executive office of health and human services development of
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Executive Office of Health and Human Services Development of Family Resource Centers and a Community Based Network of Services 9/11/13. 1. The New Law. Title An Act Regarding Families and Children Engaged in Services; Chapter 240 of the Acts of 2012 Effective Date November 5, 2012 - PowerPoint PPT PresentationTRANSCRIPT
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Executive Office of Health and Human Services
Development of Family Resource Centers and a
Community Based Networkof Services
9/11/13
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• Title An Act Regarding Families and Children Engaged in Services; Chapter 240 of the Acts of 2012
• Effective DateNovember 5, 2012
Children no longer referred to as Child in Need of Services (“CHINS”) cases.
Now…
Child Requiring Assistance (CRA)
The New Law
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• A child between the ages of 6 -18
• Runaway
• Refuse to obey lawful and reasonable commands of parent
• Refuse to obey lawful and reasonable regulations of the school (school age youth only)
• Chronically truant (school age, >8 absences per quarter)
• Sexually exploited child
Who is a “Family Requiring Assistance?”
• a parent, guardian, custodian, sibling and any relative or caretaker responsible for a child requiring assistance.
Who is a “Child Requiring Assistance?”
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Key Components of The New Law
1. Requires the EOHHS secretary to establish family resource centers (FRC), and a network of child & family service programs, throughout the Commonwealth
2. Mandates significant changes to the court process
3. Some provisions effective immediately, others subject to a 3 year timeline
4. Establishes a Families and Children Requiring Assistance Advisory Board
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1/30/13: (& each year thereafter on this date): Advisory Board Report on recommendations for funding/implementation
11/5/13:•The Secretary of EOHHS shall design a pilot program for the delivery of community-based services in each county
•The Board shall submit recommendations to the governor and house/senate committees on W & M for funding/implementation
11/5/12: Effective date: Court treats all CHINS cases as CRA cases; court begins referral process to EOHHS
11/5/14: The secretary of EOHHS shall implement the pilot program in each county
11/5/15: The secretary of EOHHS shall establish a statewide network of child and family service programs and family resource centers
Three Year Timeline
Y1
Y3
Y2
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Family Resource Centers
Basic Assumptions
• Welcoming place
• Location/location/location- accessible
• Know your community and be part of it
• Hours of operation -meet family needs
• Family and community involvement in the design/it should reflect the community
• Staffing – cultural considerations
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Guiding Principles
• The strengths of parents and families (strengthening families approach) provide the foundation for support
• Family Resource Centers (FRC) reflect the cultural, linguistic and socio-economic backgrounds of the families served, including their values and beliefs
• Staff and families are partners, each one bringing unique skills and perspectives to the partnership.
• All family members are welcome to use the FRC and its resources
• FRC services are voluntary and open to all families within the community and are based in the protective factors
• FRCs are responsive to the practical needs of parents who participate.
• Create sustainability through community organizing
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Core Services Required of All Family Resource Centers
All FRCs will offer the following core services on site, including:
• Information and referral services
• Family and parent support, including parenting groups utilizing evidence-based curricula, and peer to peer support groups
• Child Requiring Assistance services related to Chapter 240 of the Acts of 2012 (incl. standardized screening, intake & assessment)
• Leveraged services from state agencies (DCF, DMH, DTA, DDS, other), and leveraged services from schools and other community agencies.
• Data collection and reporting related to: outcomes, services provided, feedback from clients, gap analysis and service needs
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Community Based Service Network(Services Provided or Leveraged by Family Resource Centers)
The FRC is also required to develop and connect to a local “network” of service providers that families can access. These services may be provided on an in-kind basis, through on-site placement of staff, or through referral.
FRC
State agencies (DCF, DMH, DTA, DDS, other) CBHI
Schools
CBOs
otherMedical, behavioral or mental health providers
Municipal services
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Community Based Service Network (cont.)
Law requires that services in the network include: “treatment for, or assistance with…”
• eligibility determinations• behavioral needs• mental health needs• medical needs• special education evaluation• remedial education services• assistance with insurance issues• mentoring• family and parent support• civic engagement and community service• after school and out of-school opportunities• residential programs• crisis management• case management
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Participating Agencies
DCF• Family Resource Centers
EOHHS• Family Resource Centers/School Liaisons• Mass211
Leveraged services (TBD)• DDS Family Support Centers• DDS Autism Support Centers• DDS Cultural/Linguistic• DMH Parent Support Contracts• other
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Family member walks into to FRC
Welcome &Informal
screening
Selfreferral
FRC Core
Services,
and
Community Based Service
Network
High Level Service Flow for FRC
Court211
Family member choice
Police Other
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Family member walks into to FRC
Welcome &Informal
screening
Selfreferral
FRC Core
Services,
and
Community Based Service
Network
High Level Service Flow for FRC
Court
CRA Intake, and Assessment by clinician/ family partner
CRA Screening by clinician/ family partner
ServicePlan
211
Family member choice
Police Other
CRA eligible
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Child Requiring Assistance Eligibility (TBD)
a child between the ages of 6 and 18 who:
(i) repeatedly runs away from the home of the child's parent, legal guardian or custodian, or
(ii) repeatedly fails to obey the lawful and reasonable commands of the child's parent, legal guardian or custodian, thereby interfering with their ability to adequately care for and protect the child, or
(iii) repeatedly fails to obey the lawful and reasonable regulations of the child's school, or
(iv) is habitually truant, or
(v) is a sexually exploited child .
