HomeMy WebLinkAbout851195.tiff RESOLUTION
RE: APPROVE PLACEMENT ALTERNATIVE PLAN FOR FISCAL YEAR 1985-86
AND AUTHORIZE 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 Department of Social Services presented the Weld
County Alternative Placement Plan for Fiscal Year 1985-86 to the
Board of County Commissioners for its review and approval, a copy
of said Plan being attached hereto and incorporated herein by
reference, and
WHEREAS, the Department of Social Services advised the Board
that it recommended the approval of the Therapeutic Foster Care
Program and Partners Plus Project to the Placement Alternative
Plan, and
WHEREAS, the Board deems it advisable to approve the
Therapeutic Foster Care Program and Partners Plus Project to the
Placement Alternative Plan.
NOW, THEREFORE, BE IT RESOLVED by the Board of County
Commissioners of Weld County, Colorado, that the Therapeutic
Foster Care Program and Partners Plus Project to the Placement
Alternative Plan be, and hereby are, approved.
BE IT FURTHER RESOLVED by the Board that the Chairman be, and
hereby is, authorized to sign said Plan.
The above and foregoing Resolution was, on motion duly made
and seconded, adopted by the following vote on the 1st day of May,
A.D. , 1985 .
/) 'tZ t- BOARD OF COUNTY COMMISSIONERS
�.y��ATTEST: /Jh! (l U* aAAAA. -e40.'', t.v WELD COUNTY, COLORADO
Weld County Clerk and Recorder - �
que 'and Clerk to the Board cne Joh s•n, Chairman
,& EXCUSED
BY: / /%!�,�4 Gene R. Brantner, Pro-Tem
Deputy/Count Jerk
APPROVED AS TO FORM: C.
or E. a
Cou ty Atto ney
F an a chi
≤sO&o
851195
6 . .
April 30, 1985
WELD COUNTY FY 1985-86 ALTERNATIVE PLACEMENT PLAN
This County Plan has been developed by the Weld County Placement
Alternatives Commission which includes the following members:
NAME ORGANIZATIONAL AFFILIATION
Cris Arellano Probation Department
Carol Gerard Weld Mental Health Center
Karen Reiser Human Resource Department
Carl Harvey LaSalle Police Department
Ann Heiman Citizen - day care provider
Neil Henderson Weld Co. School District Six
Willard Jones Citizen
Dixie Lee Kotz Citizen
Eugene McKenna Department of Social Services
Linda Montoya Partners, Inc.
Sandra Lee Neb Citizen
Karl Schmidli Weld BOCES
William Starks District Attorney's Office
Nancy Varner Citizen
Ella Mae White Citizen — foster parent
Ralph Wooley Public Health Department
John Wooster Community Center Board
The period to be covered by this Plan is from July 1, 1985 to June 30, 1986.
The signatures below affirm that this Plan has been developed by the
Placement Alternatives Commission and approved by the Director of Social
Services and by the Board of County Commissioners.
ANN HEIMAN, CHAIRMAN
WELD COUNTY PLACEMENT ALTERNATIVES COMMISSION
The Department of Social Services approves the Plan except for the Parent
Child Support System Project.
EUGENE MCKENNA, DIRECTOR
WELD COUNTY DEPARTMENT OF SOCIAL SERVICES
The Board of County Commissioners approves the Plan except for the Parent
Child Support System Project.
JACKIE JOHNSON, CHAIRMAN
WELD COUNTY BOARD OF COUNTY COMMISSIONERS
TABLE OF CONTENTS
Subject Page Number
PAC PLANNING AND EVALUATION PROCESS 1
PLACEMENT AND ALTERNATIVE TRENDS -it of children
1984-1985 Cost of Care 3
1984-1985 Number of Children 4
PAC PROGRAM UTILIZATION 5
EVALUATION OF PROGRAM OBJECTIVES
Therapeutic Foster Care 6
Partners Plus 7
Parent Child Support System 8
PROPOSED PROGRAMS
Therapeutic Foster Care 9
Budget Sheet 12
Partners Plus 13
Budget Sheet 16
Parent Child Support System 17
Budget Sheet 19
PROGRAM SUMMARY SHEET 20
FINAL BUDGET SUMMARY 21
APPENDIX
PROGRAM DESCRIPTION
Therapeutic Foster Care a
Partners Plus d
Parent Child Support System i
ANNUAL PROGRAM REPORTS
Therapeutic Foster Care
Partners Plus
Parent Child Support System
PAC PLANNING AND EVALUATION PROCESS
1. HOW WERE OUT-OF-POn PLACEMENT NEEDS ASSESSED?
In the beginning phases, as well as an on-going process, the Commission
analyzed the overall status of out-of-home placement within Weld County.
