WELCOME COUNTY OF SAN DIEGO - Center Videocentervideo.forest.usf.edu/video/qpi/california/2016accomplishment… · QPI AMBASSADORS The ambassadors are designated in each region They

WELCOME

COUNTY OF SAN DIEGO

Components of Regionalization:

Ambassador Program

Quarterly Trainings

THE VISION

A process to support continued expansion of QPI

Regionalize

Involvement of caregivers, social workers and

community partners

Consistency of information disseminated

In October 2015 Countywide Regionalization

Implementation plan

Ambassador Program

Regional Trainings

ELEMENTS FOR ROLL OUT OF

REGIONALIZATION

County Steering Committee

Developed guidelines, forms & annual goals for the regions

Developed & provided protocols for Ambassador program

Determined topics for quarterly trainings

QPI Supervisor & Coordinator

Available for consultation & guidance

Assisted each region with initial formation of steering committee

Develop regional flyers & templates

Coordinate trainings with each region

Develop all training curriculum

Provide each region with updated caregiver lists

Collect data

QPI AMBASSADORSThe ambassadors are designated in each region

They consist of a Foster Parent and Agency staff

Provide support to & answer questions

Facilitate communication between team members

Provide resources for both foster parents and social workers within their region

Assist in recruiting other caregivers to attend regional meetings & trainings

QUARTERLY TRAININGS

The goal of these trainings is to establish consistent

information sharing, build positive relationships and

facilitate team partnerships between

foster parents, agency staff and community partners.

KEY ELEMENTS OF

QUARTERLY TRAININGS

Trainings are consistent in each region

Trainings are in the morning hours

Agency provides child care

2 hours in length

All regions have same training topic

Attendees receive training hour credits

Regions provided a training flyer for mailer

Each region receives updated list of caregivers

Spanish translation available

Curriculum developed by one central unit

Parking lot questions

KEY ELEMENTS OF QUARTERLY TRAININGS

CONTINUED

Trainings consists of:

Foster parent &

social worker

trainer

Ice Breaker activity

relates to training topic


CONTINUED

Set up in table pods of 6-8

Ensure each table has

foster parents & social

workers


CONTINUED

The activity at the end of training

Facilitates team approach

Puts information presented into practice

OUTCOMES

Countywide number of participants:

Partnership Plan Resource Family Approval

County staff: 77 County staff: 51

Foster Parents: 66 Foster Parents: 69

Other: 6 Relatives: 4

Total: 149 Others: 7

Total: 131

Confidentiality Transitions

County staff: 54 County staff: 76

Foster Parents: 67 Foster Parents: 54

Other: 2 Other: 1

Total: 122 Total: 131

2016 Grand Total of Attendees: 533

THANK YOU!!

Tuolumne County Child and Family Visit Center

Ribbon Cutting and Grand Opening

January 17, 2017

QPI Efforts in Glenn County

Rose Conley, MSW

Ongoing QPI Efforts

• RFA Staff brought new energy and man power to ongoing QPI efforts

– Foster Family Fun Night

– Icebreakers

– Integrated Care

–Clearly articulating expectations

Current QPI Efforts

• Glenn County’s RFA Unit– QPI practice incorporated into the policy and procedure for

Glenn County’s new RFA Unit• Clearly articulating expectations with families in the beginning

through conversation, interviews, assessment, paperwork, and resources

• Pre-approval training for new Resource Families • Everyday practice

• Foster Forum – Resource Family recruitment strategy– Resource Family Approval (RFA) Unit, Children and Family

Services from the Office of Education, Court Appointment Special Advocate (CASA), Independent Living Program (ILP) from Glenn County HHSA

QPI Efforts for 2017

• Dyadic Developmental Psychotherapy (DDP) training

• Attachment Theory Assessment for birth parents

– To achieve a “buy in” with Mental Health Services in the beginning of a case plan

• Foster Forum

• Community Outreach for Resource Families

**************************

Thank you!

[email protected]

805-654-3220

QPI Focus: Communication

QPI Caregiver Advisory Team Charter

The QPI Caregiver Advisory Team is a working team that includes foster and relative caregivers, birth parents, youth, and agency staff. This committee’s work will be part of the larger QPI sub-committee of the SOP Implementation Team.

