sip outcome area - p4 reentry into foster care workgroup ... · koinonia family services attendees...

SIP Outcome Area - P4 Reentry into Foster Care Workgroup Meeting Agenda

Date: July 22, 2019

OB3, Conference Rm 1 3701 Branch Center Rd Sacramento CA 95827

Karen Parker – Co-Chair (P4), CPS Emily Kaiser, Co-chair (P4) –

Koinonia Family Services

Attendees

X Jade Tea - CPS- Emergency Response/Informal Supervision

Christina Boakye-Donkor- CPS PS X Karen Parker - CPS- ER/IS

X Edward Fernando - CPS- Program Administration (PA) X Chris Costa for Traci Lee - County Counsel Melanie Perez- CPS-PA X Sarah Duncan – CPS - Permanency

Leslie Matthews - Alternative Family Services X Charlene Duffy - CPS-Permanency (PS)

X Laurie Clothier – Birth & Beyond (River Oak) X Jennifer Shebesta – Stanford Youth Solutions Katherine Nickerson- CPS-ER/IS

X Dianne McFarland - CPS-Court Services (CS) Emily Kaiser- Koinonia Family Services X Gina Roberson - W.E.A.V.E. Niku Mohanty-Campbell - CPS-PS Susan McKee – CPS-ER/IS Vinder Lallian - My Sister’s House

X Renee Velazquez - Birth & Beyond (La Familia) X Korlany Roche – DBHS X Leslie Olson - CPS- Program Support X Alexander Garlinger - A Community for Peace X Carol Ramirez – Lilliput X Mayda Arce - Birth & Beyond (La Familia) X Donna Brown - A Community for Peace X Robin Kwizer – Cultural Broker’s Program Carrie Britton – CPS-PA X Bridget Stumpf for Trish Kennedy – Cultural Broker’s Program

Discussion/ Action Items Agenda Item/Discussion Minutes:

1

Welcome and Introductions (Charlene)

Charlene welcomed new members and facilitated introductions.

Co-chair, Emily Kaiser, has moved to their Koinonia Placerville office and will no longer be a P-4 workgroup member and co-chair.

Review and approve April 22, 2019 meeting minutes (Emily)

Last meeting minutes were reviewed and accepted with one correction regarding the FSW referral form being updated to “add SOP language”.

CFT meeting updates (Sarah)

Sara provided Child Family Team Meeting (CFTM) updates:

Noted CANS is rolling out more slowly than CFTMs – we have 5 clinicians who are completing CANS in pilot stage – 10 court cases each. We need to align CANS with release of authorization prior to giving out copies. Training is being conducted with Court Services program.

Reviewed Permanency CFTM handouts o Data summary tables:

As of July 2019 we crossed the threshold of 500 meetings

With extra scheduler are now scheduling CFTMs within week referral submitted

o Regional Meeting Breakdown: Pointed out Permanency South has five


Date: July 22, 2019




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CFT meeting updates (Sarah) continued

CFT meeting updates (Sarah) continued

social worker units versus Permanency Central who has 4.

Court Services will always reflect more meetings due to requirement for CFTM for case planning purposes

Noted regional meeting data is not to be used as a comparison but as only stages for program managers to track

o Length of CFTMs: 97 minutes (1 hr. 37 mins.) was the average

for June 2019 o Meeting End Time:

In June 2019, 5 meetings ended after 5:00 p.m. – those meetings are being tracked and have decreased since January 2019

From January 2019 through June 2017, 63% of meetings were held in the afternoon versus 37% in the morning.

Mary Tarro provided SOP coaching to CFTM facilitators regarding Harm and Danger statements

Moving forward the Northern Regional Training Academy will be providing CFTM training to social workers, which will


Date: July 22, 2019




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better align with SOP as they are the same trainers

Two day CFTM training was held with the Court on June 27 and 28, 2019. Same training will be held with County Counsel Association of California Conference on November 7 and 8, 2019.

Sarah clarified that data for CFTMs by behavioral health are collected through Avatar, which is a different system than that the one CPS is using to collect data for Uplift CFTMs.

It was noted that CFTM outcome data would be helpful for measure P4. It was questioned whether Tara Zielenski was providing Prevention Child Family Team Meeting (PCFTM) data for S2 workgroup – Charlene will follow up

CFTM policy and procedure is in draft form. Currently, the confidentiality section is being worked on and writers will continue to incorporate/update information.

There was a request for CSEC advocates to receive CFTM training – Sarah will follow up

P4 quantitative study of 2015 cohort recap (Edward) P4 quantitative study of 2015 cohort recap (Edward) continued

Edward provided recap of P4 quantitative study of 2015 cohort. The following were noted:

o Black children, due to disproportionality of entries, had the most reentries (22.1%) when compared to other ethnicities in that cohort (12.2% White and


Date: July 22, 2019




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P4 quantitative study of 2015 cohort recap (Edward) continued

9.1% Latino) o None of the reentries by time in care (0 to 30 days –

17.6%, 1 to 6 months – 13.4%, or 6 months to 1 year – 10.7%) met the national standard (8.3% or lower)

Noted that short stayers of 0-30 days (17.6%) had the highest percentage of reentries

o Informal Supervision (IS) had highest numbers of reentries (22 out of 75 children – 29.3%)

Noted we may want to focus on IS because they are the program with the highest reentries

Permanency Program Regions varied in reentry rates: o North region was the highest (14.7%); however, they

tend to have the highest number of cases o Separately, Central (8.3%) and East (8.0%) regions

both performed better than the state (10.4%), and also met the national standard (8.3%)

o South region (11.0%) was close to the state’s performance (10.4%)

o East region had the least reentries (9 out of 112 children)

Emergency Response (ER)/Informal Supervision (IS)


Date: July 22, 2019




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Regions also varied by reentries: o East region had the highest number of reentries (15

out of 31 children), which amounted to 48.4% when compared to North (17.3%) and South (18.9%)

o None of the regions met or neared state performance (10.4%)

P4 quantitative study of 2015 cohort – Review of CPS management feedback (All)

Group reviewed feedback handout from the Permanency Management Meeting (PMT) and ER&IS Management Meeting

Next Steps (All) Next Steps (All) continued

The following feedback/ideas/suggestions were discussed: o Would be beneficial to implement the “Parent

Coaching Model” during parental visitation that some other counties are successfully using

o Make sure everything is in place 30-60 days prior to family reunification and then follow the case 3-6 months post reunification

o Have Birth and Beyond (B&B) present at last CFTM at case closure

o Acknowledged complicating factors in regards to having a clear vision moving forward due to P4 data being in the past several years (2015):


Date: July 22, 2019




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Next Steps (All) continued

How can we balance or make recommendations when they may not be as relevant today?

Caseloads were higher in 2015 than they are now

Even current data, if possible, is difficult to assign causality because our families are so dynamic and there is so much to look at – uniqueness of every individual family member and their circumstances

Also, if could look 3 years later, numbers could be great but we would not really know if it was because of CFTMs.

The numbers only help us look and be intentional about our work

Behavior is hard to measure Data is old but is a good baseline moving

forward Can use old data to decide to study a

particular group (e.g., children age 1 and younger)

o Cultural Broker shared that even with use of initial


Date: July 22, 2019




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survey and end survey, it can still be difficult to obtain structured feedback; however, we know that CFTMs and the Cultural Broker’s program are best practice and make a difference.

o IS program continually focuses on continuous quality improvement (CQI)

From a partner perspective, maybe IS can do something differently

Other counties that are performing well may be serving less children or do not have IS or Protective Emergency Placement Services (PEPS – voluntary placement of children by their parents/guardian into out of home foster care for up to 28 days)

Now that we know ER/IS have skewed numbers when compared to Permanency it would be good to take a look at ER&IS more closely – Karen will take back to her program and look further

More B&B representation would be helpful in CFTMs – encourage social workers to invite

o Would be good to drill down trend for contributing


Date: July 22, 2019




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factors: Alcohol and other drug (AOD) related,

domestic violence (DV) with some mental health (MH) components

o Discussed that DV survivors: Often are forced to use drugs as part of

abuse They are already overstressed Usually have no support system Often “checked out” Overall health of individual survivor needs to

be taken into consideration Often given too many tasks to complete Frequently have no training on how to parent

(i.e., perceive their children like a new puppy, believing that merely providing a home and food is sufficient)

Need support similar to Cultural Broker’s program

Would benefit from intensive supportive services similar to AOD services that have Drug Court, Specialized Treatment and


Date: July 22, 2019




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Recovery Services (STARS) etc… o DV – other feedback/ideas:

Look at initial DV services Are referrals happening quickly

enough Because DV survivors are usually

angry and feel re-victimized when CPS is involved, how can we minimize further negative impact on the individual?

That is what the Cultural Broker Program does – would be good to have same support/intervention with DV families

Also need to wrap and link because of prevalence of MH issues

DV survivors may have “no clue” how to parent – need added support

PTSD will be trigger DV survivors, complicating their ability to parent

The mental, emotional, and


Date: July 22, 2019




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psychological impact of DV is very detrimental

Coaching is sometimes more valuable than training

There is value in having partners help with incremental steps across our system

We struggle with assessing DV – each person needs to be assessed individually

Identifying a parent partner to be part of CFT would be important

Look at how we can train volunteers and advocates

Can CPS provide training to volunteers and advocates?

o Visitation is essential for families and can be tedious to arrange/facilitate; however, having higher quality visitation (coaching) will be a key factor.

Parent Coaching Program Training FSWs or other paraprofessionals to

engage and coach families Understand that children have lost trust and


Date: July 22, 2019




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may be exhibiting behaviors during visitation because they have moved from place to place

Next Steps – Follow Up and Themes

Charlene to ask Barbara Oleachea if Tara Zielenski has provided PCFT data to the S2 workgroup meeting

Sarah will follow up regarding CSEC advocates receiving CFTM training

Karen will take back ER/IS data and look into further

Continue to look at how B&B representation can be utilized/invited at CFTMs especially at return home and case closure

Continue to look at how DV services can be enhanced

Continue to look at how CPS can implement parent coaching during visitation

Plus/Delta (Karen)

PLUS +

Exciting to have new partners to help us because we cannot do it by ourselves

More Community partners than CPS today

Discussion of quantitative study was good

DELTA -

It would be nice for families to know we are having these conversations

Suggest taking notes on large paper so that key feedback is captured by the group


Date: July 22, 2019




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Appreciation for positive reception of collaborative thoughts to close gaps

Carol Ramirez with Lilliput volunteered to be new co-facilitator after meeting

Need new partner co-facilitator

Next meeting date

Next Meeting Date: – October 28, 2019 from 9:00 a.m. - 11:00 a.m., OB3, Conference Room 1 (3701 Branch Center Rd., 95827)

sip outcome area - p4 reentry into foster care workgroup ... · koinonia family services attendees...

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