This included examination of both the numbers of individuals placed as well
as the rationale for placement. Additionally, the Commission became
familiar with the criteria used by the Department of Social Services staff
in recommending RCCF, group home and family foster care and the typical
psychological profile of children placed in RCCF and group care.
2. WHO IS INVOLVED IN MAKING DECISIONS RELATIVE TO OUT-OF-HOME PLACEMENT?
The 19th Judicial District and the Weld County Department of Social
Services 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, Feld
County Community Center Board, and parents.
3. HOW ARE REFERRALS TO PAC PROGRAMS MADE AND WHO APPROVES ADMISSION?
Referrals to Placement Alternative programs are primarily generated by
the social casework staff and the program providers, such as Partners, Inc.
and the Parent-Child Support System. Each referral is jointly staffed by
the Department of Social Services and the program staff. Final approval for
admissions into the program is made by the County Department of Social
Services.
4. IS THERE A TEAM APPROACH TO PLACEMENT AND/OR PAC PROGRAM DECISIONS?
Each of the following Placement Alternative Programs utilize the concept
of a team approach to delivery of services to the client population. They
are: Parent Child Support Svstom and Therapeutic Faster Care.
Parent-Child Support. System - A team consisting of a social cervices
supervisor, caseworker, program social worker and educational specialist
meet co staff referrals. Upon approval and admission to the program a case
plan is developed by the team which outlines each one's responsibility in
delivering services to the client. The team consisting of caseworker,
program social worker, and educational specialist meet every other week to
discuss progress towards the objectives.
Therapeutic Foster Care - A team consisting of the caseworker, foster
parent, and psychologist develops a case plan in working with the child and
natural parents. The team works with the family on a cc-therapeutic mode as
'+ell as on an individual basis. The services are delivered on an intensive
basis and the team meets weekly to evaluate progress.
In both program areas the teams are involved in program emphasis and
discharge of clients.
-1-
5. WHAT IS THE PROCEDURE AND FREQUENCY FOR REVIEWING ONGOING FOSTER CARE
PLACEMENTS?
Pursuant to the Colorado Children's Code and Senate Bill 26 legislation,
each foster care placement is reviewed for need of placement every six
months. Within the first thirty days the Initial review of placement occurs
and then every six months until the termination of placement. Foster care
placement involving developmentally disabled children in reviewed every six
months by an Administrative Review Committee. In addition, supervisory
staff have on-going 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 foster care and number of children in Placement
Alternatives programs.
6. WHAT IS THE PROCEDURE AND FREQUENCY FOR REVIEWING ALTERNATIVE PLACEMENT
PROGRAMS?
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.
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EVALUATION OF PROGRAM OBJECTIVES
PROGRAM PROCESS OBJECTIVES PERFORMANCE DEGREE MET
Therapeutic (a) Average number of 10.5 1057
Foster Care children to be served
per month — 10 .
(b) Average length of Average length 13.3 100%
time in program not to months
exceed 24 months.
(c) Average cost per $752 per month per 100%
month to serve child child — under spent
not to exceed $799. for 84-85
(d) The treatment plan at
discharge for at least
70% of the children served
will call for a residence
other than substitute
care.
(e)
EVALUATION OF PROGRAM OBJECTIVES
PROGRAM PROCESS OBJECTIVES PERFORMANCE DEGREE MET
Partners Plus (a) Average number of 13 100%
children to be served
per month - 13 .
(b) Average length of Average 10 months 100%
time in program not to per child
exceed 12 months.
(c) Average cost per 100%
month to serve child
not to exceed $348.
(d) The treatment plan 88% of discharges 100%
at discharge for at were to child's own
least 80% of the children home
served will call for a
residence other than
substitute care
(e) 607 of children 80% of placements 100%
needing placement were less restrictive
will be placed in placements
least restrictive
placements.
(f) 70% of children 88% of children 100%
will not be charged served were not charged
with further delinquent with further delinquent
offenses offenses
(g) 80% of partnerships 70% of partnerships 87%
will maintain contact maintained contact after
after compensation is compensation ceased
discontinued.
GEVALUATION OF PROGRAM OBJECTIVES
PROGRAM PROCESS OBJECTIVES PERFORMANCE DEGREE MET
Parent Child (a) Average number of An average of 10 100%
Support System children to be served children were in
per month - 11. the program
(b) Average length of Average time in 100%
time in program not to program 4 months
exceed 12 months.
