Weld Services Resource/Provider or #of Families #Children Cost per Child Cost per Year Number of FTE Age of Child Served Per Served Per Per Month Month Month Home Based Various 0-17 8 20 $241.03 $57,847.56 Intervention Intensive Family Various 0-17 5.44 14 $344.33 $57,847.56 Therapy Lifeskills Various 0-17 59 $147.50 $191.22 $338,463.84 Day Treatment Various 5-17 0 0 0 $29,309.43 Sex Abuse Various 0-17 7.8 19.5 $123.61 $28,923.78 Treatment County Design North Colorado Medical 5-18 .63 6 Center-PsychCare, Youth PassagesNarious} County Design Foster Parent) 0-18 43 108 $45.33 $62,282.54 ConsultationNarious County Design 1 FTE(Foster Care ' Direct Service Caseworker III) County Design- 1 FTE (RTC Utilization Direct Service Caseworker III) County Design- TIGHT Proposal TIGHT Proposal County Design-MST MST Proposal Proposal TOTAL 80/20 CORE$574.674.71 31 100%FUNDING SUMMARY CORE SERVICE PROGRAM FY 2004-2005 COUNTY(IES) Weld Services Resource/Provider or #of Families #Children Served Cost per Child Cost per Year Number of FTE Age of Child Served Per Month Per Month per Month ADAD Signal Behavioral 91 226 $19.30 $52,398.00 HealthNarious Mental Health Various Providers 8 20 $406.43 $97,544.00 Special Economic Various Providers 3 20 $41.67 $10,000.00 Assistance CHAFEE Foster See attached Care Independence Home Based Various 0-17 8 20 $143.91 $34,538.04 Intervention Intensive Family Various 0-17 5.44 14 $205.58 $34,538.04 Therapy Lifeskills Various 0-17 59 $147.50 $47.81 $84,615.96 Day Treatment Various 5-17 0 0 0 $17,499.27 Sex Abuse Various 5-18 7.8 19.5 $73.80 $17,269.02 Treatment County Design- NCMC-YP Day .63 6 Purchased Services Treatment AltemativeNarious} County Design- Foster Parent) 43 108 $27.18 $37,185.96 Purchased Services ConsultationNarious County Design- 1 FTE Foster Care Direct Services Caseworker III County Design- 1 FTE RTC Utilization Direct Services Caseworker III County Design TIGHT Proposal County Design MST Proposal TOTAL 100%CORE $385,588.29 32 REQUEST FOR ADDITIONAL CORE SERVICES FUNDING PROPOSAL A restorative justice/evidence-based therapy program Teamwork,Innovation, Growth,Hope and Training (TIGHT) A Collaborative Program through the Weld County Departments of Social Services and Employment Services WELD COUNTY A. Needs Assessment: The Weld County Department of Social Services (WCDSS) provides all eight basic CORE programs. These services include Home Based Intervention, Intensive Family Therapy, Life Skills, Day Treatment, Sexual Abuse Treatment, Special Economic Assistance, Mental Health Services and Substance Abuse Treatment. The Weld County Family and Youth Commission oversees the CORE Service Plan. A recent survey study by the national firm of Vroon VanDenberg(2003) of Weld County services for children and families identified a number of general community needs and service gaps. Some of these include: (Quotes from the independent study.) • Human service cuts are beginning to erode the safety net for the poor that has been a traditional strength of the county. • Services lack individualization and cultural awareness. • Many respondents were concerned about the lack of juvenile justice diversion and felt that youth who committed crimes in the county were being given the message that they could do what they wanted to do without consequences. • Although substance abuse was seen as a major factor in human services needs, many respondents noted the lack of a comprehensive approach to substance abuse treatment for youth and parents. • No comprehensive single point of entry or common plan of care for children with co-occurring disorders. • Rates for out-of-home placements are very high in comparison to other counties and national data, although rapid county growth without increases in child welfare budget are a factor. Others have noted service gaps in Weld County that include: • Gaps in services that assist parents with skills and resources needed to address the difficulties of raising adolescent aged children. • Gaps in culturally sensitive services, especially for the county's growing population of Hispanic/Latino youth and families. • Gaps in follow-up services for families in completion of programs. 1 • Gaps in preventing out-of-home placements and commitments to DYC placements. • Gaps in the numbers of local treatment provider beds which allow families to actively participate in their youth's treatment in order to facilitate a rapid return home. • A specific gap has been identified which involves home based treatment for those adolescents placed in shelter and/or who are at risk of being placed in residential treatment centers. Over the last year several events have occurred that have dramatically affected our ability to manage at risk youth in the region. Similar to other districts in the state, the SB-94 program for the 19`h Judicial District experienced funding reductions for SFY 2004-05. In addition,juvenile probation services have also been reduced in the 19`h. These reductions will result in additional pressure in the 19th District and Weld County to place youth in either RTCs, detention, or DYC commitment. Given the budgetary constraints that exist in the county and the mandatory caps placed on the detention facility many of the at-risk youth released from the Platte Valley facility will be at risk for out of home placement. Emergency Release Procedures for adolescents in detention have begun to exacerbate this already critical situation. Finally, in recent years funding for mental health services through North Range Behavioral Health have been reduced. SB 1116 funds have been exhausted. The current Long Bill for SFY 2004-2005, if approved, will slightly increase statewide some of the mental health funding available to Weld County but this amount will likely be insufficient to cover the county's needs. Out-of-home placements and commitments of youth leave gaps in several service areas for youth. Due to the limited number of local out of home treatment slots in Weld County, families of youth receiving this type of services are asked to travel many hcurs from their homes in order to participate in their children's treatment. These placements are typically not family-focused and the family is not consistently involved in treatment due to the distances involved. These distances do not encourage participation of parents in family therapy on a regular and consistent basis. The inability of families to successfully complete family therapy in a timely manner due to time and distance issues extends the youth's out of home placement. These issues related to decreased participation in family therapy result in the youth returning home to a family system that has changed very little. Eventually, when the youth is reunited with their family, many of the issues which initially lead to placement have not been resolved and still exist in the home environment. This increases the probability that the youth will relapse, recidivate, and consequently return to the human services system. Placing youth in treatment facilities long distances from their homes also prevents the successful development of local support resources such as teachers, mentors, and local youth groups which are necessary components of treatment plans designed to prevent recidivism. In addition, out-of-home placements are often more costly than in-home and community based services. 