1. 1 18 is not a Magic Number

2. Overview: Changes to Post-Custody Services Tennessee has opted into the Federal Fostering Connections Act of 2008 This Act allows our state to extend foster care services to 21 DCS has updated policies to allow us to extend foster care services to 21 This training will provide an overview of those changes

3. Extension of Foster Care Services New Name for “Post-Custody Services”

4. Target Implementation Date: July 1, 2012 When will this begin? Target Implementation Date: July 1, 2012

5. 5 Learning Objectives This training should help you understand: 1.Why Tennessee is extending foster care services to 21 2.Who is eligible for Extension Services 3.What is available under Extension Services 4.Where to find more information & support 5.How we will measure success

6. 6 18 is Not a Magic Number Think about your own transition to adulthood—what age were you when you were truly “independent?”

7. 7 What do you think the average age of independence is in the US ?

8. 27

9. 9 Parents generally continue to support their own children long past age 18 Approximately 50% of young adults aged 18- 24 lived with their parents at some point; About 40% of 2008 college graduates still live with their parents; 60% of parents provide financial support to their adult children who are no longer in school. (Forbes, 2011)

10. 10 Youth who Age Out of Foster Care What do you think happens to many youth who age out at 18? Incarceration Homelessness School dropout Unemployment Unplanned pregnancy Uninsured Addiction

11. 11 Better Outcomes for Youth Who Accept Foster Care Services up to 21 More than doubles the chances a youth will be working or in school at age 19; Young women who remained in care saw a 38% reduction in pregnancy before 20; Youth were twice as likely to have completed some post-secondary education.

12. 12 Why Implement Extension of Foster Care Services to 21? Draw down additional federal funds so we can broaden the array of services for young adults; Engage youth as partners and resources; Improve graduation rates; Increase educational attainment; Decrease negative outcomes; and Build forever families.

13. 13 Implementing Change: Extension of Foster Care Services to 21

14. 14 What will change with new policy? 1.Who DCS can serve (slightly expanding population) 2.How Extension of Foster Care services are funded (Federal IV-E funding) 3.What services young adults get (now also includes placement support, monthly case mgmt, judicial oversight)

15. 15 Who we can serve 18-21 Youth who turned 18 in Foster Care (not a YDC) AND Who meet 1 of the 3 following criteria:

16. 16 Who We Can Serve 18-21 1.Young adults completing high school or GED. 2.Young adults who are enrolled in an institution which provides post- secondary or vocational education. 3.Young adults who have a serious disability that prevents them from pursuing education or full-time employment.

17. Who DCS Can Serve 18-21 This is VOLUNTARY. These young adults are not in custody. Young people can choose not to receive services at all or may exit the program at any time. Foster youth who have exited will have the option to re-enter Extension of Foster Care Services before their 21st birthday.

18. 18 How is this funded? Federal IV-E Funding: If a youth was IV-E eligible as a custodial youth and transitions directly to Extension of Foster Care, no additional steps are needed for IV-E. If a youth was not IV-E eligible as a custodial youth OR if more than 6 months passes between a youth’s exit and return to DCS, DCS will need: New Title IV-E Foster Care eligibility determination Court order determining extension of foster care services is in the young person’s best interest

19. 19 What are the services under “Extension of Foster Care Services?” All youth receiving Extension Services qualify for at least: –Monthly Face to Face with FSW –Twice-annual participation in Court or Foster Care Review Board –Life Skills Instruction –Wrap services (details in IL Manual) Additional Services will depend on a young person’s situation and needs

20. 20 1) 18-21 Completing High School/GED Young adults 18-21 completing high school or GED may also qualify for: Housing support (such as a placement agreed upon by the young adult and team OR the Independent Living Allowance) IL Wrap and IL Supports (graduation expenses, extracurricular activities, etc.)

