Upload
afia
View
34
Download
0
Tags:
Embed Size (px)
DESCRIPTION
What is a Family Connections Program?. An Overview of a New Service Approach Being Developed by the Bay Area Residentially Based Services Consortium. The Challenge. - PowerPoint PPT Presentation
Citation preview
What is a Family Connections Program?
An Overview of a New Service Approach Being Developed by the Bay
Area Residentially Based Services Consortium
The Challenge
• To better meet the needs of those children and youth who’s challenging behaviors and disrupted family relationships now still result in a cascade of multiple placements, despite the availability of intensive home and community services through wraparound, therapeutic behavioral services and intensive treatment foster care
The BAC Family Connections Program Overview, August 14, 2009 2
The Response• To stop the cascade of placements at the beginning• By providing a safe and stable short term residential
component in a family connections center where program staff can help children or youth and their families:– Understand the driving forces behind the big behaviors
and family disruptions– Develop strategies for living together safely and effectively– Practice those strategies both on site at the family
connections center and at home and in the community– Receive the support and services needed to complete the
adjustments required to maintain their new life strategies after the child or youth has returned home.
The BAC Family Connections Program Overview, August 14, 2009 3
What’s Different• The way group homes are used now for residential
treatment is to try a placement at one facility, and if the strategies used there don’t work, move the child or youth to another one
• The problem with searching in this manner is that each move further shreds the already limited ability of the child or youth to form and sustain positive attachments
• Family Connections Programs are designed to be able to change intervention strategies without having to move children
• They are like Mayo Clinics for families with complex needs
The BAC Family Connections Program Overview, August 14, 2009 4
What’s in an FCP?• There are four primary components in an FCP:
– A residential component that maintains a safe and stable milieu for children and youth who are generating big behaviors related to the disruption of their family relationships
– A family connections component that uses a multi-disciplinary, family-centered process to work with children or youth and their families or primary adult caregivers to understand and address the driving forces behind the behaviors and disruptions
– A mobile family support component that can help children, youth and families transfer the insights and skills they develop in the family connections center out into their homes and communities
– A clinical assessment and treatment component that can help children youth and families better understand and respond to specific psycho-social and neurobiological factors affecting child and youth behaviors and family relationship disruptions
The BAC Family Connections Program Overview, August 14, 2009 5
What’s the FCP Process?
• The 4 steps of the FCP process are designed to produce 4 products:
Process Steps ProductsEngagement and Assessment
Answers and Understanding
Plan Development Strategies and ActionsPlan Implementation and Modification
Learning, Changes and Adjustments
Transition Stability and Maintenance
The BAC Family Connections Program Overview, August 14, 2009 6
What Services Are Included?• A Family Connections Program provides a hub from which a
rich array of support and services can be accessed• Each child or youth and family brings with them a different
set of strengths, needs, culture and preferences• For this reasons each response by the FCP must be uniquely
assembled from the available options• The service team and the family have to know, understand
and trust one another to effectively match help with needs• The core services for identifying and executing this match
are contained within the FCP• The extended array of options is available directly, or
through subcontracts and referrals made by the FCP service team
The BAC Family Connections Program Overview, August 14, 2009 7
Bringing Everything Together
FCP Core Components
Family Support Team
Residential Resource
Clinical Assessment &
Treatment
Family Connection
Activities
Day Treatment
Intensive Treatment Foster Care
Functional Family
Therapy
Multi-Systemic Therapy
Therapeutic Behavioral
Services
Wraparound
Parent Effectiveness
Training
Crisis Stabilization
Mobile Crisis Services
Building Social
Support
Family Finding and Engagement
Family Resource Centers
The core components of a Family Connections Program includes the Family Support Team, The Family Connections Activities, the Residential Resource, and the Clinical Assessment and Treatment Services. Examples of the array of support and treatment service options that can be provided directly, by subcontract or through referral are arranged around the core components.
FCP Service and Support Options
8
Family Connections Programs and Permanency
• Sometimes when children and youth have challenging behaviors and family disruptions that place them on the brink of a life course of multiple placements and detachment, it is unclear where and with whom their best opportunity for achieving safety, permanency and well-being can be achieved.
• Traditionally, this challenge has been addressed through trying out multiple living arrangements
• As an alternative in these circumstances, the FCP will be a crucible where permanency issues can be evaluated and resolved, including questions related to concurrent planning and parental capacity while maintaining a family-centered focus
• The core question driving permanency resolution is “What and who does this child or youth, with her or his complex of strengths, needs and preferences, need in order to achieve permanency, safety and well-being?”
The BAC Family Connections Program Overview, August 14, 2009 9
BAC RBS System Flow Chart
Primary CM selects FCP as
an option
IPC authorizes FCP
enrollment
Child and family matched with
appropriate FCP
Begin Family Engagement, Establish FST.
Parallel Comm. Services
Stabilization and assessment in
Residential Component
FST Facilitator Builds Strengths/
Needs/ Goals Inventory
Convene FST develop Unified
Plan of Care
Clinical Care Unit completes
assessment
MH Clinician prepares
individual MH treatment plan
Implement Unified Plan
of care
FST monitors and documents services and
progress, reports to court and
IAPRC, adjusts plans, moves to
transition
Gradual and supported transition to a stable and resilient family and community connection supported by directly accessed formal, informal and natural resources
Refe
rral
and
In
take
Impl
emen
tatio
nCl
osur
e
FTM used in CW., Probation Officer, in
JJ, or MH Case Manager
Authorization follows Consortium
Criteria and Protocols
Referrals coordinated via the
BAC Coordinator
CW and JJ placements must be
pursuant to ct. order
The BAC Family Connections Program Overview, August 14, 2009 10
Bay Area Consortium Organizational ChartBAC Executive Committee:
4 County Mental Health Directors4 County Child Welfare Directors
4 Provider Executive Directors
BAC Coordinating Committee:4 County Mental Health Leads Youth Advocacy Representative4 County Child Welfare Leads Family Advocacy Representative4 Provider Leads Educational LiaisonsJuvenile Probation Liaisons Community Service Agency Liaisons
Coordinating Committee Support:•BAC Coordinator•Local Implementation Coordinators•RBS Consultants
4 County Interagency Placement Committees
4 Family Connections Programs
3 Executive Co-Chairs
3 CC Co-Chairs
The BAC Family Connections Program Overview, August 14, 2009 11
The BAC Network of Resource Connections
Within 2 years of operation, the BAC will consist of a network of 4 FCPs serving
approximately 100 children or youth and their families. Each FCP will have a capacity of 25
enrollees. Each county will contract or arrange for from 10 to 55 enrollments at any given
time.
The BAC Family Connections Program Overview, August 14, 2009 12