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NADCP 2018 | Houston, TXAdvancing Justice for All Families
Phil Breitenbucher, Alexis Balkey, and Theresa LemusChildren and Family Futures May 30, 2018
Leading Change – Transforming, Expanding, and Advancing the FTC Movement to Better Serve Children and Families
working for youth justice and safety
ojjdp.gov
U.S. Department of JusticeOffice of Justice ProgramsOffice of Juvenile Justice and Delinquency Prevention
working for youth justice and safety
ojjdp.gov
U.S. Department of JusticeOffice of Justice ProgramsOffice of Juvenile Justice and Delinquency Prevention
AcknowledgementThispresentationissupportedby:Grant#2016‐DC‐BX‐K003 awardedbytheOfficeofJuvenileJusticeandDelinquencyPrevention,OfficeofJusticePrograms,U.S.
DepartmentofJustice.
This project was supported by Grant #2016‐DC‐BX‐K003 awarded by the Office of Juvenile Justice and Delinquency Prevention, Office of Justice Programs, U.S. Department of Justice. The opinions, findings, and conclusions or recommendations expressed in this publication/program/exhibition are
those of the author(s) and do not necessarily reflect those of the Department of Justice.
Learning Objectives
1. Explore the progression of the FDC movement from inception, to program enhancement and expansion, and towards systems change.
2. Understand the goals of the National Strategic Plan for FDCs and how they provide a roadmap for larger systems change.
3. Develop leadership capacity to become a champion for the FDC movement and advance policy and practice in your jurisdiction.
HopeStrengthening Partnerships | Improving Outcomes
A Reflection
Do you know how these systems work for all children and families?
Do you the know the total need or the scale of the problem?
How can the FDC be a catalyst for change?
Part of Greater Whole
FDCs are part of larger systems
10 40
153
322360 340 370
495
1999 2001 2005 2010 2013 2015 2016 2017
Family Drug Court Movement
Practice Improvements
Family Drug Court Movement
2007
2004OJJDP
SAMHSA | ACF/CB
2013
Revised 2015
199710 Key
Components
2017
National Strategic Plan for FDCs
2018National
Standards for FDCs
2002
6 Common Ingredients
7th added in 2015
Expansion, Infusion,Evidence-Based
Programs
2015
FDC’sEst.
1994 2014
Systems Change Initiatives
New Opportunities
Funding and Legislation
With Growth Comes…
Appropriated for Fiscal Year 2018
Funds will be contracted by September 30, 2018
$330 million to the OFFICE OF JUSTICE PROGRAMS (OJP) for comprehensive opioid abuse reduction activities, including as authorized by CARA:
$75 million for Drug Courts representing a 92% increase$30 million Mental Health Courts & Adult and Juvenile Collaboration Program Grants Program
$30 million for Residential Substance Abuse Treatment for State Prisoners Grants
$20 million Veterans Treatment Courts Program$30 million Prescription Drug Monitoring Program
$145 million Comprehensive Opioid Abuse Program
Appropriated for Fiscal Year 2018
Funds will be contracted by September 30, 2018
$282.5 millionto the OFFICE OF JUVENILE JUSTICE AND DELINQUENCY PROGRAMS (OJJDP)
$60 million for Drug Abuse Education, Prevention, and Treatment Program Grants
$94 million Youth Mentoring Grants
$27.5 million for Delinquency Prevention Programs$21 million for Victims of Child Abuse Programs$76 million for Missing and Exploited Children Programs
$2 million for Judicial Child Abuse Training Programs$2 million for Program to Improve Juvenile Indigent Defense
$5 million Tribal Youth Programs$4 million for gang and youth violence education, prevention and intervention
$500 thousand for Children of Incarcerated Parents information and resources website$2 million competitive grants focusing on
girls in juvenile justice system$8 million for community‐based violence
prevention initiatives$8 million for opioid affected youth
initiative
• Child Abuse Prevention and Treatment Act (CAPTA)
• Comprehensive Addiction and Recovery Act (CARA)
• Plans of Safe Care (PoSC)
Opportunity
Family First Prevention Services Act (2018)
$
Opportunity
Makes changes to federal child welfare financing, including allowing for federal Title IV-E dollars to reimburse states for substance use, mental health prevention and treatment services and parenting programs for children at imminent risk of being placed in foster care and their families
• Provisions Related to Substance Use and Mental Health Treatment for Families
- Reimbursement for Family Residential Substance Use Disorder Treatment – October 1, 2018
