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Home My WebLink About820709.tiff RESOLUTION RE: APPROVAL OF AMENDMENT TO 1982 - 1983 PLACEMENT ALTERNATIVE PLAN AND AUTHORIZATION FOR CHAIRMAN 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 1982 - 1983 Placement Alternative Plan was approved, and signed by the Chairman of the Board of Weld County Commissioners, which Plan to be for the period of June 30, 1982, through June 30, 1983, and WHEREAS, an amendment to said Plan has been presented to the Board with the planned implementation date for the amendment to be January 1, 1983 , and WHEREAS, the Board, after review, deems it advisable to approve said amendment, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Com- missioners of Weld County, Colorado that the amendment to the 1982 - 1983 Placement Alternative Plan be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is authorized to sign said amendment. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 6th day of December, A.D. , 1982 . BOARD OF COUNTY COMMISSIONERS ATTEST: WELD COUNTY, LORADO Weld County Clerk and "Re`s order z and Clerk to the Board l Chuck Carls n, Chairman BY: fP✓vtlA.t LiC K__ J,Lt-A-4' > v 'Deputy County Clerk Jo 7-4/.-"Martin, Pro-Tem APPR'QV D AS TO FORM: ABSTAINED / ene R. Brantner epol,„ egee-C County Attorney Norman Carlson ABSTAINED Jacqueline Johnson 320709 SS©nO 2 DATE PRESENTED: January 10 , 1983 WELD CO, Y PLACEMENT ALTERNATIVES COMMA -ION PROPOSED PROGRAM N 6 -PARENT-CHILD SUPPORT SYSTEM PROBLEM IDENTIFICATION Families have been identified within the county that have children with high risk of being placed in foster care. These families have multiple problems : low or inadequate income, unemployment, cultural isolation, ignorance of their child- ren' s needs, and of effective parenting. These parents are so "needy" themselves they are unable to recognize or provide for the needs of their children and as a result, children are abused and neglected. A number of these families have had children placed in foster care. It is expected that unless there is timely intervention, many children in these families will reach an acute stage where the children will be removed from their parents and full-time foster care will be necessary. Separation from parents and foster care placements translate into higher public costs , and often further emotional damage for family members. TARGET GROUP Families with pre-school children that are being neglected and/or abused. This includes families that have had older or previous children placed in foster care. This population is assessed to be significant. For example, in August, 1982 out of 56 protective service referrals received by the Department of Scoial Services , 38 could be identified as families probably needing immediate and intensive intervention. An average of twelve children from this group will be selected for treatment. GOALS 1 . Prevent repeated neglect and abuse of children. 2. Teach families to improve their functioning level and reduce the risk of out-of-home placements of their children. 3. Increase family knowledge or parenting skills. OBJECTIVES To maintain selected children in their own homes through early treatment intervention with selected families thus preventing full-time foster care. These families are evaluated to have: 1 . A record of child abuse and/or neglect. 2. To be in a situation where child abuse or neglect can reasonably be expected to occur. PROGRAM SOLUTIONS 1 . Intervention as soon after the initial referral as possible but no longer than 30 days. 2. Development and implementation of an individual treatment plan for each family. 3. Providing a positive child care experience for the pre-school child during the day. 4. Coordinating community resources to meet the needs of the individual family. 5. Providing transportation as needed for specialized services outlined in the treatment plan. 6. Intensive counseling work with parents to change behavior. 7. Children will be accepted in the project for a six month period. This treatment period may be extended an additional six months if progress has been shown and further treatment is indicated. RESOURCE ALLOCATION The Social Worker and Education Specialist will be supervised by the Parent Child Learning Center Director. Social Worker: 1 . The Parent Child Learning Center will provide a Social Worker on their staff, in addition to the regular Day Care staff, who will be responsible for the planning and implementing of individualized services for each family in the program. 2. The Parent Child Learning Center Social Worker will utilize and work cooperatively with existing programs offered through the Weld Mental Health Center, Community Center Foundation, AIMS Community College, Weld County Public Health Department and any other appropriate agency. 3. Case acceptance and treatment plans will be supervised and administered through the Weld County Department of Social Services. 4. Since the constructive involvement of the natural parents will be necessary, the Social Worker will be conducting many sessions in the family home when the parent(s) are available. 5. The Social Worker will also be available to train and work with the Day Care staff in assuring each child is given the individual treatment necessary for continuation of the family treatment plan. 6. The Social Worker will spend 80% of her time with project parents and children and 100% of her time on the project. Education Specialist: 1 . The Education Specialist will spend 100% of her time on project assignments. 2. Since most children from multi-problem families exhibit some behavior problems and/or developmental delays , the Education Specialist will develop an educational behavioral assessment and treatment plan for each child in the project. Since the School District programs ordinarily do not deal with children under the age of 4, this assess- ment will allow the Center to begin working with the child at an earlier age and reduce the length of time a bad behavior can become learned. 3. The Education Specialist will work closely with the Community Center Foundation and the Mental Health Center and use existing resources and programs available. PROJECTION OF EXPENDITURES The projected costs for this project at the Parent Child Learning Center are based on an average of 12 children from 10 to 12 families. Month 6 Months 1 FTE Social Worker - MSW or equivalent $1 ,500 $ 9,000 1 FTE Education Specialist 1 ,200 7 ,200 1/8 Clerical 85 510 1/8 Director - 150 900 FICA 352 2,112 Travel - Social Worker 88 528 Children 264 1 ,584 Specialized Services 120 720 Program Supplies 220 1 ,320 Office Supplies 25 150 Purchase of Services-Psychologist Consultant 100 600 Program Services 432 2 ,592 $4,536 $27,216 ADMINISTRATION The Parent Child Learning Center will provide the above stated services for Weld County in compliance with rules and regulations set forth by the County and the Colorado State Department of Social Services. Although case referrals may come from anywhere, the County Department of Social Services is responsible for case acceptance or rejection (intake) and referral to the Project. As the Weld County Department of Social Services has fiscal responsibility for project monies, termination of project placements, if necessary, must also be the responsibility of the Weld County Department of Social Services. MONITORING 1 . Monitoring the progress of all families in the program will be done weekly by the Parent Child Learning Center and the Department of Social Services. 2. Attendance of parents at group/individual sessions will be expected unless illness should occur. 3. Quarterly staffings with other service providers to ensure compliance with all facets of the treatment plan will be expected. EVALUATION The Department of Social Services and the Parent Child Learning Center will meet as necessary to make evaluation of project cases. Where there is dis- agreement, the case will be referred to the Department of Social Services Division Supervisor and Administration for a decision. Department of Social Services will monitor appropriate case records and reports . The following criteria will be used to determine the success of the project: 1 . While in the project there will be no new referrals of abuse or neglect from 90% of the target group and foster care will be avoided for 85% of all children in the project. 2. Six months after discharge from the project, 75% of the target families will have avoided foster care entirely for all of their children. 3. Upon completion of the program, parents will show increased parenting skills. Parents will improve in 50% of the defined areas on the Parent Child Interaction (PCI) Checklist thus diverting families from the foster care system. ri-HC EUGENE MC KENNA, DIRECTOR � s � DEPARTMENT OF SOCIAL SERVICES rOi • 1jr....-,� PHONE(3D3i 3571551 \�/.,,T._,�� P.O. BOX A GREELEY. COLORADO 80632 November 29, 1982 COLORADO Ms. Karen Beye Supervisor of Special Services Colorado State Department of Social Services Division of Social Services Room 404 1575 Sherman Street Denver, Colorado 80203 ATTENTION: Bill Evans Senate Bill 26 Coordinator RE: Amendment to the 1982 - 1983 Weld County Plan Dear Ms. Beye: Enclosed is an amendment to the Weld County Plan for State Board consideration. As you will note the amendment has been approved by the Placement Alternatives Commission and County Board of Commissioners. The planned implementation date is January 1 , 1983. If you require further information please let me know. Sincerely, DANIEL M. F LER SOCIAL SERVICES ADMINISTRATOR VII DMF:1ch WELD COUNTY PLACEMENT ALTERNATIVES COMMISSION Post Office Box A Greeley, Colorado 80632 November 29, 1982 The attached amendment to the Weld County Plan have been developed under the direction of the Weld County Placement Alternatives Commission which includes the following members: NAME AGENCY AFFILIATION Lee Steele, Chairman Probation Department Eugene McKenna, Vice-Chairman Department of Social Services Father Anthony Bliss Partners , Inc. Sarah Duran Citizen Ann Heiman Citizen Dr. Neil Henderson School District Six , Greeley Dr. Willard Jones Citizen Chris Matson Windsor Police Department Rev. Simon Melendres Citizen Dr. Karl Schmidli Weld Board of Cooperative Educational Services Diane Smith Weld Mental Health Center William Starks District Attorney's Office Jan Staudinger Our House, Inc. Ella Mae White Citizen Dr. Ralph Wooley Public Health Department Dr. John Wooster Weld County Community Center Foundation Dr. Donna Wright Aims Community College The period to be covered by this plan is from State Board approval to June 30, 1983. The signatures below attest that this plan has been developed by the Placement Alternatives Commission and approved by the County Board of Commissioners. SC)-9--Q , .. Lee Steele, Chairman John Martin, Chairman Placement Alternatives Commission Weld County Board of County Commissioners LS:lch 0 0 0 0 C_. N CC) O W> LO 0 0 0 r — N in, W LC. O N CT L r. — i S') CO M M 4 11 a. N 0 to .1O, n 1 _ W L_ — U CC U G • _ - -- . - 0 L O nvo• I I C _ , c C C I— O O O O O N N b t LID tO i t - 0 OOOr Or N tO' t0 l0 ' W r Nr , '1, ON COC) LS) VOr In ICO ('C") Cr/V) 0 (1-) C 1 ,a)N. N 10 tO :r . I- E IN, It :u to O N - C 0 I j' VII: i 1 I. C O I _ Z W O O O O O N OD 0 t 0I. C D> ^ i1 0 0 0 r-- O r- N LO CO VD C.) W ` Z O N a) LC) tO r Lt) CO O-) M 3 G _ r. 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N n N IT r-0 r II NI r c_. en O) in t` C N II III N l...-_) < O CO CO r C Ln r\ n Sc •— a Lc) N N I I N CO • N O I C ID M 0 Q1 j al r. 1--- W N N LC) M O I CI Q N N C M en lD . CO C CV N e, ca w• CT 0'. • • N 'A di T? G C. r r N • - — N • ;13 V) u - • sI Li L--I O 7 • C C =I C I Cr)03 _ • .` _ J - O N C I r •GO J ---- -' a' W r • C X C ^ O , Cl • u C •c O t- ; G• c W r O C� N t"1 �- r J I---. N I Ol CCO r c 'C O h N ; 01 "� _ L - v} ti C - N _ - V1 w C -Ly, ._ G � -.J. O --- C . • Li _ >- C V • • G V N v1 In O C O O • • • E U C G is • 0 w N - - S > !- .C Cl) lD L N U_1 W • O O O r • L N c^ •-I L_ G IO O enCO N F- U r �' N r-. Id.V In CI 1''! C V G O N N - N r N O N >)r G U O CI O F C E W - N en etir c0 r CO in I—I C r W C - 0 c O) • r .rr cn Oa- ujZ r = r Cr or Sr cI Tr I CG O - • C L - - - O -^ c - o >, LJ G O U O r . r r U r a L G in •.-- 0 >, >) • >, in >-, >, T D 1-4-'' C N W O r w r (n r N C • '-J N •'J '-J fJ 'J "0 '7 N U L .-- O IO O CL O O O C C) r O -I +> > V > > N > O > -C > -! = •r VI •r Orr O 4-1 O +, L Y r +, 4-, 4_, - +, UJ 0_ O +, O O U MS U (0 U 4-, U CO CO •r O C C) •r O CL O C O C L 4- D.4- 4-, 4- U 4- I 4- O ,r O4- In4- L4- Ow Y4- L 4- C O O O IO O d O = W IO O r'-- C--- 2-� Cl)— O-� D_-� C C - U O O r N f") C' LC) lD . J W C.