Purpose. The purpose of this committee will be for the agency to increase quality partnership and support between caregivers, birth families, youth and agency staff. The main areas of QPI that will be addressed in this group will fall under the following categories:

• High Quality Care for Children• Partnership/ Teaming• Co-Parenting• Information Sharing

The group will receive education on agency QPI programs and services, discuss why and how changes will be implemented, provide support to understand practice changes that support child well-being, and have open discussion to identify what’s working well and solutions to worries surrounding QPI goals for quality care. Members will identify tools and strategies that will equip them to be advocates for QPI driven changes in Ventura County’s foster care system.

Roles and Responsibilities

Responsibilities By accepting appointment, Advisory Team members agree to: • Champion and advocate for QPI related system changes • Provide input on critical QPI related policies, practices and decisions, including QPI

communication and training plans.• Message and support QPI objectives with caregivers, agency staff and community

partners

Values and Ways of Work. The work of the QPI Advisory Team is guided by the Department Vision of Protecting Children by Strengthening Families in order to focus on the tools needed to do our work differently using the lens of QPI & Safety Organized Practice.

The QPI Advisory Team is intended to be a collaborative entity. Transparency is valued and expected. • The QPI Advisory Team will abide by group agreements to ensure respectful

communication and solution focused discussion. • The QPI Advisory Team innovation in relationship to quality care.• The QPI Advisory Team seeks to be inclusive of foster and relative caregivers, birth

parents, youth and agency staff.

Team Commitments

Membership. Membership will represent the agency, caregivers (relative and foster), youth, and birth parents. Members will agree to champion and advocate for QPI related system changes. Recommended committee representation will be a balance of foster caregivers, relative caregivers, agency staff, birth families, and youth. The agency will select members based on commitment to QPI principles.

Attendance. Attendance is held on the 1st Wednesday of the Month from 6-8pm. QPI team members shall make a good faith effort to attend each meeting. Dinner and childcare is provided.

Decision Making, Consensus Building and Reporting. Formal recommendations by the QPI Advisory Team shall be provided to the Agency’s SOP QPI Committee for review and input concerning agency policy and practice changes.

Minutes. Minutes shall be kept at every meeting of The QPI Advisory Team and distributed to its members for review prior to the next meeting.

Specialized Practice Teams or Workgroups. The QPI Advisory Team may form such teams or workgroups it believes necessary to complete its work.

Recent Discussions and Training

The QPI Caregiver Advisory Group is provided training in our county’s operations and identifies barriers to quality care and support of such operations, which then feeds back into recommendations for practice changes. Areas have included:

• Mapping and enhancement of the Placement Process• Revision of the Needs and Services Plan• Safety Organized Practice and solution focused inquiry• All About Me/ Ice Breakers as tool of Co-parenting

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES (CDSS) AND THE

QUALITY PARENTING INITIATIVE (QPI) 2016

REASONABLE AND PRUDENT PARENT STANDARD (RPPS)

The reasonable and prudent parent standard (RPPS) is meant to eliminate unreasonable limitations on everyday activities and to ensure normalcy for youth in out-of-home care.

California’s existing law requires a caregiver to apply the standard in determining whether a dependent child or ward can participate in extracurricular, enrichment, and social activities.

It is necessary to consider the following when using the RPPS to make a decision:

• the child’s age, maturity, and developmental level;

• the nature and inherent risks of harm; and

• the best interest of the child based on information known by the caregiver.

The RPPS also allows caregivers the flexibility to apply the standard when arranging temporary care.

RPPS (CONT’D)

CDSS Community Care Licensing is currently updating Title 22 Regulations to implement Senate Bill

794, which empowers caregivers or designated staff to apply RPPS to cultural activities as well as

encouraging emotional and developmental growth.