- Use of Title IV-E Funds to Prevent Child Placement in Out-of-Home Care – October 1, 2019
- Reauthorization of Regional Partnership Grants
Funds will be contracted by September 30, 2018
$1 billion in new funding for State Opioid Response Grants including:
Appropriated for Fiscal Year 2018to the Substance Abuse and Mental Health Services Administration (SAMHSA)
$70,000,000 for SAMHSA Treatment Drug Court Grants
Opportunities
$8,724,000 for Opioid Treatment Programs/Regulatory Activities
$29,931,000 for Pregnant and Postpartum Women
Funds will be contracted by September 30, 2018 Opportunities
Appropriated for Fiscal Year 2018to the Administration for Children and Families (ACF)
$99,765,000 in additional Discretionary and Targeted Grant funds including:
$20 million for Regional Partnership Grants
$20 million for Kinship Navigator Programs
$60 million for increase for CAPTA State Grants
Funds will be contracted by September 30, 2018
Opportunities
Appropriated for Fiscal Year 2018to the Department of Education
$470 million for State Grants for Infants and Families
Frameworks for Family Drug Courts
5 R’s – Core Outcomes
10 Recommendations for Family Drug Courts The Big 7 – Essential Practices
to Improving Child Welfare and Treatment Outcomes
3 Goals – National Strategic Plan for Family Drug Courts
Improving Outcomes for Children and Families
Family Drug CourtNational Strategic Plan
Build Evidence Base
Ensure Quality Implementation
Expansion of FDC Reach
1
2
3
A Road Map for the Movement
Each session tied to one of these goals!
Available at https://www.cffutures.org/report/national-strategic-plan/
Every family in the child welfare system affected by parental/caregiver substance use disorders will have timely access to comprehensive and coordinated
screening, assessment and service delivery for family’s success.
National VisionAll Families
for
Disproportionalityand Equity
Accountability to the FDC Model
Being Apart from Systems Change vs. Being A Part of Systems Change
Top Threats to the FDC Movement3
1
2
3
Threat to FDC Movement
National Strategic Plan Goal
Taking ActionTA Tools and
Sessions
Session FormatSolutions and Opportunities
Brainstorm and Report Out
Providing the vision and the drive to use resources
to get results while building trusted
relationships within staff and amongst partners
What is Leadership?
Client-Centered and Empathetic
What is Leadership?
Persuasion, Trust, Commitment—Illustrating the Vision, Building Relationships, and Gaining Commitment
Influence
Barrier Busting & Results-Based Accountability—Ensuring Adequate Information Flow & Data-Driven Decision-Making
Transform
Building Champions and Growing Resources—Develop New and Existing Leaders and Increase Resources
Cultivate
Top Threats to the FDC Movement3
Accountability to the FDC Model11
Ensure Quality Implementation
Goal #1
National Strategic Plan for FDCs
SOLUTIONS andOPPORTUNITIES
Building Capacity for Quality
Implementation
National Standards for Family Drug Courts
Building Capacity for Quality Implementation
STRATEGIES andCRITICAL QUESTIONS
Oversight/ExecutiveCommittee
Director Level
Quarterly
Ensure long-term sustainability and final approval of practice and policy changes
Steering Committee
Management Level
Monthly or Bi-Weekly
Remove barriers to ensure program
success and achieve project’s goals
FDC Core Team
Front-line staff
Weekly or Bi-Weekly
Staff cases; ensuring client success
Membership
Meets
Primary Functions
The Collaborative Structure for Leading Change
Information flow
Information flow
FDC Team
Front-line staff
Weekly or Bi-Weekly
Staff cases; ensuring client
success
Membership
Meets
Primary Functions
Steering Committee
Management Level
Monthly or Bi-Monthly
Remove barriers to ensure program success and achieve project’s goals
Membership
Meets
Primary Functions
1. Data Dashboard 2. Systems Barriers3. Funding & Sustainability4. Staff Training &
Knowledge Development 5. Outreach Efforts
Standing Agenda Items for Steering Committee Meetings5
Oversight/ExecutiveCommittee
Director Level
Quarterly or Semi-Annually
Ensure long-term sustainability; review and use data reports; give final approval of practice and policy changes
Membership
Meets
Primary Functions
Influence | Transform | Cultivate
TAKING ACTION
BRAINSTORM REPORT OUTand
https://www.cffutures.org/national-fdc-tta-program/
TOOLS and RESOURCES
The Big Seven – Key Practicesto Building an Effective Family Treatment Court
Training Session | TS-13 | Thursday, May 31st at 1:15pm - 2:30pm
Phil Breitenbucher, MSW |Children and Family Futures
Be sure to check it out!
