kentucky 2008 cfsr program improvement...

State: Kentucky

Type of Report: PIP

Date Submitted: March 1, 2010

The Kentucky Program Improvement Plan includes the following sections:

I. PIP General Information

II. PIP Narrative

III. PIP Strategy Summary and TA Plan

IV. PIP Matrix

V. PIP Measurement Plan and Quarterly Status Report

VI. PIP Agreement Form (authorizing signatures)

Region: I II III IV * V VI VII VIII IX X

E-Mail Address: [email protected]

State Agency Name:

Department for Community Based Services

Address: 275 East Main Street, 3E-A, Frankfort, KY. 40621

Telephone Number: (502)564-6852


E-Mail Address: [email protected] Cheek

E-mail Address: [email protected] Wynn

Lead State Agency Contact Person for the CFSR:

Lead State Agency PIP Contact Person (if different):

Tina Webb


KENTUCKY

Child and Family Services Reviews

Program Improvement Plan

Lead Children’s Bureau Regional Office Contact Person:

State:

I. PIP General Information

Telephone Number: (404) 562-2957


E-Mail Address: [email protected]

Lead State Agency Data Contact Person:

Dr. Ruth Huebner

7/10/09

State: Kentucky

Type of Report: PIP


State PIP Team Members* (name, title, organization)1. Mike Cheek, Director, Division of Protection and Permanency, Cabinet for Health and Family Services

2. James Grace, Assistant Director, Division of Protection and Permanency

3. Tina Webb, Assistabt Director, Division of Protection and Permanency

4. Dr. Ruth Huebner, Director, Information and Quality Improvement

5. Sandy Howard, Policy Analyst, Division of Service Regions

6. Bruce Linder, Director of Service Regions

7. Gretchen Marshall, Branch Manager, Quality Assurance and Policy Development

8. Toya Nicholson, Internal Policy Analyst, Division of Protection and Permanency

9. Teresa James, Deputy Commissioner, Department for Community Based Services

10. Mike Grimes, Adoptions Branch Manager, Division of Protection and Permanency

11. Lisa Durbin, Safety Branch Manager, Division of Protection and Permanency

12. Jennie Willson, OOHC Branch Manager, Division of Protection and Permanency

13. John Kaplan, Training

14. Debbie Vonnahme, Training

15. Jennifer Warren - Cumberland Service Region

16. Janet Doyel - The Lakes Service Region

17. Debra Daughaday - The Lakes Service Region

18. Joey Minor - Two Rivers Service Region

19. DeDe Sullivan – Salt River Trail Service Region

20. Pam Von Handorf – Northern Bluegrass Service Region

21. Patty Stocker - Jefferson Service Region

22. Lesa Dennis – Northeastern Service Region 23. Marsha Castle – Eastern Mountain Service Region

24. Crystal Siler – Cumberland Service Region

25. Kim Donta – Southern Bluegrass Service Region

26. Michelle Anderson – Southern Bluegrass Service Region

27. Patrick Yewell, Executive Officer, Family and Juvenile Services, Administrative Office of the Courts

28. Rachel Bingham, Administrative Office of the Courts

29. Sherri Stover, Administrative Office of the Courts

30. Sarah Boswell Dent, Administrative Office of the Courts

7/10/09

State: Kentucky

Type of Report: PIP


31. Tina Willauer, START Director, Department for Community Based Services

32. Mona Womack, Deputy General Counsel, Cabinet for Health and Family Services

33. David Gutierrez, Assistant Director, Division of Violence Prevention

34. Anita Jennings, Mental Health and Substance Abuse, Cabinet for Health and Family Services

35. Larry Michalczyk, Co-Lead- Community Stakeholders Advisory Group

36. Tina Hagenbuch, Internal Policy Analyst, Division of Protection and Permanency

7/10/09

Kentucky

II. PIP Narrative

A. Overall Strategy for PIP Development Kentucky began preparing for the second round of Child and Family Service Reviews (CFSR) in January 2007 by establishing a CFSR Steering Team. The team functioned to guide the State through all stages of the CFSR from the statewide assessment through the PIP development. Throughout the CFSR process, the Steering Team engaged existing local, regional and statewide groups, both internal and external to the Department for Community Based Services (DCBS), to collaborate on assessing and improving the child welfare system in Kentucky. The groups were comprised of various combinations of field staff; community partners and stakeholders; parents; youth; and foster/adoptive parents.