(c) Average cost per Actual cost $352 100%
month to serve child per month per child
not to exceed $412.
(d) The treatment plan at 86% of the families
discharge for at least avoided foster care at
85% of the children the point of discharge
served will call for a
residence other than
substitute care.
(e) see attached
-p-
PROPOSED PROGRAMS
PROGRAM LEI Therapeutic Foster Care
1 . Target Group
a. Average number of children to be served per month 12 .
b. Age 2 - 12 Gender Male/Female
c. Admission criteria :
1 . Referral made because child has been defined as emotionally disturbed.
2. Working with family and child in home has not resulted in improvement.
3. Previous multiple relative or foster placements have failed.
• 4. Behavior of the child makes success in foster care unlikely.
. d. How is this program an alternative to out-of-home placement?
Therapeutic foster care provides the least restrictive and least costly
• yet effective and stable environment in which children having suffered extensi
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.
2. Program description (Attach program narrative in Appendix Section)
•
SERVICE ACTIVITIES FREQUMCY/ STAFF T PROVIDER(S) I COST
DURATION
. A. Training and 'support of onthly - 1 yr. staff Placement Alternatives
foster parents Caseworker IV
B. Coordinate and direct
application of therapeutic
and educational services to
child and family onthly - 1 yr. staff '
Placement Alternatives
C. Initiation and coordination Caseworker IV
of court action on behalf
of child and family onthly - 1 yr. staff PlacementiAlternatives
Caseworker IV $30,672.00
I . Diagnostic, prognostic and onthly - 1 yr. contract
appropriate therapeutic serv. Weld Mental Health Center 8,640.00
II . Foster care incentive payments onthly - 1 yr. contract foster family 28,800.00
V. Foster care maintenance onthly - 1 yr. contract foster family 42,624.00
TOTAL 411n 71E nn
Cost 7,e7 ,,.._.d S9.228.00
C)
P1. :OSED PROGRAMS (Cont ) •
PROGRAM 6 1 Therapeutic Foster Care (Cont )
3. Cost savings analysis •
(1) (9) (3) CL) (s) (4) (7)
Ave. # Anticipated Ave. CAST/MJAve. Cost/M0 Pro—rated Total Cost "avings Total
Child/MO Placement of (iJ of PAC Prog Adm. Cost PAC Program (3) — ' Saving
if No PAC per child per Child/Mo Per Child/ (6)
(1) X
(4) + (5) (7)
3 Sp.Group Home $734 $769 $769 ($35) ($105
4 RCCF • . $2.012 $769 $769 $1 ,243 $4 ,972
•
3 Family Foster $296 $769 $769 ($473 ($1 ,41c
Care
•
•
TOTAL /O
TOTAL. 83.448
4. Program objectives
a. Process Objectives
(1 ) Average number of children to be served per month : 12
(3 ) Average length of time in program not to exceed 24 months .
(3) Average cost per month to serve child not to exceed $ 769.00 .
(4 ) The treatment plan at discharge for gt least 70 % of the
children served will call for a residence other than substitute
care .
-1n-
•
PROPOSED PROGRAMS (Cont )
PROGRAM #1 Thprapputir FnctPr Care (Cont)
4 . Program objectives (Cont)
b . Outcome objectives : (As a result of this program , what impact
outcomes do you hope to achieve? )
1 . Prevention of multiple placements for children who have suffered
repeated uprooting and ongoing instability in their home environment.
2. Prevention of placement in more restrictive, less natural setting.
3. Permanent disposition in the child's best interest;
a. Return to parental home with improved family relationships
b. Long term foster care with guardianship
c. Termination of parental rights and adoption
4. Cost savings
5 . Program evaluation Describe method of evaluation, related
specifically to Program objectives :
a. Tabulation of data
1 . To compare child with its own placement history
2. To compare child with control group
b. Statistical compilation of data on a yearly basis
c. Statistical compilation of data yearly
_11 _
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PROPOSED PROGRAMS .
PROGRAM (/ 2 Partners Plus
•
1 . Target Group
a. Average number of children to be served per month 20
b. Age 12 to 18 Gender Male/Female
c. '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.
. d. How is this program an alternative to out—of—home placement?
This is a preventive program. Through advocacy and relationship building
• youth are maintained in their homes or in less restrictive placements.