Ready-Set-Go! 5 Key Planning Decisions to Help You Successfully Launch Your Family Treatment Court
Families First: Taking Family Dependency Treatment Courts to the Next Level | D-4Thursday, May 31st at 3:15pm - 4:15pm
Jane Pfeifer, MPA |Children and Family FuturesAlexis Balkey, MPA |Children and Family Futures
Be sure to check it out!
Accountability to the FDC Model
Top Threats to the FDC Movement3
11
Being Apart from Systems Change vs. Being A Part of Systems Change
22
ASPE Study Findings: Overdose Deaths and Foster Care Caseloads, 2002 to 2016
10
20
30
40
50
60
70
80
50
100
150
200
250
300
350
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Ove
rdos
e D
eath
s (th
ousa
nds)
Fost
er C
are
Entr
ies
(thou
sand
s)
Foster Care Entries
Overdose Deaths
Sources: CDC/NCHS, National Vital Statistics System, Mortality; HHS/ACF, Adoption and Foster Care Analysis and Reporting System.
10%
2.3% 2.6%4.5%
0%
5%
10%
15%
Drug deaths Reports ofmaltreatment
SubstantiatedReports
Foster CarePlacements
10% increase in the
overdose death rate
corresponds with
ASPE Study Findings: Drug Overdose Deaths and Child Welfare Case Rates, 2011-2015
Sources: CDC/NCHS, National Vital Statistics System, Mortality; HHS/ACF, Adoption and Foster Care Analysis and Reporting System.
ASPE Study Findings: Counties where Rates of Drug Overdose Deaths and Foster Care Entries were both above the
National Median in 2015
Sources: CDC/NCHS, National Vital Statistics System, Mortality; HHS/ACF, Adoption and Foster Care Analysis and Reporting System.
Expansion of FDC Reach
Goal #2
National Strategic Plan for FDCs
SOLUTIONS andOPPORTUNITIES
Systems Change
Project Thinking Systems Thinking
Shift
ParadigmParadigm
Project Thinking Systems Thinking
Shift
ParadigmParadigm
FDCs as a Continuum of Care
STRATEGIES andCRITICAL QUESTIONS
Families Affected by Substance Use Disorders Continuum
High RiskHigh Need
Low Risk Low Need
Family Treatment
Court
New Approach
Family Relationship Therapies
Evidence-Based Parenting
SOLUTIONS andOPPORTUNITIES
Funding FDC
Services
Appropriated for Fiscal Year 2018
Funds will be contracted by September 30, 2018
$330 million to the OFFICE OF JUSTICE PROGRAMS (OJP) for comprehensive opioid abuse reduction activities, including as authorized by CARA:
$75 million for Drug Courts representing a 92% increase$30 million Mental Health Courts & Adult and Juvenile Collaboration Program Grants Program
$30 million for Residential Substance Abuse Treatment for State Prisoners Grants
$20 million Veterans Treatment Courts Program$30 million Prescription Drug Monitoring Program
$145 million Comprehensive Opioid Abuse Program
Appropriated for Fiscal Year 2018
Funds will be contracted by September 30, 2018
$282.5 millionto the OFFICE OF JUVENILE JUSTICE AND DELINQUENCY PROGRAMS (OJJDP)
$60 million for Drug Abuse Education, Prevention, and Treatment Program Grants
$94 million Youth Mentoring Grants
$27.5 million for Delinquency Prevention Programs$21 million for Victims of Child Abuse Programs$76 million for Missing and Exploited Children Programs
$2 million for Judicial Child Abuse Training Programs$2 million for Program to Improve Juvenile Indigent Defense
$5 million Tribal Youth Programs$4 million for gang and youth violence education, prevention and intervention
$500 thousand for Children of Incarcerated Parents information and resources website$2 million competitive grants focusing on
girls in juvenile justice system$8 million for community‐based violence
prevention initiatives$8 million for opioid affected youth
initiative
• Child Abuse Prevention and Treatment Act (CAPTA)