- 3 O U w G • w O W 0 U dertet. lb 11 ' .III = tf n. � `4N-Vit' * DEPARTMENT OF SOCIAL SERVICES * Jez. 1575 SHERMAN STREET RICHARD D. LAMM DENVER, COLORADO 80203 RUBEN A. VALDEZ GOVERNOR Executive Director December 8, 19 71 Mr. Eugene McKenna, Director Weld County Department of Social Services P.O. Box A Greeley, CO 80631 Dear Mr. McKenna: I am pleased to inform you that the State Board of Social Services , at its meeting on December 4, 1981, approved the amendment to the Plan for Alternatives to Out-of-Home Placement as submitted by Weld County. A copy of the approved Plan amendment is attached. If you have any questions at any time, please contact Bill Evans . Sincerely, . Z Paula H. Gonzalez Executive Secretary ,l) State Board of Social Services cc: D. Ashmore D. Armstrong D. Anders B. Evans DEPARTMENT OF SOCIAL SERVICES PHONE 13031 352-1551 P.O.BOX A GREELEY,COLORADO 80631 O October 22, 1981 COLORADO Ms. Karen Beye Supervisor of Special Services Colorado State Department of Social Services Division of Social Services Room 404 1575 Sherman Street Denver, Colorado 80203 ATTENTION: Bill Evans Senate Bill 26 Coordinator RE: Amendment to the Weld County Plan • Dear Ms. Beye: As per our phone conversation I am submitting to you the Amendment to the Weld County Placement Alternatives Commission Plan for the 1981 - 1982 year so that you may begin the review process with your committee. As you are aware, this Amendment still has to be approved by our PAC and submitted to our County Board. It is on the agenda for the November 12th PAC meeting. I hope this will expedite the process so that it can become effective December 1 , 1981 . The computations are based on December adjustment. As soon as PAC approval and signatures are obtained I will forward the completed packet to be submitted to the CSDSS State Review Board. Thank you for your cooperation. cere , DANIEL M. F ll\R SOCIAL SERVICES ADMINISTRATOR J 6\ 11 . DMF:ich :t Attachment " '3 1931 WELD COUNTY PLACEMENT ALTERNATIVES COMMISSION Post Office Box A Greeley, Colorado 80632 Lee Steele, Chairman Bill Evans, Senate Bill 26 Coordinator Colorado State Department of Social Services 1575 Sherman Street Denver, Colorado 80203 Dear Mr. Evans: The following is a list of the Weld County Placement Alternatives Commission representatives and their affiliation. With the enactment of Senate Bill 337 the Weld County PAC has expanded its membership to meet the requirements. NAME AGENCY Rose Anson Our House, Inc. private RCCF Anthony Bliss Partners, Inc citizen Thomas Hanselman District Attorney 'attorney Ann Heiman Parent Child Center citizen Neil Henderson School District Six local school district Willard Jones UNC citizen Eugene McKenna Department of Social /Dept. of Social Service Services Karl Schmidli BOCES 'special education Diane Smith Mental Health Center mental health clinic Lee Steele Probation 'probation Walter Teal Windsor Police Dept. police Ella Mae White foster parent citizen Ralph Wooley, M.D. Public Health physician John Wooster Comm. Center Board non-residential service for children Donna Wright Aims College ✓employment programs If you have any questions , feel free to contact me at 356-4000. Sin er l AXni-7 LEES EIRMAN CC: Eugene McKenna, Vice-Chairman AMENDMENTS The Weld County Plan for Alternatives to Out-of-Home Placements July 1 , 1981 to June 30, 1982 The Weld County Placement Alternatives Commission is requesting an amendment to its current 1981 - 1982 Plan for the Therapeutic Foster Home Project. The request includes the following: 1 . Increase the number of FTE children to be served from three to seven. We are receiving more referrals and requests for therapeutic foster care than the original plan proposed. With the increase of services to more children, we will be able to have more positive fiscal impact on the objectives. 2. Increase the maintenance cost to the standard allowance, which went into effect on July 1 , 1981 , for each age group. 3. Increase the incentive payment budget to reflect the addition of four (4) more individuals to be served. 4. Increase the case manager time from 1/2 to 3/4 FTE, which is based on the actual time.spent on the project. 5. Increase the psychological and psychiatric services to include the four (4) additional children to be served. 6. Delete the limit on the number of children allowed (natural and foster) in each Therapeutic Foster Home. REVISED PROJECTION OF EXPENDITURES (December, 1981 to June 30, 1982) Calculation of Therapeutic Foster Care Costs (average 7 children) Month Year Foster Care Maintenance (7 FTE children X $252 per month) $1 ,764 $12,348 Incentive Payments to Foster Parents (7 X $200 per month) 1 ,400 9,800 Case Manager (3/4 time FTE-Caseworker III-experienced) 1 ,296 9,072 Psychological and Psychiatric Services 1 ,225 8,575 Totals $5,685 539,795 ' AMENDMENTS Page 2 REVISED ANNUAL EXPENDITURES FOR THERAPEUTIC FOSTER CARE PROJECT Approved Revised Approved Revised Month Month Year Year Foster Care Maintenance $ 738 $1337 $ 8856 $ 16,044 Incentive payments to 600 1067 7200 12 ,804 Foster Parents Case Manager 662 1032 7944 12,804 Psychological-Psychiatric 525 975 6300 11 ,700 Totals $2525 $4411 $30,300 $52,932 Revised Budget $52,932 Approved Budget - 30,300 Increased Budget Request $22,632 ELSti7t October 22, 198 Ms. Karen Beye Supervisor of Special Services Colorado State Department of Social Services Division of Social Services Room 404 1575 Sherman Street Denver, Colorado 80203 ATTENTION: Bill Evans Senate Bill 26 Coordinator RE: Amendment to the Weld County Plan Dear Ms. Beye: As per our phone conversation I am submitting to you the Amendment to the Weld County Placement Alternatives Commission Plan for the 1981 - 19S2 year so that you may begin the reviei process with your committee. As you are aware, this Amendment still has to be approved by our PAC and submitted to our County Board. It is on the agenda for the November 12th PAC meeting. I hope this will expedite the process so that it can become effective December 1 , 1981. The computations are based on December adjustment. As soon as PAC approval and signatures are obtained I will forward the completed packet to be submitted to the CSDSS State Review Board. Thank you for pour cooperation. Sincerely, DANIEL M. FOWLER SOCIAL SERVICES ADMINISTRATOR III DMF:lch Attachnnt • AMENDMENTS The Weld County Plan for Alternatives to Out-of-Home Placements July 1 , 1981 to June 30, 1982 The Weld County Placement Alternatives Commission is requesting an amendment to its current 1981 - 1982 Plan for the Therapeutic Foster Home Project. The request includes the following: 1 . Increase the number of FTE children to be served from three to seven. We are receiving more referrals and requests for therapeutic foster care than the original plan proposed. With the increase of services to more children, we will be able to have more positive fiscal impact on the objectives. 2. Increase the maintenance cost to the standard allowance, which went into effect on July 1 , 1981 , for each age group. 3. Increase the incentive payment budget to reflect the addition of four (4) more individuals to be served. 4. Increase the case manager time from 1/2 to 3/4 FTE, which is based on the actual time.spent on the project. 5. Increase the psychological and psychiatric services to include the four (4) additional children to be served. 6. Delete the limit on the number of children allowed (natural and foster) in each Therapeutic Foster Home. REVISED PROJECTION OF EXPENDITURES (December, 1981 to June 30, 1982) Calculation of Therapeutic Foster Care Costs (average 7 children) Month Year Foster Care Maintenance (7 FTE children X $252 per month) $1 ,764 $12,348 Incentive Payments to Foster Parents (7 X $200 per month) 1 ,400 9,800 Case Manager (3/4 time FTE-Caseworker III-experienced) 1 ,296 9,072 Psychological and Psychiatric Services 1 ,225 8,575 Totals $5,685 $39,795 AMENDMENTS Page 2 REVISED ANNUAL EXPENDITURES FOR THERAPEUTIC FOSTER CARE PROJECT Approved Revised Approved Revised Month Month Year Year Foster Care Maintenance $ 738 $1337 $ 8856 $ 16,044 Incentive payments to 600 1067 7200 12,804 Foster Parents Case Manager 662 1032 7944 12,804 Psychological-Psychiatric 525 975 6300 11 ,700 Totals $2525 $4411 $30,300 $52,932 Revised Budget $52,932 Approved Budget - 30,300 Increased Budget Request $22,632 DEPAR-IMENT OF SOCIAL SERVICES PHONE (3031 3521551 P.O. BOX A GREELEY,COLORADO 80631 ,i 0: • COLORADO WELD COUNTY PLACEMENT ALTERNATIVES PLAN County Commissioner Meeting, June June 23, Request approval of the Board of County Commissioners for the Weld County Placement Alternatives Plan from 8/8o to 6/30/81. PURPOSE: To develop alternatives to the placement of children away from their parents and to find lower cost placement alternatives for those children that have to be placed. Annual WELD PROJECTS: Total Cost County Cost (1) Therapeutic Foster Care $ 27,200 $ 5,440 (2) Respite Care 22,040 4,408 (3) partners Plus 21,390 4,278 $ 70,630 $ 14,126 FISCAL IMPACT: - 1980 Budget Year - Limited to Partners Plus where child can be diverted from more costly placements. - 1981 Budget Year - Consideration of the Board in the 1981 Budget, Social Services Department. EMcK:lch DEPARTMENT OF SOCIAL SERVICES PHONE 13031 352-1551 PD.BOX A GREELEY,COLORADO 80631'-.,;:,.-. 11 ' h Da COLORADO THE WELD COUNTY PLAN FOR ALTERNATIVES TO our-OF-HO€ PL.Am.E4T The attached county plan has been developed under the direction of the Weld County Placement Alternatives Commission which includes the following members: NAME ORG.S4IZATIONAL AFFILIATION James Maley, Chairperson Weld Mental Health Center Eugene McKenna, Vice-Chairperson Partners, In c. Social Services Father Anthony Bliss Citizen n Ann Heiman Tom Milan School District Six, Greeley Mel Okamoto District Attorney's Office Dr. Schmerge Schm Plan De Salud Del Valle Dr. KarlSc}umidli Weld Board of Cooperative Educational Services Lee Steele Probation Department Lee Trujillo Fort Lupton Police Department Ella Mae White Citizen Dr. John Wooster Weld County Community Center Foundation The period to be covered by this plan is from State Board approval to June 30, 1981. Tne sip1atures below attest that this plan has been developed by the P1 _ ent Alternatives Commission and approved by the County Commissioners. v7--: 2 iQd / Placement Maley, Chairperson Bill Kiroy, Cnairman Placement Alternatives Commission Weld County Board of County Commissioners DEPARTMENT OF SOCIAL SEPVICEE PHONE 13031352-1551 P.O. BOX A GREELEY,COLORADO 80631 11 lip e COLORADO THE WELD COUNTY PLAN FOR ALTERNATIVES TO OUT-OF-HOME PLACEMENT The attached county plan has been developed under the direction of the Weld County Placement Alternatives Commission which includes the following members: ORGANIZATIONAL AFFILIATION NAME Lee Steele, Chairperson Probation Department Department of Social Services Eugene McKenna, Vice-Chairperson Partners , Inc. Father Anthony Bliss Our House, Inc. Eric Busch District Attorney' s Office Thomas Hanselman Citizen Ann Heiman School District Six , Greeley Neil Henderson Citizen Willard Jones Citizen Rev. Simon Melendres Windsor Police Department John Michaels Weld Board of Cooperative Karll Schmidli Educational Services Diane Smith Weld Mental Health Center Ella Mae White Citizen Ralph Wooley Public Health Department John Wooster Weld County Community Center Foundation Donna Wright Aims College The period to be covered by this plan is from State Board approval to June 30, 1983. The signatures below attest that this plan has been developed by the Placement Alternatives Commission and approved by the County Commissioners. LEE STEELE, CHAIRPERSON JOHN MARTIN, CHAIRPERSON WELD COUNTY BOARD OF COUNTY PLACEMENT ALTERNATIVES COMMISSION TABLE OF CONTENTS INTRODUCTION 1 PLANNING PROCESS L AMENDMENT PROCESS 2 APPEALS PROCESS 2 PLACEMENT ALTERNATIVES COMMISSION COMPOSITION 2 START-UP FUNDING 2 PROBLEM IDENTIFICATION 2 RESOURCES AVAILABLE 3 • PLAN ESTABLISHMENT 3 EVALUATION 3 COST SAVINGS ANALYSIS 4 PERFORMANCE Therapeutic Foster Homes 6 Respite Care 7 Partners Plus 7 Specialized Residential Care Homes Out-Patient Psychological Services 9 SUMMARY OF PERFORMANCE 10 RECOMMENDATIONS 10 PROGRAM r 1 - Therapeutic Foster Homes 11 PROGRAM r 2 - Respite Care 14 PROGRAM * 3 - Partners Plus 19 PROGRAM u 4 - Specialized Residental Care Homes 24 PROGRAM r 5 - Out-Patient Psychological Services 25 SUMMARY OF SAVINGS 26 COUNTY ALTERNATIVE SERVICES PLAN REGISTRATION 27 FISCAL YEAR 1982 - 1983 EVALUATION PLAN 33 APPENDIX • Therapeutic Foster Homes Profile of Children in RCCF or Group Care I Respite Care Respite Care Objectives, Methodology, Evaluation II Flow Chart XI Time Lines XIII Job Description XV Target Group XVII Location of Provision of Services XIX Letters of Support XX Partners Plus Out-of-County Placement Statistics XXIV Criteria for Choosing Group Care XXV Psychological Profile of Youth Placed in Group-RCCF Care XXVI WELD COUNTY PLAN INTRODUCTION In January, 1980, the Weld County Board of County Commissioners established and appointed the members of the Weld County Placement Alternatives Commission, in accordance with the provisions of Senate Bill 26. The Placement Alternatives Commission, since inception, has met monthly to formulate and submit the attached Weld County Plan. HISTORY Weld County has historically taken a progressive, pragmatic, and conservative approach to the utilization of out-of-home placement. Even though the county's population base is in excess of 125,000, we currently have no out of state place- ments. Similarly, we have 32 children placed out of Weld County in any kind of group placement. By consistently utilizing the less restrictive and therefore less expensive alternatives when