Putting the Pieces Together:

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NCSACW Technical Assistance: Lessons Learned from Four States and Guidance to States and Communities. Nancy K. Young, Ph.D., Director Joe Anna Sullivan, IDTA Program Manager Shaila Yeh, M.S.W., Associate 4940 Irvine Blvd, Ste 202 Irvine, CA 92620 Phone: 714-505-3525 Fax: 714-505-3626 - PowerPoint PPT Presentation

Text of Putting the Pieces Together:

  • NCSACW Technical Assistance: Lessons Learned from Four States and Guidance to States and Communities

    Putting the Pieces Together: 1st National Conference on Substance Abuse, Child Welfare and the Dependency CourtBaltimore, MD July 15, 2004 Nancy K. Young, Ph.D., DirectorJoe Anna Sullivan, IDTA Program ManagerShaila Yeh, M.S.W., Associate4940 Irvine Blvd, Ste 202Irvine, CA 92620Phone: 714-505-3525Fax: 714-505-3626Email: www.samhsa.gov

  • Developing Knowledge and Providing Technical Assistance to Federal, State, Local Agencies and Tribes to Improve Outcomes for Families with Substance Use Disorders in the Child Welfare and Family Court Systems

  • 10 Elements for Cross-System Linkages Among CWS, ADS and Dependency CourtUnderlying ValuesDaily Practice-Screening and AssessmentDaily Practice-Client Engagement and Retention in CareDaily Practice-AOD Services to Children Joint Accountability and Shared OutcomesInformation Sharing Training/Staff DevelopmentBudgeting/Program SustainabilityBuilding Community SupportsWorking with Related Agencies and Support SystemsFrom CSAT Technical Assistance Publication (TAP) 27: Navigating the Pathways *Revised March 2003

  • Program of In-Depth TA

  • In-Depth TA ProgramGoal - Improve outcomes for families by:

    Assisting selected states in the development of a scope of work and strategic planSupporting and guiding states in the implementation of planProviding access to other resources and expertise

  • In-Depth TA ProgramEach state assigned a Consultant Liaison (CL) available approximately 30 hours per month (offsite and some onsite)

    Focus on statewide impactSupport state in forming multi-system leadership team capable of developing and implementing policy and practice change

  • Cont.Support state in developing and implementing sustainable policies and programsCatalyst for Change

  • In-Depth TA ProgramSolicitation for Requests released in April 2003State and Territory CWS and ADS DirectorsCIP Directors5 Nominated Tribes

    States/Territories/Tribes needed to demonstrate sustainable collaborative efforts between substance abuse, child welfare, tribes and family judicial systems

  • In-Depth TA ProgramSites Selected ColoradoFlorida MichiganVirginia

  • In-Depth TA ProgramConsultant LiaisonsElizabeth Breshears - MichiganKari Demetras - VirginiaMary Nakashian - ColoradoJoe Anna Sullivan - FloridaNicolette Pach Judicial Consultant

  • Process of IDTA

  • In-Depth TA Program

    Initial planning calls with each state, consultant liaison, IDTA manager and NCSACW staff (July and August, 2003)

  • In-Depth TA Program

    Kick Off meetings Two days of intensive, onsite work with state team to develop the scope of workColorado August 6 & 7, 2003Virginia September 8 & 9Michigan September 11 & 12Florida September 18 & 19

  • Process of IDTAScope of Work for In-Depth TADeveloped by each sites statewide team during Kick OffSOW defines roles and responsibilities of state team, NCSACW and Consultant LiaisonSOW reviewed and approved by Federal Project Officer

  • Process of IDTA The ContractSOW includes:Statement of Purpose or MissionWork Products and OutcomesAction Steps and Target DatesWho is Responsible

  • Tools of Collaboration

  • Collaborative Values InventoryWhat Do We Believe about Alcohol and Drugs, Services to Children and Families and Dependency Courts?Assesses how much a group shares ideas about values that underlie its workHelps surface issues that may not be raised if collaborative begins work with emphasis on programs and operational issuesFacilitates discussion around areas of common agreement and divergent viewsSupports work toward consensus on principles as basis of state or local priorities for implementing practice and policies changes

  • Collaborative Capacity InstrumentReviews and Assesses the Status of Linkages Across ADS and CWS Agencies and Dependency Courts Self-assessment for ADS and CWS agencies and dependency courts preparing to work together or who are seeking to move to a new level of cooperationDesigned to elicit discussion among and within both sets of agencies and the court

  • Summary of State ProductsWhat Are the States Working On?