2 Although gaps exist, a recent study by the national firm of Vroon VanDenberg of Weld County services for children and families identified a number of strengths that suggest that the county is in a great position to expand services. Among the some of the strengths identified were: (Direct quotes) • Providers are hustling to adapt to cuts in available funding, responding with innovation and new approaches. • Although Weld County is one of the fastest growing counties in the US, Human Services have made great effort to adapt as needed. • The various collaborative focused committees (Youth Net, MYAT, Workforce Development, etc.) have been well attended and focused. • Child welfare has recruited high numbers of kinship care and relative foster placements. • Child welfare has tried innovations like multi-systemic therapy and family group decision making, and solution-focused therapy. • Child welfare has worked to partner with families and children who have developmental disabilities. (Note: Other strengths were identified in this independent report.) B. County Design Description: 1. The Family Bases Services (FBS) 2. Teamwork Innovation, Growth, Hope and Training (TIGHT) Planning for this Proposal The Weld County Board of Commissioners, Department of Social Services, North Range Behavioral Health, Island Grove Regional Treatment Center, Employment Services, Juvenile Diversion Program, Families, Youth, and Children Commission, Multi- Disciplinary Youth Assessment Team (MYAT), and the Weld County Workforce Development Board have had input in the development of this proposal. Members of the Families, Youth & Children Commission Members represent private citizens, a clinic nurse, a Licensed Health Professional, kinship care, mental health, law enforcement, probation, a private attorney, the child protection team, and social services. A commitment has been made to provide the community with a proactive approach to develop positive alternatives for at risk youth and families, strengthen families, and to prevent these youth from entering the Child Welfare or Youth Corrections systems. The design that is being proposed is a collaborative effort combining a Youth Corps Program (TIGHT) with a Family Based Services (FBS)model. The program would provide at risk youth and their families with wrap around highly intensive in home and community services that would benefit the family and the community and would prevent out of home placement or incarceration. This concept is based on evidence presented through the restorative justice model which emphasizes the healing of the wounds of victims, offenders and communities caused or revealed by the criminal behaviors. 3 The Teamwork, Innovation, Growth, Hope, and Training (TIGHT) Youth Corps Program is designed to engage youth in community service activities, educational components, and life skill development activities for approximately 8 hours a day, five days a week. Service and/or volunteerism are seen as national priorities, therefore,work projects will be developed to provide the participants with first hand experience in lending a helping hand in their communities and to those in need. Crews will perform service projects in the community, centered on identified and targeted need areas related to restorative justice such as conservation and environmental projects, historical conservation, and neighborhood beautification projects. The TIGHT Program structure is based upon the highly successful model of the Weld County Youth Conservation Corps(WCYCC)/AmeriCorps Program. Participants will be placed in a crew setting with an adult crew (team) leader. The design allows for the youth to remain with this crew for a full six month period. Corps members will be exposed to a variety of service projects which directly benefit local communities and the residents of Weld County. These projects allow youth to make reparations for their behaviors and develop a mature sense of belonging to the community. Additionally, youth will be engaged in a variety of activities that promote positive development such as educational activities to increase the members skills in reading and math, team building activities, conflict resolution training,joumaling and reflection activities, first-aid training. The goal of the TIGHT Program will be to delay/eliminate the need for out of home placement by exposing participating youth to a variety of worthwhile projects within their communities, allow youth to make reparations to their community, and develop pro- social relationships with community resources. Additionally, by being engaged in activities that promote growth in self esteem and sense of community, corps members will realize that there are positive alternatives available to them and that when they make the positive choice, the service they perform has value and that they can and do make a difference in their communities. In addition to the youth's participation in the Youth Corps program, the family and the youth would agree to participate in highly structured intensive in home Family Based Services (FBS). This intervention is designed to evaluate the youth's environment, determine with the family specific attainable treatment objectives, contract treatment goals and develop a therapeutic alliance with the youth's parents. Parents are supported in developing household structure, increased monitoring and supervision of their youth, and the development of clear rules and consequences. An additional goal is to empower parents with the skills and resources needed to independently address the difficulties that arise in raising teenagers. The therapist focuses on helping parents become self-sufficient problem solvers. Intervention strategies include structural family therapy,behavioral parent training, cognitive behavioral therapies and connecting the family with appropriate community resources. Research indicates that these interventions typically improve parent discipline practices, enhance family relationships, improve school participation, 4 engage youth in pro-social recreational outlets and develop a local support network of extended family, neighbors, faith based services, and community resources. Ultimately, the goal is to alter the family system dynamics which placed the youth, and their siblings, at risk for criminal behaviors and out of home placement. The program removes bathers to services access by treating the families in the home and is more intense than traditional family therapy. II. Issue Addressed The cost of out of home placement for youth has become exorbitant, and positive alternatives should, and need to be explored. The estimated cost of placement at a Residential Treatment Facility is currently$5,300 per month. The TIGHT Program, including the costs of family based services, would be more cost effective in a number of different ways. First, there is a direct cost savings. The monthly cost per participant is less than half of what out of home placement costs are for a month. Secondly, by engaging youth in projects that have a direct and lasting benefit to their communities, the youth will make an attachment to their communities, acquire a better sense of their role as a citizen, and therefore be less likely to commit further offenses. Third, engaging youth in positive activities should have an impact on their siblings. Rather than emulating the poor decisions and destructive behaviors seen previously, TIGHT members' siblings will see their brother/sister participating in worthwhile activities and achieving positive outcomes in their lives. Through participation in citizenship classes provided by the TIGHT Program, crew members will not only understand their rights as citizens,but also their responsibilities. Finally, the intensive in home services, FBS, will address and resolve familial issues that put the youth at risk of out of home placement. Appropriate changes in the family system will encourage youth participation in the corps' team concept, improve self esteem and develop a system of support encouraging the maturation process. By engaging youth in full day positive development activities, followed by intensive family interventions, the number of youth placed in Residential Treatment Facilities (RTF), or those ordered to State detention facilities could be reduced. Additionally, the therapeutic treatment model developed by the Department of Social Services will provide the necessary family based services, treatment, and support that the youth will need to remain at home and prevent recidivism. The Department of Social Services, Employment Services and their identified treatment provider will develop an appropriate treatment plan to assist the youth and their families with identified issues. Methods to Address Issue The Program will primarily serve youth ages 14-17 years of age. Based upon identified need and the determination of the appropriateness of participation, the program may serve younger youth. The Program will operate year round and be broken into two six (6) month sessions. Each session will be designed to serve six youth. 