21. 21 2) 18-21 Enrolled in Post-Secondary Young adults 18-21 enrolled in an approved post-secondary or vocational education institution may also qualify for: DCS Scholarships Housing support (such as a placement agreed upon by the young adult and team OR Independent Living Allowance VERY LIMITED IL Wrap for youth getting ETV (Things not associated with Federal definition of “cost of attendance”)

22. 22 3) 18-21 “Can’t work/attend school” Young adults up to age 21 who have a serious physical/mental health condition that prevents them from pursuing education or full-time employment may also qualify for: –Housing support (such as a placement agreed upon by the young adult and team OR Independent Living Allowance) –IL Wrap and other IL supports Purpose is to bridge to services for adults Continue to follow Policies 19.7 and 19.8 Approval and monitoring process by DCS clinical staff, RA and IL Director

23. 23 18-21 “Can’t work/attend school:” (See handout) 1) Youth with Intellectual Disabilities --Youth who meet DIDD waiver criteria qualify for limited transition time period while moving to DIDD [NO CHANGES to 19.8 DIDD Transition Process] --Youth with Borderline IQ (71-84) may qualify 2) Youth with Serious Mental Health Needs –Youth who meet criteria for behavioral health supported housing qualify for limited transition time period while transitioning to supported housing –Youth with psychological or psychiatric needs served in Level 3 or higher continuum settings may qualify –Staff will continue to follow 19.7 to transition youth to adult behavioral services; no changes to that process 3) Youth with Serious Physical Health Needs Youth who are medically indicated and have been receiving services to support their activities of daily living, who meet or are expected to meet requirements for Supplemental Security Income and are TennCare eligible, may qualify for foster care extension only for the purposes of completing transition to housing and community based TennCare services.

24. Youth Requirements for Extension Services Work towards goals in Transition Plan Live by rules and laws of society Maintain contact with Family Service Worker Maintain eligibility (i.e., academic eligibility) Work with staff and team to identify a place to live that is safe and supports completion of Transition Plan goals. Reapply for/Maintain TennCare

25. 25 Court Review Process Youth receiving Extension of Foster Care Services will have their case reviewed twice per year by the Court or a Representative of the Court, such as Foster Care Review Boards –once to review the Transition Plan, which reviews needs, resources and action steps in 9 areas: 1. Life Skills6. IL Employment 2. Social Skills7. IL Housing 3. Communication8. IL Transportation 4. Health 9. IL Education 5. Finances(Parenting: if needed)

26. Other IL Services for Youth 18-21 Young people who are not eligible for DCS Extension of Foster Care Services (or who don’t choose services through DCS) may be eligible for services through Youth Villages’ Transitional Living Program 3 Resource Centers for Transitioning foster youth (Memphis, Nashville & Knoxville) Youth should be referred to adult services that can help them achieve their goals (Career Centers, DHS, etc.)

27. Eligibility for Out of State Youth 18-21 Young adults who aged out in another state will be eligible for limited services only in TN (scholarships & Transitional Living) Young adults who aged out in Tennessee and move to another state will not be eligible for TN Extension of Foster Care Services. It is the responsibility of the receiving state to provide services.

28. 28 Addition to Essential Documents: Health Care Proxy Form 2010 Patient Protection and Affordable Care Act Young people aging out of foster care should have information and education about the importance of having a health care proxy/power of attorney Young people should be given the option to execute a health care proxy/power of attorney Link to a blank health care proxy form can be found in the IL and Transition Planning Guide: http://health.state.tn.us/AdvanceDirectives/Advance_Care_Plan.pdf http://health.state.tn.us/AdvanceDirectives/Advance_Care_Plan.pdf

29. 29 What about IL Services for Custodial Youth 14-19? Independent Living Services for Custodial youth 14-19 will stay the same IL Life Skills Instruction IL Wrap (Graduation expenses, extracurricular fees, etc.) IL Planning for 14-16 year olds Transition Planning for youth 17+

30. 30 Information for Providers: Placement Service Considerations

31. 31 Placement Service Considerations Youth transitioning from custody to Extension of Foster Care Services, or eligible young adults returning to request services, may receive placement services from a Resource Parent/Provider Agency The decision about the most appropriate placement service option is based on a number of factors

32. Placement Service Considerations There are a number of living arrangement options available to young adults who continue in foster care after age 18. These options include: Licensed or approved foster home Supervised Independent Living: This housing option can be an apartment with or without a roommate, or a room-and- board living arrangement, such as a dorm. Young adults may live in the home of a relative or a non- related adult support but in order to qualify for placement support, additional steps will need to be taken. Some group homes may be a housing option for young adults receiving extension services.