After the onsite review in June of 2008, the Department consulted with each program and initiative at the central office level, as well as each of the nine service regions to share preliminary CFSR findings and begin discussions of program improvement. Because Kentucky believes strongly that practice change occurs at the local and regional levels, the CFSR teams that assessed regional performance during the statewide assessment shifted their focus to spearhead program improvement in each of the nine service regions. Trainings were held in each service region, as well as with the central office program staff to share data, identify areas needing improvement, and begin action planning for the PIP.

The Department held meetings with the Community Stakeholder Advisory Group (CSAG), which incorporates representatives from an array of statewide community partners and stakeholders, to identify strategies that would underlie community collaboration in the PIP. CSAG members identified specific partnerships to target for increased collaboration and helped identify and strategize ways to mediate gaps in service. The Department also met individually with the Court Improvement Project (CIP) staff and the State Interagency Council (SIAC) to discuss specific ways to increase collaboration with the courts and mental health service providers.

All of the information gathered through work with the regional CFSR teams, central office program staff, CSAG, CIP and SIAC was compiled and drafted into the Child and Family Services Plan. Due to the timing of Kentucky's PIP submission, and for consistency of program management, the Department integrated the themes from the Child and Family Services Plan (CFSP) into the PIP. In doing so, the Department and stakeholders will bridge PIP activities into sustained progress throughout and beyond the two-year PIP period through the implementation of the CFSP. PIP activities were directly related to the areas identified in the CFSR final report as needing improvement. However, these steps are integrated as part of the overall series of tasks included in the five-year state plan and ultimately designed to reach Kentucky’s vision for child welfare services.

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Kentucky

B: Themes and Goals, Strategies and Action Steps The Department categorized child welfare planning into four broad themes for the CFSP. Since only three of the CFSP themes had outcomes or systemic factors that required program improvement, only these themes are included in Kentucky’s proposed PIP. Included in the narrative below are the broad themes, goals, and strategies that will provide an overview of Kentucky’s PIP. Specific steps that support each strategy, timeframes for, and evidence of completion are delineated in the attached matrix.

Theme 1/Goal - Enhanced Family Involvement and Capacity to Provide for Children’s Needs CFSR Outcomes: Safety 1 and 2, Permanency 2, and Well-Being 1

Family engagement and involvement in service planning are essential to successful child welfare intervention. To that end, program improvement efforts under theme one are primarily designed to focus on the basics of child welfare services and fall under three primary strategies: • Strategy 1A - Ensuring implementation of family-centered practice; • Strategy 1B - Improving quality of assessment practice; and • Strategy 1C - Improving the quality of the case planning process and matching needs

and services.

Action Steps and Benchmarks Strategy 1A - Action steps designed to improve family-centered practice are: • Improve identification and location of maternal and paternal family members; • Implement strategies to engage fathers and youth; • Improve quality and frequency of family team meetings; • Improve the quality and frequency of caseworker visits; and • Reinforce agency philosophy to focus on strengths to guide engagement and service

provision and on-going work with families.

Strategy 1B - Action steps designed to improve the quality of assessment practice include: • Evaluation of the current internal and external case review processes for casework

decision making; • Providing NRC technical assistance to develop a substance abuse training component

and tools for assessing the impact of substance abuse and providing effective services for families dealing with substance abuse; and

• Increasing the integration of North Carolina Family Assessment Scale findings provided by service providers into agency assessments.

Strategy 1C - Action steps designed to improve the quality of the case planning services include: • Revising practice based on case review mapping to include a more family-friendly

approach; • Improving the use of available resources through mapping available resources; and • Developing a resource coordination process in each service region.

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Kentucky

Theme 2/ Goal - Enhanced Child Stability and Permanency CFSR Outcomes: Permanency 1 and Systemic Factors 1 and 2

Timely permanency planning and concerted efforts to achieve permanency are essential for the healthy development of children and youth. Virtually every aspect of childhood development, especially intellectual and emotional development, is impacted by having a stable home environment. Two goals were identified under the theme of enhanced child stability and permanency:

• Strategy 2A - Improve timeliness and appropriateness of permanency planning; and • Strategy 2B - Improve placement stability.

