NEXT STEPS IN DEVELOPING CULTURALLY-COMPETENT DCF-Framing 2014 NEXT STEPS IN DEVELOPING A COMMUNITY-BASED, CULTURALLY-COMPETENT SERVICE SYSTEM

Agenda Review of progress from 2011 to 2013 The work ahead Partnership with service providers Questions & Answers FM

Mission & Cross-Cutting Themes The mission of the Department is to work together with families and communities for children who are healthy, safe, smart and strong. Seven Cross-Cutting Themes Implementing strength-based family policy, practice and programs. 2. Applying the neuroscience of early childhood and adolescent development. 3. Expanding trauma-informed practice and culture. 4. Addressing racial inequities in all areas of our practice. 5. Building new community and agency partnerships. 6. Improving leadership, management, supervision and accountability. 7. Becoming a learning organization. Six Principles of Partnership 1. Everyone desires respect. 2. Everyone needs to be heard. 3. Everyone has strengths. 4. Judgments can wait. 5. Partners share power. 6. Partnership is a process. JK

Practice Transformation Strengthening Families Practice Model Fatherhood Engagement Differential Response System Announced visits Trauma-informed Practice Considered-Removal Team Meetings Permanency Roundtables Permanency Teaming JK

Achievements 2011-2013 Decreased Children in Placement by 16.8% (from 4784 to 3982) Increased relative/kin placement from 19% to 32.5% Reduced Out of State placement from 364 to 30 572 Fewer children in congregate care (35.3% decrease) Only 61 children under the age of 12 in congregate care Pre-certified 9 of the 22 Juan F. Outcome Measures Met 17 of the 22 Outcome Measures in the 4th quarter of 2013 Released from the federal Program Improvement Plan by achieving 8 federal measures needing improvement JK

The Work 2014 Performance Expectations Achieving and sustaining the 22 Juan F. Outcome Measures Kinship care rates at 30% overall and 40% initial entry. Congregate care rate at 10% or below Targeted foster care recruitment Permanency teaming for older youth to reduce APPLA goals by 50% Reduction of # of kids in care by 25% Reduce racial and ethnic disparities of children in care of DCF Established comprehensive and integrated regional networks of care that adequately address the behavioral health needs of children Improve the quality and satisfaction rate of foster home placements Sound fiscal management JK

Population Projections SS

Racial Disproportionality in the System SS

Challenges Concentration of high-need, high-risk cases Need more in-home services and supports Foster family recruitment for teens, sibling groups and children with complex medical needs Permanency for older teens Services to support transition to DMHAS and DDS Implications of increasing kinship placements MW

Service Needs – Congregate Care Community care services connected to RTC programs for 3 months.  Stable, consistent, resource for families. A small number of sub-acute beds for children 12 and under A small capacity for adolescent girls with substance abuse and co-occurring behavioral health needs A handful of kids out of state present with  problem sexual behavior and intellectual/developmental disability Move towards no longer than 6 months length of stay in congregate care We need milieus to be family focused---and have all group care providers help with family engagement and family focused work on the milieu MW

Service Needs – Community Family-based resources for some of the populations stuck in group care.  Family-based resources/supports for adolescents and sibling groups. Care coordination and wrap around supports for youth leaving congregate care (all ages) and care coordination for youth ages 12 and under. In home services for high end youth Evidenced-based substance abuse work in the community MW

Purchasing of Services Outcomes and Performance Measures RBA PSDCRS Continuous Quality Improvement Preferred purchasing methods Medicaid Contracted services Credentialed Services USE Plans FM

Cultural & Linguistic Competence in Service Delivery Cultural competency plans Diversity in board membership and staffing Services available in the native language of the children and families we serve Data analysis, interpretation and presentation FM

Joint Training Opportunities Family-centered practice Trauma-informed practice Data and Quality Improvement Gender-responsive services Girls speak up during focus groups and in newsletter New Understanding Girls curriculum Girls’ Providers Network FM

Innovative Financing Strategies Social Impact Bonds Public / Private Partnerships Partnerships with local philanthropies Inter-agency and inter-branch collaboration ED

Managing Transitions Ongoing and transparent communication Strategic planning support Aligning services to existing needs Managing transitions to ensure continuity of care FM

Questions and/or comments?