HomeMy WebLinkAbout890237.tiff RESOLUTION
RE: APPROVE 1989-90 ALTERNATIVE PLACEMENT PLAN
WHEREAS, the Board of County Commissioners of Weld County,
Colorado, pursuant to Colorado statute and the Weld County Home
Rule Charter, is vested with the authority of administering the
affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with the 1989-90
Alternative Placement Plan for Weld County, and
WHEREAS, after study and review, the Board deems it
appropriate to approve said Plan, a copy being attached hereto and
incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County
Commissioners of Weld County, Colorado, that the 1989-90
Alternative Placement Plan for Weld County be, and hereby is,
approved.
The above and foregoing Resolution was, on motion duly made
and seconded, adopted by the following vote on the 8th day of
March, A.D. , 1989 .
� � �¢- . BOARD OF COUNTY COMMISSIONERS
ATTEST: ‘717(1 lE PlnJ WELD COUNTY, COLORADO
Weld County Clerk and Recorder
and Clerk to the Board C.W. Kirby, C irman
\.7a ' ne Uo nson, Pro-Tem
putt' County erk
APPROVED AS TO FORM: Gene R. Brantner
eorge Ke nedy
County Attorney cea/c/
'Jo // ,%3 "I r #‘4, ` e-, 890237
WELD JNTY FY 1989-90 ALTERNATIVE PLACEME? PLAN
TABLE OF CONTENTS
PAGE
PLACEMENT ALTERNATIVES AND OUT-OF-HOME PLACEMENT
PLANNING AND EVALUATION 3
PLACEMENT TRENDS - WELD COUNTY 6
PROPOSED CLIENT SERVICES PROGRAMS
PROGRAM #1 - THERAPEUTIC FOSTER CARE
1. PROGRAM DESCRIPTION 7
2. TARGET GROUP 7
3. RATIONALE 7
4. ADMISSION CRITERIA 7
5: DISCHARGE CRITERIA 7
6. PROGRAM PROVIDERS 8
7. COST SAVINGS ANALYSIS 10
8. PROGRAM PERFORMANCE 11
ALTERNATIVES PLAN PROGRAM BUDGET FOR FISCAL YEAR 1989-90 . 12
PROGRAM #2 - PARTNERS PLUS
1. PROGRAM DESCRIPTION 14
2. TARGET GROUP 14
3. RATIONALE 14
4. ADMISSION CRITERIA 14
5. DISCHARGE CRITERIA 14
6. PROGRAM PROVIDERS 15
7. COST SAVINGS ANALYSIS 17
8. PROGRAM PERFORMANCE 18
ALTERNATIVES PLAN PROGRAM BUDGET FOR FISCAL YEAR 1989-90 . . 19
PROGRAM #3 - JUVENILE DIVERSION
1. PROGRAM DESCRIPTION 21
2. TARGET GROUP 21
3. RATIONALE 21
4. ADMISSION CRITERIA 21
5. DISCHARGE CRITERIA 22
6. PROGRAM PROVIDERS 23
7. COST SAVINGS ANALYSIS 24
8. PROGRAM PERFORMANCE 25
ALTERNATIVES PLAN PROGRAM BUDGET FOR FISCAL YEAR 1989-90 . . 26
PROGRAM #4 - CHILD ABUSE RESOURCE AND EDUCATION PARENT ADVOCATE
PROGRAM
1. PROGRAM DESCRIPTION 28
2. TARGET GROUP 28
3. RATIONALE 28
4. ADMISSION CRITERIA 28
5. DISCHARGE CRITERIA 28
6. PROGRAM PROVIDERS 29
7. COST SAVINGS ANALYSIS 30
8. PROGRAM PERFORMANCE 31
ALTERNATIVES PLAN PROGRAM BUDGET FOR FISCAL YEAR 1989-90 . . 32
PROGRAM #5 - DAY TREATMENT
1. PROGRAM DESCRIPTION 34
2. TARGET GROUP 34
3. RATIONALE 35
4. ADMISSION CRITERIA 35
5. DISCHARGE CRITERIA 35
6. PROGRAM PROVIDERS 36
7. COST SAVINGS ANALYSIS 37
8. PROGRAM PERFORMANCE 38
ALTERNATIVES PLAN PROGRAM BUDGET FOR FISCAL YEAR 1989-90 . . 39
PROGRAM #6 - WILDERNESS PATHWAYS
1. PROGRAM DESCRIPTION 40
2. TARGET GROUP 40
3. RATIONALE 40
4. ADMISSION CRITERIA 40
5. DISCHARGE CRITERIA 40
6. PROGRAM PROVIDERS 41
7. COST SAVINGS ANALYSIS 42
8. PROGRAM PERFORMANCE 43
ALTERNATIVES PLAN PROGRAM BUDGET FOR FISCAL YEAR 1989-90 . . 44
COUNTY PLACEMENT ALTERNATIVE PLAN FINAL BUDGET FOR FY 1989-90 . . . 46 890237
PLACEMI ALTERNATIVES AND OUT-OF-HOME tCEMENT
PLANNING AND EVALUATION
1. DESCRIBE THE PROCESS THE PAC USES TO CONDUCT NEEDS ASSESSMENTS, PROGRAM
REVIEWS AND DEVELOP NEW PROGRAMS.