For additional information you may consult the Title 22 regulations or Interim Licensing Standards via

the following links:

Interim licensing standards for FFAs

Title 22 Regulations Children's Residential

STRTP Interim Licensing Standards

You can read more on the RPPS in the following:

• All County Letter (ACL) 16-31

• ACIN I-28-15/IR 2015-01

http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB794

http://www.cdss.ca.gov/cdssweb/entres/pdf/CCR/FFA_InterimLicensingStandards.pdf

http://www.dss.cahwnet.gov/ord/PG295.htm

http://www.dss.cahwnet.gov/cdssweb/PG4869.htm

http://www.dss.cahwnet.gov/lettersnotices/EntRes/getinfo/acl/2016/16-31.pdf

http://www.cdss.ca.gov/lettersnotices/EntRes/getinfo/acin/2015/I-28_15.pdf

RESOURCE FAMILY APPROVAL (RFA)

PROGRAM OVERVIEW

The RFA is a family friendly and child-centered caregiver approval process that combines elements of foster parent licensing, relative approval and approvals for adoption and guardianship.

Both QPI and the RFA process improve the way caregivers (related and non-related) for children in foster care are approved and prepared to parent vulnerable children, whether temporarily or permanently.

The QPI partners with caregivers in helping to design child welfare organizations at the local level to better recruit, support and retain quality foster caregivers who can effectively parent vulnerable children and youth.

RFA (CONT’D)

For further information regarding RFA, please visit the RFA webpage. There are also videos available:

RFA Overview Audio Presentation

RFA QPI California Training Video

For questions specific to RFA, you may email: [email protected].

http://www.childsworld.ca.gov/PG3416.htm

https://vimeo.com/146961484

http://centervideo.forest.usf.edu/qpi/California/RFA/start.html

mailto:[email protected]

TRAININGS

Foster Parent Training:

• Trainings through the community colleges are incorporating the RPPS as mandated by statute.

• FFAs are also training to the RPPS.

Normalcy

Let Kids Be KidsDenise Parker

January 24th , 2017

Normalcyfor

Nevada

• Preventing Sex Trafficking and Strengthening Families Act (Public Law 113-183)

• Reasonable and Prudent Parenting/Normalcy (Nevada Statewide Policy/Procedures #1101)

• Reasonable and Prudent Parenting/Normalcy -Policy (Clark County Department of Family Services)

see attached documents

What is the Law?

Always be aware of

WHO is making the

decisions for children.

DIVISION OF CHILD & FAMILY SERVICES

INFORMATION SHARING: WHAT

CASE MANAGERS CAN TELL

CAREGIVERS

LEGAL AND POLICY REQUIREMENTS+ Sharing of information with the caregiver is required by federal law, Nevada Revised Statutes, Nevada Administrative Code, and DCFS Policy

+ The general rule is that caregivers must receive records and information that relate to or assist in appropriately parenting their foster child, except when prohibited by law.

+ Caregivers must be invited to participate in Child and Family Team (CFT) Meetings, as caregivers are a valuable member of the team and are familiar with the immediate and day-to-day needs of the child.

BENEFITS OF SHARING INFORMATION+ Helps caregivers provide quality for children and reduces disruptions.

+ Builds meaningful partnerships between case managers, birth families, and caregivers.

+ Helps all team members maintain a realistic expectation of the potential outcomes of the case

+ Supports healthy transitions for children.

+ Provides critical content for the child’s Lifebook, a place to record memories and life events that occur before and after placement.

This includes, but is not limited to:

+ Notification and invitations to all court

+ Medical, dental, psychological, psychiatric and behavioral history, on-going treatments and evaluations

+ Visitation and case plans that identify expectations of caregivers

+ Recommended Permanency Plan

+ All school reports

+ Copies of birth certificate and other documents

+ CFT staffing and child’s case plan with objectives and next steps

+ Copy of the safety plan, including a description of safety threats, as it relates to the child

INFORMATION THAT RELATES SPECIFICALLY TO THE CHILDREN AND THE CARE OF THE CHILDREN IN THEIR HOMES MUST BE SHARED WITH CAREGIVERS.

Have a question about what can be shared?Case Managers: Contact your Supervisor, Manager, or assigned Deputy Attorney General.

Caregivers: Contact your Case Manager or Case Manager’s Supervisor.

