Families First Prevention Services Act for Children and Families Connecticut Family First Introductory Meeting Nov 18 2019 Paradigm A theory or a group of ideas about how something should be done made or thought about ID: 1047665
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1. The Opportunities of the Families First Prevention Services Act for Children and Families Connecticut Family First Introductory MeetingNov. 18, 2019
2. Paradigm: A theory or a group of ideas about how something should be done, made, or thought about…
3. 19th and 20th Century Child Protection:Theoretical Orientationand Historical Tensions
4. 19th Century ideology and view of poor familiesPoor laws - “worthy and unworthy poor”Attitudes about race, ethnicity, new immigrants…
5. Historical tensions and theoretical orientationSupporting familiesIndividual responsibilityRescuing childrenEnvironmental conditions
6. Historical tensions: the role of governmentPhilanthropy CommunityLocal/StateFederalLessgovernmentMoregovernment
7. When and how we intervene?FEDERAL | STATE POLICIES | FUNDING STRUCTUREIndividual responsibilityAfter maltreatment occurs- Investigation (findings)/out of home care. CategoricalIndividualProblem/deficit orientedEnvironmental conditions Before maltreatment occursIntervene with at risk population using data and evidenceUniversalPopulation levelBuild protective capacity/strength-based
8. What do we know about children who grow up in foster care? The most expensive option for keeping children safe often results in poor long-term outcomes.MENTAL AND PHYSICAL HEALTH •39.0% have at least one past-year mental health diagnosis •44.1% have had any substance abuse or dependence in their lifetimeEDUCATION AND TRAINING •Less than half have a high school diploma (48.4%) EMPLOYMENT, FINANCES, AND ECONOMIC HARDSHIPS •46.9% are currently employed •29.2% have been unable to pay their rent or mortgage during the past yearLIVING ARRANGEMENTS AND HOUSEHOLD COMPOSITION •37.7% have been homeless since leaving foster careMARRIAGE, RELATIONSHIPS, AND CHILDREN •58.3% have given birth to or fathered a child •9.9% of those who have had a child have had a child placed in foster careCRIMINAL JUSTICE INVOLVEMENT •68.0% of males and 40.5% of females have been arrested since leaving foster care *Casey Family Programs Foster Youth Alumni Study
9. Family First Prevention and Services Act(P.L 115-133)
10. Start with your vision and goals for children and families
11. Family First Prevention Services ActThe Family First Prevention Services Act was passed and signed into law (P.L. 115-123) as part of the Bipartisan Budget Act on February 9, 2018. Culmination of years of discussion among key Congressional leaders who share a vision and are passionate about keeping children safely with their families. Over 500 organizations supported this Act
12. Family First fundamentally shifts federal funding incentives toward prevention servicesFamily-centered policies that will help pave the way to allow more children to safely be served in their homes, families, and communities. Earliest implementation date is October 1, 2019
13. Family First Prevention Services ActNew option for States and Tribes to claim Title IV-E funds for prevention activities• New policy to ensure appropriate placements for children in foster care• Reauthorization of numerous child welfare funding streams.• And much more….
14. Big Opportunities for Child WelfarePre-2018 federal law Family FirstMost federal $$ for foster care New federal $$ for preventionServices only for child Prevention for parents & childIncome test to qualify NO income test, just what at risk family needsNo dedicated kinship navigator NEW 50% reimbursement for funding kinship navigators No $$ for child placed with 12-months of federal $$ for parent in residential treatment such placements
15. New Funding for Prevention Activities Allows states to receive open-ended entitlement (Title IV-E) funding for evidence-based prevention services –Who: Children at imminent risk of placement in foster care and their parents or kinship caregivers, and pregnant and parenting youth in foster care are eligible. •No income test for eligibility–What: Eligible prevention services are mental health, substance abuse treatment, and in-home parenting skills. Services must be evidence-based and provided in a trauma informed manner. –How Long: Services are allowable for up to 12 months at a time. There is no limit on how many times a child and family can receive prevention services if the child continues to be at risk of entry into foster care.
