Keeping our Commitments to Collaborative Children’s Services

Brief History And Context  At least 5 Little Hoover Reports since 1977 have pleaded with state agencies to close gaps for kids and families.  Katie A. Settlement required a Core Practice Model be developed and implemented in CA.  State lead effort in to create and produce a “Pathways to Mental Health” CPM  Within one year, CWS partners began thoughtful planning and development of a “Child Welfare” CPM, and has finalized the various components..  Historic development of two models both mirrors and reinforces segregated approaches to care. Pathways Model has already been vetted and was published with approval of both state child serving agencies.  CWS Model in Development has nearly identical Values, Principles and Framework, and adds additional benefits.

Practice Model Background  California counties have tried many promising practices to improve outcomes for children and families  Many of these practices have common elements  Some recent efforts have even tried to combine different initiatives into more comprehensive practice models

Towards a Statewide Practice Model  Since 2012 the County Welfare Directors Association (CWDA) Children’s Committee has been working to develop a statewide practice model  Monthly meetings  3 Statewide Convenings  Multiple Presentations IV-E Summer Institute Continuum of Care Reform Meetings Local and Regional planning meetings

Practice Model Elements Theoretical framework Values and principles Casework components Practice elements Practice behaviors

Theoretical Framework  Our theoretical framework is an organized set of explanatory principles that help us understand: What leads to the problem of child maltreatment? How can we work to prevent child maltreatment from starting or stop it once it has started?

Theoretical Framework

Casework Components— What We Do

Practice Elements: This is How We Do It Engagement Inquiry / Exploration Advocacy Teaming Accountability Workforce Development and Support

Practice Behaviors Define practice elements so agency and community partners know what to expect and can build coordinated services and supports. Support evaluation of model fidelity and outcomes. Provide a framework for practice.

Practice Behaviors Provide direction to practitioners about how they will practice social work using the practice model. Finalized set of Practice Behaviors completed in 2015

Pathways Core Practice Model Background

Settlement Agreement “The purpose of the Core Practice Model (CPM) Guide is to provide practical guidance and direction for county child welfare and mental health agencies, other service providers, and community/tribal partners who will be implementing the CPM when working with children and families involved with child welfare who have or may have mental health needs.”

Why pursue an Integrated Approach to Practice? 1. Katie A. Settlement (JMT 2014) requires a “revision” of existing CPM and ‘unified Multi agency approach” to care. 2. Cost Savings to state and counties—Training Contracts may be consolidated and universalized. 3. Compliance, Information Tracking, Reporting and Data sharing will mirror practice, which should be similarly Integrated. Counties will not be confused as to which model should be trained to, is being implemented, and which model the state is assessing during their Integrated Compliance and Quality Reviews. 4. Children and families will be served with the same values and principles, and with the additional value of practice behaviors, when receiving any cross system services. 5. Other reform efforts (CCR, TFC, RFA) will be enhanced via a single document. Overlaps in service design already being identified. 6. California would have created and implemented a first in the nation Integrated, Cross System Practice Model. 7. Evidenced Based Programs implementation will be enhanced.

SMS/Community Team Implementation Plan (4 Pillars) Pillar 4- Core Practice Model Pillar 3-Oversight and Accountability Pillar 2- Information and Data Management Pillar 1-Training and Technical Assistance Engagement Satisfaction Engagement Satisfaction Access Linkages Access Linkages Cost Effectiveness Appropriateness Service Effectiveness Appropriateness Service Effectiveness

Crosswalk Shared Architecture/Outline Pathways CPM: CWS Draft CPM: 1. Engagement 2. Assessment 3. Service Planning and Implementation 4. Monitoring and Adapting 5. Transition 1. Prevention 2. Engagement 3. Assessment 4. Planning and Service Delivery 5. Monitoring and Adapting 6. Transition

Crosswalk Examples Pathways CPM: CWS Draft CPM: 1. Children are first and foremost protected form abuse and neglect, and maintained safely in their own homes. 2. Services are culturally competent and respectful of the culture of children and their families. 3. Recognize and acknowledge the effects of trauma in the lives of these children and families 4. The team works continuously to identify, locate, develop, identify funding for, advocate for, link the family to and support the use of agreed upon practices, services and supports. 1. We believe in using prevention and early intervention to help keep children and youth safe from abuse and neglect. 2. We believe in listening to families to learn about their culture and community. 3. Use a trauma-informed approach to acknowledge and validate venting, expressions of anger, and feelings of grief and loss. 4. Advocate for, link the family to, and help the family members access the services, supports and visitation activities identified in the plan.

Key Stakeholders  Youth  Parents  Resource Families  CWDA Children’s Committee.  CBHDA Children’s System of Care Com  Statewide Training and Education C.  Tribal Representatives  CDSS  DHCS  Provider Associations/Members

A Shared Approach to California’s Children, Youth and Families/ Integrated Practice Guide Unique Probation Theories, Values, Principles and Practices Unique Behavioral Health Theories, Values, Principles and Practices Shared Theoretical Underpinning Shared Principles and Values Unique Welfare Theories, Values, Principles and Practices Shared Practice Behaviors (CFT) Integrated Statewide Training Plan

Next Steps  Identify 3-4 Reps from CWS, Probation and MH to form Integrated CPM Design Team  Identfy MH Practice Behaviors and Theory to include in the ultimate document  Draft an Integrated document for stakeholder review.  Develop Implementation Readiness Scale and Organizational Assessment processes  Develop Regional Learning Collaborative approach to statewide implementation of the Practice Model, via Integrated Training Plan