    The Elements of Collaboration moving from the conceptual to applied practice

  • Summary of State ProductsValues and PrinciplesAll states are working on formalizing collaboration through MOUs or other agreements common values & principlesMost intend to issue a state-level MOU/agreement and encourage or require their development at the local levelMOU as marketing tool

  • Summary of State ProductsDaily Practice: Screening, Assessment, Engagement & RetentionAll states are looking at core elements of screening, assessment, engagement and retention and developing protocolsDefining communication streams and practicesCO survey to identify most important elements for daily practice (a little marketing too!)

  • Summary of State ProductsDaily Practice: Screening, Assessment, Engagement & RetentionFL Model of Preferred PracticeInfluence child casework overallMultidisciplinary, family-focused and cross-systemOngoing function of assessmentLinkages to other needed partnersMI and VA protocols will include detailed implementation plans

  • Summary of State ProductsDaily Practice: Services to Children of Substance Abusers

    Holistic and comprehensive approach to family and child needs

    EPSDT and services to children

  • Summary of State ProductsJoint Accountability and Shared Outcomes

    Establishing cross-system common goals and measurable outcomes for families

    Evaluating what is to come from In-Depth TA and the collaboration

  • Summary of State ProductsJoint Accountability and Shared Outcomes

    Evaluating the implementation of plans across system partners

    Multi-tasking other evaluation needs such as CFSRs and legislated reports

  • Summary of State ProductsInformation Sharing and Data Systems

    All states are working on improving information quality and quantity within and across systemsData systems cost money existing springboardsTrack needs, services, progress and success throughout familys involvement with services

  • Summary of State ProductsBudget and Program Sustainability

    Funding is tight everywhere new dollars are scarceDevelop funding map to maximize existing fundsLay low good time for planning and development activitiesPilot programs cant afford one time shotsBuild a structure to support collaborative work

  • Summary of State ProductsTraining and Staff Development

    Joint, cross-system training needed to implement new protocolsUse existing resourcesWomens work and training are never done

  • Summary of State ProductsWorking with Related Agencies

    Essence of collaboration and In-Depth TAWho am I related to?Who do I need to get to know better to serve families?When and how do we work together?Agencies exist at many levels state-level work as a means of modeling to local communities

  • Summary of State ProductsWorking with the Community and Supporting Families

    Family focus in all statesFL and VA explicitly looking at community resources and mentoring opportunities to achieve and support lifelong recovery and healthy families

  • Its All About Healthy Families

  • Lessons LearnedA Panel Discussion

    Kari DemetrasLiz BreshearsMary NakashianNicolette PachJoe Anna Sullivan, moderator

  • Q: Why work to build collaborative policies, programs and relationships?Better outcomes for families ability to respond to a broader range of needsBetter use of scarce resourcesNo one system has the skills, training or time to respond comprehensively to whole familys needsCollectively, multiple systems possess much greater knowledge about familiesCollectively, multiple systems have a wider range of service and response options

  • More benefits of collaboration With assistance from other systems, Child welfare will be better able to address CFSR deficiencies and Program Improvement Plan strategiesBetter address new CAPTA requirements for substance exposed newbornsTeamwork brings a wealth of perspectives and strengthsMultidisciplinary casework is better able to assess the needs and strengths of familiesTogether we can help families recover and stay together

  • Q: What should we consider in getting started? How many families involved with child welfare have substance use disorders impacting placement or child safety and risk decisions?How many substance abuse treatment clients have children who may be at risk of abuse or neglect?Does child welfare have the funds and expertise to adequately provide all substance abuse treatment needed by families and required to meet reasonable efforts standards? In times of tight budgets, retrenching and planning for the future is a great use of time Even if there is no new money, what can we do differently without new money?

  • Q: Who should be at the table?The basics: child welfare, substance abuse prevention and treatment, dependency court but consider mental health, domestic violence, law enforcement, TANF and Medicaid, etc.Co-equality of participants (no system trumps another at this table)Reach high and low, near and far (State and local govt staff, policy and program planners, service providers, consumers, etc.)

  • Q: How do we create a workplan?Retreat (off-site if possible)Consider establishing a core group of 3-6 to plan for the meetingAllocate at least two days for the initial meetingBring in a neutral outsider to facilitateBe task oriented know what you wan