33. 33 If the youth is transitioning directly from custody to Extension of Foster Care Services: The youth may remain in the placement they were in while in custody The placement level will be reduced to the Level I rate –Clinical justification, a plan for rate reduction and specific approval by the Regional Director and Director of IL are required if a placement is to remain at a higher rate level If they want to stay in a foster home, the youth will be asked to follow the guidelines in DCS Policy 16.4, Section H, which requires background checks and fingerprinting Placement Service Considerations

34. If the youth is transitioning from a break and wants a placement, or if there is a new placement recommendation: The placement recommendation is made in the CFTM (placement stability or initial CFTM) A Child and Adolescent Needs and Strengths (CANS) assessment is completed The young adult signs a release form authorizing disclosure of information needed by placement vendors Placement Service Considerations

35. (If the youth is transitioning from a break or if there is a new placement recommendation): The young adult signs a release form authorizing background checks to be conducted, to include: Local criminal background check and fingerprinting National Sex Offender Registry Clearance TN Department of Health Abuse Registry Clearance CPS Records Checks Other assessments as authorized and recommended by the young adult and Child & Family Team Placement Service Considerations

36. What can Resource Parents and Provider Agencies expect to receive with a placement referral? The Placement Referral may include the following All results of the background checks, as they become available Cover Letter Critical medical information (as available) Any “zero tolerance” issues that may exist Psychological assessment, if appropriate Child & Adolescent Needs and Strengths (CANS) Permanency Plan packet including revisions if available at the time the placement is needed (includes Permanency Plan/Transition Plan), and Form CS-0158, Notice of Equal Access to Programs, Appeal Rights Rights and Responsibilities Agreement Voluntary Placement Agreement (if applicable)

37. Placement Service Considerations In addition to the placement referral information, the following information is forwarded to the private provider agency as soon as possible: Admission: (Copies) Additional Court Order(s) if available and applicable School records Immunization Records Birth Certificate; and Social Security Card Insurance information Managed Care Organization (MCO)/Behavioral Health organization (BHO); or Copy of TennCare application

38. 38 What will success look like?

39. 39 Measures of Success Percentage of youth who age out accept Extension of Foster Care Services Life Skills Assessments are completed on time Number of youth achieving educational goals Achievement of permanency for older youth Quality of IL and Transition Planning and Casework as evidenced by File Reviews

40. 40 Tools and Resources

41. 41 IL Resources IL Specialists DCS Policy 16.51-16.53 IL Manual IL Guide (3) IL and Transition Plan Guides IL Tipsheets IL Section of DCS Website http://www.tn.gov/youth/services/independent.htm

42. 42 New Policies: 16.51-16.53 16.51: Independent Living & Transition Planning 16.52: Extension or Re-establishment of Foster Care for Young Adults 16.53: Eligibility for Independent Living Services

43. IL Data Overview FY 2010-2011 388 Youth Served; Of those: 158 were completing a Secondary Educational Program 209 were enrolled in a Post-Secondary Educational Program 21 Youth had serious Special Needs and were Transitioning to Adult Services 20% of eligible youth accepted voluntary services (50% of D & N youth)

44. Northwest: 20 Southwest: 22 Shelby: 50 Davidson: 42 Mid Cumberland: 23 South Central: 27 Upper Cumberland: 34 Northeast: 32 Knox: 40 East: 20 Smoky Mountain: 29 Tennessee Valley: 49 Total Youth who Received DCS Post Custody Services, By DCS Region IL Data Overview FY 2010-2011

45. 45 Consider this: Can you think of a young person you worked with in the past who could have benefited from Extension of Foster Care Services to 21? How might this have changed their life?

46. 46 Review of Learning Objectives Do you understand… 1.Why TN is extending foster care services to 21? 2.Who is eligible for Extension Services? 3.What is available under Extension Services? 4.How we will measure success? 5.Where to find more information & support?

47. 47 For more information, please contact your Regional Independent Living Specialist