The Weld County Placement Alternatives Commission (PAC) is continually
apprised of the status of out—of—home placements made by the Weld
County Department of Social Services in all levels of placements from
in home treatment to RCCF placements. This is done on a monthly basis.
The PAC is familiar with the criteria used by the Department of Social
Services staff in recommending RCCF, group home, family foster care and
other PAC programs as well as the typical psychological profile of
children placed in RCCF and group care. The PAC asks for and receives
recommendations from the Department staff on changing needs and
problems presented by our clients population. The PAC has continually
been receptive to proposals from the private sector for new programs.
When a program is presented, a subcommittee does extensive study and an
investigation regarding the proposal and reports to the PAC. This
information is analyzed in conjunction with the ongoing needs of the
client population and is used as the basis for initiation of new
programs.
2. DESCRIBE THE DECISION MAKING PROCESS FOR PLACING CHILDREN IN
ALTERNATIVE PROGRAMS OR IN OUT-OF-HOME SETTINGS. INCLUDE: (A) WHO IS
INVOLVED; (B) THE REFERRAL PROCESS; AND (C) THE POSITION TITLE OF EACH
INDIVIDUAL.
The 19th Judicial District and the Weld County Department of Social
Services; specifically the caseworker involved with the child and the
family, and his/her caseworker supervisor make final decisions relative
to the need for out-of-home placements. _ Input and recommendations to
assist in making these determinations may include the Weld County
Probation Department, local school districts, Weld Mental Health
Center, the legal profession, Centennial Developmental Services, Inc. ,
and parents.
Referrals to Placement Alternatives programs are primarily generated by
the social casework staff and the program providers, such as Partners,
Inc. Each referral is jointly staffed by the Department of Social
Services and the program staff. Final approval for admission into the
program is made by the County Department of Social Services.
Each of the following Placement Alternatives programs utilize the
concept of a team approach to delivery of services to the client
population. They are:
Therapeutic Foster Care - A team consisting of the caseworker, foster
parent and psychologist develops a case plan in working with the child
and as well as an individual basis. The services are delivered on an
intensive basis, and the team meets weekly to evaluate progress.
Partners Plus - A team consisting of a social services supervisor,
caseworker, and senior partner develops a case plan in working with the
child and natural parents. The senior partner provides direct,
intensive services to the child. The caseworker and supervisor provide
consultation and supervision.
3 890237
PLACEMENT ALTERNATIVES AND OUT-OF-HOME PLACEMENT
PLANNING AND EVALUATION PROCESS (cont)
2. (cont)
Juvenile Diversion — A team consisting of a social services supervisor
and juvenile diversion worker develop a case plan in working with the
child and natural parents. The juvenile diversion worker provides
direct services. The social services supervisor provides consultation
and administrative accountability.
Parent Advocate — A team consisting of a social services supervisor,
social caseworker and C.A.R.E. Director and Parent Advocate Coordinator
will develop a case plan in working with the child and natural parent.
Once accepted, a parent advocate will provide the direct services. The
social services supervisor provides consultation and administrative
accountability.
Day Treatment — A team consisting of the social caseworker, casework
supervisor, special education personnel from the school district make
the decision that a day treatment program will meet the child's needs.
After that decision is made, then that group of professionals meet with
the specific day treatment program staff. The day treatment staff
provides the direct service to the child and his family.
Wilderness Pathways — The caseworker, the casework supervisor and the
worker from Wilderness Pathways will make the decision about the
child's acceptance into the program. That same team of professionals
will communicate on a regular basis about the child's progress in the
program. The worker from Wilderness Pathways will do the follow up
treatment with the youth and his family after he returns to his home
and community.
3. DESCRIBE THE PROCESS FOR THE REVIEW OF CHILDREN WHO ARE IN OUT-OF-HOME
PLACEMENT AND PLACEMENT ALTERNATIVES. INCLUDE: (A) WHO IS INVOLVED;
(B) THE FREQUENCY OF REVIEW; AND (C) THE DECISION POINTS. INDICATE
WHAT AGENCIES ARE INVOLVED AND THE POSITION TITLE OF EACH INDIVIDUAL.
Pursuant to the Colorado Children's Code and Senate Bill 26
legislation, each foster care placement is reviewed for need of
placement every six moths. The initial review of placement occurs
within 90 days and then every six months until the termination of
placement. In addition, supervisory staff have ongoing reviews with
their staff regarding the continued need for placement.