Action Steps and Benchmarks Strategy 2A - Action steps designed to improve timeliness and appropriateness of permanency planning include: • Enhance concurrent planning practice through evaluation and training of agency

expectations; • Regional action planning around the frequency and quality of parent/child visitation; • Regional action planning regarding notification to all parties of permanency hearings;

and • Regional permanency roundtable discussions to focus on cases that are not moving to

permanency in a timely manner.

Strategy 2B - Action steps designed to improve placement stability through data monitoring and regional action plans inlcude: • Develop a mechanism to track moves of children placed in private agency settings;

and • Enhance the process for monitoring placement stability through management reports

and regional action planning.

Theme 3/ Goal - Enhanced Community Collaboration CFSR Outcomes: Well-Being 2 and 3 and Systemic Factor 5

One of the underpinnings of effective social work intervention in families with child protective services needs is matching the identified need with an individualized service. In some parts of Kentucky, lack of essential services, such as mental health services or substance abuse treatment services, creates significant handicaps to quality social work interventions. In these times of economic downturn, it is imperative that agencies collaborate under a shared vision of child welfare to identify the families most at risk and therefore most in need of services. Two goals were identified under theme three to address these issues:

Strategy 3A - Enhance the State service array Strategy 3B - Engage community partners in a shared vision of child welfare: Fostering Our Children’s Unqualified Success

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Kentucky

Action Steps and Benchmarks Strategy 3A - Action steps designed to enhance the statewide service array include: • Enhancing community partnerships for prevention services through the Community

Collaboration for Children regional networks; and • Re-designing the foster care contract and service purchasing process to be outcome-

focused.

Strategy 3B - Action steps designed to engage stakeholders in a shared vision of child welfare include: • Working with the courts to share data and collaborate on child protective service

issues and opportunities for improvement; and • Working with State mental health provider agencies to increase their understanding of

the needs of DCBS clients.

C: Implementation and Monitoring Kentucky intends to implement the PIP by utilizing a steering team, CSAG, and the 9 regional CFSR teams. In 2000, Kentucky established a continuous quality improvement (CQI) process and developed a case review tool that is aligned with the CFSR tool. The CQI process is a two pronged approach involving online case reviews and subsequent meetings to discuss case review data at the local, regional, and central office levels. More importantly, for targeted assessment, scores from the case reviews can be queried by CFSR item or a specific area of case work. This ability provides for analysis at multiple levels: the front-line team level, the broader county level, and the broadest patterns of practice at the regional and State levels.

The steering team will meet at least monthly to share data, evaluate progress, and solve identified barriers. The steering team will also meet twice a year with CSAG members to share performance measures and progress on activities and to identify and discuss opportunities for improvement. Each service region will utilize regional level data to evaluate progress on regional action plans and hold monthly meetings to share data, evaluate performance, and solve identified barriers. The regional CFSR teams will also meet regularly with the regional networks to share data and discuss barriers to service delivery. The steering team will hold quarterly statewide meetings with all regional CFSR leads to discuss progress and share promising practices.

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Kentucky

D: Data and Measurement Plan

Measurement Overview

Measured in the Program Improvement Plan Item 3: Services to family to protect children in home and prevent removal Item 4: Risk assessment and safety management Item 7: Permanency goal for child Item 17: Needs and services of child, parents, and foster parents Item 18: Child and family involvement in case planning Item 19: Quality of casework around worker visits with child Item 20: Worker visits with parents

All items will be measured by CQI Case Review (Casework Quality) Scores

Measurement Methodology Overview Kentucky proposes to measure PIP outcomes using a prospective data collection strategy. Data collection on a revised CQI case review tool that aligns with the CFSR intent and questions began January 5, 2010. Reviews are completed at the supervisor level, the regional level, and the central office level. Results of the regional level case reviews will be used to monitor PIP performance. Eighteen regional level case reviews are completed every month for every region. Kentucky anticipates completing six months of case reviews with data collection on more than 950 cases by July 5, 2010. Reviews cover the previous 18 months of the case.