•
2. Program description (At ach program narrative in Appendix Section)
SERVICE ACTIVITIES FRZQUENCY/ STAFF PROVIDER(S) COST
DURATION T
ecruiting, training, supervision monthly - 1 yr contract Partners Inc. $13,704.00
nd management of partnerships
'rogram administrative costs monthly - 1 yr contract Partners Inc. $ 3,876.00
asemanagement, coordination, monthly - 1 yr staff Social Caseworker $13,068.00
nd family counseling
ounseling and support weekly - 1 yr contract Senior Partner $72,000.00
TOT:=, $102 ,648
ra . Cc:: __ Mfld 55 ,132
PROPOSED PROGRAMS (Cont )
PROGRAM 8 2 Partners Plus (Coat)
3. Cost savings analysis •
(1) (o) (1) I (G) (41 (F) (7)
Ave. # Anticipated Ave. COST!? Ave. Cost/M0 Pro-rated Total Cost "avings Total
Child/MO Placement of (J,) of PAC Prog Adm. Cost PAC Program (3) - ' Saving
if No PAC per child per Child/Mo Per Child/ (6) (1) X
(4) + (5) (7)
•
•
12 RCCF $1 ,300 $428 0 $428 $872 $10,45L
5 Sp. Gp. Home $700 $428 0 $428 $272 $1 ,36C
2 Family foster $293 $428 0 $428 ($135) ($270)
•
1 Home 0 $428 0 $428 ($428) ($428)
'iota 40
TOTAL $11 ,12E
4 . Program objectives
a.Process objectives
(1 ) Average number of children to be served per month: 20
(2) Average length of time in program not to exceed 12 months .
(3) Average cost per month to serve child not to exceed S $428
(4) The treatment plan at discharge for at least 80 % of the
children served will call for a residence other than substitute
care .
_1A_
PROPOSED PROGRAMS (Cant )
PROGRAM # 2 Partners Plus (Cont )
4. Program obiectives (Cont)
b. Outcome objectives : (As a result of this program, what impact
outcomes do you hope to achieve? )
1 . 20% of all children will not be placed outside of their home .
2. 60% of all children will be placed in less restrictive placements.
3. 70% of all .chil.dren will not be charged with further delinquent offenses.
4. 80% of all children will maintain a relationship with their partner
after compensation is discontinued.
5. 80% of all children will be in their homes at time of discharge.
5 . Program evaluation Describe method of evaluation, related
specifically to Program objectives :
Evaluation of the following data for each child in the program:
1 . Has child been in a licensed placement while in the program..
2. If child has been placed outside the home, even on a short term basis ,
has this been the least restrictive placement.
3. While in the Partners Plus program has the child been charged with
further delinquent acts.
4. After the Partners Plus relationship is discontinued is there ongoing
contact between junior and senior partner.
5. Where the child is at the time of discharge from program.
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PROPOSED PROGRAMS
PROGRAM 0r .1 parent Child Support System
1 . Target Group
a. Average number of children to be served per month 10 .
b. Age 1 to 4 Gender Male/Female
c. Admission criteria:
Children from one to four who have been the subject of an abuse and/or neglect
report and who are "at risk" of out-of-home placement due to the maladaptive
parenting skills of their primary caregivers .
. d. How is this program an alternative to out-of-home placement?
By improving the parenting skills of the primary caregivers , the children
will not be "at risk" of out-of-home placement in the future.
2. Program description (Attach program narrative in Appendix Section)
SERVICE ACTIVITIES ID11RA4T ON / STAFF TTP T PROVIDER(S) COST
Social Worker full time-1 yr. contract Parent Child Center $20,868
Education Specialist full time-1 yr. contract Parent Child Center 16,668
Clerical 1/8 time-1 yr. contract Parent Child Center 1 ,140
birector 1 /8 time-1 yr contract Parent Child Center 2 ,016
Travel 'onthly-1 yr. contract Parent Child Center
social worker 1 ,056
specialized services 1 ,440
children 3,168
Supplies onthly-1 yr. contract Parent Child Center 2,640
Office 300
-Psychologist consultant s needed contract Parent Child Center 1 ,200
Program Services onthly-1 yr. contract Parent Child Center 5,184
737AL 555 .680
per :.._-_ 52 .784
_1 7_
rOPOSEED PROGRAMS (Cont )
PROGRAM II '3 Parent Child Support SvsteiCont)
•
3. Cost savings analysis
(1\ rn\ (3) c (6) es1 (G1 (7)
Ave. # Anticipated Ave. COST/14 Ave. Cost/M0 Pro—rated Total Cost I avings Total
Child/MO Placement of (j) of PAC Prog Adm. Cost PAC Program (3) — ' Sayan
if No PAC per child per Child/N.o Per Child/ (6) (1) X
(4) + (5) (7)
2 foster care $234 $464 0 $464 ($230) F $460)
8 home . 0 $464 0 $464 ($464) $3,71:
•
•
•
•
•
TOTAL /O
TOTAL ( $4 ,17.