The Placement Alternatives Commission receives a monthly report of the
cost, number of children in out—of—home placement and number of
children in Placement Alternatives Program.
Therapeutic Foster Care — The caseworker, casework supervisor,
psychologist, and foster parents along with the court system are
involved in decision making. Court hearings are held at least every
six months. The caseworker, psychologist and foster parents meet twice
a month for ongoing services and reviews of the child's progress and
appropriateness of the placement.
4 o 890237
PLACEMENT ALTERNATIVES AND OUT-OF-HOME PLACEMENT
PLANNING AND EVALUATION PROCESS (cunt)
3. (cont)
Partners Plus — The casework supervisor, caseworker, Partner counselor
and the senior partner all have input into the decision process. The
partnership continues for a years duration. At any time during the
year when a need arises, a staffing is held involving the caseworker,
senior partner and Partners coordinator.
Juvenile Diversion — Casework supervisor, caseworker, and the Juvenile
Diversion worker are involved in the decision process.
Parent Advocate — Casework supervisor, caseworker, the Parent Advocate,
and the C.A.R.E. director are involved in the decision process. The
Advocate continues in the relationship for six months. Near the end of
that period of time the professionals determine whether the advocate
should continue or terminate her involvement. In addition brief
staffings are held every week between the advocate and caseworker to
evaluate effectiveness.
Day Treatment — The team of the caseworker, school personnel and day
treatment staff meet on a regular basis to evaluate progress and future
goals and plans.
Wilderness Pathways — The caseworker the casework supervisor, and the
worker form Wilderness Pathways will be involved in the decision
process.
The Placement Alternatives Commission's procedure for review of
programs is based on a monthly report. The report contains the
following information: number of children enrolled; number of children
discharged; monthly expenditure; expenditures to date; cost savings;
and comparative data. In addition, each program is discussed in terms
of progress towards the goals and evaluation of the impact of services
on the client population.
Once per year, the Placement Alternatives Commission requests an oral
presentation from assigned personnel on the overall performance of the
project and its impact on the clients served and whether the objectives
of Senate Bill 26 are being met.
5 890237
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PROPOSED CLIENT SERVICES PROGRAMS
PROGRAM #1 - THERAPEUTIC FOSTER CARE
1. PROGRAM DESCRIPTION
Therapeutic foster care is for children ages 2 — 12 who cannot live in
their parental homes and who are too emotionally disturbed to be
maintained in a conventional foster home. These children have usually
had several disrupted foster and relative placements and have a minimum
amount of trust in the systems in their environment. The Social
Services caseworker who specialized in working with children with
attachment bonding and trust issues as well as with their parents is
the primary treatment person. This worker is also responsible for
initiating and coordinating court action on behalf of the child and
family. A psychologist is also involved with the caseworker in working
with the child, family and the foster parents. The foster parents are
an integral part of the treatment team. The caseworker, psychologist
and foster parents meet twice a month for training and support. The
child's family is included in the treatment process with the goal of
returning the child to his family when that is feasible.
2. TARGET GROUP
a. Average number of children to be served per month — 16
b. Average number of families to be served per month — 16
c. Age range — 2-12
3. RATIONALE
Therapeutic foster care provides the least restrictive and least costly
yet effective and stable environment in which children having suffered
extensive emotional damage can be treated with the parents with the
goal of reuniting the family. Where appropriate, permanency planning
for long term placement or adoption will be considered.
4. ADMISSION CRITERIA
a. Referral made because child has been defined as emotionally
disturbed.
b. Services to family and child in home have not resulted in
improvement.
c. Previous multiple relative or foster placements have failed.
d. Behavior of the child makes success in foster care unlikely.
5. DISCHARGE CRITERIA
The parental home, home of relative, adoptive home or a conventional
foster home is able to meet the daily needs of the child with minimum
support from the community.
7 .890237
PROPOSED CLIENT SERVICES PROGRAMS
PROGRAM #1 - THERAPEUTIC FOSTER CARE (Cont)
6. PROGRAM PROVIDERS
PROVIDER SERVICE ACTIVITY FREQUENCY
NAME
Caseworker IV Recruit, train, consult with Full time each
foster parents; establish month
treatment goals. Consult with
psychologist and other
BILLING UNIT professionals. Diagnostic,
Salary & fringe/mo. prognostic and therapeutic
intervention with child and
family.
COST PER UNIT
$2,794.00
COST/CHILD/MONTH
$2,794.00 divided
by number of child-
ren in program
PROVIDER SERVICE ACTIVITY FREQUENCY
NAME
Foster Parent Provide therapeutic home Each day of
environment for child, attend month child is
ongoing training. CW and in home
BILLING UNIT psychologist work closely
# of days child with caseworker, parents and
in foster care/mo. other professionals.