Reviews of Case Work Quality

Background and Revisions to the Case Review Process Kentucky successfully used reviews of case work quality during the first PIP to monitor and enhance agency performance. These reviews were based on a record review without interviews over the previous 18 months of case work. The case reviews continued after the first PIP was completed and internalized as part of the CQI process. Regional level staff members routinely examine case review data and use it to improve performance.

Beginning in 2008, Kentucky began the systematic revision of the case review tool, process and data entry system in preparation for the PIP. The case review tool was modified to reflect the natural flow of the case work and qualitative questions were added. The sampling process from TWIST was modified to include both closed and open cases and a random selection of specific children in cases served through out-of-home care. The process of the case review was modified through embedding the case review tool into a web-application named the CQI-Case Automated Review and Evaluation System (CQI-CARES) that is utilized by all levels of review.

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Kentucky

The CQI-CARES review site includes separate review tools for various types of child protective services (CPS) cases as follows: • CPS Intake and Investigation • CPS Ongoing and Assessment • CPS Case Planning • CPS Out-of-Home Care • CPS Status • CPS Foster and Adoptive Resource Home

The sample size and expectations of the reviews were not changed. Each month, four cases per supervisor are randomly pulled from TWIST and assigned for supervisory review. At the supervisor level, case reviews are intended to be used in coaching and mentoring. Eighteen of these cases are randomly assigned for review at the regional level. The scores from the regional level are used to monitor PIP progress. Multiple cases from regional level are reviewed each month at the central office with the intent of each central office staff person reviewing one case per month. The selection of cases for all levels of review are randomly selected from TWIST and automatically uploaded into CQI-CARES.

Following pilot testing and revisions with statewide training of staff in Fall 2008, the case review system was fully operational and utilized on January 1, 2009. On September 1, 2009, based on more than 700 cases in most categories, the statewide scores achieved on the CFSR and the CQI-CARES were compared for all items with particular attention to the items needed for the PIP. Items needing review and revisions were identified.

For each item needing revisions, small workgroups reviewed both the CFSR tool and the CQI-CARES questions and added questions or reworded questions to ensure that the questions in CQI-CARES aligns with the CFSR intent and questions. The attached crosswalk of items and questions displays the revised questions that are being built into the CQI-CARES review system. Data collection on the revised questions was initiated on January 5, 2010 (cases are uploaded for review on the 5th of each month).

Scoring of the Case Reviews Case review questions are grouped into CFSR items as displayed on the attached CFSR/CQI crosswalk. Compliance with quality case work practices is calculated for each case/child on each item. The scores are simply calculated by summing the number of ‘yes’ (compliance) scores, summing the number of ‘no’ (non-compliance) scores, and then adding the ‘yes’ and ‘no’ scores together to achieve a total number of questions applicable for each case on each item. To achieve the percent of compliance, the total number of ‘yes’ scores are divided by the total number of applicable items to yield a percent strength or compliance with quality case work practices. These percentage scores are aggregated at the State and the regional levels. The formulas are as follows:

#yes + #no = total number of applicable questions #yes/total number of applicable questions = percent compliance with quality case work practices.

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Kentucky

Case Review Sustainability Kentucky anticipates sustaining the use of the current CQI-CARES tool, process, and data collection system throughout the PIP without barriers or other impediments.

The case review system and methodology is embedded into the CQI process and has been consistently implemented since 2002. The performance evaluation of the staff includes criteria for completing required case reviews, reinforcing the importance of the process. In addition to mandates, the case review process functionality was enhanced to support the use of case review scores by the front-line/supervisor level, regional level, and central office. Highlights of these user supports include: • The selected cases for review are pre-loaded into CQI-CARES. When the

supervisor logs on, the cases are pre-populated with TWIST data and ready for review.

• When a review is completed, CQI-CARES functionality automatically generates a report of the results to be used for coaching and mentoring the worker on a specific case.

• Reviewers at any level have access to the reviews completed by other levels (supervisor, regional, central office) on the cases assigned to them. This promotes learning across levels.

• Summary sheets can be generated for any and all levels of review for any time period by any reviewer based on the data they entered. For example, supervisors may download a summary sheet of all the reviews completed by the supervisor for their team to track trends and provide team feedback.