5 The Crew Leader will be on site at the crew home base at 8 a.m. Monday through Friday for youth to be dropped off by their parent or guardian. The service day for each crew will begin at 8:30 each morning with circle-up activities to outline the day's events, discuss any issues from the previous day, and to "check-in"with the crew members to identify any pressing issues that they may have. The crew will complete their service day at approximately 2:00 p.m. and corps members will be transported to the Employment Services of Weld County Learning Lab for two hours of computerized learning activities. Educational activities will be designed to help prepare the youth to reenter school if appropriate or to prepare for the GED exams. A service day may include classes/instruction in anger management, conflict resolution, gang avoidance, pregnancy prevention through abstinence, team building, etc. Activities and services will be coordinated with the therapeutic service provider. The last thirty minutes of each day will consist of reflection and journaling activities. Youth will then be transported to their residence. It is expected that all youth will be delivered to their residence by 5:00 p.m. The TIGHT Program will not offer any before or after extended hours. The TIGHT Program is structured to have a staff:youth ratio of 1:6, therefore the maximum crew at any time will be six youth. Crews are limited to this number based upon locus of control for the crew leader in addition to safety issues regarding work projects, transporting to and from service sites, activities, etc. Crew members will be eligible for bi-weekly incentives if they adhere to the behavioral policy established for the program and if they attend as scheduled. The first four months will consist of non-cash incentives. Incentives during this time period may include such things as gift vouchers for compact discs, clothing, movie passes, etc. During the final two months of participation the youth will be eligible for cash incentives based upon attendance, participation and behavior. Youth will be able to receive a fifty dollar incentive each week which will be payable on a bi-weekly basis. It will be the goal of the program for all participants to earn an incentive for the time period they are enrolled. It is anticipated that the only loss of incentive will be due to lack of adherence to the behavioral policies and a gross negligence in attendance. The participant will be warned and counseled prior to this disciplinary measure being enforced. Exceptions for missed days will be allowed if there is a valid reason such as illness or notification in advance by the parent/guardian. Fridays of each week will be used for behavioral skill development activities. This will include activities or workshops designed to increase the youths self esteem; social skill development in public settings through activities such as visiting the Denver Zoo, the Museum of Natural History and the IMAX Theater; team participation activities; etc. The TIGHT Program will endeavor to make the Friday activities educational as well as interesting for the youth. Participants will asked for input regarding the type of activities that they would like to have and staff will take suggestions into consideration when determining activities. The crew leader will be provided a cell phone and parents/guardians will be provided the number on the first day that the child is dropped off at the home base site. 6 In the evenings, the youth and his family will work with their assigned therapist in developing a specific plan to help change maladaptive family patterns that placed the youth at risk for out of home placement. Typically, the interventions would be more frequent at the beginning of the program and become less frequent as the family made progress in treatment. Integrated into the services, the plan is designed to help the family develop a support system of extended family and community resources. Careful attention will be placed on successfully transitioning the family to other community services available to continue to support the changes that the families have chosen to make. IV Service Projects and Service Partners The Program will provide many of the participants with their first opportunity to get involved in their community. It is hoped that their experience will be the beginning of a life of positive choices and providing volunteer time to worthwhile endeavors. The TIGHT crew will work alongside the WCYCC when appropriate and will be able to experience projects that have a lasting impact. Youth will participate in multiple service projects within a session and service learning activities will take place at the project site as the opportunity arises. The crew leader will ensure that the youth link the importance of education with the world of work and provide practical application of skills whenever possible. V Transportation Plan The Program will provide transportation of youth to project sites, planned activities, and their residence. Youth will need to be dropped off at the home base as discussed in Section II. The Crew leader will then transport the crew to the project site and program activities. At the end of the service day, youth will be taken to their residence. VI Behavior Management The Program has developed a behavioral agreement and youth will be required to sign the agreement and return it prior to participation in the session. The TIGHT Program has also developed a youth contract which is discussed with each youth and their family on their first day of participation. The behavioral agreement and youth contract are included as an attachment to this plan. These will be modified as necessary to coordinate with the youth's therapeutic plan. VII Program Selection The Program is designed to serve youth who are expelled from school or who will be preparing to earn a GED. The selection of youth for the Program will be coordinated between the Departments of Social Services and Employment Services of Weld County. The best scenario would be to have a diverse crew of three males and three females with varying degrees of needs/problems. The TIGHT Program will not serve youth who are actively engaged in drug/alcohol abuse or who are sexual predators. (If youth are actively 7 engaged in treatment and/or therapy, and their therapist considers the TIGHT Program as beneficial,participation would be considered.) The youth and their family selected for the program must also contract with the Department of Social Services to successfully participate in the highly structured family based services program. VIII Budget The program budget is as follows: Teamwork Innovation,Growth,Hope and Annual Salary Rate #of Amount Required Training Months FTE PERSONNEL: Crew Leader $29,292.49 12 100% $29,292.49 Team Leader Director FRINGE BENEFITS RATE=30% Crew Leader $ 8,787.75 12 100% $ 8,787.75 Team Leader Director OVERHEAD $6,000.00 OPERATING,EQUIPMENT,SUPPLIES: Operating: Assessment tests such as EA,VPI,A&P,Lab costs for basic skills,remedial education $12,719.00 etc Incentives: Certificates, cash etc $31,200.00 Crew clothing:2 short sleeve shirts, 1 long sleeve,1 sweat shirt. 1 pair pants, 1 pair boots(cost @ $3,000.00 250 per crew member x 12 members) $9,000.00 Behavioral Skill Activities: TRANSPORTATION: Transportation Costs $20,000.00 SUB TOTAL $120,000.00 Family Based Services #of Families Service Rate per Hr Hours of Service Sub Total 12 $40.00 60 $28,800.00 Total $148,800.00 If this grant were awarded, Weld County would contract with existing providers who's therapists have attained a Masters level or higher in clinical experience. This intensive long term in home service combined with a youth corps for adolescents at risk of out of home placement is currently not available in Weld County. Implementation would request startup time to ensure the provider(s)have the capacity to provide services. Possible FBS providers would be the Ackerman and Associates and Youth Passages both of which have excellent reputations for providing evidence based family interventions. 