out-of-home placement is necessary for a child, the county has been able to maintain one of the lowest costs per placement in the state. This would not have been possible without the long-standing cooperation between the courts, Mental Health, Community Center, Department of Social Services, schools , and other human service agencies. Therefore, the Placement Alternatives Commission directed its focus on programs which would continue with this approach. PLANNING PROCESS In the beginning phases the Commission analyzed the overall status of out-of- home placement within Weld County. This included examination of both the numbers of individuals so placed as well as the rationale for placement. Additionally, the Commission became familiar with the criteria used by Social Services staff in recommending group care versus foster family care and the typical psychological profile of children placed in group care. (See appendix) A total of seven program proposals were then submitted to the Commission for consideration and incorporation into the Weld County Plan. They were: Therapeutic Foster Homes, Respite Care, Partners Plus, Specialized Residential Care Homes, Out-Patient Psychological Services, Parent-Child Support System, and Weld Inter- Agency Consortium. Each of these were analyzed in terms of both the objectives of the Legislation and Commission as well as whether or not it could be accomplished with the existing funding sources. Five programs which were approved and prioritized by the Commission in the following order are: A. Therapeutic Foster Homes B. Respite Care C. Partners Plus D. Specialized Residential Care Homes E. Out-Patient Psychological Services The Parent-Child Support System was found to meet the objectives of Senate Bill 26, but was able to be considered for funding using other sources and was implemented without negatively impacting Senate Bill 26 funds. The Weld Inter- Agency Consortium is still under consideration by the Commission. Final decision -1- on this program will be made only after the Commission has had an opportunity to explore alternate approaches, models , and funding sources used in other areas of the state. AMENDMENT PROCESS The Weld County Placement Alternatives Commission considers this Plan subject to on-going amendment. The method for amendment will follow the same process as followed in the formulation of the Plan itself: sub-committee meetings, Placement Alternatives Commission meetings, public hearings, approval by the Board of County Commissioners, and the submission to the State Department of Social Services for approval by the State Board of Social Services APPEALS PROCESS Individuals, groups, organizations and agencies submitting proposals to the Weld County Placement Alternatives Commission which are subsequently rejected may request a hearing before the Board of County Commissioners. PLACEMENT ALTERNATIVES COMMISSION COMPOSITION The Weld County Placement Alternatives Commission currently is in compliance with the mandates of Senate Bill 26 regarding membership. The Commission includes- representatives from a private RCCF, local school district, social services, mental health, probation, public health (physician) , community center, an attorney, special education, local police department, Aims College (employment programs) , and five members of the lay community. Total membership is sixteen, with eight representing the private sector. START-UP FUNDING The Weld County Placement Alternatives Commission is not formally requesting start-up funds for implementation of the proposed plan. PROBLEM IDENTIFICATION The Weld County Placement Alternatives Commission analyzed the overall status` of out-of-home placement within Weld County. This included examination of both the numbers of individuals so placed as well as the rationale for placement. Additionally, the Commission became familiar with the criteria used by Social Services staff in recommending group care versus foster family care and the typical psy- chological profile of children placed in group care. Baseline data regarding children currently in placement and costs can be found on the attached charts. (See appendix) The overall goals for the Weld County Plan are as follows: 1 . To reduce the rate of increase and expenditures in Residential Child Care Facilities. 2. To reduce the length of time that children are placed out of the home. 3. To provide supportive services to mentally, physically, and emotionally handicapped children and their families thereby preventing or reducing the need for institutional placements. 4. To provide specialized treatment to emotionally disturbed children -2- to maintain them within the community and least restrictive placement thereby reducing the need for long term residential placement. ' RESOURCES AVAILABLE A. Foster Care allocation for the 1980 - 1981 fiscal year - $916,000.00 B. Foster Care allocation for the 1981 - 1982 fiscal year - $980,000.00 C. Treatment Resources available in Weld County: Weld Mental Health Center, Community Center Foundation, local school districts, other human services agencies and private practitioners. PLAN ESTABLISHMENT The Commission, using the problem identification and overall goals, identified the target groups who are at high risk for RCCF or institutional placements due to physical , social or psychological handicaps. Alternative programs submitted to the Commission to achieve the goals are: E A. Therapeutic Foster Homes B. Respite Care C. Partners Plus D. Specialized Residential Care Homes E. Out-Patient Psychological Services Objectives of the Weld County Plan are to provide less costly, community based services to the target groups thereby reducing the need for long-term residential or institutional care. EVALUATION Evaluation, or cost savings, will be measured by a comparison of total program costs versus traditional costs. Since the Weld County Placement Alternatives Commission's overall plan is directed towards the goal of reduction or elimination of need for RCCF placement or institutionalization, the traditional costs will be based on average cost per child presently in RCCF placement. The cost savings comparisons will include the 1980 - 81 and 1981 - 82 annual cost savings. The following methods will be used to factor the traditional and program costs: 1 . RCCF costs are based on an average taken of actual RCCF placements by Weld County from August, 1980 through March, 1981 . The mean average is $1 ,200.00 per child. 2. When a group home placement rather than RCCF care is the appropriate placement, the figure of $712.00 will be used. 3. Figures will be computed on the dates the child entered the program. 4. 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CO TF (1) 44a) CO r a) - S- 44 C C L L •• CO L •I }> +` L N a) 44 -14 Ir r r C) C p r r 1/1 C•r O I O O) d U >- MUW OC-O T 0) C a) 0) E C E C a) u Q fa +t r C Z c E E L G) I > O 0> O I CU r o 0 0 U U O 0) _0 O a a O 0 O CG 4- r- C C N i a) -r U > •> 0) > 0 O a) S- S- a) of V) al r—• r 0 r f O E Or m • +) 014- •F, 0 C • r L CU O r E a L •r 0 o) > 3 > U m , CO o N yr L aN n a) +f C +-' 4-) i L C G.) o v > ) -r a d CO COS- - O I) 44 O. CO U N _ CO CO I O O M O I L lD U >) L N 0) 0- 0 W -N 5- Q) u) _ r a 0 + U r O 0 I K O a n▪ 1 �I � N� -9- SUMMARY OF PERFORMANCE The 1980 - 1981 Plan for Weld County has had'-its first full year in operation. Using the cost savings as an indicator for success , the Weld County Placement Alternatives Plan has demonstrated success in foster care savings by reducing or eliminating the need for RCCF and institutional placements. RECOMMENDATIONS The Weld County Placement Alternatives Commission has recommended and approved the continuation of the 1980 - 1981 , 1981 - 1982 Plan for 1982 - 1983. The Commission is also considering other alternatives for 1982 - 1983 which, upon approval , will be presented to the State Board for approval and amendment to this Plan. PROGRAM irl - Therapeutic Foster Homes PROBLEM IDENTIFICATION Through a process of research, review, and assessment of children needing expensive RCCF placements we have been able to identify problems and barriers which cause or contribute to the placement in this type of facility. The largest contributing factor to long term placement and eventual RCCF placement is the lack of early intervention and expert treatment of children diagnosed as having severe emotional problems. Barriers to achieving expert treatment are caused by: -Inflexible funding for specialized services, time constraints and priority setting preventing staff from providing intensive services to the child and foster parents, lack of experience, training and incentive payments to foster parents to cope with disturbed children, and lack of development of local resources to provide highly specialized services to these children. Out of an average of 115 children in regular foster care, the Weld County Department of Social Services has identified. a group of children at risk of multiple placements, with eventual graduation of these children to group homes, residential treatment centers, and institutional care. TARGET GROUP Children one to twelve years of age who are diagnosed as having severe emotional problems , and normally cannot be maintained in regular foster care. Children who exhibit severe behavioral problems which make their survival in conventional foster care unlikely or would result in their having to be moved frequently. GOALS 1 . Prevent multiple placements of children in regular foster care. 2. Prevent residential or institutional care of disturbed children and provide these children with a family setting. 3. Permanency Planning: (a) Placement of the child with parents or relatives. (b) Permanent foster care by plan (guardianship) . (c) Adoption by foster parents - full or subsidized. (d) Full adoption. ALTERNATIVE SOLUTIONS 1 . Residential Treatment Centers 2. Institutional placement PROGRAM SOLUTIONS Study and certify families who have the aptitute and motivation to: 1 . Work with a team of professionals in providing therapeutic foster care for disturbed children. 2. Provide a three-quarter time caseworker to provide support and services daily, if necessary. Purchase psychological and psychiatric services based on the needs of the child. 11 RESOURCE ALLOCATION Foster Home Characteristics: 1 . Loving parents with the ability to give clear and structured messages. 2. High frustration tolerance level . 3. Dedication to be involved in a continual educational process. 4. Willingness to provide transportation to and participate in therapy with the child. 5. Willingness to become involved in fostering the growth process of the natural parents by interacting with nurturing the latter, if feasible. Supportive Services to be Provided to the Foster Family: • 1 . An available caseworker/specialist with a reduced caseload will provide consultation on parenting issues, emotional support, coordination of therapeutic services, assessment of need for special therapeutic services. 2. Relief day care. 3. Foster parents belong to an on-going study group/support group facilitated by the caseworker/specialist or the agency foster care worker. 4. This study group has its origin in the initial training group which (in a minimum of 25 hours) acquaints foster parents with their job and provides them with a rudimentary understanding of child development, pathology likely to be encountered, emotional needs of affected children, methods _ for meeting those needs and strategies for emotional self preservation. 5. A small library of pertinent literature will be kept on hand for use by the parents. 6. Foster parents will participate in staff development appropriate to their needs. Therapeutic Services: 1 . A budget will be set aside to cover cost of therapy for those children who cannot be dealt with by vendors who will bill Medicaid. 2. Other available therapeutic services such as those of Weld County Mental Health Center, The Center for Therapeutic Learning, Community Center Foundation and School District Six shall be utilized to assess and treat the remainder of the children. Services to Natural Parents : Natural parents will be involved in the process, where applicable, to facilitate the return of the children to their home and thus, to conserve costs. 1 . A group of parents also facilitated by the caseworker/specialist or foster care worker and co-facilitated by one or more foster parents will meet regularly to provide: (a) Parenting training. (b) Nurturing and emotional support. (c) Aid in developing coping skills. 2. Where applicable, foster parents will meet informally with the child's parents for the purpose of: (a) Visitation. (b) Giving the child a sense of continuity. (c) Recreation to provide support and nurturance. 3. The natural parents, where indicated, will accompany the child to therapy to benefit, first hand, from those services. PROJECTION OF EXPENDITURES Calculation of Therapeutic Foster Care Costs (average of seven (7) children) Month Year Foster Care Maintenance (Food, shelter, clothing) (7 FTE children X $277 per month) — $1 ,939.00 $23,268.00 Incentive payments to foster parents 1 ,400.00 16,800.00 (7 X $200 per month) Case Manager (3/4 time FTE - Caseworker IV- Merit System) 1 ,406.00 16,872.00 Psychological and psychiatric services (7 FTE children X $175 per month) 1 ,225.00 14,700.00 Totals $5,970.00 $71 ,640.00 .10NITORING In addition to the services to the foster parents and/or natural parents listed in resource allocation, monitoring will also include: 1 . Weekly supervision with the caseworker/specialist. 2. Appropriate team staffings with other professionals involved in the case plan at least monthly. EVALUATION Since these children historically would be in some kind of care all of their lives, the thrust of evaluation will be to determine whether care can be provided in a less restrictive, locally oriented way which will avoid the expensive out-of- county alternatives. The evaluation will be provided by the Weld County Department of Social Services in conjunction with review of the program by the Placement Alternatives Commission. Out of the group of high risk children, seven (7) children will be selected for placement in Therapeutic Foster Care. Seven (7) other children with similar profiles will be followed during the pendancy of the project. Records will be maintained by Social Services for both groups. The records will contain baseline data, monthly statistics on placements, monthly progress reports as well as self evaluation. The records will provide the following comparative data: 1 . Frequency of change in placement. 2. Graduation to RCCF or institutional care. 3. Comparative monthly costs of both groups. 4. Mental Health status - improvement or deterioration established by quarterly psychological evaluations. 5. Success or failure in meeting the permanency planning goals within one year. In addition, we are interested in evaluating the efficiency of the assignment of a 3/4 time caseworker to seven children and foster parents as compared to simply purchasing specialized care from Residential Child Care Facilities. 1, PROGRAM # 2 - Respite Care PROBLEM IDENTIFICATION The program outlined in this proposal is intended to address an unmet need of the many Weld County families which contain a severely handicapped son or daughter. In these families the severely disabled child places tremendous respon- sibility on the parents and siblings for continual concern and care. In most cases daily life routines of the family must revolve around the provision of care for the handicapped family member with little or no relief available. The stress of responsibility, frustration, physical , and psychological exhaustion will steadily increase and create seemingly insurmountable family problems. A system of appropriate and available support for these families is needed in order to maintain the integrity of the family unit and provide the child the most natural environment to foster his/her highest potential development. The program presented would set up a workable system to provide appropriate respite services for such families. Respite services are defined as community based services to provide relief care for families or other caretakers of severely handicapped children. Respite care is short-term care, from one hour to as much as thirty days , which allows parents and families relief from the respon- sibilities and demands encountered by the handicapped family member. This respite may be necessary for: 1 . Family illness or hospitalization 2. Necessary personal appointments 3. To enable the family to take a vacation 4. To help a family cope with an emergency 5. Simply for intermitent relief from the demands of daily care Respite care would be provided in the family home or at the provider's home by individuals identified and trained by the Weld' County Community Center. Coordination and the availability of a pool of trained providers will allow parents the assurance of a safe, healthy environment for the short-term care of their children. The problem of respite care has previously been addressed by parent's groups , but has not met with success. An unsuccessful method attempted has been the use of parents in a respite co-op program. This method was not workable due to the lack of on-going coordination and the additional stress placed on families to provide care for other handicapped children. Another method which has been attempted involved lists of potential baby- sitters drawn from interested University Special Education and Nursing students. Although this could meet some needs of parents of mildly handicapped children, the lack of coordination, specialized training for care of severely handicapped children, and availability of longer term (over one day) care have not made this approach viable. Families in need of respite care services have not been able to utilize traditional caretakers, such as regular babysitters or relatives, due to the severity of medical and/or behavioral problems associated with their children. A need for specialized and on-going training of caretakers for these children as well as coordination between families and providers is required. Without appropriate respite services the only viable option available, at this time, is placement in a setting away from the home environment, which may frequently mean placement in an institutional setting. The children served by this program would be, as a result of the severity of their handicapping conditions, at high risk for the eventual necessity for out-of-home placement. Not making the provision of respite services available would increase the risk of placements. The respite program proposed would be available to all primary caretakers of severly handicapped children. The responsibility and stress created by the handicapped child affects foster parents, houseparents, and relatives entrusted with primary care in the same manner as it affects natural parents. The respite needs of these providers as well as natural families are recognized in the proposed program. TARGET ROUP The need for a coordinated, on-going respite program has been expressed by a majority of the parents involved in Weld County Community Center childrens programming. Children's services casemanagement staff at WCCCF have also ( expressed the same need. Beyond the direct WCCCF families identified as being potential consumers of respite services, need has also been expressed by school personnel in School District Six and at Weld BOCES. In addition, the Greeley Association for Retarded Citizens, Par have ,requested the develt to opment of Parents Association, three local parent groups, coordinated respite services. Letters of support and need from the groups named are attached. ((See appendix) Current programs, in the county, which serve severely handicapped children and the approximate number of children served are listed below: # of children served A enc Weld County Community Center 60 Foundation 50 School District Six Special Help School 20 Weld B.O.C.E.S. 18 School District Six PEIP pre-school BREATH (Babies requiring emergency 4 assistance in the home) St. Vrain Valley School District 10 (Weld County children) As noted above, there is an identified pool of approximately 165 children currently in programming within the county, whose families could potentially benefit from respite care services. Additional consumers would also be available by information disseminated through the three local parent groups. GOALS AND OBJECTIVES The goal of this program is to provide respite services in order to reduce stress within the families of severely handicapped children. This would con- sequently reduce the number of institutional placements. The following objectives have been identified to reach the proposed goal : 1 . To recruit providers of respite care 2. To train providers of respite care 3. To coordinate services between families, providers, and other agencies which may be involved in the treatment process 4. To publicize the availability of respite care among the client population and the community at large 5. Evaluation of the program Specific methodology addressing the five identified objectives listed above is contained in Section I. (See appendix) Also addressed in Section I is an evaluation component, with time schedules, for each objective. PROJECTION OF EXPENDITURES Respite Care Coordinator Salary $13,608.00 Benefits 2,313.00 Excess Cost Fund 3,000.00 *Office Supplies 440.00 *Equipment 550.00 *Rent and Utilities 1 ,100.00 *Telephone 275.00 *Secretarial Services 1 ,320.00 *Mileage 660.00 *Postage 55.00 $23,321 .00 *In-Kind donation - Weld County Community Center Foundation Of the $23,321 total cost of the program, $18,921 is being requested from the Weld County Placement Alternatives Commission with the remainder of the costs being provided as an in-kind donation by the Weld County Community Center Foundation. The program would be staffed by one full-time Respite Coordinator. As noted in the Problem Identification, previous attempts at the provision of respite services have been unsuccessful for a variety of reasons. One of the major reasons for failure has been the lack of professional , on-going coordination in the recruitment, training, and matching of consumers and respite caretakers. Another area of funding needed to insure a successful program is the avail- ability of providing both excess costs and supplemental funds for low income consumers. As stated in the Problem Identification, traditional babysitting services are not appropriate for the needs of severely handicapped children. In many instances specially trained caretakers (registered nurses) would need to be recruited to meet the medical needs of the children being served. The cost of these trained caretakers would be in excess of the cost of traditional child care services. Many families caring for severely handicapped children face additional financial obligations, such as medical care, etc. To add the excess cost for child care services may be beyond the capability of these families. is Excess cost fund availability would be utilized, as necessary, for the purpose stated as well as subsidizing basic costs for low income families. The amount of subsidy necessary would be determined by utilization of a sliding fee scale. Families would be charged a basic rate of one dollar ($1 .00) per hour for less than overnight care. Charges for overnight care would be ten dollars ($10.00) per day for the first two days and five dollars ($5.00) for each additional day. EVALUATION This section is an expansion of the evaluation system explained in the Appendix. Out of the pool of approximately 165 children identified in current programming, ten families were selected. These families were selected on the basis of the severity of handicap of their children which would constitute the population facing the highest risk for out-of-home placement. The determination regarding the out- of-home, and more specifically, institutional placement risk has been determined by current application for institutionalization and the comparisons of the charac- teristic of the identified children compared to the characteristics of Weld County childre under age 16, currently residing in Ridge Regional Center. Comparisons were ma: - utilizing the following characteristics: 1 . Age at the time of institutionalization 2. Sex 3. County of Residence 4. Disability 5. Functioning level 6. Need assistance with. . . The following is the result of the above comparisons: • 1 . The age range of the institutionalized population at the time of placement was from two years to eleven years. The age range of the target group is one year to nine years. The ages of the target group constitute the age range that institutionalization may most likely occur. 2. Sex of the institutionalized group is 86% male. Sex of the target population is 60% male. Research indicates that males are at a higher risk of institutionalization. 3. All individuals involved are Weld County residents. 4. All individuals involved are multi-handicapped. Specific disabilities of the institutionalized group are listed below: a. mental retardation 100% b. speech impaired 100% c. non-mobile 57% d. chronic medical condition 29% e. hearing impaired/deaf 43% f. visually impaired/blind 43% g. seizure disorder 29% h. emotional/behavioral 14% disorder i . cerebral palsy 14% Specific disabilities of the target population include: a. mental retardation 90% b. speech impaired 90% c. non-mobile 80% d. chronic medical condition 0% e. hearing impaired/deaf 0% f. visually impaired/blind 60% 17 1 g. seizure disorder 80% h. emotional/behavioral 0% disorder - i . cerebral palsy 80% As can be seen by the comparison, the target population involves a larger percentage of children who are non-mobile, visually impaired/blind, have seizure disorders and cerebral palsy. 5. The functioning level of all children in the institutionalized group is listed as profound. In the target population, 80% of the children function at the profound level and 20% at the severe level . 