Documents that cannot be shared with caregivers.+ Financial records of birth parents or others

+ HIPAA(Health Insurance Portability and Accountability Act) protected documents of the birthparents such as:

Medical

Drug Test Results

Psychological and Psychiatric reports

+ Records of domestic violence centers

+ Court reports

+ Reporter information in any format

SHARING INFORMATION WITH THE CAREGIVERThe case manager is encouraged to partner with the birth family and caregiver and toencourage the sharing of sensitive and confidential information that will support thepartnership and improve the quality of care given to the children

WHAT CAN CAREGIVERS SHARE WITH OTHERS?

Caregivers will encounter a variety of situations where they are asked to share confidentialinformation about a child. This may be in a school or medical setting. Caregivers may shareinformation as-needed for the care of the child while taking into consideration theconfidentiality of the child and the birth family.

SHARING INFORMATION WITH FORMER CAREGIVERS

Children and their caregivers often form meaningful and significant relationships that may last after a

child transitions from their home.

While the former caregiver is no longer eligible to receive confidential information about the child,

efforts are made to recognize the important this relationship may be for the child. All team members

will take this into consideration when making decisions that are in the best interest of the child, are

consistent with the desires of the birth family and are supportive of appropriate information sharing.

ALL of us are responsible for the well-being of children in the custody of the Division of Child and Family Services and undertake this responsibility in partnership, with full awareness that none of us can succeed by ourselves. Children need normal childhoods as well as loving and skillful quality parenting which recognizes their attachment to their birth family. In order to achieve these goals, respected partners must share information.

Information sharing is not only permitted under state and federal law, it is required. A well-informed caregiver is better able to meet the needs of a child in care and is better prepared to handle challenges particular to the child.

The purpose of this document is to provide simple and concise guidance for the effective sharing of information between case managers, caregivers, and child welfare teams.

CONTACT USEmail: [email protected]: www.qpinevada.org

Division of Child and Family Services4126 Technology Way 3rd Floor

Carson City, NV 89706

References: Federal Law, 42 USC 675 (5) (D), 42 USC 675 (5) (G). Nevada Revised Statute, NRS

424.038, Nevada Administrative Code, NAC 424.910, and DCFS Policy

Date: ____________

VENTURA COUNTY CHILDREN AND FAMILY SERVICES

CHILD’S NEEDS AND SERVICES PLAN FOR AGES BIRTH TO 19* CNSP must be completed/ updated at least once every 6 months and with each placement change

Child’s Needs and Services Plan (CNSP)

Initial CNSP Modification 6 Month Update

Placement

Initial Placement Planned Placement Change

Anticipated Date:__________

Reason:

Disruption

Date child must move: _______

Reason:

Child Information

Name: ___________________________

Age: _____________________________

Date of Birth: ______________________

Sex: _____________________________

Primary Language__________________

City of Origin______________________

Religious Preference: _______________

Medi-Cal #________________________

City of Origin______________________

Indian Child Welfare Act Apply? _______

Is the above listed child a parent? No (skip to next section) Yes

Is the child placed with dependent parent?

Yes No

If no, child’s placement:__________________

Is the child a Court dependent? Yes No

Additional Information: __________________

Child’s Name: ________________________

Child’s Age___________________________

Child’s dob:___________________________

Special Needs:

Siblings/Half-Siblings

Please list all Siblings:

Name Age/dob Court Dependent? Location

Is this child part of a sibling group to be placed together?Yes # of siblings_____ No. Provide Reason__________________________

56-12-217 (01/17) Original: to the CaretakerYellow: placed in the Child's File

Pink: to the Placement Coordinator.

Page 1 of 8

Date: ____________

Page 2 of 8

Placement Transition PlanFamily Team Meeting.(Date, Time, Location): ______________________________________

Transition Plan: _________________________________________________________Additional Information:

Type of PlacementPlacement Type:

If this is a County Foster Home with SCI Rate (specialized care increment) "Please select below"Moderate Severe Intensive Enriched Tri-Counties dual agency rate

Placement Considerations: ________________________________________________Placement Considerations: ________________________________________________

Comments:

Caregiver Name: ________________________________________________Caregiver Address: ________________________________________________Caregiver Phone Number: ________________________________________________Date of Placement: ________________________________________________*Caregiver phone number to be provided to the parent (WIC 308 requirement) :___________________

Reason(s) for Detention_____________________________________________________________________________________________________________________________________________________

___________________________________________________________________________

What were caregivers’ past actions or inactions that impacted the child?