Attachments Related to the Case Reviews • KYCFSR-CQI Crosswalk: Case review questions aligned with each PIP items

that displays the questions associated with the indicator. This crosswalk shows the revisions made to PIP items.

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State: Kentucky

Type of Report: PIP

Date Submitted:

III. PIP Themes and TA Plan

Primary Themes Key Concerns TA Resources Needed

Lack of caseworker involvement with the family post crisis

Lack of consistency in ensuring that assessment services are provided to reduce risks to children, to ensure children are safe in their homes, and to prevent removal.

NRC on Substance Abuse and Child Welfare

1. Enhanced Family Involvement and Capacity to Provide for their children's

When safety issues are identified, services to address the safety issues may not be available and caseworkers may be insufficiently trained to complete an appropriate risk assessment.

Lack of consistency in promoting frequency and quality of visitation between children and their fathers, mothers, and siblings

needs. Lack of consistency in efforts to maintain the child’s connections with extended family, culture, and community

Inconsistency in regard to seeking and evaluating relatives as potential placement resources

Lack of consistency in assessing and meeting the service needs of parents and children and adequately involving families, particularly fathers, in case planning.

NRC for Organizational Improvement (NRCOI)

Inconsistencies in both the frequency and quality of caseworker visits with children and parents with parents

Inconsistent in preventing re-entry into foster care and in ensuring that children have placement stability

Inconsistent in establishing appropriate permanency goals in a timely manner NRC for Family‐Centered Practice and Permanency Planning (NRCFCP)

2. Enhanced Child Stability and Permanency

Inconsistent in making concerted efforts to achieve reunification or permanent placements with relatives in a timely manner

Inconsistent in achieving adoptions in a timely manner

TWIST cannot track placements and moves of children placed in the homes of private agencies Inconsistencies in how foster and adoptive parents are notified of reviews and hearings and given opportunities to be heard

7/10/09

State: Kentucky

Type of Report: PIP

Date Submitted:

3. Enhance Community Partner Collaboration

Lack of assessment of educational needs despite information that an educational assessment was warranted

NRC for Organizational Improvement (NRCOI) Concerted efforts were not made to meet educational needs

Inconsistencies in State’s ability to assess and meet the physical and dental health needs of children

Lack of some essential services such as mental health services and substance abuse treatment services in some parts of the state

Does not consistently individualize services to meet the unique needs of the children and families due in part to the lack of flexible funds and to impact of recent budget cuts on essential services

7/10/09

State: Kentucky Type of Report: PIP Date Approved: Date Submitted: 3/01/10 Quarterly Report for Quarter:

IV. PIP Matrix

Goal Primary Theme 1: Enhanced Family Involvement and Capacity to Provide for their children's needs.

Strategy 1A: Ensure implementation of family centered practice.

Applicable CFSR Outcomes or Systemic Factors: P2 and WB 1 Applicable CFSR Items: 14, 15, 16, 18, 19, and 20

Action Steps and Benchmarks Lead Evidence of Completion

Quarter Due Quarter

Completed Quarterly update

1A.1‐ Improve identification and location of family members

1A.1.1. Establish a process to identify and locate paternal and maternal family members.

Lisa Durbin Jennie Willson

process developed

QR 1

1A.1.2 Revise standards of practice to reflect process.


SOP revised QR 2

1A.1.3 Develop practice guides and resources to assist field staff.


practice guides developed

QR 2

1A.1.4 Use CQI case review to assess progress. Dr. Ruth Huebner quarterly data in

a glance QR 4

1A.2‐ Implement strategies to engage fathers and youth

1A.2.1 Develop a resource directory for specific populations (fathers, youth).

Jim Grace Larry Michalczyk

resource directory

QR 4

1A.2.2 Disperse directory to staff for use in engaging and developing case plans with fathers and youth.

Jim Grace process for dispersal

established QR 5

1A.2.3 Evaluate current cultural diversity training components, related to fathers and youth, in both worker and foster parent trainings, revise as necessary integrating the resource guide as appropriate.

John Kaplan Teresa James

revised curriculum

QR 5

1A.3‐ Improve the quality and frequency of family team meetings

1A.3.1 Assess the quality and frequency of family team meetings across regions.