COST PER UNIT
$8.33/da incentive
$10.50/da
maintenance
COST/CHILD/MONTH
$565/mo/child
8 890237
•
PROPOSED CLIENT SERVICES PROGRAM (Cont)
PROGRAM #1 - THERAPEUTIC FOSTER CARE (Cont)
6. PROGRAM PROVIDERS
PROVIDER SERVICE ACTIVITY FREQUENCY
NAME
Psychologist Meets with foster parents 16 hours/mo
and CW for training and
support. Provide psycho—
BILLING UNIT logical assessment and
# of hours interpretation; liaison
with other mental health
professionals.
COST PER UNIT
880 divided by number
of children in program.
each month
Total program cost per month, alternatives $7,674.00
Total costs per month, administrative --
Total program cost per month, basic foster care $5,040.00
Total, all costs per month $12,714.00
Program costs per child per month $794.63
9 890237
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PROPOSED CLIENT SERVICES PROGRAMS
PROGRAM #1 - THERAPEUTIC FOSTER CARE (cont)
8. PROGRAM PERFORMANCE
OBJECTIVE Current Current Previous Projected
12 month 6 month 12 month 12 month
target actual actual performance
performance performance performance
A. Average number of
children served 16 14.62 11 16
each month
B. Average number of
months in the 16 18 18 16
program
C. Average cost per
child per month $834.00 $727.44 $725.83 $794.63
D. Percentage of
children in same 70 83.33 71.43 70
or less restric-
tive setting as
discharge
E. Percentage of
children in same 70 83.33 71.43 70
or less restric-
tive setting 6
months after
discharge
F. Percentage of
children that 70 83.33 71.43 70
will meet dis-
charge criteria
or be considered
to have success-
fully completed
the program
9. PROJECTED METHOD OF PROGRAM EVALUATION
Demographic and statistical information is accumulated on a monthly
basis and compiled into a report. The information to complete the
program performance was derived by examining these reports. The
program director and the casework supervisor both compile this
information on a monthly basis.
11 890237
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13 890237
PROPOSED CLIENT SERVICES PROGRAM
PROGRAM #2 - PARTNERS PLUS
1. PROGRAM DESCRIPTION
Partners Plus is a program for children from 10 - 18 years of age who
are experiencing significant problems of adjustment in their parental
homes. These youth are in conflict with either their parents, the
community or both. The majority are experiencing school related
problems and many have had contact with the legal system. Most of
these youth do not trust the adult population and do not have positive
adult role models. Many of them do not have parents who will advocate
for and support them in the school and legal systems. These youth are
in danger of being placed outside their family. Senior partners meet
with their junior partners for 10 hours a week in a counseling advocate
role.
The counselor from Partners Plus is responsible for recruiting,
training, supervising and managing the partnership. That person is
also responsible for the administration of the program. The caseworker
remains involved with the youth and his family. The casework
supervisor is responsible for the case management and coordination of
the program.
2. TARGET GROUP
a. Average number of children to be served per month - 23.
b. Average number of families to be served per month - 23.
c. Age range - 10-18.
3. RATIONALE
This program was designed to work with the youth before they were in
such crisis that foster placement was inevitable. When the youth has
to be placed outside the parental home the setting is less restrictive
than it otherwise would have been. By building a positive relationship
with an adult, the youth will be better able to relate in a more
productive manner with the other adults in his environment.
4. ADMISSION CRITERIA
Youth who are at risk of being taken out of their homes and being
placed in specialized group care or residential child care due to the
child's acting out behavior or due to his tenuous emotional state.
5. DISCHARGE CRITERIA
The child was not removed from his home and did not have any new
delinquent offenses while in the program. The child has developed
trusting relationships with adults.
14 890237
PROPOSED CLIENT SERVICES PROGRAMS
PROGRAM #2- -PARTNERS PLUS (Cont)
6. PROGRAM PROVIDERS
PROVIDER SERVICE ACTIVITY FREQUENCY
NAME
Partners Plus Senior partner meets with 40 hours per
the junior partner in a month
counseling, support role
while doing shared
BILLING UNIT activities.