16. These Connecticut children and their families may be eligible for prevention services:A child living with a parent who is at risk of imminent placement in foster care. But can remain safe at home with prevention servicesA child who exited foster care to adoption or legal guardianship, or who has reunified with his or her parents at risk of re-entering foster care can get services along with the parents or guardiansA child in kinship placement with relative caregiversA child living with parents but needs to be with a relative caregiver as a guardian with prevention servicesIf a child needs services, and later has another episode where he or she is again at imminent risk of removal, the family can again get services
17. Prevention ServicesMental Health and Substance Abuse Prevention and Treatment ServicesIn-Home Parent Skill-Based ProgramsParenting skills trainingParent Education, andIndividual and Family CounselingFor not more than 12 monthsFor Candidates or children in foster care who are pregnant or parentingTrauma-InformedProvided in Accordance with Promising, Supported or Well-Supported Practices.Candidacy
18. Family First Evidence-Based Practice RequirementsEvidence LevelRequirements for all Evidence LevelsControl GroupSustained EffectPromisingThe practice is superior to an appropriate comparison practice using conventional standards of statistical significanceRated by an independent systematic ReviewFor Supported & Well Supported…carried out in usual care or practice setting1 untreated control, waitlist or placebo studyNo follow-up study is requiredSupported 1 RCT or rigorous quasi-experimental6 monthsWell Supported2 RCTs or rigorous quasi-experimental12 months
19. Family First: Evidence Standards for Interventions… General Practice Requirements
20. Family First Clearinghouse for EBPsMental HealthParent-Child Interaction TherapyTrauma Focused Cognitive Behavioral TherapyMultisystemic TherapyFunctional Family TherapySubstance Abuse Multisystemic TherapyFamilies Facing the FutureMethadone Maintenance TherapyIn-Home Skill-Based ParentingNurse-Family PartnershipHealthy Families AmericaParents as Teachers Kinship Navigator ProgramsChildren’s Home Society of New Jersey Kinship Navigator ModelChildren’s Home Inc. Kinship Interdisciplinary Navigation Technology Advanced Model (Kin-Tech)Well- Supported Supported Promising Does Not Meet Criteria
21. Family First Clearinghouse for EBPsNext Programs Selected for Review Mental Health:Attachment and Biobehavioral Catch-Up*Brief Strategic Therapy*Child Parent PsychotherapyIncredible YearsInterpersonal PsychotherapyMultidimensional Family Therapy*21Triple P – Positive Parenting ProgramSubstance Abuse:Brief Strategic Family Therapy*Family Behavior TherapyMultidimensional Family Therapy*Seeking SafetyThe Seven Challenges*Listed in multiple categories
22. Family First Clearinghouse for EBPsNext Programs Selected for Review In-Home Parent Skill-Based:Attachment and Biobehavioral Catch-Up*Brief Strategic Family* TherapyHomebuildersMultidimensional Family Therapy*Nurturing ParentingSafeCareSolution Based Casework 22Kinship Navigator Programs:Ohio's Kinship Supports Intervention/ ProtectOHIOYMCA Kinship Support Services, YMCA Youth and Family Services of San Diego County*Listed in multiple categories
23. Selecting Interventions
24. Family First Policy to Ensure Appropriate Placements in Foster CareBeginning October 1, 2019, after 2 weeks in care, Title IV-E federal support will support the following placements: Foster Family Home (defined) – no more than 6 children in foster care, with some exceptionsFacility for pregnant and parenting youth Supervised independent living for youth 18 years and olderSpecialized placements for youth who are victims of or at-risk of becoming victims of sex traffickingFamily-based residential treatment facility for substance abuseQualified Residential Treatment Program (QRTP) – a clinically recognized treatment programThere are no time limits on how long a child or youth can be placed in a QRTP as long as the placement continues to meet his/her needs, as determined by their assessment.
25. Additional select items to promote safety, permanency, and well-beingKinship Navigators: Provides Title IV-E support for evidence-based kinship navigator programs at 50%, beginning October 1, 2018.Foster parent licensing standards: Requires HHS to identify model foster parent licensing standards. By April 1, 2019, states have to identify the licensing standards they implement, if state standards differ from the model standards, and why they differ.Residential Treatment: Allows increased family-based substance abuse treatment and other reunification support
26. Family First Court-related provisionsCourt oversight of group placements –Qualified Residential Treatment Programs (QRTP)Requires Court participation in statewide Plans to Prevent Child Abuse & Neglect FatalitiesExtends Court Improvement funding through 2021 FY conditioned upon training to court personnelProvides grants to states for electronic data exchange to expedite interstate placement
27. Pending Federal Legislation:Phase-In of 50 percent “Well Supported” Requirement for Prevention Services ReimbursementTransition Funding to Help States Implement Family FirstShort-Term Funding Certainty for States with Expiring Waivers
28. Around the Nation17 States planning implementation October 1, 20194 Prevention Plans submitted1 Prevention Plan approvedCasey convened these jurisdictions for shared learning in person and by webinar. CT invited to join in October.Visit Familyfirstact.org
29. To a 21st Century Child Welfare System
30. Questions?Susan ReillySenior Director, Strategic ConsultingCasey Family Programssreilly@casey.org