6. The areas that the institutionalized population need assistance with are as listed: dressing bathing eating/drinking toileting stairs/ramps administering medication public transportation 100% of the institutionalized population is dependent in the above areas. A comparison of the target population shows that 100% of the children are also dependent in the same areas. The above comparisons show that the current institutionalized population and the family based target group for respite services are identical in some areas (i .e. dependency needs, county of residence) and extremely similar in other areas (i .e. age range at time of institutionalization, disabilities , functioning level) . Utilizing this information, the current risk for institutionalization or out-of-home placement for the family based children is extremely high. It can be inferred that without additional community services , all ten children in the target group will be institutionalized during the next six years. Using the mean age of the currently institutionalized group (6.5) , it is assumed that 90% of the target population would be institutionalized within the next four years. The aim of the proposed respite care services program is to reduce the number of placements by the provision of respite care. The evaluation of the success of the program will be determined by a reduction in the expected rate of institutionalization. The expected rate, based upon the above information, would be placement of nine children over the next four years. Through the provision of respite services, the number of placements during the time period will be reduced to five or 55.5% of expected, showing a 45.5% reduction in placement. The effectiveness of the respite program will be monitored annually by determining the number of children placed during the year, the age of the child at time of placement, and the amount of respite services utilized by the family prior to placement. PROGRAM # 3 - Partners Plus PROBLEM IDENTIFICATION Weld County, in its services to adolescents, has identified two problem areas contributing to the use of costly group and Residential Child Care Facilities. A. Through experience we have found it requires a minimum of ten hours per week of one-to-one contact between a trained professional and an emotionally disturbed youth in order to produce significant changein the behavior of such youth. Due to time constraints, staffing limitations , and caseload standards, staff are unable to provide the necessary time to each youth. In addition, _the Department of Social Services has been placed in a more adversary and protective role in regards to the youth, and therefore caseworkers find it increasingly difficult to engage youth in a positive and/or nuturing relationship that may be necessary to meet the needs of the youth. B. Foster homes vary in their quality and capabilities. Many of our foster homes do an effective job in serving the children of the county. However, i in regards to adolescents between the ages of 12 and 18 there are several problems confronting us in the use of foster homes. Among these problems are the following: 1 . Few foster homes wish to care for adolescent children at all . Even fewer foster parents will accept or tolerate youth who have chronic behavior and/or emotional problems. 2. Many adolescents cannot attach to a set of parental figures. This may be due to the lack of trust based on previous neglect or abuse by their natural parents. The youth may be so accustomed to being on his own that having a parental figure to supervise them is very difficult for them to accept. Also, the connotation of having a foster parent can appear to mean giving up natural parents , particularly to a child who has limited conceptual ability and views the world only in concrete terms. 3. Natural parents are very threatened by the concept and role of foster parents. To the natural parent this means they are failures , and that someone else is being allowed to do their job and is trying to replace them as regards their child's affection. This can often lead to the natural parent subverting the foster care placement. 4. If a child cannot attach to a foster parent, then there are no controls on that child. If there are no controls, there cannot be any nuturing or treatment. 5. All families, including foster families, have their own values, limited resources of energy andtime;-sibling rivalries, and their own diff- iculties which may preclude a successful placement of a troubled youth. TARGET GROUP Weld County needs to improve in its ability to provide for those adolescents who may be able to remain at home if provided an intensive, nurturing relationship m by someone outside the home. If placement is necessary, we need to be able to provide foster care for adolescents who cannot go to a foster home for the above stated reasons, but who may be able to be treated• in lesser care than a group facility. The target group of youth would be the following: 1 . Youth whose family influences or peer group influences are such that removal from the home and/or community appears as the only alternative to overcoming these negative forces. These youth are not hard core delinquents, but are moving toward more serious trouble and expensive institutionalization, or group home placement, due to their susceptibility to the negative influences of significant others. 2. Youth who do not need and/or have difficulty in attaching to a traditional foster family. These youth may not need the intensive structure or supervision provided by expensive in-county or private out-of-county group homes. This category could include youth already residing in such group facilities, and who will continue to reside in such facilities for want of another place to stay. In summary, the above type youth may have behavior and/or emotional problems-- which ordinarily would mean that foster care, and usually group home placement, would be the method of choice in ameliorating the situation. The personality of such adolescents may lend itself to attaching to and learning from someone if only that person had the time, training, support, and inclination to assume such a responsibility:_ ..(See appendix) GOALS For youth moving toward group home or RCCF placement: 1 . To avoid or avert out-of-home placement altogether. If placement is necessary, to keep these youth in their county of residence. 2. To shorten the length of out-of-home placement to six months or less. The average length of placement for a youth placed out of Weld County is 1 .5 years. (See appendix) 3. To provide good quality foster placement in less expensive care than group care. ALTERNATIVE SOLUTIONS We propose that Partners, Inc. and the Weld County Department of Social Services work together to preserve the positive learning experience and humanistic qualities that only a one-to-one relationship can offer a youth through its emphasis on intimate, personal interaction. To accomplish the previously mentioned goals, we propose to match a youth with an adult or:childless_-couple for nne-year_ . The expectation of Partners, Inc. and our department is that such a partnership would continue indefinitely or as long as needed. In other words, the realtionship would continue longer than a year though the intensity of support for that relationship and the objectives of that relation- ship would be less than in the initial one year period. This would provide a continuity of after care. There would 'be two types of Partners Plus relationships: 1 . The Senior Partner helps the Junior Partner while the Junior Partner is living at home, on independent living, in a foster home, or on his own. This can occur as a prevention of placement, or after placement with the Senior Partner or other foster care arrangement, or as an adjunct to current placement. Under these circumstances, the Senior Partner would be expected to contract with the Junior Partner around meeting specific goals. Ordinarily, in the traditional Partners, Inc. program, a Senior Partner is expected to spend three and one-half hours a week with the Junior Partner. In Partners Plus the Senior Partner would be expected to spend a minimum of ten hours per week with the Junior Partner. The figure of ten hours was arrived at through a poll of our caseworkers in which the caseworkers were asked how much time they would need to spend with a troubled youth to keep him at home or in less expensive care. The ten hours per week would be spent utilizing the traditional relationship building activities available and organized by Parnters , Inc. In addition, the extra time would be spent on meeting individualized prescriptive goals of the contract. The length of time of the paid Partners Plus contract would be from six months to one year. The Senior Partner would be paid $300 per month for his extra time, training, use of skills, and effort with the Junior Partner. The Partners Plus program would be assigned one caseworker like our other specialized programs. In this way, the department could provide better support and continuity, and would provide the majority of the administrative, supportive, and supervisory functions of the Partners Plus program. 2. In this situation, the Senior Partner and Junior Partner live together. The Weld County Department of Social Services would license the Senior Partner as a foster parent, even though the term "foster parent" would not be used. The Department would have legal or voluntary custody of the youth. The Department's defined function, professional commitments, and legal obligations combine to again make the Department responsible and account- able for the child's welfare for as long as he remains in placement under the Department' s care. Consequently, the Department must exercise a supervisory function as a component in this arrangement. This should help to clarify that the Department will supervise and provide the majority of the support for this type of partnership. The Junior Partner in this live-in situation will be covered by Medicaid. The Junior Partner's personal needs, clothing, school supplies, etc. will be met out of the foster home allowance in effect for his age group. RESOURCE ALLOCATION Partners, Inc. will initially recruit and train the single adults or childless couples to be used in this program. Partners, Inc. has an active and successful recruitment program which should prove an asset to the Department, which has had problems in recruiting foster parents for adolescents. Partners, Inc also has a substantial bank of Senior Partners who are no longer active with their Junior Partners. The Department would provide additional training to the Senior Partners. Also, the Senior Partner will be asked to participate in foster parenting classes at their own expense if they are licensed as foster parents. The Department will pay Partners, Inc. on a one-time basis a sum of $369.00 for each Senior Partner they provide for Partners Plus. The fee for the Senior Partner will be paid to Partners, Inc. at the time the partners are matched. The breakdown of this fee is as follows: Recruiting and Training $120.00 Activities 89 00 Support Services 56.00 Management 104.00 $369.00 Projected number of Partners Plus partnerships in the third year is thirteen (13) . Total cost for this would be $4,797.00 for one year. If the Partners Plus partnership fails within 60 days due to the Senior Partner discontinuing, Partners, Inc. will provide another Senior Partner free of charge. In the event the failure is due to the Junior Partner leaving town, being committed. to an institution,_etc. , and the Senior Partner is still willing and appropriate for another match, then the Department will utilize the Senior Partner again. PROJECTION OF EXPENDITURES The projected costs for Partners Plus includes two components , addition of three (3) new Partnerships as well as on-going Partnerships from the previous plan, and costs of new Partnerships. 1 . Partnerships $46,800.00 (new and on-going) 13 X $300 X 12 months 2. Training of 13 Partners 4,797.00 (13 X $369) Total Annual Cost $51 ,597.00 MONITORING The process of referral and matching for the Partners Plus program will be as follows: 1 . Youth is screened and determined to be heading for or currently in need of out-of-home placement or group care. 2. Youth is evaluated by the Department as being appropriate for Partners Plus program. 3. Youth is matched with a Senior Partner to live with in the Senior Partner's home or to be worked with by the Senior Partner while the youth is at home or in another temporary foster care arrangement. 4. The Department caseworker that is responsible for the Partners Plus program, the Junior Partner, and the Senior Partner agree on individualized prescriptive objectives to be contracted for. 5. Progress toward the objectives is evaluated weekly for the first eight (8) weeks and bi-monthly thereafter. Partners, Inc. will only be responsible for the recruiting and training of Senior Partners, in addition to the management of relationship building recreational opportunities which are available to all partnerships. The Department will provide additional training, supervision and support to the Partners Plus people in regards to the special dynamics around foster care and/or working with the youth in his own home. Case records detailing individualized goals , foster care eligibility, custody arrangements , dates of placement, etc. , will be maintained by the Department and updated weekly and/or quarterly as needed. EVALUATION Each youth deemed appropriate for the Partners Plus program will be matched with a similar youth moving toward, going into, or already in group care or RCCF care. This should be feasible based on the placement criteria and psychological profiles included with the project. (See appendix) We will then compare each youth within and without the Partners Plus program regarding the following goals: 1 . Avoiding placement and/or keeping the youth in county or residence. 