Permanency Planning

Permanency Goal: ________________________________________________Concurrent Goal: ________________________________________________Family Finding Efforts? Pending Active Complete Other:

Next Court Hearing Date and Time?:

Type of Hearing: ________________________________________________



Page 2 of 8

Date: ____________

Page 3 of 8

Placement History

This is the child’s first placement

Number of Prior Placements_______

Type: ___________________ ____________________ ___________________

Child’s Attorney

Attorney: ________________________________________________________________

Pending assignment

Visitation (Minimum standard 1 x week)

Mother Father Other

Name

Telephone number

Check box if no visits

occurring at this time Reason: Reason: Reason:

Type of Visit

Supervised/MonitoredBy Whom?

FrequencyLocationTransportation to be provided by caregiver? ________________________________________

Visitation with Siblings? Yes No…Reason_______________________

Sibling Visitation Plan:

Other permanent connections important for child to maintain?(Name, Relationship, Telephone #)

Any additional considerations surrounding visits or telephone contacts?:

Comments:



Page 3 of 8

Date: ____________

All About the ChildChild successes & positive behaviors observed (At school, home, with peers):

Abilities of the Child (i.e: physical, developmental, Independent living activities):

Hobbies, extracurricular activities:

Considerations for supporting cultural and ethnic identity:

Food likes/dislikes, sleep routines:

What helps soothe the child when they are upset?:

Formal Supports in Place (Casa worker, Wrap, Tri-Counties, Probation, etc)__________________________________________________________________________________________________________________

Comments:

Foster Health Link Discussed? Yes http://fostervckids.org/fhl/Life Book provided and discussed? Yes NoPlan for recording and sharing milestones and updates with parents:

Newborn Special Information

Formula Type: Milk-based Soy-based Breast Fed? No Yes

Formula Brand: ________________________________________________Feeding Problems? No Yes, the infant needs:__________________________

Born Drug Exposed? No Yes Unknown

Drugs exposed to: ____________________________ Unknown

Medically Fragile? No Yes, the infant needs:___________________________________



Page 4 of 8

Date: ____________

Behavioral needs and considerations

Behavior: __________________________________Behavior: __________________________________Behavior: __________________________________

Other: __________________________________NoneUnknown at this time

Narrative required if special behavioral needs are identified:

Mental Health Well-Being

Mental Health Screening Tool Completed (MHST)?

Yes…Date___________ ; Outcome: ____________________________________________

No, MHST is pending

Displayed behaviors (observable and specific):

Developmental Delays:

Confirmed diagnosis within last year (include date and provider):

Current Medication:

Prescriptions Needed:

Court Authorization for medications in place (JV220): Yes No Needed

Clinicians Name and contact information:

Date of Next Appointment:



Page 5 of 8

Date: ____________

Education

Who holds educational rights? ______________________________________________Current School and Grade Level: __________________________________________Is this their school of origin? Yes

No. The school of origin is:_______________City:____________Unknown

Child will remain in school of origin and caregiver will provide transportationTravel reimbursement to be submitted for maintaining child in school of origin

Additional Educational considerations

Comments:

________________________________________________

Medical and DentalPrimary Physician name and contact information: ____________________________________

Dentist name and contact information: __________________________________

Date of last medical exam: __________________________________

Date of last dental exam: __________________________________

Future Scheduled appointments: __________________________________

Medical Conditions:Medical Condition: __________________________________Medical Condition: __________________________________Medical Condition: __________________________________Other: __________________________________UnknownNone

Current Medications taken: __________________________________Prescriptions needed: __________________________________Allergies: __________________________________Special Diet: __________________________________