8 Initial discussions with these providers suggest they would be interested in providing intensive in home services. Employment Services would provide the TIGHT component. E Projected Outcomes: The U.S. Department of Justice, Office of Juvenile Justice and Delinquency Prevention Research Report "Desktop Guide to Good Juvenile Detention Practice, indicates that there are five categories that current research has identified as causes and correlates of delinquency. This project strongly addresses two of those categories by attaching youth to computerized assisted educational programs, and by exposing them to the world of work. The youth will be exposed to projects that are designed to correct some of the damages that they have inflicted upon the community. This concept is based on evidence presented through the restorative justice model emphasizing the healing of the wounds of victims, offenders and communities caused or revealed by the criminal behaviors. The intensive in-home services to be provided by eligible youth and their families would be an outcome-driven prevention\intervention program to address a range of acting out behaviors which place the child at risk for out of home placement or involvement with the juvenile justice system. The goal of the intervention would be to stabilize the family system at the time of crisis, assess and address system issues related to the child's behaviors, and transition the family to an appropriate community resource for continued interventions. Another goal of the intervention would be to prevent younger siblings in these families from penetrating the system. The County Design will serve, on average, 6 families each month. This is an intensive program providing an average length of intervention of six months with daily contact to achieve the necessary behavioral changes. With a small client to therapist ratio (FBS 3:1 and TIGHT 6:1), and a course of treatment lasting six months the Department expects to provide services to 12 families the first year Outcome measurement is incorporated into the design, thus the FBS provider will be collecting outcome (results) data for each case as part of its normal operations. Typically FBS providers will monitor outcomes such as arrests, school achievements, adjudications, or other areas identified as important. These data will shared with the MYAT, Weld County Family and Youth Commission, and Weld County DSS, and Employment Services on an on-going basis. In addition, if additional funding is received, the Weld County Department of Social Services and Employment Services will be monitoring: • Assessment scores of pre-and post FBS in home services. • Comparative costs of FBS in home services vs. out-of-home placements. • Additional involvements of any type with social services, mental health, DYC, or other systems following services. • Percent of siblings who do not enter the system following intervention. 9 • Out-of-home placement rates (DYC/CW) following services compared to rates for youth not receiving services. • Numbers of new D&N petitions filed following FBS services compared to similar families not being served by this program. • Tracking the cost of services. • Level of recidivism after participation. • Attitude towards community and out comes of community resource participation. 10 REQUEST FOR ADDITIONAL CORE SERVICES FUNDING PROPOSAL MULTISYSTEMIC THERAPY WELD COUNTY A. Needs Assessment: The Weld County Department of Social Services (WCDSS) provides all eight basic CORE programs. These services include Home Based Intervention, Intensive Family Therapy, Life Skills, Day Treatment, Sexual Abuse Treatment, Special Economic Assistance, Mental Health Services and Substance Abuse Treatment. The Weld County Family and Youth Commission oversees the CORE Service Plan. A recent survey study by the national firm of Vroon VanDenberg(2003) of Weld County services for children and families identified a number of general community needs and service gaps. Some of these include: (Quotes from the independent study.) • Human service cuts are beginning to erode the safety net for the poor that has been a traditional strength of the county. • Services lack individualization and cultural awareness. • Many respondents were concerned about the lack of juvenile justice diversion and felt that youth who committed crimes in the county were being given the message that they could do what they wanted to do without consequences. • Although substance abuse was seen as a major factor in human services needs, many respondents noted the lack of a comprehensive approach to substance abuse treatment for youth and parents. • No comprehensive single point of entry or common plan of care for children with co-occurring disorders. • Rates for out-of-home placements are very high in comparison to other counties and national data, although rapid county growth without increases in child welfare budget are a factor. Others have noted service gaps in Weld County that include: • Gaps in services that assist parents with skills and resources needed to address the difficulties of raising adolescent aged children. • Gaps in culturally sensitive services, especially for the county's growing population of Hispanic/Latino youth and families. • Gaps in follow-up services for families in completion of programs. • Gaps in preventing out-of-home placements and commitments to DYC placements. • Gaps in the system's approach services, such as MST, in working with families. Over the last year several events have occurred that have dramatically affected our ability to manage at risk youth in the region. Our local SB-94 Planning Committee budget was significantly reduced. This reduction allows for the provision of intake services, assessment, and pretrial case management only. The Probation Department was forced to reduce its staff. Additionally there has been a statewide capitation of detention placements. This situation will require significant coordination of resources within the community. The majority of at risk youth in the community are clients of the Probation Department, the Department of Human Services and North Range Behavioral Health. Given the budgetary constraints that exist in the county and the mandatory caps placed on the detention facility many of the at-risk youth released from the Platte Valley facility will be excellent candidates for Multisystemic Therapy. Similar to other districts in the state, the SB-94 program for the 19th Judicial District experienced funding reductions for SFY 2004-05. In addition,juvenile probation services have also been reduced in the 19th. These reductions will result in additional pressure in the 19th District and Weld County to place youth in RTCs, detention, or commitment, who otherwise might be served with early invention safely in the community. All of these alternatives are more costly and less effective in the long run than MST services. Finally, in recent years funding for mental health services through North Range Behavioral Health have been reduced. The current Long Bill for SFY 2004-2005, if approved, will statewide slightly increase some of the mental health funding available to Weld County but this amount will likely be insufficient to cover the county's needs. Out-of-home placements and commitments of youth leave gaps in several service areas for youth. These placements are typically not family-focused and the family is not involved in treatment. In addition, out-of-home placements are most costly than in-home and community based services. Eventually, when the youth returns to the family, many of the prior issues that lead to the initial placement have not been addressed. This increases the probability that the youth will relapse, recidivate, and consequently return to the human services system. Although gaps exist, a recent study by the national firm of Vroon VanDenberg of Weld County services for children and families identified a number of strengths that suggest that the county is in a great position to expand services. Among the some of the strengths identified were: (Direct quotes) • Providers are hustling to adapt to cuts in available funding, responding with innovation and new approaches. • Although Weld County is one of the fastest growing counties in the US, human services have made great effort to adapt as needed. • The various collaborative focused committees (Youth Net, MYAT, etc.) have been well attended and focused. • Child welfare has recruited high numbers of relative foster placements, especially grandparents. • Child welfare has tried innovations like multi-systemic therapy and family group decision making, and solution-focused therapy. • Child welfare has worked to partner with families and children who have developmental disabilities. (Note: Other strengths were identified in this independent report.) B. County Design Description: Planning for this Proposal The Weld County Board of Commissioners, Department of Social Services,North Range Behavioral Health, Island Grove Regional Treatment Center, Employment Services, Juvenile Diversion Program, Families, Youth, and Children Commission, Multi- Disciplinary Youth Assessment Team (MYAT), and the Weld County Workforce Development Board have had input in the development of this proposal. Members of the Families, Youth & Children Commission Members represent private citizens, a clinic nurse, a Licensed Health Professional, kinship care, mental health, law enforcement, probation, a private attorney, the child protection team, and social services. The Weld County Board of Commissioners, Department of Social Services,North Range Behavioral Health, Island Grove Regional Treatment Center, Employment Services, Juvenile