• Comprehensive Addiction and Recovery Act (CARA)
• Plans of Safe Care (PoSC)
Opportunity
Family First Prevention Services Act (2018)
$
Opportunity
Makes changes to federal child welfare financing, including allowing for federal Title IV-E dollars to reimburse states for substance use, mental health prevention and treatment services and parenting programs for children at imminent risk of being placed in foster care and their families
• Provisions Related to Substance Use and Mental Health Treatment for Families
- Reimbursement for Family Residential Substance Use Disorder Treatment – October 1, 2018
- Use of Title IV-E Funds to Prevent Child Placement in Out-of-Home Care – October 1, 2019
- Reauthorization of Regional Partnership Grants
Funds will be contracted by September 30, 2018
$1 billion in new funding for State Opioid Response Grants including:
Appropriated for Fiscal Year 2018to the Substance Abuse and Mental Health Services Administration (SAMHSA)
$70,000,000 for SAMHSA Treatment Drug Court Grants
Opportunities
$8,724,000 for Opioid Treatment Programs/Regulatory Activities
$29,931,000 for Pregnant and Postpartum Women
Funds will be contracted by September 30, 2018 Opportunities
Appropriated for Fiscal Year 2018to the Administration for Children and Families (ACF)
$99,765,000 in additional Discretionary and Targeted Grant funds including:
$20 million for Regional Partnership Grants
$20 million for Kinship Navigator Programs
$60 million for increase for CAPTA State Grants
Funds will be contracted by September 30, 2018
Opportunities
Appropriated for Fiscal Year 2018to the Department of Education
$470 million for State Grants for Infants and Families
Funding FDC Services
STRATEGIES andCRITICAL QUESTIONS
TAKING ACTIONInfluence | Transform | Cultivate
BRAINSTORM REPORT OUTand
https://www.cffutures.org/national-fdc-tta-program/
TOOLS and RESOURCES
Connecting VTCs and VJO Services Through Collaborative Court Staffing: Improving Service Delivery to Veterans, Their Children, and Families Through Family-Centered Approaches
VTCs: Advanced Issues | VCC-B-3 | Thursday, May 31st at 11:00am - 12:15pm
Larisa Owen, PhD, MBA |Children and Family FuturesMary Kreber Varipapa, JD |Superior Court of California, County of Orange
Jeremiah Jones, AB, AS |Strong Families, Strong Children
Be sure to check it out!
A New Approach –FTCs as Part of a Continuum of Care
Families First: Taking Family Dependency Treatment Courts to the Next Level | E-4Thursday, May 31st at 4:45pm - 6:15pm
Theresa Lemus, MBA, RN, LADC |Children and Family FuturesTessa Richter, LCSW, MSW |Children and Family Futures
Be sure to check it out!
Family Matters –Transitioning to a Family Centered Approach in All Drug Courts
Concurrent General Session | CG-17 | Friday, June 1st at 1:45pm - 3:00pm
Phil Breitenbucher, MSW |Children and Family FuturesCarolyn Hardin, MPA |National Association of Drug Court Professionals
Be sure to check it out!
Developing a Plan of Safe Care: What Your Family Treatment Court Needs to Know about Serving Pregnant and Parenting Women with Opioid Use Disorders
Concurrent General Session | CG-28 | Friday, June 1st at 3:15pm – 4:30pm
Nancy K. Young, PhD, MSW |Children and Family Futures
Be sure to check it out!
minute break
Accountability to the FDC Model
Being Apart from Systems Change vs. Being A Part of Systems Change
Top Threats to the FDC Movement311
22
Disproportionality and Equity33
Build the Evidence Base
Goal #3
National Strategic Plan for FDCs
SOLUTIONS andOPPORTUNITIES
FDC Research
State of FDC Research
What Has Been Accomplished?
