A Successful Approach to Family Care and Collaboration Patricia “Shannen” Davis, MSW, CAP (SPI) Silvia Quintana, LMHC (DCF) Islem Pardinas, MSW (Our Kids) Larry Allen, LCSW, MBA(SFBHN)

 To prevent and divert children from entering the Dependency System.  To assess family needs in an effort to promote wellness.  To engage families in accepting community services.

Child Protective Services Family Intervention Specialist Our Kids Intake Substance Abuse Treatment Providers Mental Health Treatment Providers Co-occurring Treatment providers Dependency Full case management agencies Domestic Violence providers Infant Mental Health Provider Safe at Home/Parents as Partners/ Family Empowerment Program Referral SourcesProviders

 The following services are co-located at the DCF Service Centers: 100 Opa Locka Blvd. Miami, FL 401 NW 2 nd Ave. Miami, FL Quail Roost Drive, Miami, FL  Child Protective Investigation (CPI)  Family Intervention Specialist (FIS)  Our Kids Intake (OK)

On August 1, 2008, The Family Intervention (FIS) Program operated by Spectrum was embedded within each of the CPI locations North, Central and South as was intended by the legislators when the positions were authorized. The FIS program also adopted the best practice model approved by SAMHSA called Screening Brief Intervention Referral and Treatment (SBIRT) that incorporates Motivational Interviewing as part of the engagement techniques.

Call comes into the Hot Line where CPI suspects Substance Abuse and/or Mental Health need for services CPI will contact FIS if suspected substance abuse or mental health are identified in the family. FIS will make contact with family within 72 hours for assessment. FIS makes referrals to the community and SAMH system of care as appropriate.

 Total individuals assessed: 5,525  Parents: 3126  Kids: 2399  Families Assessed: 1,512  24% of Parents assessed received a positive drug screen  24% of Parents referred needed Services

**Note: This data reflects only those individuals who received services through SFBHN funding. If other services were received through any other funding source, this data is not reflected here. n=748 Average LOS: 38 days

If based on GAIN, drug/alcohol test, and client interview no services are needed FIS reports findings to CPI. If Services are needed: FIS continues to assess, engage, and link the family to services FIS reports weekly to CPI on status of family and referrals FIS provides results on ongoing engagement to CPI at the end of 21 days including recommended services and linkage status to providers.

 FIS, Child Protective Investigator, Child Protective Investigator Supervisor, Our Kids, Children Legal Services will staff case as needed.  FIS and Our Kids full case management agency if warranted will continue to engage and transition family into case management and other SAMH provider services.

Spectrum Program is the FIS provider. They have been trained and use: Screening, Brief Intervention Referral and Treatment Model (SBIRT) Motivational Interviewing Solution Focused Case Management Global Assessment of Individual Needs (GAIN) Quick Family Centered Practices being used by CPI, FIS and OK are: Structured Decision Making and Trauma Informed Care

Mental Health Services Substance Abuse Services Domestic Violence- Victim or Perpetrator Children’s Mental Health Full Case Management Crisis Intervention Intensive in-home services Other Community Services

 Quarterly staffing focuses on persons who have dropped out of treatment, appropriate levels of care, appropriateness of referral and is really an in depth qualitative review from hotline to termination of supervision.  Quarterly meetings at the hubs focus on system issues as well as provide updated educational information.

 South Florida Behavioral Health Network, SAMH, Our Kids, DCF/CPI units, will be responsible for Data tracking.  Data collected includes: Referral, linking, treatment completion, drop out from treatment, recidivism rate, referrals to dependency court.

 The Southern Region’s Substance Abuse and Mental Health (SAMH) Program Office entered into a contract with South Florida Behavioral Health Network on October 1, 2010 to oversee the Substance Abuse and Mental Health System of Care.

 System of Care development and management  Utilization Management  Network Management and sub contractual relations  Continuous Quality Improvement  Technical Assistance and Training  Data Collection Reporting and Analysis  Planning

Detoxification Crisis Stabilization Addiction Receiving Facilities Acute Outpatient Intensive Outpatient In Home-On Site Residential Comprehensive Community Service Teams (CCST) Treatment Wraparound (Flexible Funds) Clubhouses Drop-In Centers Support Services

 Lead CBC for Miami Dade and Monroe County  System of Care development and management  Utilization Management and Continuous Quality Improvement  Network Management and sub contractual relations  Technical Assistance and Training  Planning

 Dependency Full Case Management service for all case through 6 Community Providers  Intake  Foster Care Placement and Licensing  Shelter and Residential Group Care  Level of care assessments  Nurse Case management  Adoptions  Independent Living services  Intensive in-home family preservation services through two program Safe at Home and Parents as Partners for High Risk Families where there are safety threats  Case Management through Family Empowerment Program for moderate to low risk families  Since 2009 Our Kids is using Children’s Research Center’s Evidence Based structured Decision Making Tool to guide all service decision.

7/27/2011 For purposes of this analysis, cases from other states and counties (ICPC and OTI) were excluded.

 Prevention Services  Diversion Services  Dependency

 If a family is at risk of becoming involved with the Dependency System and could benefit from services based on assessment and recommendations, referrals will be made to SAMH providers and other community providers as needed.

 If a family is found to need SAMH/CW services and CPI finds that there are some risk factors, staffing will be held between Our Kids intake, CPI, CPIS, CLS and FIS.  Service recommendations will be made in an effort to divert the family from the Dependency System.

 If a family is found to be at risk and diversion is not an option the CPI,CPIS, FIS, Our Kids Intake, CLS will staff the case and make appropriate treatment and services recommendation based on assessment as the case is moved to the Dependency System.

 Narrowing front door  Revision of protocol  Developing a plan to mine data from FSFN, Medicaid, SFBHN, and Our Kids databases for Adults and Children