2. Shortening placement to six (6) months or less . 3. Providing foster care for youth at less of an expense than group care. PROGRAM # 4 - Specialized Residential Care Homes The Weld County Placement Alternatives Commission is including in the Weld County Plan the utilization of Specialized Residential Care Homes within Colorado. These homes include but are not limited to; Youth Benefits Unlimited, Synthesis , Youth Behavior, and other reimbursable child placement agencies. PROBLEM IDENTIFICATION Severely disturbed children (unattached) who require frequent and specialized psychiatric services and therapeutic foster placement. TARGET GROUP Four (4) Weld County children, ages 2 to 17, requiring intensive psychiatric services and therapeutic placement. GOALS 1 . To reduce multiple placements of children in regular foster care. 2. To reduce or prevent residential or institutional care of emotionally disturbed children and provide these children with a family setting. 3. To reduce the length of time in placement and development of permanency planning. ALTERNATIVE SOLUTIONS 1 . Residential Treatment Facilities 2. Institutional Placement PROGRAM SOLUTIONS Purchase of psychiatric evaluation and in-patient/out-patient services from Specialized Residential Care Homes in Colorado. PROJECTION OF EXPENDITURES 1 . Four (4) placements @ $1 ,000 per child per month ($1 ,000 X 4 X 12 months) $48,000.00 EVALUATION 1 . Quarterly psychiatric and monthly progress reports. 2. Monthly or quarterly staffings between SRCH and Weld County staff to evaluate treatment goals and progress. 3. Monthly or quarterly contact with the children and foster family. -74- PROGRAM * 5 - Out-Patient Psychological Services PROBLEM IDENTIFICATION The Weld County Placement Alternatives Commission is including in the Weld County Plan the utilization of purchased psychological evaluations and out-patient services from private resources. TARGET GROUP Three (3) Weld County children who are being phased out of treatment facilities or are at risk of being placed in high cost treatment facilities. GOALS 1 . To reduce or prevent residential or institutional placement of emotionally disturbed children. 2. To aid children returning from treatment facilities to the community thus reducing or eliminating the need for future placements. ALTERNATIVE SOLUTIONS 1 . Residential Treatment Facilities 2. Institutional Placement PROGRAM SOLUTIONS Purchase of psychological evaluations and out-patient services from private resources for children who are being phased out of treatment facilities or children at risk of being placed in high-cost treatment facilities. PROJECTION OF EXPENDITURES 1 . Out-Patient services for three (3) children @ $150 per child per month ($150 X 3 X 12 months) $5,400.00 EVALUATION 1 . Monthly or quarterly progress reports. 2. Monthly or quarterly staffings between providers and Weld County staff to evaluate treatment goals and progress. SUMMARY OF SAVINGS Alternatives Savings in $ How Derived 1 . Therapeutic Foster Homes $66,000 Reduced or eliminated need ($1 ,100 per month X need for RCCF out-of-home 12 months X 5 FTE placement clients) 2. Respite Care -0- Eliminated need for institutional placement 3. Partners Plus $78,000 Reduced or eliminated need ($500 per month X for RCCF, spec. group home, 12 months X 13 FTE or foster care placement clients) 4. Specialized Residential $ 9,600 Reduced the cost for more Care Homes ($200 per month X costly RCCF placements 12 months X 4 FTE clients) 5. Out-Patient Psychological $14,400 Eliminated need for RCCF Services ($1 ,200 per month X placement 12 months X 1 FTE client) Total $168,000 N CO Il r II--I ,` C ! OO 00 0 N I� CO �.l _- u-selCO M� lD IH r N- I r C I nI nI r r .-- to U) I >- ,-.=- _ G G_ p 0 00 l0 l0 I' LC O - O O Ln N N C) E VI CO , N I . — Cr r, Cr) rn LO LD i V) G �.-) N •N r L._ — r �I J , N I I N N IN O I O O O r` j h CI NI ir I1 r- cr IJ ' j O CO O N CO U W .. 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U G C) i i Cry O N 1 _ CC V) a d C nw C U r r N C) C W -O >> O LL r C = (n W CC 2J -0 -r I- E EC> C X 0 0 N I- Q) N > V) C an N O rO O L.1_1 Co ro i C Z NJ -C a 05 U O v U 0 0 N Y L S- L 1 G 0 0 C) Z a a r a - C v W _ a V) C O U O O C J C w V • 3 0 C 0 0 c C J - - C - ^ U - I O r ' • I • c u) } H c - 'I G G Lc O • O O O H V) L-1O O O N I - C V V O = N G — 7-.; In In ' — tin C L1 = I —_ II r O I II U U C 7 n I O U u r. O IO O C I— 1— Z V"I" I ct J C O G — to II In • v) I c I .O- w -• u N C C G O G J • cm C) O G L C +) C) o C V) O CU c C- •!-- as U C I— O N — U) O Cr) L C C) o_M' Cu C G -oc L Ij L C) O C O CV +) Ia C a C- >< U 5.- CI) J -C = C G 4-) d C i- < C C - C F- E - rC 1> >) L O -,-) - C C) N C 1- C d r- I 0 LO O - I- X ' U I-- Li .C ?, 4-) + C C o -c C) E a _ -c L C U C) C > ✓) O O O W L C 1- O a) O C to =Lc, .. C) - in >) _ c V C:,Ire- C) '- If) C) U i U Ni V) > r- II C U to L to O > C: C) J C) .c C 5.- 5- C C V) 4-) C) C) O U C C .. V) Ca C r-- 4-) O O an O rC N E C C) 4-) E to •- O C -'- C to IC C) V) . - J O CD L 1 O C) O L U Li) O N O C) C C U- O) 0 L .— II O) O O > U C) o C 1 C (1) L >- v > a. _C E •r E d a C C V) L' 0 N r I r U) U G d -O T E It C) +) V) C C) to -r L > 4 C; I— N CI_ X C) tC C C) N Ia O Z IC ra CL L C) C to C Z N W -C G E O I- C C O S O U O u; 1' I- L L L I G = C) Z C C1. .- N Cr) 'C to C G •- — h- C C . = O G CO U C O J U G . 3 Lo ot C ...) cL, -31 - • • C . ca tv) u- •o v 7 c c •D 1 r- re) r CO U') , t • ` •N Ln }_ 1 O) .- . • •.•.- CD I I v �'� II _C < !I� Y iI 1. y_ O • O r 1— C O I �� N Cr) O O LP 1-- V7w •zl• C O Cr V) I - ^ I jI �E if II I ., Lu, c.., r- t` I D O I i LCI I L= - N •1- N IT lD O O C Cr LO N Ln I I I Ln I jl N f c�1 M L[) ; ! M CNJ r Q. i C 04 t4 C . ;T' 1— �' H ill iC- J --- C CO CC)! •C — • Q Ui LOS I . . . w LC) O1, • • .LT, Q -..� . C LC) LI). - C . • r- O) t0; _ N � r • C bad VI VI C r • •. US U) 1 :n • C) U) N • • •• E o C U COI . ,- > U C Q • - T N x • • - ' CO Q) L. E 03 - • C,) r' • CD (!1 J • • • C E=) r Cn---- cu .�� tp N ••I _ C ..-. C') • N •▪ N rN I _ i— C) 00-) • 0. •▪ 0" •r0" 01▪ �' _ C : 1•i . U a • a . a •N a a s - - C t� LAc x: C - v .r 4) �D C) L Cu C) C) C''') .N > U > > r. > +U > V+ r ... .-• ^L U U 0) U rp U tp• U CCJ C) -r O) C C) r d C) 7.17. L 4- . r--'�.- U t I V- a!� Cn 4- w C) 4-) 14- C) C) C) CO C) O 0.1 Q) ._ F- �' �' N..--- O ."---- J _ • • , r (v M V' LS7 C) • G U CL-1 J- �- 1' EVALUATION PLAN The process of evaluating the programs is specifically detailed in each program description. The overall evaluation plan and monitoring will include the following: 1 . The evaluation will measure the outcome of eliminating the need for out-of-home placement, less restrictive placement and reducing or eliminating the need for expensive RCCF placements or institutionalizations. 2. Each evaluation plan will be administered and implemented by the agency responsible for individual program implementation. Therapeutic Foster Homes, Partners Plus, Specialized Residential Care Homes, and Out-Patient Psychological Services will be evaluated by the Weld County Department of Social Services. Respite Care will be evaluated by the Weld County Community Center Foundation. 3. Data to be collected includes: Number of children served, cost of the program and cost savings. Data will be collected on a quarterly basis. 4. The Placement Alternatives Commission will receive quarterly written evaluations on each of the programs. In addition, monthly verbal progress reports on each program will be provided. The Weld County Board of County Commissioners will receive a yearly impact statement and evaluation of the success or non-success of the Weld County Plan. FD:::: C4- - : va]uation _ -lea. .1\' I , l`. to _.n:.. - Reduce n:lltiple placc.ents for eflotionally disturbed difficult to handle children. • - Prevent expensive placements out of county (Group IIu,Y - BUJ) and place in least restrictive setting chile nainta.ininZ family ties. • - ;rove toward permancy planning for target children. Goal -1 Ihrht children were placed in Therapeutic limes during the current year. (Pro ra:. was lncr e:se:= Fran three (3) to seven. (7) Children in December, 1931. ) Five re lain in the first trier neutic hole plat Teflt; one c ildieturned to the natural parents; one child \:mss :,nvec out of the nro`rxt but has returned to the sane niacenent after a trial play: mien` with the natural parent. lennination trial has peaso held with C sition nen ,in_. rime child roved to another therapeutic ho=e and termination trial has been set for July, 1.w.._. "-ational studies show that more than three placements for any child are emotionally ( daraginr; valflable tine is lost to the Grieving process and chhildren whose ability _to trust and rcar']ne55 to be controlled by adults is already severely L��airE:i are likely to regress further. This process then begins to food on itself with the chili be( r v rote difficult to control and to tolerate in a rhp;e1 and likelihood of further place- rent increaslfl \tile Potential for future adjust-rent is decreasiit . The tv.D tables I and 11 ca sue the eight children 1.' th raneutic Lo.-,twitb a _-v.i_' of seven children Who are heir.^ Judged_ to be similar in enntiona_ .__r r'.." and-hac::ggros;_. l- oc TtJ:le _ also compares the children y:ho are i1: :a _'Therapeutic oster Lames t= she se_ v.-._, i.e. , their plareient history prior to plarr'aent in Therapeutic foster huu"e. �c can be seen, the number of placements is being reduced dramatically v,:nea tar et children rove from conventional foster care to therapeutic foster care (gable I). reg`c to- the control CIuup problematic children there in conventional foster care T __e more -i_. =1- to e moved several times (Table I-)- ,, r ,_ - the cost of therapeutic foster care (Table S""•_1�.ti C'-t B.. T).aC:e'L"^..S by far e_�C?E_ .. oce 7:ith an ern sic or therapy rather than sue)ly ral_ntenace is -,n n-ar month: Colorado C:hriS ial: ; c -7,1aaCel1!l='=e, C-r-! cr for Thrranrctfo bea inr (Armen) 2l7f2. Forest heights lod=e are so of tThr.se facilities. :oath. . :-a ,_ Ton Loran \':.1C; can be core necessary � CEi•• - - - - ..�n.'er --la ,n- children it Shen s_i- _.., as ..:r, -- - -•-- -. . ter month. _ :'ent are the :ai:tai:lr.- . L_.-pmd'ucts of this reduction in need for out o: county '-ace -- irn'o\_.1' g and strengt eni I::- of f.-r-_ -_ ties and tric child's increase-- ability to live successf llr it a family sett= trite ;arentai. fi_ures of both sexes. _ the euuca ?o" seni c s Another L=nd'fli so far has D.^.:_. _ rc�",%CtiCT: in n�?'y. for Sle=1d - _- . .._ . 2DEaai c Foster Cart ( Cc .. . ) ..Le 2 to the target children: Tnree of the eight chilarz:, were recPivir. ' their r-cn:ct'tlo` i„ . ... -• cl rsr.XS.s on a full time basis prior to placr rant in therapeutic foster care. Of these three, one child is completely mainstreamed, a second colic: is a.so mainstreamed with special education personnel being involved on a consilltiv`-_ uciS an.: the third child is 50; mainstreamed. Goal 3 t,ennanency Planning is facilitated by the therapeutic foster care Dl(J_ram Cue to pad factors: a. Th., natural parents are worked with by: 1 . The trier aPeUtic nape \'deer. 2. The children's therapists. S. The foster parents. The parents are therefore able to rnintain a close relationship with their children as well as a Positive attitude toward the therapy process because of close involvement fat_,- all the treatment agents. The result is cooperative plarinin: for the child's return ham with a consensus =ray, all parties. b. 1,ecause- of the ongoing therapy and informal evaluaticr 25:. because of the close e-. parents and treapi}ent agents, it becoses apparent earl- when:the beSI contact 1 � » .. _ � is the child often the parent is t nu , ion Of the parent- hi a1.,ci"�''ati L'c' for aria Gl:...-, �._ . -- lend- relationship. -entice c.. th r nis`s'ev._lu=tcrs have incr e9s J credibility in a calm- room setting, thus t-e likelihood of successful conclusion cf termination proceedings increases. It is hopped- that in sore Cases the close relations,`ip between 'reaufr_nt agent and parents as well as the clearly stated expectations will enhance the parents at., lit r l sh=n lift: the child. bony yL\ to I.�"'e t^`? decision to terminate their E..atl0.^.:��- term eval' =-tier:, 1:e. , doclr:entatio_n of post plarnrnent success will be necessary to de'cns`rate the worthvTlleneSS of the program to the children and their families These long ranee effects will no: as well as to the taxpayers in the lone rar. e. . be Dessible to evaluate until a larger sample will have completed the program:. • U i -0_ ^ I _ - n-l _ I I 1 1 - 1 = - H - . r +� I ; I I 1 I _J :r , J < i '-• P. I - I J C J O s -- -- j _J — ; I -• I - O ^- C) .1")::: r _ =I 1 r7 'J J. — -I i G - W H - .. i O I '• y: _t _ - - n CO_ J j - I ^ p I i • c —I - i I I I t� I r. w H c:yii J O _ `I S2 I U O _ C� _I raj I — I I y1 I Ff., FI - s.l _ •-. n 7- :I G :.