Exposure to Infections/Contagious Disease(s) within last year: Yes NoIf Exposed, provide details: ___________________________________________

Individual Health Care Plan(IHCP) Yes No NeededNext Steps: __________________________________________________________Additional Comments



Page 6 of 8

Date: ____________

Caregiver Acknowledgements

(Social Worker to Review. Caregiver to initial)

1. ________ I have received and understand: The Placement Agreement form (California Department of Social Services

Manual of Policy and Procedures section 31-075). County of Ventura Children & Family Services 24 hour hotline phone

number: (805) 654-3200 (CDSS MPP sec. 31-405). Notice to Foster Caregiver Regarding CHDP Medical and Dental Examination

Requirements (form 56-12-80). I understand that the initial examinations must becompleted within 30 days of the child’s placement in my home unless completedpreviously (CDSS MPP sec 31-075 & 31-405).

I have received a copy of the child’s Life book and discussed plans for recordingand updating milestones/ updates with birth parents (CDSS MPP sec 31-405).

I have received and will complete the child’s Client/Resident Personal Propertyand Valuables list (LIC 621) at time of placement and when child changesplacement, returns home, or emancipates.

I have received and acknowledge the Ventura County Partnership Agreement

2. ________I have been informed of: Any dangerous propensities and/or behavioral problems of the child per the

foster/shelter/relative/group home care placement agreement (CDSS MPP sec.31-075, 31-310 & 31-405).

The child’s health history as known and any suspected medical problems. Iunderstand the social worker is to provide the child’s immunization records ormake arrangements for provision of the immunization records (CDSS MPP sec31-405).

Child’s family history that is relevant to providing care of the child. (CDSS MPPsec 31-405).Type and number of the child’s previous placements and the reasonfor change in placement (CDSS MPP sec 31-405). The child’s grade, educationalstatus and current school, as age appropriate (CDSS MPP sec 31-405).

I have been informed of the expectation to provide travel arrangements for thechild to their school of origin and may receive reimbursement for providing suchtransportation if eligible.

3. ________I acknowledge that Any facts regarding the child’s known or suspected dangerous behavior(s) are

confidential and that unauthorized disclosure could result in a $1,000 fine (CDSSMPP sec 31-310 and 31-405).

The child will remain in their school of origin. I understand that the child will notchange schools without prior consent from the social worker.

Youth 16 years and older will receive transitional independent living services asdescribed in a Transitional Independent Living Plan (TILP) developed betweenthe youth and the social worker. My input and assistance may be needed to helpdevelop the plan.

It is the expectation that I assist with transporting the child to visits with familymembers, including siblings in other placements.

I will participate in Family Team Meetings regarding the child. Childcare may berequested by caregivers for children in their home to support their participation inFamily Team Meeting



Page 7 of 8

Date: ____________

CHILD’S NEEDS AND SERVICES PLAN

Name of Child:____________________________________

Check One Regarding Receipt of Court Order:

I have been given a copy of the Court order authorizing me

to secure routine medical or dental care for the minor; and

permitting the child to travel with me throughout the United

States, provided there is prior permission from HSA.

I have not received a Court order yet. I understand it is the

social worker’s responsibility to give me a copy of the most

recent Court order when the Juvenile Court provides that order

to the social worker. If I do not receive a copy of the Court

Order within 30 days, I will contact the social worker and/or

social worker’s supervisor.

CAREGIVER RESPONSIBILITIES TO MEET NEEDS OF

CHILD:

DATE NEEDED:

1. ____________________________________________

2. ____________________________________________

3. ____________________________________________

4. ____________________________________________

5. ____________________________________________

6. ____________________________________________

_______________________

_______________________

_______________________

_______________________

_______________________

_______________________

I, the Caregiver, have reviewed, understood, and agreed to support the child’s plan.

Caregiver Name: ______________________________

Caregiver Signature: ___________________________ _________________Date

CWSW Name: _________________________ Phone: ______________

E-Mail: _______________________________

CWSW Signature: _____________________________ __________________

Date

CWSW Supervisor Name, Phone, Email: ___________________________________________

Child Signature (As age appropriate): ________________________________



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