Number hours spent
with junior partner
COST PER UNIT
$7.50
COST/CHILD/MONTH
$300/child/month
NAME
Coordinator Recruits, trains, 3/4 FTE time
supervises and manages per month
the partnership
BILLING UNIT
3/4 time salary &
fringe/month
COST PER UNIT
$1,785/month
COST/CHILD/MONTH
$1,785 divided by
number of children
in program/month
15
890237
PROPOSED CLIENT SERVICES PROGRAMS (Cant)
PROGRAM #2 - PARTNERS PLUS (Cont)
6. PROGRAM PROVIDERS
• PROVIDER. SERVICE ACTIVITY FREQUENCY
NAME Coordinate activities 12 hours/mo
between Social Services
and Partners Plus
BILLING UNIT
Hours spent
COST PER UNIT
$19.00
COST/CHILD/MONTHS
228 divided by number
of children in
program/mo
Total program cost per month, alternatives $8,913.00
Total cost per month, administrative 863.00
Total program cost per month, basic foster care ---
Total, all costs per month 9,776.00
Program costs per child per month 425.00
16 890237
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890237
17 •
PROPOSED CLIENT SERVICES PROGRAMS
PROGRAM #2 - PARTNERS PLUS (cont)
8. PROGRAM PERFORMANCE
OBJECTIVE Current Current Previous Projected
12 month 6 month 12 month 12 month
target actual actual performance
performance performance performance
A. Average number of
children served 20 22 18 20
each month
B. Average number of
months in the 10 10.2 9 9
program
C. Average cost per
child per month $431.80 $393.00 $397. 14 $431. 80
D. Percentage of
children in same 60 81.6 80 60
or less restric-
tive setting as
discharge
E. Percentage of
children in same 60 78 75 60
or less restric-
tive setting 6
months after
discharge
F. Percentage of
children that 70 85 80 70
will meet dis-
charge criteria
or be considered
to have success-
fully completed
the program
9. PROJECTED METHOD OF PROGRAM EVALUATION
Demographic and statistical information is accumulated on a monthly
basis and compiled into a report. The information to complete the
program performance was derived by examining these reports. The
program director and the casework supervisor both compile this
information on a monthly basis.
18 890237
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20 890237
• 0
PROPOSED CLIENT SERVICES PROGRAMS
PROGRAM #3 - JUVENILE DIVERSION
1. PROGRAM DESCRIPTION
Children who have committed delinquent offenses and who are dealing
with a multitude of personal and family problems are highly "at risk"
for foster home or group home placement. The Juvenile Diversion
Program is designed to direct and enable the provision of intensive
services through the schools and community before these "at risk"
children become involved in the court system. The worker from the
Juvenile Division office is the case manager. He/she coordinates
support services and provides in-home counseling to the youth in his
home or the office of counselor. The Juvenile Diversion worker is
responsible for directing, supervising services to the youth which are
provided by the education system and other community support services.
The supervisor at Juvenile Diversion is responsible for the overall
administration of the program.
2. TARGET GROUP
a. Average number of children to be served per month - 26.
b. Average number of families to be served per month - 26.
c. Age range - 10-18.
3. RATIONALE
We have identified that population of high risk offenders who will
eventually be placed outside the home without intensive services. We
have identified this population at the the District Attorney level and
will seek to prevent out of home placement of those who fit the profile
for foster placement.
4. ADMISSION CRITERIA
All children considered must be at high risk of formal delinquency
petition filings and out of home placement. The child being considered
for the program must have committed a delinquent offense and be in the
range of 10 years through seventeen years. The Department of Social
Services must have made the final program eligibility determination on
each case. The Department of Social Services will also make the final
decision in regard to the termination of each case.
Each child must meet one or more of the following criteria:
a. Either not responding to or cooperating with the District Attorney
Division Program.
b. Presently on the District Attorney Division caseload as well as
the D.S.S. caseload.
c. Presently out of parental control.
d. Presently under the guardianship of unwilling custodians
e. Presently on the run or with a history of runaway behavior.
f. Truancy problems at school.
g. Neglectful home situations.
h. Presently or former abuse victims.
i. Exhibiting emotional disturbance at school or in the home.
21 890237 -
PROPOSED CLIENT SERVICES PROGRAMS
PROGRAM #3 - JUVENILE DIVERSION (cont)
4. ADMISSION CRITERIA (cont)
j. Involvement with substance abuse.
k. Parents are substance abusers.
5. DISCHARGE CRITERIA
The child has successfully attained the goals that we established for
him/her at the beginning of the program. The child has avoided a
delinquency filing and the child and family cooperated in completing
the program objectives. The child and family have utilized other
community resources as referred by the Diversion Program.
22 890237
6
PROPOSED CLIENT SERVICES PROGRAMS
PROGRAM #3 - JUVENILE DIVERSION (cont)
6. PROGRAM PROVIDERS
PROVIDER SERVICE ACTIVITY FREQUENCY
NAME
Diversion Case managers will: coordinate 11 case managers
support services; provide working 40 hours/
in—home counseling; direct, week
supervise, counsel, and
BILLING UNIT provide group experiences
Salary & fringe for child, Supervision and
benefits secretarial services will be
provided to the case managers.
COST PER UNIT
$4,472.75
COST/CHILD/MONTH
$4,472.75 divided
by number of
children in
•
program
Total program cost per month, alternatives $4,472.75
Total costs per month, administrative 1,360.00
Total program cost per month, basic foster care
Total, all costs per month 5,832.75
Program costs per child per month 224.34
•
23 890237
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a r 890231
24 0
"ROPOSED CLIENT SERVICES PROGRA"c
PROGRAM #3 — JUVENILE DIVERSION (cont)
8. PROGRAM PERFORMANCE
In this section report the performance of this program for the past fiscal
year, six months of the current year and the projected performance for the
next fiscal year. If a program was started during this fiscal year report
the performance through December. If the program is new in this plan
provide projected performance only.