4 . Program oD_ ec:ives
a. Process cb: e_tives
(1 ) Average number of children to be served per month: 10
(2) Average length of time in program not to exceed 12 -onths .
( 3) Average cost per month to serve child not to exceed 46a
(4) The treatment plan a: discharge for at least 85 % of the
children served will call for a residence other than substitute
care .
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COUNTY Weld PROGRAM S=ARY SHEET
FY 1985-86 SHEET FOR ALTERNATIVE PLACEMENT PLAN
I i
Target Group , Total PAC PAC Progam Administrat.l Total PAC
PROGRAM PROVIDER I
AGE Iii/M01 Prog. Cost/YrtCost/Kid/MOCost/Kid/MOIProg.Cost/K
- — T- -- -NO.I Therapeutic Foster i Weld County 2 - 12 12 ; $110,736 $769 ! $ 0 I $769
:are J
•
'artners Plus Partners Inc. 12 = 1820 $102,648 $428 $ 0 $428
I
'arent Child Parent Child
support System Learning Ctr. 1 - 4 ' 10 $56,680 $464 $ 0 ; $464
I
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L70
. 71
PROGRAM #1 — Therapeutic Foster Care
PROBLEM IDENTIFICATION
Through a process of research, review, and assessment of children
needing expensive RCCF placements we have been able to identify problems and
barriers which cause or contribute to the placement in this type of
facility.
The largest contributing factor to long term placement and eventual
RCCF placement is the lack of early intervention and expert treatment of
children diagnosed as having severe emotional problems. Barriers to
achieving expert treatment are caused by: Inflexible funding for specialized
services, time constraints and priority setting preventing staff from
providing intensive services to the child and foster parents, lack of
experience, training and incentive payments to foster parents to cope with
disturbed children, and lack of development of local resources to provide
highly specialized services to these children.
Out of an average of 115 children in regular foster care, the Weld
County Department of Social Services has identified a group of children at
risk of multiple placements, with eventual graduation of these children to
group home, 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 Child Care Facilities
2. Institutional placement
PROGRAM SOLUTIONS
Study and certify families who have the aptitude and motivation to
1. Work with a team of professionals in providing therapeutic foster care
for disturbed children.
2. Provide a full time caseworker to provide support and services daily,
if necessary. Purchase psychological and psychiatric services based on
the needs of the child.
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 be come 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.
ti
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 activities.
MONITORING
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, twelve
(12) children will be selected for placement in Therapeutic Foster Care.
Twelve (12) other children with similar profiles will be followed during the
pendency 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 full time caseworker to twelve (12) children and foster
parents as compared to simply purchasing specialized care from Residential
Child Care Facilities.
f'
PROGRAM #2 - 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.
1. Through experience we have found it requires a minimum of ten hours per
week of one-to-one contact between a trained professional and an
emotionally disturbed youth in order to produce significant change in
the behavior of such youth. Due to time constraints, staffing
limitations, and caseload standards, staff are unable to provide the
necessary time to each youth. In addition, the Department of Social
Services has been placed in a more adversary and protective role in
regards to the youth, and therefore caseworkers find it increasingly
difficult to engage youth in a positive and/or nurturing relationship
that may be necessary to meet the needs of the youth.
2. Foster homes vary in their quality and capabilities. Many of our
foster homes do an effective job in serving the children of the county.
However, in regards to adolescents between the ages of twelve and
eighteen there are several problems confronting us in the use of foster
homes. Among these problems are the following:
a. 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.
b. 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 b 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.
c. 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.
d. If a child cannot attach to a foster parent, then there are no
controls on that child. If there are no controls, there cannot he any
nurturing or treatment.
e. All families, including foster families, have their own values,
limited resources of energy and time, sibling rivalries, and their own
difficulties which may preclude a successful placement of a troubled
youth.
TARGET GROUP:
Weld County needs to improve its ability to provide for those
adolescents who may be able to remain at home if provided an intensive,
nurturing relationship 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.
GOALS:
For youth moving toward group home or Residential Child Care Facility
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.