Dr. Ruth Huebner report QR 2

11/20/09 7


1A.3.2 Develop and implement regionally specific plans to improve the quality and frequency of family team meetings.

Bruce Linder regional plans QR 4

1A.4‐ Improve the quality and frequency of worker visits with parents/caretakers and children in both OOHC and in‐home services cases

1A.4.1 Assess the quality and frequency of caseworker visits across regions.


1A.4.2 Develop and implement regionally specific plans to improve the quality and frequency of caseworker visits.


1A.5‐ Reinforce agency philosophy to focus on strengths to guide engagement, service provision and on‐going work with families

1A.5.1 Conduct a single, point in time staff survey to measure attitudes and beliefs about the population served by the agency.


1A.5.2 Develop and implement an ongoing mechanism to measure and share results of customer satisfaction with staff.


1A.5.3 Evaluate staff and customer survey outcomes for implementation into current training curriculums, coaching and mentoring strategies, and practice guides.


report QR 5 and ongoing

1A.5.4 Evaluate current training regarding strengths‐based casework, revise as needed.

John Kaplan Teresa James

report and revised

curriculum QR 6

1A.5.5 Share regional approaches to engagement and strengths‐based casework (icebreaker meetings, "Parent Orientation" trainings, parent advocate programs).

Michael Cheek

Service Region Associate (SRAA) quarterly meeting

minutes

QR 2 and on‐going

1A.5.6 Develop strategies and tools, for supervisors to use with their staff, based on regional practices.



QR 3 and on‐going

11/20/09 8


Strategy 1B: Improve the quality of assessment practice

Applicable CFSR Outcomes or Systemic Factors: S1, S2, P1, WB1,WB2, WB3 and SF2 Applicable CFSR Items: 2,3,4,5,17,21,22 and 25


Quarter Due Quarter Completed

Quarterly update

1B.1‐ Evaluate internal/external case review processes (FCRB, CRP, MSWs, FSOS consultations) for casework decision‐making

1B.1.1 With the assistance of the NRC for organizational improvement, map the flow of case reviews through the life of the case and refine as needed.

Jim Grace Patrick Yewell

process map developed

QR 2

1B.1.2 Provide training on the refined case review processes setting expectations as related to family outcomes.

Jim Grace Patrick Yewell

report QR 4

1B.2 Improve the quality of assessments

1B.2.1 Seek TA from Substance Abuse in Child Welfare NRC to develop a statewide substance abuse training component focusing on assessment and service provision for families dealing with substance abuse.

Dr. Ruth Huebner

Tina Willauer curriculum developed

QR 6

1B.2.2 Provide training to DCBS field staff, courts, community mental health providers and other community partners related to TA on substance abuse.

Jim Grace Tina Willauer Patrick Yewell

training records QR 7

1B.2.3 Develop strategies and tools for supervisors to use with their staff on assessment and service provision for families dealing with substance abuse.

Jim Grace Tina Willauer


QR 7

1B.2.4 Evaluate field staff's baseline knowledge of the North Carolina Family Assessment Scale (NCFAS) used by service providers.

Dr. Huebner report QR 2

11/20/09 9


1B.2.5 Train field staff on how to use the information from the NCFAS in assessing families and communicating with in‐home providers.

Lisa Durbin John Kaplan

training records QR 4

Strategy 1C: Improve the quality of case planning process and matching needs and services

Applicable CFSR Outcomes or Systemic Factors: WB1, WB 2, WB 3, SF2, SF5 Applicable CFSR Items: 17, 18, 21, 22, 25, 36 and 37



Quarterly update

1C.1‐ Evaluate the quality of case planning process

1C.1.1 Convene family‐involved workgroups to review the structure of the case planning process.


meeting minutes QR 1

1C.1.2 Revise case planning practice based on recommendations of workgroup and case review mapping (action step 1B.1.1).


SOP revised QR 3

1C.1.3 Develop tools to assist the family in understanding the case planning process.



QR 5

1C.1.4 Provide training to field staff on revised process and tools to assist families in understanding the process.

John Kaplan TRIS records QR 5

1C.2‐ Improve the use of resources available for service planning with parents

1C.2.1 Develop regional mapping of available resources for in‐home and out of home service planning.