OBJECTIVE Current Current Previous k Projected
12 month 6 month 12 month 12 month
target actual actual performance
performance performance performance
A. Average number of
children served 26 25 26 26
each month
B. Average number of
months in the pro- 10 6 7 10
gram not to exceed .
C. Average cost per
child per month $212.48 $220.98 $208.42 $224.34
D. Percentage of
children in same 70 80 91 70
or less restric-
tive setting as
discharge
E. Percentage of
children in same 70 80 91 70
or less restric-
tive setting 6
months after
discharge
F. Percentage of
children that 55 45 46 55
will meet dis-
charge criteria
or be considered
to have success-
fully completed
the program
9. PROJECTED METHOD OF PROGRAM EVALUATION
Demographic and statistical information is accumulated on a monthly
basis and compiled into a report. The information to complete the
program performance was derived by examining these reports. The
program director and the casework supervisor both compile this
information on a monthly basis.
25 890237
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26 890237
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27 890237
E
PROPOSED CLIENT SERVICES PROGRAMS
PROGRAM #4 - CHILD ABUSE RESOURCE AND EDUCATION PARENT ADVOCATE PROGRAM
1. PROGRAM DESCRIPTION
A parent advocate will work with the family of a child who is in danger
of out of home placement because of actual abuse or neglect, or his/her
continued presence in the home is likely to result in physical or
emotional injury if there is no intervention. If the child is in
placement, intervention will reduce the duration of placement. These
families are dysfunctional in at least one and frequently several
systems in their environment. The parents have not had positive role
models, consequently are unable to be effective parents and models to
their own children. Some of the parents referred are adolescents and
are still coping with their own adolescent issues while parenting small
children. The advocate will teach the family new skills in dealing
with parenting issues, self esteem for parents and child, and more
healthy means of interaction and communication within the family. The
advocate will advocate for the family and will refer to other community
support systems as appropriate.
2. a. Average number of children to be served per month - 16.
b. Average number of families to be served per month - 8.
c. Age range - Birth through 12.
3. RATIONALE
By concentrating direct services to a family at a highly stressful
period, changes can be effected within the family system so that the
abuse/neglect cycle can be broken. These families can be assisted so
that they can utilize community resources, increase their self esteem,
and strengthen the family unit so that out—of—home placements will be
avoided. If the child is in foster care at the time of referral, the
child will be returned home sooner than he otherwise would have been.
4. ADMISSION CRITERIA
The family must be referred by Department of Social Services and
demonstrate a willingness to participate, accept services, and abide by
the individual service plan. The children in the family must be in
danger of foster care placement or if in foster care, the parents need
to be following the treatment plan to have the children returned.
5. DISCHARGE CRITERIA
The family's functioning has improved to the point that the child is no
longer at risk of placement and the family is able to meet the child's
minimum needs with or without community support services.
890237
28
0
PROPOSED CLIENT SERVICES PROGRAMS
PROGRAM #4 — PARENT ADVOCATE (Cont)
6. PROGRAM PROVIDERS
PROVIDER SERVICE ACTIVITY FREQUENCY
NAME
C.A.R.E. Spend time with entire 40 hours/month
family role modeling and
working on established
goals; spend time with
parents reparenting them;
BILLING UNIT spend time with children
Number hours spent re: appropriate behavior,
with family empowering, and stress.
Work with parents and
children on play activi-
ties and appropriate
COST PER UNIT interaction and disci-
6.50 plane. Attend parent
advocate training.
COST/CHILD/MONTH
$260 divided by
number of children
in each family per
month
Total program cost per month, alternatives $1,820.00
Total costs per month, administrative 336.00
Total program cost per month, basic foster care ---
Total, all costs per month 2,416.00
Program costs per child per month 151.00
29 890237
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8 890237
•a a
30
PROPOSED CLIENT SERVICES PROGRAMS
PROGRAM #4 — PARENT ADVOCATE (cont)
8. PROGRAM PERFORMANCE
OBJECTIVE Current Current Previous Projected
12 month 6 month 12 month 12 month
target actual actual performance
performance performance performance
A. Average number of
children served 12 10 11 16
each month
B. Average number of
months in the 6 6 6 6
program
C. Average cost per
child per month $129.00 $115.00 $122.50 $151.00
D. Percentage of
children in same 75 100 97 75
or less restric-
tive setting as
discharge
E. Percentage of
children in same 75 100 97 75
or less restric-
tive setting 6
months after
discharge
F. Percentage of
children that 75 50 25 75
will meet dis-
charge criteria
or be considered
to have success-
fully completed
the program
9. PROJECTED METHOD OF PROGRAM EVALUATION
Demographic and statistical information is accumulated on a monthly
basis and compiled into a report. The information to complete the
program performance was derived by examining these reports. The
program director and the casework supervisor both compile this
information on a monthly basis.