Update from the field…
FDC Research
STRATEGIES andCRITICAL QUESTIONS
SOLUTIONS andOPPORTUNITIES
Evidence-Based Implementation
Whom Does It Work For?
Whom Does It Not Work For?
Emerging Issues
The racial/ethnic disparities in children entering FTDC programs are substantial
% in FTDC % in Child Welfare Population
White Non-Hispanic 46.4% 26.1%Black Non-Hispanic 14.4% 41.5%
Hispanic 17.4% 20.8%Other 22.4% 11.6%
For five grantees, this disparity was much greater compared to the other grantees (Range of disparities for five grantees -4% to 56%).
14.4%
0.0% 0.0%
39.5%
88.9%
7.7% 5.6%0.0%
25.0%
0.0%
11.9%
41.5%
81.7%71.5%
47.6%
61.2%
21.9%
36.9%
17.9%7.4% 6.2%
32.5%
0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%90.0%
100.0%
% African American Children Who Entered FTDC Programs Compared with Child Welfare Population as Reported by AFCARS 2015
FTDC AFCARS
Emerging Issues
17.4%
0.0%
100.0%
39.5%
0.0% 0.0%
12.7%5.7%
13.3%
37.5%
11.9%20.8%
2.1%13.4%
29.3%
5.5%
17.3%9.5%
17.8%7.9%
45.2%
25.4%
0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%90.0%
100.0%
% Hispanic Children Who Entered FTDC Programs Compared with Child Welfare Population as Reported by AFCARS 2015
FTDC AFCARS
Emerging Issues
Equity
STRATEGIES andCRITICAL QUESTIONS
TAKING ACTIONInfluence | Transform | Cultivate
BRAINSTORM REPORT OUTand
https://www.cffutures.org/national-fdc-tta-program/
TOOLS and RESOURCES
Part of the Problem or Solution? Addressing Racial Disproportionality and Disparities in FTC
Families First: Taking Family Dependency Treatment Courts to the Next Level | B-4Thursday, May 31st at 11:00am - 12:15pm
Phil Breitenbucher, MSW |Children and Family FuturesRuss Bermejo, MSW |Children and Family Futures
Be sure to check it out!
Healing the Family – Tribes and Counties Working Together within the FTC and FTHWC
Tribal Healing to Wellness Courts | D-7 | Thursday, May 31st at 3:15pm – 4:30pm
Lauren van Schilfgaarde, JD |Tribal Law and Policy InstituteJennifer Foley, BA |Children and Family Futures
Be sure to check it out!
Q&A and Discussion
Resources
https://www.cffutures.org/national-fdc-tta-program/
TOOLS and RESOURCES
Next Steps –
Moving Policy and Advocacy Forward
Leaders Call to Action!
Commit!
Network and Share!then
https://www.cffutures.org/national-fdc-tta-program/
Checklist to Change -Readiness to Reality
Families First: Taking Family Dependency Treatment Courts to the Next Level | A-4Thursday, May 31st at 9:30am – 10:45am
Alexis Balkey, MPA |Children and Family FuturesTessa Richter, LCSW, MSW |Children and Family Futures
Be sure to check it out!
What Does Quality Treatment Look Like? Identifying Effective Substance Use Disorder Treatment for Families
Evidence-Based Psychosocial Treatment | B-16 | Thursday, May 31st at 11:00am - 12:15pm
Theresa Lemus, MBA, RN, LADC |Children and Family Futures
Be sure to check it out!
Strengthening Families –Supporting Success
Be sure to check it out!
Families First: Taking Family Dependency Treatment Courts to the Next Level | C-4Thursday, May 31st at 1:45pm - 3:00pm
Jennifer Foley, BA |Children and Family Futures
Contact InformationPhil Breitenbucher, MSWAlexis Balkey, MPA, RASTheresa Lemus, MBA, BSN, LADCChildren and Family [email protected](714) 505-3525www.cffutures.org
Strengthening Partnerships | Improving Outcomes
Visit our table in the Exhibit Hall