Jennie Willson map of

resources QR 2

1C.2.2 Develop and implement a resource coordination process for in‐home and out of home service planning.

Michael Cheek process

developed QR 3

Goal Primary Theme 2: Enhanced Child Stability and Permanency

Strategy 2A: Implement concurrent planning and regional action planning to ensure practice improvementin permanency.

Applicable CFSR Outcomes or Systemic Factors: P1, P2 and SF2 Applicable CFSR Items: 7, 8, 9, 13, 28 and 29

11/20/09 10


2A.1‐ Enhance concurrent planning practice

2A.1.1 Seek TA from family centered practice NRC to evaluate concurrent planning practice.

Mike Grimes Patrick Yewell

report evaluating policy and

recommended revisions

QR 1

2A.1.2 Revise training curriculum and standards of practice as needed based on TA.

Mike Grimes SOP and revised

curriculum QR 3

2A.1.3 Provide training to field staff using a revised concurrent planning curriculum.

John Kaplan training records

QR 5

2A.1.4 Clarify the mechanism for tracking concurrent planning in SACWIS (TWIST).

Jim Grace data report QR 4

2.A.2 ‐ Develop regional actions plans to address specific permanency topics

2A.2.1 Create plans to Improve the frequency and quality of parent/child and sibling visitation.

Bruce Linder Mona Womack

regional plans QR 2

2A.2.2 Create plans to Improve the frequency of foster parent/relative caretaker notifications of permanency hearings and their opportunity to be heard.

Bruce Linder Mona Womack Patrick Yewell

regional plans QR 1

2A.3 ‐ Conduct regional permanency discussions via a roundtable process

2A.3.1 Work with Casey Family Programs to develop a timetable and tools to guide permanency discussions in each service region.

Tina Hagenbuch practice guides developed

QR 1

2A.3.2 Hold regional roundtable permanency discussions in each service region.

Tina Hagenbuch TRIS record QR 1

2A.3.3 Develop a statewide plan to implement strategies based on lessons learned from the Casey Roundtable process.

Michael Cheek proposal developed

QR 4

Strategy 2B: Improve Placement Stability through data monitoring and regional action plans

11/20/09 11


Applicable CFSR Outcomes or Systemic Factors: P1 and SF1 Applicable CFSR Items: 6 and 24



Quarterly update

2B.1 – Develop a system to track placement moves of children in private agency settings

2B.1.1 Develop a web portal to enter all child placing agency locations.

Jim Grace screen shots of application

QR 1

2B.1.2 Train provider community on use of web portal and implement process.

Jim Grace TRIS records QR 1

2B.2 – Enhance process for monitoring placement stability.

2B.2.1 Develop reports that reflect child placing agency locations as well as DCBS locations.

Dr. Ruth Huebner

Dilip Penmecha sample report QR 1

2B.2.2 Provide training to staff on how to use reports .

Jim Grace TRIS records QR 2

2B.2.3 Develop and implement regional actions plans to increase placement stability.


Goal Primary Theme 3 – Enhance Community Collaboration

Strategy 3A: Develop strategic partnerships to improve service accessibility and enhance community collaboration.

Applicable CFSR Outcomes or Systemic Factors: S2 and WB1 Applicable CFSR Items: 3, 17 and 18


Quarter Due Quarter


3.A.1 – Enhance community partnerships for prevention services through the Community Collaborations for Children (CCC) regional networks

3A.1.1 Develop in‐home service array assessment. Michael Cheek

Dr. Ruth Huebner report 1st QR

3A.1.2 Meet with community partners at a regional level to evaluate service gaps and strategize solutions.

Regional CFSR leads

meeting minutes QR 2 and on‐going

3A.1.3 Facilitate training/education for community partners by increasing the use of child welfare data at regional CCC meetings.

Regional CFSR leads

meeting minutes QR 2 and on‐going

3A.2 OOHC Redesign

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3A.2.1 Develop strategic plan for services DCBS will continue to provide and services that will be purchased.

Michael Cheek strategic plan QR 4

3A.2.2 Collaborate with community partners and provider community to execute tasks associated with the strategic plan.