31 890237
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a 890237
33
PROPOSED CLIENT SERVICES PROGRAMS
PROGRAM #5 - DAY TREATMENT
1. PROGRAM DESCRIPTION
This day treatment program provides a treatment resource which
intervenes between in-home and out-of-home placement settings; or when
used in conjunction with a foster home, assists in either diverting a
child from an RCCF placement or returning a child from an RCCF.
This alternative will operate from a day treatment program such as at
the Center for Therapeutic Learning Annex or Boulder County's Day
Treatment or Larico's Day Treatment Programs which currently operate
on-grounds treatment and education programs. The day treatment program
provides a highly structured program designed to integrate the child's
experience at home, school and in the community. Upon entry to the
program, the child's behavior patterns in all environments is assessed.
A team effort involving therapist, family and school personnel develops
and implements an individualized treatment and education program for
the child. Individual and group therapies provided by the counselling
staff are utilized as an integral part of the regular school program.
Family therapy and parenting instructions provided by the psychologist,
counselors, and the consulting staff when needed, are integrated into
treatment/education programs currently available at the RCCF facility.
The Director of the program oversees all staff and consultation use,
coordinates activities and provides information to the PAC. The
support staff is responsible for necessary clerical duties.
The number of children that can be accepted into the program is limited
by the total number of children this facility is licensed to serve -
both residential and day treatment non-residential. By addressing the
functioning of the child within the family setting, the chances of
redirecting the child's difficulties at an early age are increased, and
the probability of eventual placement is decreased. This alternative
is designed to address the needs of the severely emotionally disturbed
child whose history has been poor in regular out-patient therapies.
2. TARGET GROUP
a. Average number of children to be served per month - 5.
b. Average number of families to be served per month - 5.
c. Age range - 5-18.
890237
34
PROPOSED CLIENT SERVICES PROGRAMS
PROGRAM #5 - DAY TREATEMENT
3. RATIONALE
How is this program an alternative to out-of-home placement?
This is an alternative to residential out-of-home placement. Admission
to this program is likely when the child's behavior/emotional problems
indicate that RCCF placement will, undoubtedly, be necessary in the
near or immediate future.
4. ADMISSION CRITERIA
Admission to this alternative is based upon the child whose behavior
indicates that RCCF placement is extremely likely. Children with
severe emotional problems and disturbed family relationships are
appropriate candidates for admission. School age children between 5
and 18 years of age who are also in need of specialized educational
settings are considered for admission.
Children appropriate for referral include those who display behavioral
and/or emotional disturbances of such severity that they are unable to
function appropriately in the family, schools, and/or community.
Parents of children admitted must be willing to participate in the
treatment plan and family therapy.
5. DISCHARGE CRITERIA
Following treatment, an outcome goal is for families to remain together
and gain the ability to seek out community resources. The severity of
the problem of these children suggests that success in this program be
measured in terms of non—placement in a Residential Child Care
facility, the ability of the children to transition into a regular
school setting, and for the parents to . seek community resources to
assist in this transition.
35 890237
PROPOSED CLIENT SERVICES PROGRAMS
PROGRAM #5 - Day Treatment (Cont)
6. PROGRAM PROVIDERS
PROVIDER SERVICE ACTIVITY FREQUENCY
NAME
Day Treatment Admin./Support Staff $841 hours month 77.5
Psychologist 1,403 hours month 77.5
Counselors 1,595 hours month 217.5
Consultation 423 As needed
Operational 1,238 Fixed
BILLING UNIT
Month
COST PER MONTH
$1 ,000
COST/CHILD MONTH
$1,000
Total program cost per month, alternatives $5,500.00
Total program cost per month, administrative
Total costs per month, basic foster care —0—
Total, all costs per month $5,500.00
Program costs per child per month $1, 100.00
36 090237
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a N 4 A
37
PROPOSED CLIENT SERVICES PROGRAMS
PROGRAM #5 - DAY TREATMENT
8. PROGRAM PERFORMANCE
In this section report the performance of this program for the past fiscal
year, six months of the current year and the projected performance for the
next fiscal year. If a program was started during this fiscal year report
the performance through December. If the program is new in this plan
provide projected performance only.
OBJECTIVE Current Current Previous Projected
12 month 6 month 12 month 12 month
target actual actual performance
performance performance performance
A. Average number of
children served 1 5
each month
B. Average number of
months in the 24
program
C. Average cost per
child per month $1100.00 $1100.00
D. Percentage of
children in same 50%
or less restric-
tive setting as
discharge
E. Percentage of
children in same 50%
or less restric-
tive setting 6
months after
discharge
F. ercF entage of
children that 50%
will meet dis-
charge criteria
or be considered
to have success-
fully completed
the program
9. PROJECTED METHOD OF PROGRAM EVALUATION
Demographic and statistical information is accumulated on a monthly
basis and compiled into a report. The information to complete the
program performance was derived by examining these reports. The
program director and the casework supervisor both compile this
information on a monthly basis.
