Single Source Continuum Contractor For Foster Care Redesign

 We deliver exceptional value by creating healthy communities through exceptional people working side by side. “Human Services Without Walls”

 Established in 1996 to develop community- based services for children and youth, as an alternative to institutional care.

 PSC of Texas started services in 1998  Wholly owned subsidiary of Providence Service Corporation  Contracts with North Star, Juvenile Probation, STAR Health / Cenpatico, and DFPS  Services include Intensive Home-Based Services, Functional Family Therapy, child and family counseling services, psychiatric care, Foster and Adoption Services  Single Source Continuum of Care (SSCC)

 Community-based care and multi-systemic services  Identifying and building on client strengths  Local viability with national support  Respectful organizational climate  Best practice models  Cultural diversity

 Child Safety  Urgency of Action  Common Sense  Transparency and Accountability  Responsiveness to the Community

 Efficiency  Ethical  Family-Centered Focus  Culturally Competent and Respectful Practice  Service Integration  Evidence Based Practices

 Children will be safe in their placements.  Children will be placed in their home communities.  Children will be served in least restrictive environments that support minimal moves.  Connections to family and others important to the child will be maintained.  Children will be placed with siblings.

 Services will respect the child’s culture.  To be fully prepared for successful adulthood, children and youth will be provided opportunities, experiences, and activities similar to those experienced by their non-foster care peers.  Children and youth will be provided opportunities to participate in decisions that impact their lives.

 February 1 – August 2013 Contract Start-up and Development Phase  August 27: Emergency Referrals and Placement Changes / Implementation of Services to Children  October – April, 2014: Legacy Transitions

 Collaborative Partnerships with DFPS  Credentialing and contracting with providers  Provider Council  Provider and SSCC Operations Manual  Community Advisory Council

 Collaboration with Courts, CASA’s and Schools  Coordination with STAR Health / Cenpatico  Cooperative efforts with Advisory Committee on Promoting Adoption of Minority Children and Faith-Based Initiatives  Strategic Foster Home Recruitment

 Intake and Assessment  CoBRIS Matching System  CAFAS and JIFF  Wraparound and Behavioral Health Services  Trauma Informed Care  Quality Assurance Plan  Utilization Management  Performance Based Contracting

 Centralized intake and referral process (24/7)  Community Based Resource Information System (CoBRIS) by Five Points Technology  Child Locator with Foster Home Matching (GPS overlay re: child removal data and foster home locations, preferences, capacity, etc.)  Linkage with Texas CLASS and bed vacancy database by Provider Network  Daily import / update of IMPACT information

 Automated, empirically-based assessments for tracking outcomes, with over 20 years of reliability and validity research  Real-time data; interpretive assessment results with recommended treatment plans.  Drop-down menus of Provider specialties  Features comprehensive dashboards, case and aggregated data  User-friendly guides for client and clinical data entry

 Strong Partnership with STAR Health / Cenpatico  Clinical assessments to support case planning, track developmental, clinical, and social improvements  Encouragement of Provider Network to develop Medicaid eligible services  Development of community-based alternatives to support basic and therapeutic foster homes

 Partnerships with National Child Traumatic Stress Network, the National Council of Behavioral Health, and Cenpatico  Use of Corporate University of Providence online training tools for Provider Network staff and foster parents re: Trauma Informed Care  Involvement with DFPS Trauma Informed Care Workgroup  Engagement of universities in Texas with trauma informed care expertise

 Data-Driven Decision Making  The CoBRIS service management software will track child and family demographics, child assessments and service encounters, clinical interface with Provider systems  Adherence to Residential Child Care Licensing requirements and COA standards  Risk Management tracking, incident reporting, restraint documentation, etc.

 Performance Measurement and Outcomes Management  Provider Council review of service trends and quality reports  Peer Reviews  Disruption Mitigation Committees  Root-Cause Analyses  Service Benchmarking  Stakeholder interviews and engagement

 Focus on efficiency and effectiveness of service quality, duration, and intensity  Maintenance of directories of community resources  Matching appropriate services that fit unique strengths and service needs of children and families  Costs of care reporting; outlier and trend analyses  Coordinated, timely reviews of authorized services

 Scarcity of Foster Care Resources  Higher Levels of Care and Emergency Shelter Placements  Disruptions in Care  Distances in Regions 2 / 9  Out of Region Placements  Shifts in Roles / Responsibilities  Multiple Systems of Care

 Expansion of Placement Resources  Expansion of Wrap-Around Services  Community Engagement and Support  New Rates Structure for Providers  Culture Change in System Transformation  Next Stages of Implementation

 t/pdf/Legislative/ _Rider29.pdf t/pdf/Legislative/ _Rider29.pdf  University of Texas-Austin (UT) Institute for Organizational Excellence, and the Child and Family Research Institute  University of Chicago Chapin Hall

 (Texas)  (US and Canada)  Robert Hartman Providence of Texas, Executive Director Single Source Continuum of Care, Texas  Cell (713) Office (325)