`( _ _i 'C' '- I -r•I rr.cr rI 1 j '.I • ri-1 ^I yr -4 O I N I ^I ' - C I v�l 7, I ' i C� / r - NH U -I-11 ..r• _.. j .- ._ u] .C.. yy I I I I H I ` I I �I I J ^ _ CO v . SI I _J > - J I 14 - -1 - CO ..1 I - t- IC L• I I -I •�i 'i 'I ... I I gu : C • I "1 II' I • H -1 I r i - •� I -i -, _ 71 _ _I • i I 1 I I - .i I H I pt .. r 1 CO i C:. • i • I I i I t I 1 ! 1 = I = I I 1 � � - � I I 1 1 I 4 I t I - I Il I I 1 . J I ; i I i v I -° _ I � II I - I 4 I ; l• lc i . I H .. �. J J I U J'71. '' F =^ = if y 11 I r .v !] 0I > 74 I V> > �_ r c-1 v V j v - I I { ` I 1 I 4 I i I I I 1 1 1 1= r1 J _� IU J! J • - a J :I] - 5 •n i.).) m _ .-. l ^ O O Cr .: r: n u _ v.•-4 , i {r ,. vim! ', • t^, w r1 f R} I ! I . i 1 I .. ',-.1I I • .s i n i " r - .- J -t _ I ° .` `1 3 i �; w,l . �i .J N 1' N 1....' i I `.' tiI �_' t -I I U 1 r I I �1 �'+ tr7 ....Z.:•1 1 .1 ^1 . ...1 . i t I 1 I .-1 WELD COUNTY PARTNERS PLUS - Fiscal Year 1981 - 1982 OBJECTIVES tl Avoiding placement and/or keeping youth in county of residence. r2 Shortening placement to six months or less. t'3 Providing foster care for youth at less of an expense than group care. There were nine discharges from the Partners Plus program during fiscal year 1981 - 1982 in Weld County. Even though not all nine children met the stated objectives, it can be said all of them benefited to some degree from the personal relationships developed under this program. PARTNERSHIP OVERVIEW Partnership A - 11-81 to 3-82. Terminated due to child running out of state, child currently in Fort Logan. Objective not met. Partnership B - 5-81 to 3-82. Terminated due to child running out of state. Child currently with parent. Objectives t1 successful , r3 successful . ( Partnership C - 7-81 to 3-82. Terminated due to delinquent behavior, currently in .RCCF placement. Objective El partially successful . Partnership 0 - 2-81 to 8-81 . Terminated due to unmanageability. Currently in RCCF placement. Objective El partially successful . Partnership E - 3-81 to 9-81 . Terminated due to chile moving. Chile remains in family home. Objective El successful . Partnership F.- 1D-80 to 10-81_- Terminated after successful year. Child remains in his home. Objective- rl-successful . Partnership G - 7-81 to 2-82. Terminated by mutual consent. Child remains in his home. Objective El successful . Partnership H - 11-81 to 1-82. Terminated due to runaway. Child currently in detention. Objective s not met. Partnership I - 9-81 to 3-82. Maintained on independent living about six months. Terminated due to delinquent behavior. Currently with the department of institu- tions. Objective El partially successful . EVALUATION Based on nine discharges - Successful in meeting objectives 4 Partially successful in meeting objectives 3 Unsuccessful in meeting objectives PARTNERS PLUS OBJECTIVES - F1SCA YEAR 1982 - 1982 Children identified as candidates for the Partners Pius Program fall under the high risk category for future placement in RCCF or similar restrictive settings . 1 . To avoid or prevent out of home placement altogether. Goal : 20% of all those served will be kept out of paid placements. 2. To place children in lesser placements such as foster care or independent living. To minimize the length of stay in placement. Goal : 60% of all those served will be placed in least restrictive settings for a shorter period of time. 3. To create lasting relationships through the partnership that will continue beyond the paid period of the partnership. Goal : 80% of all those served will maintain a relationship with their partner after financial compensation is discontinued. 4 . To minimize or eliminate delinquent behavior after partnership is formed. Goal: 70% of all those served:will not- be charged with further delinquent offenses. EVALUATION - OUTPATIENT PSYCHOLOGICAL SERVICES - Fiscal Year 1981 - 1982 During the 1981 - 1982 PAC year two (2) children were provided services with the following results. 1 . One child residing in foster care was at risk of being placed in a residential treatment facility. Out-patient services were initiated and are still being provided on an as needed basis. Results of services is that the child has remained in foster care and residential placement has been avoided. Evaluation of service is effective. 2. One child was placed in foster care for four days. Out-patient services were provided to the child and family for two sessions. Results of Service: Child in home of parents, discharged from out-patient services , overall service effective. This project overall has been very effective in achieving the stated objectives. 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I 1 CLArUFY P_Ot_ES AND .•.�: RESPoroSIBIL irl .S • ls`.;I--1R1_ VISIT j 1 � r FAmILY Asvmc 5 I C7OR_Dtu.jtrn- ps. RE VIE'. REZ> .�Sl5I POrc�'Tr, , I FoQ PLRCEnEjj- TO IN'L;F SE rrsNG UP AbDlnarIAc CHIt_p;s ARE r • VISITS F ryl 1 .) i O I I I I I I CO I - I I I I to p4-1 1 I. P.. 1=. • C I i 1 >- p V) _ • 1-4 T _ i -T _i \ . • . I . I , \ \ . , 4..4y CO C) V. I-1-4 •G CI CI O ^ v u -.1 4 3 u 4 CO y O. G u d C C d' u CO O C 4 C: C W ..+ ..a .EE C .-+ V G B G V C co — Cr ..1 C .-� V Cr, m -. •C G -.1 D m4 M E C w 0, -.•-. C. C -.1 C C H -.� C C C >' > E C) C 4. 3 G -.4 7 C. 4 _.+ B 0 Ct -.. C u V O E C C U 0 C) C --. u --4 C' > C 4 N-1 .C 6 y .0 C 'O C -D C) C C) Y M � V) -.-) C C) IC --4 A.� 1. C. C C) C .6 C y y W E y 14 C) I 6 - 4 U C E C C C. y y y N C, C) u -.1 'O C. COCO 4 > C 4 B C - w u u O V-C d u C C1) C C D V H F-' O t+ 4 C u -� CO 0 0 C 4 -.1 C C) U U C C CO y C. CI > C C) 4 C .C Cu ..1 0 C 4 C� -n V u y ..+ V 60 C G 0 C L C. 4 C) C C C `' .1-10 4 0 U u C J.4 C) C C) I C+ Y C' '' V u 0 0 0 4 G Hal -.a V 0 .V .O H CL.Al C If., [D C CO N 0 C. C =� L) Y C C c _ _ 0 C - r O c.. - • 4.2Y G — _i C E — N C O, CC — 0 0 H I 1TT 1 I k \ . I I N CI cn y L n Y -N -N CU .N CI 01 u 0D u .N -N U 0 G t !:i4 C1- L 0 0 -0 d > C C N -N Cl >ON0. JC--.4 N V 00 U U U O C. 4-1 Ca N .N 1+ c 01 C - O > 0 •-• .n-.O W H 0 0 0 < © U G • PO U 0 C) 1.1 • 0 H JOB DESCRIPTION TITLE: Respite Care Services Coordinatdr . . _ . QUALIFICATIONS: B.A. degree in Special Education, Rehabilitation, Early Childhood Education or Related Field. , "_I. DIRECTLY RESPONSIBLE TO: Residential Services Team Leader . `1. PRIMARY Ra-PONSIBILITIFS: . A_.Direct Provision of Services: - Recruiting potential respite caretakers through advertisement and contact with generic and specialized agencies and organizations within the community. Making the availability of respite services known to potential consumers through established media channels and organi- zations serving handicapped children. provide direct general training to respite caretakers on an initial and on-going basis-and arrange for specific training through resource people from WCCCF or other-agencies. Develop and coordinate matches between respite caretakers and consumers. Follow-up on quality of respite care. E. Records: Develop and maintain appropriate record keeping to log all qualified respite providers, and the use of respite care including, names of providers and consumers, reason for respite care, characteristics of children served, . number of hours • of service being provided, and training provided. Any other record keeping.necessary to comply with federal or state- regulations, or as determined necessary by the Residential Teab Leader, will be completed within allotted time limits. - C. Fnuipment and Facilities: - Responsibilities for equipment and facilities include adequate care and maintenance of work area and care of - assigned program supplies and equipment. An inventory of assigned equipment will be required, as necessary, by the team leader. .. . D. Finances: Maintain record of travel and other related costs on a monthly basis. Dee established agency procedure for the requisition of all supplies and equipment. Assist the team leader in the development of budget by proving estimates of travel and supplies needed. V. ONGOING ACTIVITIES;. A. Regular Activities: • Regular activities include weekly attendance at residential services team meetings, on-going recruitment of respite care providers, training; both initial and on- going and evaluation of services. B. Program Development: - Participation in program development will take place through team meetings and on-going evaluation of services provided in accbrdanee with the written program proposal. Other participation::in program. development will be at the descretion of the team leader. _ C. In-Service : In-service training will be provided to all respite care providers as well as current community center staff who may be involved in the respite care program. VI. RELATIONSHIPS WITH COMMUNITY AGENCir2: Rapport with all community agencies serving severely handicapped children as well as rapport with all potential resources will be maintained. The relationship with com- _ __ _ _ ___munity agencies and organizations will include the provision - - - - - of in-service training and the explanation of WCCCF respite care services as directed and/or.- approved by the team leader. VII. RELATION5dLPS WITH COMMUNITY AT LARGE: All Weld County Community Center staff will maintain professional status within the community-at large which will.reflect a positive image of. the agency. VIII. PROFESSIONAL RESPONSIBILITI : All professional staff-are encouraged, but not required, - to become an active-member cf appropriate organizations. Organizations include the Council for Exceptional Children, The American Association of Mental Deficiency, The National Association for Retarded Citizens, etc. . .. - Respite Care Services Pro . am In order to more fully evaluate the impact on out-of home placement, as a result of the proposed respite program, the following evaluation system will be utiled . Inrthe needsnsection of the proposal a pool of approximately 165 in programming within the county , was identified. Information received from various sources showed that these families could potentially benefit from the availability of a respite care services program. ten families have been For specific evaluation purposes selected from this pool . The particular families selected are those which contain children who are severely/profoundly handicapped and are at the greatest risk of out-of-home placement. These children range in age from 1 year to 10 years and currently reside in their family home. Three of the children listed below are currently on a waiting list for a Residential Child Care Facility and may be placed if such a facility is developed in Weld County in the future. With- _ out respite care and the future development of a county RCCF these children would be placed in an institutional setting in the near future . The families of the remaining high-risk children have expressed a desire for respite care or have discussed the need for out-of-home placement in the future ,although are not on a specific institutional waiting list at this time . Lister below are the children whose families would receive priority respite services . Included is the child ' s age and diaanosis . 1 . C .M. Age 33 years Diagnosis - Severe Mental Retardation of unknown etiology , Seizure disorder , non-verbal 2 . D.B . Age 3 years Diagnosis - Severe Mental/Motor Retardation , Seizures , non-verbal , non-ambulatory ,- Spastic Quadriplegia 3 . O .H . Age 9 years Diagnosis - Cerebral Palsy , non-ambulatory 4 . C.H . Age 31 years - Diagnosis - Profound Mental/Motor Retardation , Seizure disorder , hydrocephalis , non-verbal , non-ambulatory 5 . V .R. Age 4 years Diagnosis - Cerebral Palsy , Severe Mental Retardation, Seizure disorder , non-verbal , non-ambulatory 6 . J . S . Age S; years Diagnosis - Profound Mental/Motor Retardation, Questionable vision , Spastic Quadreparisis , Seizure disorder , non- verbal, non-ambulatory 7 . J .S . Age 3 years Motor Retardation , Seizure Diagnosis - Severe Mental/ disorder , non-verbal , non-ambulatory - 8 . T.W. Age 3 years Profound Diagnosis - Seizure disorder , syndrome , Retardation , non-verbal, non-ambulatory 9 . M.P. Age 1 r year - H drocephalis , congenital absence of Co y and large brain syst, Seizure disorder Corppusus Callosum, 10 . M.C. _ Age 3 years Severe Mental Retardation , Diagnosis - Microcephalic , non-verbal Prior to the beginning of the project a questionaire will be developed and be completed by the families of the ten children listed. This questionaire will address the families current feeling and need in regard to out-of-home placement, the need for respite services , and the specific difficulties encountered be which may lead to out-of-home placement. The questionaire repeated at six month intervals and .the the effect of the respite d changes in parent attitude t program will evaluated by lacements made toward out-of-home placement and the number of p from this high-risk group. Respite mare - Location of provision of Services This appendix is intended to clarify the primary method of service delivery and the physical location of the service. Weld County Community Center adheres to the philosophy of service provision in the least