3. To provide good quality foster placement in less expensive care than
group care.
ALTERNATIVE SOLUTIONS:
We propose that Partners, Inc. and the Weld County Department of Social
Services work together to preserve the positive learning experience and
humanistic qualities that only a one-to-one relationship can offer a youth
through its emphasis on intimate, personal interaction.
To accomplish the previously mentioned goals, we propose to match a
youth with an adult or childless couple for one year. The expectation of
Partners, Inc. and our department is that such a partnership would continue
indefinitely or as long as needed. In other words, the relationship would
continue longer than a year though the intensity of support for that
relationship and the objectives of that relationship 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 Partners,
Inc. In addition, the extra time would be spent on meeting
individualized prescriptive goals of the contract. The length of time
of the paid Partners Plus contract would be from six months to one
year.
The Senior Partner would be paid $300 per month for his extra time,
training, use of skills, and effort with the Junior Partner. The
Partners Plus program would be assigned one—half caseworker, similar to
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 the 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
accountable 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 of Social Services will pay Partners, Inc. a monthly fee
per child as detailed in the budget summary sheets, not to exceed $5,132.00
per year per child. Projected number of Partners Plus partnerships per year
is twenty.
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, the Senior Partner, and the coordinator
from Partners Plus will agree on individualized prescriptive objectives
to be contracted for.
5. Progress toward the objectives is evaluated weekly for the first eight
weeks and bi-monthly thereafter.
Partners, Inc. will 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.
We will then compare each youth within and without the Partners Plus
program regarding the following goals:
1. Avoiding placement and/or keeping the youth in county of residence.
2. Shortening placement to six (6) months or less.
3. Providing foster care for youth at less of an expense than group care.
h
PROGRAM #3 - Parent Child Support System
PROGRAM 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 children'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 or
neglected.
A number of these families have had children placed in foster care. It
is expected that unless there is timely intervention, many children in these
families will reach an acute stage where the children will be removed from
their parents and full-time foster care will be necessary. Separation from
parents and foster care placements translate into higher public costs and,
often, further emotional damage for family members.
TARGET GROUP:
Families with pre-school children that are being neglected and/or
abused. This includes families that have had older or previous children
placed in foster care. This population is assessed to be significant. For
example, in August, 1982 out of 56 protective service referrals received by
the Department of Social Services, 38 could be identified as families
probably needing immediate and intensive intervention.
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 of parenting skills.
OBJECTIVES:
To maintain 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
later than 30 days.
2. Development 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 resources to meet the need of the individual family.
Providing direct treatment and case management.
5. Providing transportation as needed for specialized services outlines 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:
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 Department of Social Services staff.
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 100% of her time with project parents and
children.
Special Education Specialist
1. The Special 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 Special Education Specialist
will develop an educational behavioral assessment and treatment plan
for each child in the project.
3. Since the school district programs ordinarily do not deal with children
under the age of 4, this assessment 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."
4. The Special Education Specialist will work closely with the Community
Center Foundation and Mental Health Center and utilize the existing
resources and programs available.
5. By introducing a comprehensive program at an early stage of the child's
life, problems with later adjustments can be alleviated and lead to
overall improved functioning.
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
placement, if necessary, must also be the responsibility of the Weld County
Department of Social Services. A thirty day assessment of the family will
be made prior to their formal acceptance into the program to determine their
motivation and to establish a contract which results in the treatment plan.
Families that evidence little motivation will be assigned to a regular
on-going caseworker until their motivation improves.
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.
4. When a referral is made to the Department of Social Services alleging
abuse and/or neglect on a family in the program, the project Social
Worker will be notified so that the problem(s) that caused the referral
to be made can be dealt with as part of the treatment plan.
5. Families will be allowed to remain in the project for at least six
months or until they have achieved at least 60% of their treatment
goals.
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
a disagreement, 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. 80% of the families who are in the project will avoid foster care for
their children.
2. Less than 20% of the families who are in the project six months or more
will have a confirmed neglect/abuse during the treatment period.
3. 75% of the families who are in the program six months or more will
achieve at least 60% of their treatment plan objectives.
4. The total cost of the program will not exceed the cost of foster
placement for equivalently sized and composed families. This will be
calculated as follows:
a. The per client monthly cost of the program will be determined by
dividing the total cost by the number of children served.
b. This cost will be compared to the hypothetical cost of foster
placement for families the same size as those of the children served.
c. If more than one sibling is served in a family, they will be
counted as separate families.
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