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Family Resource Worker(s)
Office Administrator/ ‘Welcomer”
School Liaison
Program Director
Family Resource Center (FRC) Future View
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Family Resource Worker(s)
Office Administrator/ ‘Welcomer”
School Liaison
Clinician
Family Partner
Program Director
Family Resource Center (FRC) Future View (cont.)
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Mental Health Clinic
Family Resource Worker(s)
Office Administrator/ ‘Welcomer”
School Liaison
Clinician
Family Partner
Program Director
Family Resource Center (FRC) Future View (cont.)
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Mental Health Clinic
Family Resource Worker(s)
Office Administrator/ ‘Welcomer”
School Liaison
Clinician
Family Partner
Program Manager
(Contract)
Program Director
Family Resource Center (FRC) Future View (cont.)
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Mental Health Clinic
Family Resource Workers (2 FTEs)
Office Administrator/ ‘Welcomer” .(1 FTE)
School Liaison (1 FTE)
Clinician (1 FTE)
Family Partner (1FTE)
Program Manager(.5FTE)
Admin. Services Org.
(ASO)
(Contract)
Partnership space
Co-location
Program Director (1 FTE)
Family Resource Center (FRC) Future View (cont.)
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Job DescriptionsProgram Manager: (Bachelors degree) Manages the program’s contractual relationships, manages relationship with Administrative Services Organization (ASO), supervision of Program DirectorProgram Director: (No degree requirements) Responsible for overall supervision and management of the program and its community relations. Administrative supervision of Clinician and Family Partner, monitors community needs.Clinician: (Master’s Degree, License required) A clinical specialist, employed by a mental health clinic, who performs trauma informed intake, screening and assessment functions for children and families requiring assistance as defined by Chapter 240. The clinician supervises the Family Partner, and develops and implements the participant’s service plan.Family Partner: (No degree requirements) A parent from the community with “lived experience” or familiarity with Child Requiring Assistance (CRA) related issues; works in conjunction with the Clinician and other FRC staff to insure the successful implementation of the service plan for families, including children and families requiring assistance.Office Administrator/Welcomer: (No degree requirements) Welcomes families, conducts informal screening, obtains information about family’s reasons for accessing the FRC, and manage FRC calendar, materials, and other resources.Family Support Workers: (Associates Degree) Provides individual/group educational resources to parents, provides referrals to other community resources.School Liaison: (Bachelor’s Degree) Works directly with families and schools to resolve issues pertaining to impediments to successful learning experiences
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FRC
•Data/Evaluation•Sliding Fee
•Joint Purchasing•Training
•other
Admin. Services Org.
(ASO)
FRC
FRC
FRC
FRC
FRC FRC
FRC
FRC
FRC
FRC
(Satellite locations)
(Satellite location)
FRC Pilot Sites: One per county, by November 2014
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Family Resource Worker (1 FTE)
Program Director (1FTE)
Satellite
FRC Satellite Model
School Liaison (.5 FTE)
Partnership space
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Family Resource Worker (1 FTE)
Program Director (1FTE)
Clinician (.2 FTE)
Family Partner (.2 FTE)
Satellite
FRC Satellite Model
(affiliation)
School Liaison (.5 FTE)
ASO
FRC
Partnership space
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Family Resource Worker (1 FTE)
Program Director (1FTE)
Clinician (.2 FTE)
Family Partner (.2 FTE)
Satellite
FRC Satellite Model
(affiliation)
School Liaison (.5 FTE)
ASO
FRC
Satellite
Partnership space
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Next Steps on Services:
Deeper discussion regarding services:
• Evidence based models, such as - Functional Family Therapy (FFT) - Multidimensional Family Therapy (MDFT) - Multi-Systemic Therapy and Adaptations (MST)- other
• Cost of Services
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FY 2014 Budget
EHS FRC Line item 4000-0051• $850K total (pre-pilot funding)
Mass211
24/7 web/telephonic, statewide information & referral system
School Liaisons
in 7 Family Resource Centers (FRCs): Springfield, Worcester, Brockton, Holyoke, Lawrence and (2 in) Boston.
Liaison makes vital connection between schools and community. Priority of the Readiness Cabinet.
Lawrence FRC
Adding school-based component to existing FRC in Lawrence.
Consultation
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Chapter 257 Process
1. Define program inputs
2. Feedback from consumers and providers
3. Develop draft rates
4. Public hearing
5. Review testimony
6. Final rates published
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Upcoming Dates
Community meetings • 9/11/13: Malden; 9/13/13: Brockton; 9/27/13: Springfield and Worcester
Procurement• Dependent on SFY15 appropriation• Contracts (subject to appropriation) signed by 11/5/14
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For a copy of this presentation, please go to: www.mass.gov/hhs/chapter257
Please send written comments to: Thelma P. Riley
Executive Office of Health and Human Services, One Ashburton Place, Boston, MA 02108
by Friday, October 4, 2013.
More Information/Written CommentsRe: Chapter 257 Rates: