1. 1 A Program funded through a five-year cooperative agreement with Department of Health and Human Services, Administration for Children and Families, Children’s Bureau in partnership with: Spaulding for Children The University of Texas at Austin, The University of Wisconsin-Milwaukee, and The University of North Carolina at Chapel Hill

2. 2 CONTINUUM OF SERVICES QIC-AG Advisory Board Meeting Day One

3. CONTINUUM OF SERVICES 3

4. Capacity building:  Is colored in grey on the continuum graphic  Ensures all sites have the capacity to provide an array of supports and services across the continuum  Offers assistance with identifying promising and evidence- informed practices  Will differ at each site on the continuum  Occurs at all stages of the continuum  Is an important part but not the primary focus of the QIC-AG evaluation 4 DEFINITIONS

5. Evaluable intervention:  Is colored in blue or green on the continuum graphic  Will have one per site  Will be subject to rigorous evaluation  Will be an identified intervention, having mechanisms set up for tracking outcomes, outputs, and the process of implementation  Can be a promising practice or evidence based intervention 5 DEFINITIONS

6. 6 CONTINUUM OF SERVICES FINALIZATIONFINALIZATION P RE -P ERMANENCE Stages that are capacity building only are in grey. Areas where the QIC-AG will build capacity AND implement and evaluate interventions are blue (pre-permanence).

7.  Population  All children in foster care  Service Examples  Intensive relative search  Concurrent planning  Coordinated staffing  Preparation of both relative and non-relative foster parents  Trauma assessment and treatment  QIC-AG focus: Capacity building 7 STAGE SETTING P RE -P ERMANENCE Stage Setting

8. 8 PREPARATION P RE -P ERMANENCE Preparation  Population  Children awaiting, and children in, adoptive or guardianship placements  Service Examples  Full disclosure  Prepare children and adoptive parents or guardians for permanence  Addressing trauma, loss, family integration  Planning for birth parent involvement post permanence  QIC-AG focus: Capacity building

9. 9 FOCUSED SERVICES P RE -P ERMANENCE Focused Services Population  Children with challenging mental health, emotional, or behavioral issues who are either awaiting an adoptive or guardianship placement, or in an identified adoptive or guardianship home that hasn’t finalized for at least 18 months  This may include children whose placements have disrupted or dissolved, including children who have been adopted privately or internationally Service Examples  Prepare and develop prospective adoptive parents or guardians for children with more challenging behaviors  Intensive parental supports that help adoptive parents or guardians effectively manage behaviors the children may present  Trauma-related services and supports QIC-AG focus: Evaluable intervention and capacity building

10. CONTINUUM OF SERVICES FINALIZATIONFINALIZATION P OST -P ERMANENCE Prevention Stages that are capacity building only are in grey. Areas where the QIC-AG will build capacity AND implement and evaluate interventions are in green (post-permanence). 10

11. 11 DEFINITIONS First three stages in the post-permanency continuum focus on prevention The population narrows As the average degree of risk for discontinuity increases, so does the intensity of the intervention The continuum post-permanence is based on: Springer, F. & Phillips, J. L. (2006). The IOM model: A tool for prevention planning and implementation. Folsom, CA: Community Prevention Institute Prevention Tactics 8:13. Types of Prevention

12. Population  All children and families in adoptive or guardianship homes Intervention examples  Regular, periodic outreach to families which could include: Annual survey, newsletter or information at developmental milestones  Assessment of strengths and needs  Permanency-specific education QIC-AG focus: Capacity building and an evaluable intervention 12 UNIVERSAL Universal P OST -P ERMANENCE

13. 13 SELECTIVE P OST -P ERMANENCE Selective Population  Children and families who, at the time of finalization, exhibit factors associated with discontinuity Intervention examples  Selective outreach to families  Periodic assessment of need  Training, support and services aimed at potential risk factors  Home visits QIC-AG focus: Capacity building and an evaluable intervention

14. 14 INDICATED P OST -P ERMANENCE Indicated Population  Children and families with an indicated risk of post-permanency instability or discontinuity Intervention examples  Screening and assessment  Resource coordination and advocacy  Targeted services  Crisis intervention QIC-AG focus: Capacity building and an evaluable intervention

15. 15 INTENSIVE SERVICES Intensive Services P OST -P ERMANENCE Population  Children and families who are experiencing a crisis that threatens the stability of their placement AND children and families who have, or are at risk for, experiencing discontinuity Intervention examples  Intensive, high frequency programs that can provide immediate supports and services  Intervention aimed at reducing the risk for dissolution, increasing resiliency and promoting stability QIC-AG focus: Capacity building and an evaluable intervention

16. 16 MAINTENANCE Maintenance P OST -P ERMANENCE Population  Children and families who received indicated or intensive services, including children and families who have experienced discontinuity Intervention examples  Strategies to prevent re-escalation of crisis  Programs that strengthen post-permanency stability and caregiver commitment  Specialized training programs  Regular check-ins to ensure stability is maintained  Booster sessions that provide supports and services to children and families  Development of a maintenance and preservation plan QIC-AG focus: Capacity building

17. 17 Funded through the Department of Health and Human Services, Administration for Children and Families, Children's Bureau, Grant #90CO1122-01-00. The contents of this presentation do not necessarily reflect the views or policies of the funders, nor does mention of trade names, commercial products or organizations imply endorsement by the U.S. Department of Health and Human Services. This information is in the public domain. Readers are encouraged to copy and share it, but please credit Spaulding for Children.