Diversion Program, and the Weld County Workforce Development Board entered into an agreement to develop and implement the Multi-Disciplinary Youth Assessment Team (MYAT). These parties committed in 2002, in part, to provide one FTE from each organization in the development of the Multi-Disciplinary Youth Assessment Team through a two-year phase-in plan. A commitment has been made to provide the community with a proactive approach to develop positive alternatives for at risk youth and families, strengthen families, and to prevent these youth from entering the Child Welfare or Youth Corrections systems. While this collaborative program has a yearly budget to help facilitate participating families involvement in utilizing community resources, the program does not have the necessary funds to provide a small number of families with intensive in-home intervention. These interventions would be designated for families experiencing a high level of crises and be designed to prevent out-of-home placement while the family is getting involved in community resources. to,*The County is requesting to fund 10 MST slots per month at the rate of$1061.2 nth 1i) per family. The annual cost would be $127,346.00. ( To 40, Support for MST—An Evidence Based Practice trbei, V6 Pt) \� 2� MST is a well-validated treatment model with proven success in prevent! out- ome /� placements and reducing days in out-of-home placements. MST is a home-based model providing therapeutic support to juvenile offenders with serious antisocial behavior and their families. This is an intensive program lasting three months with daily or weekly contact to achieve the necessary behavioral changes. With a small client to therapist ratio (4:1 — 6:1), a course of treatment lasting three months, and an initial funding cycle of twelve months, we are expecting the expanded service will serve a total of 40 youth. Weld County had access to MST through Alternative Homes for Youth but this provider no longer offers MST as a service option. MST has considerable valid research supporting its effectiveness for some youth and families. CDHS Agency Letter CW-04-09-A (March 11, 2004) lists Multisystemic Therapy is identified as an acceptable service that qualifies for additional evidence based practice. In addition, Research from the University of Colorado's Blueprints Project (www.colorado.edu/cspv/blueprints),Office of Juvenile Justice Delinquency Prevention (OJJDP), Washington State Institute for Public Policy, Centers for Disease Control and Prevention, and a Report of the Surgeon General (1999). Further information on the cost effectiveness of MST services can be found at the COMST website at www.colomst.org. If this grant were awarded, Weld County would contract with an existing certified MST provider for services. This intensive service (MST) is currently not available in Weld County. Implementation would request startup time to ensure the MST provider(s) have the capacity to provide services. One possible provider would be the Larimer Center for Mental Health, which has an excellent reputation for providing MST services. Initial discussions with the Center suggest it would be interested in providing MST services if arrangements can be worked out. The Larimer Center for Mental Health's MST program currently has 4.5 FTE therapists and one supervisor. Adding new Weld County youth would require the Center to change staffing and supervisory patterns (add staff) to remain in compliance with the MST guidelines. The long-term plan would be to build the capacity to provide MST services locally,possibly through Larimer Center for Mental Health or North Range Behavioral Health. This also would be contingent on a prior or future site assessment by Colorado MST. Youth and families who might be suitable for MST services, regardless of provider, would be identified by the Youth in Conflict manager. If the grant is funded, the existing MYAT would be expanded to include a member from a MST provider to help ensure that MST services are appropriate similar to the model used at the Apache Behavior Health Site in Arizona that has the provider participate in the multi-disciplinary team. The County Design will serve 40 adolescents and will reduce the need for 40 residential services during the additional funding period. Follow-ups with the families by the MST provider staff will monitor whether the child enters the system and whether additional community resources were accessed during the year following MST's intervention. The eligible population to be served would include youth, aged 10-17, who are not on probation and who do not have an open case with the Department of Social Services, and whose families have an annual income of less than $75,000.00. MST services would be offered to families who are at a crisis point that potentially would require an out-of-home placement of the child if immediate in-home services are not available and when MST is deemed appropriate. A typical caseload for the MST therapist would be five families during a three month period with a worker supervisor ratio of 1:2. Workers contracted for services would be at a Masters level or higher in clinical experience and would have completed relevant MST training. MST therapists would assess the family's needs, preparing a treatment plan, and preparing the family's transition to appropriate community resources upon a reasonable stabilization of the family's issues. E. Projected Outcomes: The intensive in-home services to be provided by MST to eligible youth and their families would be an outcome-driven prevention\intervention program to address a range of acting out behaviors which place the child at risk for out of home placement or involvement with the juvenile justice system. The goal of the intervention would be to stabilize the family system at the time of crisis, assess and address system issues related to the child's behaviors, and transition the family to an appropriate community resource for continued interventions. Another goal of the intervention would be to prevent younger siblings in these families from penetrating the system. Outcome measurement is incorporated into the design requirements of MST services, thus the MST provider will be collecting outcome (results) data for each case as part of its normal operations. Typically MST monitors outcomes such as arrests, school achievements, adjudications, or other areas identified as important. These data will be shared with the MYAT, Weld County Family and Youth Commission, and Weld County DSS on an on-going basis. In addition, if additional funding is received, the Weld County Department of Social Services will be monitoring: • Assessment scores of pre-and post MST services. • Comparative costs of MST vs. out-of-home placements. • Additional involvements of any type with social services, mental health, DYC, or other systems following MST services. • Percent of siblings who do not enter the system following MST intervention. • Out-of-home placement rates (DYC/CW) following MST services compared to rates for youth not receiving MST services. • Numbers of new D&N filed following MST services compared to similar families not being • Tracking the cost of MST services. CORE SERVICES and CHAFEE FOSTER CARE INDEPENDENCE, PROGRAM PLAN FY 2004-2005 FOR WELD COUNTY REQUEST FOR STATE APPROVAL OF PLAN If this box is checked please complete all portions of the plan related to Chafee Foster Care Independence Program (CFCIP),otherwise all statements throughout this document will be considered not applicable. This Core Services Plan is hereby submitted for [Indicate county name(s)and lead county if this is a multi-county plan],for the period June 1,2004,through May 31,2005. The Plan includes the following: Completed"Statement of Assurances"; 4) Completed Statement of the eight(8)required Core services to be provided or purchased and a list of county optional services,County Designed Program Services,to be provided or purchased; 4) Completed program description of each proposed"County Designed Service"; 4) Completed"Information on Fees"form; 4) Completed"Direct Service Delivery"form; 4) Completed"Purchase of Service Delivery"form; Completed"Projected Outcomes"form; 4) Completed"Overhead Cost"form; Completed"Final Budget Page"form; h Completed"State Board Summary";and, rh Completed"100%Funding Summary"form. This CFCIP plan is hereby submitted for WELD [Indicate county name(s) and lead county if this is a multi-county plant,for the period July 1,2004,through June 30,2005. The Plan includes the following: Completed"Request for State Approval"form $ Completed"State of Assurances"form 4) Completed"Chafee Foster Care Independence Program" format Completed"Direct Service Delivery" and/or"Purchased Service Delivery"form 4) Completed"Youth Direct" form $ Completed"Final Budget page" This Core Services and Chafee Foster Care Independence Program Plan has been developed in accordance with State Department of Human Services rules and is hereby submitted to the Colorado Department of Human Services,Division of Child Welfare Services for approval. If the enclosed proposed Core Services and/or Chafee Foster Care Independence Program Plan is approved,the plan will be administered in conformity with its provisions and the provisions of State Department rules. The person who will act as primary contact person for the Core Services Plan is, and can be reached at telephone number . The primary contact person for CFCIP is_Mark Lindquist and can be reached at telephone number 970-352-1551 ext 6245 If two or more counties propose this plan,the required signatures below are to be completed by each county, as appropriate. Please attach an additional signature page as needed. Signature,DIRECTOR,COUNTY DEPARTMENT OF SOCIAL SERVICES DATE Signature,CHAIR,PLACEMENT ALTERNATIVES COMMISSION DATE Signature,CHAIR,BOARD OF COUNTY COMMISSIONERS DATE 2 CORE SERVICES STATEMENT OF ASSURANCES WELD County(ies) assures that, upon approval of the Core Services-Chafee Foster Care Independence Program Plan the following will be adhered to in the implementation of the Plan: Core Services Assurances: • Operation will conform to the provisions of the Plan; • Operation will conform to State rules; • Core Services Program Services, provided or purchased, will be accessible to children and their families who meet the eligibility criteria; • Operation will not discriminate against any individual on the basis of race, sex,national origin, religion, age or handicap who applies for or receives services through the Core Services program; • Services will recognize and support cultural and religious background and customs of children and their families; • Out-of-state travel will not be paid for with Core Services funds; • All forms used in the completion of the Core Services plan will be State prescribed or State approved forms; • Core 11'h/Personal Services costs authorized for reimbursement by the State Department will be used only to provide Core Services authorized in the county(ies)' approved Core Services Plan; • The purchase of services will be in conformity with State purchase of service rules including contract form, content, and monitoring requirements; and • Information regarding services purchased or provided will be reported to the State Department for program, statistical and financial purposes. 1 CHAFEE FOSTER CARE INDEPENDENCE PROGRAM PLAN STATEMENT OF ASSURANCES WELD County(ies) assures that, upon approval of the Core Services-Chafee Foster Care Independence Program Plan the following will be adhered to in the implementation of the Plan: Chafee Foster Care Independence Program statement of assurances: • Funds shall be used exclusively for the purposes specified in the plan; • Funds shall not be used to supplant, duplicate or replace existing child welfare funds and; • Funds shall not be used for county budget shortfalls; • Assistance and services will be provided to youth who have left foster care because they have attained 18 years of age, and have not attained 2lyears of age [Section 477(b)(3)(A)]; • Not more than 30 percent of the amounts allocated for CFCIP for a fiscal year will be expended for room and board for youth who have left foster care because they have attained 18 years of age, and have not attained 21 years of age [Section 477(b)(3)(B)]; • None of the amounts paid to the County Department from its allocation will be expended for room and board for any child who has not attained 18 years of age [Section 477(b)(3)(C)]; • The County Department will make every effort to coordinate the CFCIP program receiving funds with other Federal and State programs for youth(especially transitional living youth projects funded under part B of title III of the Juvenile Justice and Delinquency Prevention Act of 1974); abstinence education programs,local housing programs,programs for disabled youth(especially sheltered workshops),and school-to-work programs offered by high schools or local workforce agencies [Section 477(b)(3)(F)]; • Adolescents participating in the program under this section will participate directly in designing their own program activities that prepare them for independent living and the adolescents will be required to accept personal responsibility for living up to their part of the program[Section 477(b)(3)(H)]; and • The County Department agrees to enforce standards and procedures to prevent fraud and abuse in the programs carried out under the plan. 2 WELD COUNTY'S CHAFEE FOSTER CARE INDEPENDENCE PROGRAM SERVICE NARRATIVE SUMMARY 2004-2005 1.This is not a regional plan. 2.Identify the populations to be served using the table on page 36 of this plan. 3.Describe the process for identification and outreach to eligible CFCIP participants.Be specific for each population listed above. For youth ages less than 16-21 in foster care,Division of Youth Corrections, or emancipated from foster care. • Youth matclUng these criteria previously in care with Social Services can be identified through TRAILS. • Information will be sent out to foster parents and shared through the Weld County Foster Parent Association. • Flyers will be sent out to Social Services staff and Division of Youth Services staff They will be asked to supply the referral form to the Independent Living Workers. • Youth who are presently residing out of Weld County,their names and information will be sent to the Independent Living Worker of the county they are now residing. 4.Program Narrative-Weld County will deliver services to achieve the purposes of: A. Helping youth make the transition to self-sufficiency. Independent Living Education and Aftercare Support Groups are offered for the youth ages 16-21.These groups offer skills training for self-sufficiency and support. Funding is designated for these groups to provide snacks and prizes to promote participation. Individualized training will be provided if needed. Emancipation Economic Assistance allows youth emancipating from foster care to receive a stipend to assist with the financial costs of moving such as deposits, acquiring furniture etc.The total amount allotted to each youth is based on individual need but the maximum amount is$800.This will allow Weld to service 17+youth.This expenditure will be approved by the Independent Living Worker and the Youth Services Supervisors. Weld has been utilizing the CORE Services Special Economic Assistance for this,but that fund is frequently overspent.With the approval of this money,we can increase the amount provided to each youth and decrease the stress on the CORE Services Budget. B. Helping youth receive the education,training and services necessary to obtain employment. The Independent Living Workers will refer youth to appropriate educational services offered in the community such as pubic school, special education assessment,Transitional Education Program, tutoring through AIMS,UNC, Rodarte Center or private programs, alternative schools, GED Programs offered in a variety of settings,Job Corps, vocational training offered by AIMS,TANF Programs(if the youth is eligible), etc. The Independent Living Workers will refer youth to appropriate employment services to assess for appropriate employment interests,obtain skills and become employed. These may include services offered by Employment Services,Vocational Rehabilitation and AIMS. C. Helping youth prepare for and enter post-secondary training and education institutions. The Independent Living Workers will promote the necessity of post-secondary training and education by helping youth research employment opportunities and the requirements for them.They may take youth to visit post-secondary training and education alternatives, assist with completing forms and or financial aid.The workers may refer youth to AIMS or the Educational Opportunity Center. D. Providing personal and emotional support to youth through mentors and the promotion of interactions with dedicated adults. The Independent Living Workers will offer Independent Living Groups.These will provide the youth support, ongoing training in self-sufficiency and an opportunity to meet different people or