38 890237
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39
PROPOSED CLIENT SERVICES PROGRAMS
PROGRAM #6 - WILDERNESS PATHWAYS
1. PROGRAM DESCRIPTION
This program is an attempt to meet the needs of troubled children who
are at risk of out—of—home placements or who are presently in long term
residential treatment. The children who would be served by this
program are: a child "at risk" of placement who is experiencing
significant problems in his parental home and community; a child who is
being considered for placement in a group home; a child in an RCCF who
is almost ready for discharge into the community, but still has other
areas of concern to be handled prior to discharge; a child in RCCF who
is not making progress toward discharge.
The Wilderness Pathway Program is designed to include traditional
programmatic components of residential care with the non—residential,
high impact learning opportunities as experienced through a
therapeutically/educationally designed wilderness experience. The
program has five phases. The first phase consists of 5 days of
orientation. The second phase consists of a basic three week RCCF
placement. The third phase consists of four weeks of therapeutic
wilderness experience. Phase four consists of a 10 day residential
camp. The final phase is a nine month community living support program
where the child is tracked by the program worker and receives help in
all the systems in which he is involved.
2. TARGET GROUP
A. Average number of children to be served per month 5
B. Average number of families to be served per month 5
C. Age Range — 14-17
3. RATIONALE
This program is an alternate to a long term out-of-home care. The
program is designed to take a child who is having significant problems
in his environment and family implanting the reality of dealing with
real life experiences. Planned and unplanned educational (therapeutic)
apportioning are quickly seen as interrelated situations which are
experimental in nature with a cause and effect relationship. By
integrating these experiences the child will be much better prepared to
effectively deal with his total living environment in his community and
avoid higher cost long term placement.
4. ADMISSION CRITERIA
The child who would be served by this program is one whose behavior is
so maladoptive that he would require long term out-of-home placement or
who would need to continue in an RCCF until emancipation
5. DISCHARGE CRITERIA
The goal of treatment is for the child to be in his community in his
parental home or in a lower cost alternative and be able to function in
a positive way. He would be able to attend school in a regular setting
and use appropriate community resources.
40 890237
PROPOSED CLIENT SERVICES PROGRAMS
PROGRAM 116 WILDERNESS PATHWAYS
6. PROGRAM PROVIDERS
PROVIDER SERVICE ACTIVITY FREQUENCY
NAME
Wilderness Pathways During first four phases of This will be a 24
treatment the child receives hrs. per day program
5 days of orientation, 20 utilizing all the
BILLING UNIT days of residential camp treatment facilities
First 70 days of 32 days of internalization and treatment staff
treatment in program of therapeutic wilderness in a very concen—
experience and 10 days of trated effort. This
transition of residential is a one time cost
COST PER UNIT camp. for initial 4 phases
$8000 of treatment.
COST/CHILD/MONTH
PROVIDER SERVICE ACTIVITY FREQUENCY
NAME The program case manager The child and his
will do tracking and support family will receive
WILDERNESS PATHWAYS services to reinforce the services each month
previous learning experience for 9 months.
with the child in a program
BILLING UNIT appropriate to his needs.
One moth of
after care
COST PER UNIT
$700 .
COST/CHILD/MONTH
$700
Total program cost per month, alternatives $ 5,960.00
Total costs per month, administrative
Total program cost per month, basic foster care _
Total, all costs per month $ 5,960.00
Program costs per child per month 1, 192.00
890237
41
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42 590237
PROPOSED CLIENT SERVICES PROGRAMS
PROGRAM #6 - PROGRAM PERFORMANCE
8. PROGRAM PERFORMANCE
In this section report the performance of this program for the past fiscal
year, six months of the current year and the projected performance for the
next fiscal year. If a program was started during this fiscal year report
the performance through December. If the program is new in this plan
provide projected performance only.
OBJECTIVE Current Current Previous Projected
12 month 6 month 12 month 12 month
target actual actual performance
performance performance performance
A. Average number of 5
children served
each month
B. Average number of
months in the 12
program
C. Average cost per
child per month 1192
D. Percentage of 80%
children in same
or less restric—
tive setting as
discharge
E. Percentage of 807
children in same
or less restric—
tive setting 6
months after
discharge
F. Percentage of 80%
children that
will meet dis-
charge criteria
or be considered
to have success-
fully completed
the program
9. PROJECTED METHOD OF PROGRAM EVALUATION
Demographic and statistical information is accumulated on a monthly
basis and compiled into a report. The information to complete the
program performance was derived by examining these reports. The
program director and the casework supervisor both compile this
information on a monthly basis. 8902,37
43
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