restrictive environment. As this applies to -respite care services it implies that respite .services should be provided , whenever:: feasible , in the: natural environment of the child. Providing- short term' respite care in the child ' s home will have the least disruptive effect therefore th child and may place the parents in a more comfortable posit , increasing the utilization of the service. Under certain defined circumstances it may not be feasible or in the best interests of the family or child for respite care to be provided in the child' s home. These particular cir- cumstances would involve serious illness or death of a family member . in these situations respite care in the home of the care- taker , for a short period of time , may make the need for long term out-of-home placement unnecessary by providing relief during a period of extreme family stress and disorder . It is anticipated that these extreme cases of respite need out .of the home environ- ment would be the exception . to provide all types of The need for program flexibility, services , is an integral component if the project is to be success- ful. Cornerstone Builders Inc. „m i 4!i • March 7, 1980 • Weld County Community Center Foundation, Inc. 1422 8th Avenue, Suite D Greeley, CO 80631 Attention Mr. John Wooster, Executive Director Subject: Respite Care Services Program Gentlemen: 0 Being a parent of a mentally retarded child, we believe that the program such as the one you are proposing would be a welcome addition to the com- munity. This type of care is very hard to find in this area, and speaking for all the parents in our association we believe this would be a very beneficial program to have available. This area of services has a great deal of interest on our part, and we wish you the best of luck in getting the program started. If you have any questions or need more information, please do not hesitate to call me. ince y ' Kent D. lls , Chairman Parents Association of Greeley KDM/ch • • XX _,. . _ �_i___�_ onafl') . '1n1_'i St/NA 11 RESIDENTIAL PLACEMENT COMMITTEE . >AT NATOLI,Cnnrysrsoo 2235 2nd Avalnu, G.edW,Colorado 80631 {3031353.6420 - { I March 7, 1980 - 1 Mr. Allan Orlofsky I Residential- Team Leader i 1422 8th Avenue Suite B Greeley CO 80631 I I { -Dear Mr. Orlofsky, We the members of the Weld County Residential Placement Committee feel there is a need in Weld County to parentsdevelop eite care facilities. We have had numerous requests from 1 within the community to provide short term respite care- On certain t occassions we have been-asked to provide long term respite care in r extenuationg circumstances. For instance, due to illness and/or death in the family, vacations, parents have limited resources for their children's care. At the present time our only alternative for these situations is the Ridge State Home and Training School and due to the extremely long waiting list this resource is very limited. We fully support your endeavors to establish a respite care program as it is a needed service in our continuum. Sincerely, QQ ,-,. Wo Pat Whitcomb Chairperson-Residential Placement Cotittee i GREELEYWELD ASSOCIATION FOR RETARDED CITIZEN> - WELD COUNTY HEALTH DEPARTMENT - WELD WENTAL HEALTH XXI ---- .., wc1 fl COUNTY DEPARTMENT OF SOCIAL SERVICES • March 7, 1980 Dr . John H . Wooster, Executive Director Weld County Community Center Foundation, Inc . 1422 8th Avenue Suite B Greeley, Colorado 80631 Dear Dr . Wooster: Because of the urgent need for a respite care program, the Association for Retarded Citizens Association of Greeley endorses the Respite Care Services Program that Weld County Community Center proposes to help fill this community service gap . Parents° foster parents and relatives who have the res-- - ponsibility of constant care of _ disabled individuals often find themselves in need of a temporary respite care service . We feel that a good respite /care program would add to comprehensive community services planned to keep the disabled . individual in his or her community . Sincerely, LLtr/ - lJ 1<< c ( Mrs . ) Ruth R . Bruce , Pr Association for Retarded RB/r Citizens of Greeley 1 March 11, 1980 • Mr. Al Orlofsky Weld County Community Center 1422 8th Ave. Greeley, Colorado Dear Mr. Orlofsky : We of Parent To Parent express our enthusiastic support for your efforts in providing a respite care program to families of severely handicapped children. Ever since our organization (which serves as a support group for parents of all handicapped children) has been meeting we have recognized the need for a service of this type. Some of us have children with such severe health problems it is very difficult to find suitable people to care for them. This situation puts an additional strain on families who already endure more stresses than the average family. These parents of special children need to have someone they can trust and can depend on to care for their children preferably on a regular basis. This occasional break from the constant strain of caring for a severely handicapped child could go a long way to maintaining the parents' mental health and even the parents ' marital relationship. pltimately the child benefits from an improved family life. At this time there is no progr a1service exists in or is peoho provides es County area. a�respite care service although a definite need for We are hopeful that funds for extablishing a full time coordinator to train people to implement the program will be provided. Such a service would be a tremendous help to families of children with severe handicaps and health problems. \4e fully support your efforts in this important area. Sincerely , Mary Stack Contact Person. Parent io Parent m - t- N I - •--4N N I 1. -7 C) O, D N --+ II' _ •-4C) N O ,, .-i co P. .- . .r .--. .y f r+ j m 1 o +> I p - w c . It IV I W E d a _. . > u m Le t • -) V " O u C C - .0 y. .. C a, G O X R E c.. O O t y C a m .C .... -C CG w m . m d T 0 - t C - Lr o. —i .c a .-4o C C MI 4. y O .--4 •, m . e._c. -0 (4-4- a m >. 1--4 ... N C __>4 a O --4 O W H .--. N ' >, - O W -.-Y - 1. >, i •-a. � H -. s. .V PQ p U U C) 0 ..-i C N O < V C - .a-) .0 I .-I - C 7 >4 u .-t N C r - a O Z vet + C P. re' .-H .-i ' - - o O --, a - H ¢ m E co 1. C., t o cc s. I u o- 1 ' tt 4. C Ic c m . li Cu I W t .-i-4 '.-' U 1 -4 O • CLy"t> _C L. Z C C -_- U P, 1 < .-Ca ..a E a a a a is a a -... a m 1. 'U o -) r -c ..C L .C .C - .C r ,. C C C C C C C C C C C 'C U -, a. C -I O O O O O O O O -O c C W E F. E E E E E E E E - E -0 y U > C to R O O L- N N- .-4 CO ¢ ¢. U a < -i en .--. .- E - N t, > R. U a, Cr C - "O N a 'O'O m F O N U U = +9- O 1.4.-4 y - L I a c c E r .-I C\ 0 tU O C N .-a O d r_ < O CV a. . X ISN E N X c• to .--1 F D CV C •-- .. .-1 .--i .-1 .-y .-1 .-i n t t r G > X G G - '-�. - N ti U • • F x - L u O -- P. L. F c C- c; EC L Cf R O GU F. F U .-J F c .2 c p 0. Lr, 2 C c c c O W r U a - O C U DE = W C .y C., - E >" � U C C C.. C C F = � Li E I4- G C Li c n G a < m m ^_ LL: c 4 U C ._ NO Li C) C > /.:. LC Li Li= < P. in CV N -4 -4 It N en .-t — CD G O O < C. C LLi: Li C C i Li _-. F X O > > > > v O Li G C < C C l F. = ..- G L-- F CRITERIA USED BY CASEWORKERS IN CHOOSING GROUP CARE OVER FOSTER FANTLY CARE: Youth 12-18.years of age who are usually placed in group care based on the following major criteria used in choosing between foster care and group care. 1) The child's need and ability to form close relationship. If the child has experienced little pain and rejection and is willing to risk himself easily, foster care may be seen as appropriate. If the child has been severly damaged and is untrusting or unrisking, group care may be the placement of choice. 2) Child's need for structure. A certain amount of testing by all children in placement is expected. Certain foster parents can maintain caring and control - --through this testing period. Under such circumstances growth and problem solving -ean occur. More often, a foster family refuses to tolerate severe testing. Structure in foster care is dependent on the child forming a close relationship with the foster parents and this close relationship or attach- ment only occurs through a series of negative and positive interactions over a sustained period of time. Each placement failure lessens a child's chances for success in any type of placement as well as deepending the child's psy- chological problem. Unfortunately, when a child has provocative behavior, group care, with its emphasis on control, is often chosen. The paradox is that the more provocative a child's behavior, the more the child ususally needs intimate and sustained nurturing. This type of nurturing is not a characteristic of group care. 3) Nature of the family relationships. If return to the family of origin seems impossible, stable foster care placement may be the placement of choice. This, of course, depends on the already mentioned factors of the child's need and -- ability to form close relationships, need for structure, age and dynamics of the natural family. It is not uncommon for natural families to sabotage a child's relationship with a foster family due to fear of emotionally losing that child. PSYCHOLOGICAL PROFILE OF YOUTH PLACED IN GROUP CARE - RCCF Ways of perceiving the world: • • . 1. Self-perception as inferior to others. No felt capacity of be responsible, for control of self and environment. Sees self as "low man on the totem pole." Dependent on rules of others_ for keeping him out of trouble. 2. Self description in conventional and socially desirable terms. Initially describes himself as "normal", except when interviewed with regard to specific behavioral incidents. 3. Anti-social behavior ego-alien.- uncomfortable with "delinquent" label. Typically feels that he bacame involved in-the delinquent act as a result of external forces. 4 . Overestimates the power of others. Sees control or "giving" figures as having expectations of him to conform to their standards, and assumes the powers of others to be overwhelming when he does not meet these expectations. Absence of sense of belonging, including to delinquent subculture. 6. Non-resection of adults. He has not given up completely on establishing satisfying relationships with adults: even though he is pessimistic and typically anticipates rejection. 7. Attempts to handle situations with a formula (surface conformity) , trying to bring about desired outcomes. 8. Anxiety arises when (a) he is rejected by significant adult or peer group, or when (b) he becomes aware of "demand" from others which he feels unable to meet. Ways of responding to the world: 9. Rigid application of formulas. Use of formulas tends to be indiscriminate, stereotyped, inflexible and absolutistic. Major formulas involve (a) his buying support through immediate conformity to the demands of others, or (b) when formula appears -to fail, he will force others to reject him via his misbehavior. 10. Situation-bound in the extreme. Has difficulty relating to anything beyond the present situation. 11 . Need for social approval. Completely dominated by this need. Maior focus of social interactions is to avoid pain or punishment and/or seek approval for his behavior. 12. Self-presentation as passive. Appears fearful of assertiveness. Feelings of -resentment are present but expression is usually suppressed. May confront but only if he has given up on the relationship with the adult. 13. Pattern of flight. Taior methods of handling crises are those of psy- chological withdrawal or actual flight (runaway) . 14 . Relationship with adults. Is able to develop strong dependency relationship with sympathetic adults. 15. Relationship with peers. Important to him to have companions but, as with adults, fearful of rejection. Peers tend not. to trust him. 16. Reasons for delinquency. Offense behavior as one or more of the following - meanings: Attempt to gain peer approval; fear of and/or flight from dis- appointment; emotionally non-supportive, indifferent or rejecting parental or other adult figures. 17. Attitude towards delinquency. In the presence of peers , may allow eagerness to commit delinquent acts, but evidences no strong loyalty to a delinquent - code apart from its capacity to meet or not meet his needs for immediate approval from individual member of a group. Cannot say "no" to demands or suggestions for deviancy. May superficially atone for his wrong deeds. When unable to avoid the consequences, .he may become sullen, resentful, pouty. 18. Acceptance of emotionality. May admit to emotions (anger, sadness , fear) in interview situation, but tends to minimize the influence of these - _emotions on his behavior. TREATC'ff PLAN Goals: Develop image of treatment agent as giving, caring, non-threatening in order to help youth feel valued as a person and feel a sense of belonging. -Increase recognition of and differentiation among his or her feelings. Help youth accept legitimacy of his feelings; increase awareness of his impact on others and their impact on him; change self-definition in direction of security in decision making, ability to meet demands of others , ability to assert himself with others, capacity for growth, personal worth. Encourage identification with adequate adult (Partner, foster parents.) Hello