Michael Cheek report QR 5 and ongoing

3A.2.3 Provide training to field staff as necessary on revisions to service provision process.

Michael Cheek report QR 5 and ongoing

Strategy 3B: Engage Community Partners in "Fostering Our Children's Unqualified Success (FOCUS)" for child welfare

Applicable CFSR Outcomes or Systemic Factors: SF 5 Applicable CFSR Items: 36 and 37


Quarter Due Quarter


3B.1‐Work with the courts to establish common vision for child welfare outcomes

3B.1.1 DPP attend Court Improvement Project (CIP) meetings and work with CIP staff to collaborate on common child welfare issues on an ongoing basis.

Michael Cheek Patrick Yewell


3B.1.2 Establish a regularly occurring meeting with judges to evaluate opportunities for improvement, such family drug courts and model court principles.

Michael Cheek Patrick Yewell


3B.1.3 Develop reports specific to collaboration with judges to be used at judges meetings and at CIP meetings.

Jim Grace Dr. Ruth Huebner

Patrick Yewell sample reports QR 3

3B.2 Work with the state mental health provider agency to increase their understanding of the needs of DCBS clients.

3B.2.1 Expand the use of Sobriety Treatment and Recovery Team (START) principles by substance abuse providers not participating in the START rogram through training.

Tina Willauer Dr. Ruth Huebner

presentation materials and participant list

QR 2

3B.2.2 Incorporate the use of child welfare data at State Interagency Council (SIAC) meetings to identify mental health service needs.

Michael Cheek meeting minutes QR 1

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State: Kentucky

Type of Report: PIP: Quarterly Report: Date Submitted: 03/01/10

Item-Specific and Quantitative Measurement Plan and Quarterly Status Report

Outcome/Systemic Factor: ____ Item: 3 (Services to family to protect children and prevent removal)

Performance as Measured in Final Report

85.00%

Performance as Measured at Baseline/Source Data Period

Negotiated Improvement Goal

Method of Measuring Improvement

CQI case review scores

Renegotiated Improvement Goal

Status (Enter the current quarter measurement for the reported quarter.)

Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11 Q12

Outcome/Systemic Factor: ____ Item: 4 (Risk assessment and safety management)


80.00%






Status (Enter the current quarter Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11 Q12

measurement for the reported quarter.)

Outcome/Systemic Factor: ____ Item: 7 (Permanency goal for child)


77.50%







Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11 Q12

Outcome/Systemic Factor: ____ Item: 17 (Needs and services to child, parent, and foster parent)


57.00%







Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11 Q12

Outcome/Systemic Factor: ____ Item: 18 (Child and family involvement in case planning)


54.00%







Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11 Q12

Outcome/Systemic Factor: ____ Item: 19 (Quality of casework around visits with child)


71.00%







Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11 Q12

Outcome/Systemic Factor: ____ Item: 20 (Worker visits with parents)


42.00%






Status (Enter the current quarter Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11 Q12

measurement for the reported quarter.)

State: Kentucky

Type of Report: PIP: Quarterly Report: (Quarter: )

Date Submitted: 03/01/10

VI. PIP Agreement Form

The PIP should be signed and dated by the Chief Executive Officer of the State child welfare agency and by the Children’s Bureau Regional Office responsible for the State. The approved PIP with original signature must be retained in the Children’s Bureau Regional Office. A hard copy of the approved PIP must be submitted to the following parties immediately upon approval:

State child welfare agency

Children’s Bureau (Child and Family Services Review staff)

Child Welfare Review Project, c/o JBS International, Inc.

Agreements

The following Federal and State officials agree to the content and terms of the attached Program Improvement Plan:

Name of State Executive Officer for Child Welfare Services Date

Children’s Bureau Date

State: Kentucky

Type of Report:

Date Submitted:

PIP:

03/01/10

Quarterly Report: (Quarter: )

VII. Amendments

The renegotiated content of the attached PIP, as summarized below, has been approved by State personnel and the Children’s Bureau Regional Office with authority to negotiate such content and is approved by Federal and State officials:

Renegotiated Action Steps, Benchmarks, or Improvement Goals

Date Renegotiated

Approval of State Executive Officer for Child Welfare Services

Approval Children’s Bureau

kentucky 2008 cfsr program improvement...

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