groups within the community. Weld continues to seek mentors for the mentoring program involving adult volunteers mentoring the youth living on their own. 1 E. Providing financial,housing, counseling,employment,education, and other appropriate support and services to former foster care recipients between 18 and 21 years of age.Room and Board payments can only be used for youth,ages 18-21,who emancipated from foster care on or after their 18th birthday. The Independent Living Workers will refer youth to appropriate community agencies for assistance in these areas. Through the grant,for a total of$5,700.00,Social Services will offer temporary Emergency Economic Assistance when all other resources have been exhausted or are unavailable.The goal of the use of these funds is to continue to encourage the youth to be self-sufficient,provide a temporary safety net for unexpected needs and help youth avoid homelessness.These funds cannot be used for purposes of room and board but for items such as new work boots, employment license fee, assist temporarily with emergency medical co-pay fees,tuition for training or a class for employment.The amount will not exceed$600.00 per year per youth and are only available, as the funds are available.Payment will be made through a voucher. This expenditure will be approved by the Independent Living Worker and the Youth Services Supervisors. Through the grant,for a total of$7,000.00, Social Services will offer temporary Emergency Room and Board Assistance when all other resources have been exhausted or are unavailable.The goal of the use of these funds is to continue to encourage the youth to be self-sufficient,provide a temporary safety net for unexpected needs and help youth avoid homelessness. These funds can be used for purposes of temporary housing,rental deposit,and food.The amount will not exceed$600.00 per year per youth and are only available, as the funds are available. Payment will be made through a voucher.This expenditure will be approved by the Independent Living Worker and the Youth Services Supervisors. F. Helping youth make life-long connections through relationships with caring adults that will be available for them after they leave foster care. Independent Living Workers will begin encouraging this at the time of initial contact at sixteen years of age. Group topics will include maintaining relationships,techniques for reaching out to others and developing their own social traditions. During the period of initial involvement Independent Living Workers will begin speaking to and educating the foster and adoptive parents,the placement staff and the caseworkers regarding the importance of their continuing involvement after youth leave their home or placement and emancipate. The Department in conjunction with the new ASFA regulations will encourage caseworkers to explore with the youth, the family,the placement and research the case for these life-long connections and documenting these for the youth. 5. Describe your plans for networking and partnering with foster and adoptive parents,group home workers and caseworkers regarding the needs of youth preparing for independent living. During the period of initial involvement Independent Living Workers will begin speaking to and educating the foster and adoptive parents,the placement staff and the caseworkers regarding the importance of their continuing involvement after youth leave their home or placement and emancipate. Caseworkers will receive progress reports twice a year and a discharge report when the program has been completed or terminated. 6. Describe your efforts at involving the public and private sectors in your CFCIP planning process as well as direct care service provision. Independent Living Workers will be referring youth to both public and private agencies as resources.By referring youth to these programs already in the community and not directly providing the service, youth will learn how to seek out such services in the future on their own. These services may include:University of Northern Colorado,AIMS Community College,area school districts,Educational Opportunity Center, the local Community Center Board-Centennial Developmental Services, Colorado Vocational Rehabilitation Services,Weld Human Resources/Employment Services, Job Corps,Department of Social Security,Weld Health Department, Sunrise Community Health Center,Plan de Salude Clinics,Planned Parenthood,Colorado Child Health Plan,Medicaid,North Range Behavioral Health,UNC Counseling Center,North Colorado Medical Center,North Colorado Psychcare, Island Grove Regional Treatment Center,Alcoholics Anonymous,Narcotics Anonymous,AL-ANON,Right to Read,Local Military Recruiters,Youth Link,Greeley Recreation Center,Rodarte Center,Boy's and Girl's Club,Partners, Support Groups,Women,Infants and Children Food Program,Weld Food Bank, Child Advocacy Resource and Education, First Steps,Bright Beginnings, Salvation Army,Transitional House, Guadelupe Center,A Woman's Place, etc. 2 • Individuals and groups from both the public and private sector will be invited as speakers to the groups or may be visited by the group. 7. Describe how youth are involved in the CFCIP planning process. Weld's Independent Living Program: The Independent Living Aftercare Program is a voluntary program offered to youth, ages 16-18 previously in foster care after the age of sixteen through either Social Services or Division of Youth Services. Youth receive an assessment. Considering the strengths and weaknesses identified in the assessment,the worker and the youth will develop a plan in which their needs may be met. Monthly contact with the Independent Living Worker or the case will be closed.This contact may include attendance in a group, a scribbled note, a telephone call or message on voice mail. Weld's Independent Living Aftercare Program: The Independent Living Aftercare Program is a voluntary program offered to youth, ages 18-21 previously in foster care after the age of sixteen through either Social Services or Division of Youth Services. Some financial programs are designated for only those youth, ages 18-21,who emancipated from care on or after their 18th birthday.These youth may choose to stop involvement and refer themselves again at a later date. Youth that were not involved previously in Colorado's Independent Living Program after it is verified they have previously been in foster care after the age of sixteen will receive an assessment.Youth previously open in an Independent Living Program in another county, will authorize their information be forwarded to Weld County. The youth will work with the Independent Living Worker in establishing a time-limited, goal oriented plan.A youth may establish and complete several plans between 18-21 years of age. One criterion that will be required in all plans is the youth will maintain monthly contact with the Independent Living Worker or the case will be closed.This contact may include attendance in a group, a scribbled note, a telephone call or message on voice mail. • DIRECT SERVICE DELIVERY VIE SERVICES CHAFEE FOSTER CARE INDEPENDENCE PROGRAM CFMS—Program Code E010, Function Code 2850 Definition 7305.4 The purpose of the Chafee Foster Care Independence Program is to provide Independent Living resources to youth in out-of-home care who are at least 16 years of age. The services shall supplement existing Independent Living resources and programs. Indicated information for each line service worker for whom CFCIP funding is proposed in whole or in part. Include only amounts that are to be charged to Independent Living. 1 2 3 4 5 6 7 8 9 10 Position Job Title Gross Monthly Monthly Monthly Percent of Total Monthly Number Total Direct Number Monthly Fringe. Travel Operate/ Salary Direct Service of Service Cost Salary Training ' Funded by Cost Months (9x8x7) 2850 (3+4+5+6) of Cost .5 Caseworker III $2,067.76 $467.65 $50.00 $20.00 100% $2605.41 12 $31,264.92 .5 Caseworker III $1907.34 $373.66 $50.00 $20.00 100% $2351.00 12 $28,212.00 TOTAL: _$59,476.92 33 YOUTH DIRECT SERVICE CHAFEE FOSTER CARE INDEPENDENCE PROGRAM CFMS—Program Code E010, Function Code 2850 Definition 7.416.1 E - Youth Direct Services shall be used according to federal guidelines as incentives for completing goals in the plan for transition to Independent Living and other expenditures that will assist youth to emancipate and for which no other funding sources exist. Indicate information for each provider from whom CFCIP services are proposed to be purchased. 1 2 3 4 5 7 Provider Clients to be Number of Payment Rate Cost Per Total Cost Per Name Served Clients Served per Unit of Month Provider Per Month Service (4 x 5) Independent Living Groups 80 34 $54.38(W) $217.50 $2610.00 Independent Living Support 30 7 $93.75 (W) $375.00 $4500.00 Groups Emergency Economic 12 1 $475.00 $475.00 $5700.00 Assistance • Mentoring Program 5 1 $83.33(M) $83.33 $1000.00 Emancipation Economic 15 1.25 $666.66 $833.33 $10,000.00 Assistance • TOTAL: $23,810.00 35 CAFEE FOSTER CARE INDEPENDENCE PROGRAM POPULATION TO BE SERVED COUNTY(ies)* WELD Number to be Served Youth in out-of-home care, under the age of 16, who have a current permanency goal of Other Planned 20 Permanent Living Arrangement/long term foster care Youth in out-of-home care, age 16-21 who have a current permanency goal of Other Planned Permanent 30 Living Arrangement/ emancipation Youth in out-of-home care, age 16-21, who have a current permanency goal of Other Planned Permanent 10 Living Arrangement/long term foster care 15 Young adults age 18-21, who emancipated from foster care on or after their 18th Birthday. 20 Youth age 16-21,who meet community placement requirements for the Division of Youth Corrections 95 TOTALS *If you are part of a region please list all the counties for the region,the population serviced and number of eligible should be for all counties in the region. 36 ROOM AND BOARD REIMBURSEMENT FOR OVER 18 POPULATION CILAFEE FOSTER CARE INDEPENDENCE PROGRAM CFMS—Program Code E010, Function Code 2810 Defmition: Reimbursement for room and board is available to young adults, ages 18-21, that emancipated from foster care on or after their 18th birthday. Indicate information for the number of young adults for whom reimbursement is to be provided. 1 2 3 4 5 7 Provider Clients to be Numbers of Payment Rate per Cost per Month Total Cost Per Name Served Clients Served per Unit of Service (4 x 3 ) Provider Month WCDSS 18 1.5 $388.89 $583.33 $7,000.00 TOTAL: $7,000.00 37 Total Budget for Weld Independent Living Program 2004-2005 Name #Clients Monthly Clients Rate per Unit Cost per Month Total Cost Of service per Program Independent Living Groups 80 34 $54.38(W) $217.50 $2610.00 Independence Support Groups (Aftercare) , 30 7 $93.75 (W) $375.00 $4,500.00 Emergency Economic Assistance 12 1 $475.00 $475.00 $5,700.00 Mentoring Program 5 1 $83.33 (M) $83.33 $1,000.00 Emancipation Economic Assistance 15 1.25 $666.66 $833.33 $10,000.00 Room &Board Reimbursement 18 1.5 $388.89 $583.33 $7,000.00 FTE Gross Monthly Monthly Monthly Monthly Total Monthly Number of Months Total FTE Salary Fringe Travel Operate/Training Direct Service Cost Cost .5 $2067.76 $467.65 $50.00 $20.00 $2605.41 12 $31264.92 .5 $1907.34 $373.66 $50.00 $20.00 $2351.00 12 $28,212.00 Weld's Total: $90,286.92 FINAL BUDGET PAGE FY 2004-2005 CORE SERVICES CHAFEE FOSTER CARE INDEPENDENCE PROGRAM CFMS Service Name Other Other Chafee Foster Total Total TOTAL Function DSS Source Care Funds Funds FUNDS Code Funds Funds Independence 80\20 100% Funds Weld 0 0 $90,286.92 0 $90,286.92 TOTALS 0 0 $90,286.92 $90,286.92 CFMS Function Codes 17xx denotes 80/20 funded Core Service CFMS Function Codes 18xx denotes 100%funded Core Service CFMS Function Codes 2850 Chafee Foster Care Independence Program Purchased,Direct Services and Youth Direct CFMS Function Codes 2810 Room&Board Reimbursement For Emancipated Youth CFMS Functions Codes for Family Stability Services will be determined by funding source: Child Welfare Block or County Funds. Please contact Melinda Romero at 303.866.5962 for more information. 26 CORE SERVICES AND CHAFEE FOSTER CARE INDEPENDENCE March 29, 2004 2. Please provide and or clarify how your county plans to provide the following: How will your county provide age appropriate services to youth under the age of 16 years. (Please see Volume VII 7.305.42 B) Response: The WCDSS will continue to utilize quarterly supervisor reviews and foster care reviews to maintain awareness regarding permanency of youth 16 years of age or younger in order to assure that they are referred to the Independent Living Program when appropriate. The county continues to promote the search for permanence for all youth in placement regardless of age. This is demonstrated through the Department's policy requiring the attachment of the 3A addendum to all court reports when the youth's permanency goal is anything other than remain home. The assigned caseworker completes the 3A Addendum and two supervisors sign off on it. Question 7 on the 3A Addendum refers to the efforts to obtain permanence for those youth who are not able to utilize any of the other ASFA approved permanence goals. Planning for transitional services,which includes the participation of the Chafee workers, begins with the completion of the 4D. However,barriers to permanence for youth with any permanency goal other than remain home will continue to be evaluated at a minimum of every six months in court. Mark Lindquist Youth Services Manager II Weld County DSS ce DEPARTMENT OF SOCIAL SERVICES P.O. BOX A GREELEY, CO. 80632 1 Website: www.co.weld.co.us Administration and Public Assistance(970)352-1551 Child Support(970)352-6933 O • COLORADO MEMORANDUM TO: Robert D. Masden, Chair Date: April 30, 2004 Board of County Commissioners FR: Judy A. Griego, Director, Social Services)(101,()Ct RE: Three-Year Core Services and Chafee Foster Care Independence Program Plan for FY2004-2005, FY2005-2006, and FY2006-2007 Enclosed for Board approval is the three-year Core Services and Chafee Foster Care Independence Program Plan for FY2004-2005,FY2005-2006, and 2006-2007. The plan was discussed and reviewed at the Board's Work Session of April 26, 2004. The major provisions of the Plan are as follows: 1. Core Services Plan. A. Basic Plan. The Core Services Plan incorporates the eight basic services for Child Welfare families, youth and children including Home Based Intervention, Intensive Family Therapy, Life Skills, Day Treatment, Sexual Abuse Treatment, Special Economic Assistance, Mental Health Services, and Substance Abuse. The total amount allocated to the Department for FY2004-2005 will be $960,263, including 100% (Federal/State) and 80% (Federal/State)/20% (Local). B. County-Designed Programs. The Plan expands Weld County's efforts to deter placement in Residential Treatment Centers (RTCs), to increase quality of RTC treatment plans and outcomes, and to shorten the stay of a child/youth in an RTC through one FTE to conduct utilization review of RTCs, and one FTE in foster care home development for the most difficult children and youth. C. County-Designed Programs—Expansion Grants. The Department is submitting two grants under$1.5 million competitive funding [80% (Federal/State)/20% (Local)], which is required to be incorporated in the Core Services Plan. The grants are prevention programs to reduce the high costs of residential services or a step-down model from residential services to shorten the duration and costs. These plans would be separately funded through this competitive funding as follows: 2004-1273 MEMORANDUM Page 2 Commissioner Masden April 30, 2004 1) Teamwork,Innovation, Growth, Hope and Training (TIGHT) Program.The TIGHT Program is a collaborative program through the Weld County Department of Social Services and Employment Services. The TIGHT Program is a model that combines a restorative justice approach with a family based therapeutic services. The restorative justice approach is the Youth Corps Program managed by Employment Services. The family based therapeutic services will be managed by the Department through service providers who will respond to a Request for Qualified Bidders. The program intends to serve 12 families per year. The youth, aged 14 through 17, who will participate will be those expelled from school or who will be preparing to earn a GED. Program Budget is $148,800 per year. 2) Multisystemic Therapy(MST). The MST program is an evidence based therapy model. The Program Budget is $127,346 to fund 10 MST slots per month for services with families and youth. The Department would contract with the Larimer County Mental Health Agency or other certified providers. 2. Chafee Foster Care Independence Program Plan. The Chafee Foster Care Plan is a continuation of past year's efforts. It provides independent living services to youth in out-of-home care,primarily aged 16 through 18. There are specific services to youth under 16 years of age and up to 21 years of age. The total amount allocated for FY2004- 2005 will be $90,286.92. If you have any questions,please telephone me at extension 6510. Hello