Post on 22-Feb-2022
OFFICE OF THE STATE COURTS ADMINISTRATOR
MODEL COURTS EVIDENCE-BASED PARENTING
INITIATIVE
Evidence-Based Parenting: Then and Now, the Road to Successful Implementation
2015 Child Protection Summit
Orlando, Florida
September 10, 2015
FIRST THERE WAS A VISION…
To improve the quality of parenting programs for families in Dependency as a means to achieving greater, lasting impacts on parental skills levels, attitudes and beliefs
To develop protocols to assure maximum accountability from parenting providers
To support the adoption and installation of evidence-based parenting curriculums at the circuit and state levels through structured 1:1 technical assistance
To collect parent progress data to support decisions related to improved parenting skills and for evidentiary use
To systematize reporting of parenting data at the circuit and state levels
COURT MANDATES FOR PARENTING
PROGRAMS
For families with open cases of abuse/neglect
(Dependency Court system) case plans have always
required the successful completion of a parenting
program as part of achieving reunification and/or
to sustain a child in the family of origin
(permanency outcomes)
Does completion have any impact on parenting
behavior?
Less than 2% of parent training
programs used in child welfare are
evidence-based
National Survey of Child and Adolescent Well-Being (NSCAW )
IMPLEMENTATION SCIENCE
Implementation
Team
NO Implementation
Team
Effective
(EBP)
80% successful in 3
years:--Good Implementation Outcomes
--Good Consumer Outcomes
14% successful
in 17 years:--Poor Implementation
Outcomes
--Poor Consumer
Outcomes
Ineffective
(non-EBP)
--Good Implementation
Outcomes
--Poor Consumer Outcomes
--Poor Implementation
Outcomes
--Poor Consumer
Outcomes
PREVIOUS STATUS QUO
Were we really capturing changes in beliefs, habits and
interactions pre/post with any promise of sustainability?
Was the parenting program helping to reduce the parental risks
that brought the case into court initially?
Were parents able to integrate skills they learned in class into
the daily activities of their lives?
PROTOCOL
COMPONENTS
Evidence-based parenting curriculums implemented with fidelity to meet the needs of the population each circuit serves. Map, select and trained facilitators.
Parent-child Behavioral Observations for children five years and younger are conducted with standardized rating protocol for pre/post data collection. Training for inter-rater reliability. Resources needed.
Additional pre/post data collection measures which have validity and reliability.
Parenting reports standardized
Parent readiness protocol prior to starting a program
Cross-disciplinary training and coaching to support the model
TECHNICAL ASSISTANCE PLAN
1:1 Calls/Support/Resources with Circuits monthly
Monthly statewide call for check-ins and offer circuit-to-circuit networking
Interim calls and resource materials provided
Coaching using implementation science steps to achieve maximum installation on the ground
Moved from large group TA to grouping of circuits by track
Introduced ‘fidelity’ and parent readiness concepts
SUPPORT TAILORED TO WHAT EACH
CIRCUIT NEEDS TO BE FULLY
INSTALLED WITH FIDELITY AND TO
SUSTAIN THE PARADIGM CHANGES
Participating Circuits to date: 1st, 2nd, 6th, 7th , 8th, 10th, 12th, 13, 16th, 17th, 19th
TODAY’S PANELISTS
William Nunnally
Teri Saunders
General Magistrate Randi Boven
Christa Pate
Families
First
Network
(CBC)
Department
of Children
and Families
Judge
Terrance
Ketchel
Private
AttorneysCOURT
ADMIN
Office of
Conflict
Counsel
Judge
Mary Polson
Bridgeway
Center, Inc.
Guardian
Ad Litem
Children’s
Legal
ServicesOkaloosa CountyImplementation
Team
EBP AND THE SYSTEM OF CARE
Where we were
Array of Family Support, Family Preservation/Reunification, and Behavioral
Health Services
Utilizing EBP curriculum without true fidelity
Where we needed to go
Standardization
Fidelity
Data
What we needed to build
Implementation Team
Parent Readiness Protocol
Behavioral Observation Capacity
Reports and Documentation
Contracts and Data Collection
Fidelity Reviews
PARENT READINESS AND PRACTICE
Parent Readiness Protocol
Initial assessment and determination of active/untreated MH or SA issue
Linkage to behavioral health treatment services
Upon 30 days of treatment engagement, clinical opinion is rendered
Rely on clinical judgment as to psychiatric stability and level of sobriety
Application to Practice
Assessment and Referral
Baseline Behavioral Observation
Group/In Home EBP
Final Observation
Reports and Documentation
CHALLENGES AND TECHNICAL
ASSISTANCE
Challenges
System resistance to delay in parents’ initiation of Evidence Based Parenting program due to parent readiness
Moving from open-ended to closed group format
Environment of care for behavioral observation
What TA has done for us
Kept us on task and focused
Held us accountable
Provided a framework
Kudos to Bridgeway Center, Inc.!
HOW OUR PROVIDER STEPPED UP!BRIDGEWAY CENTER, INC.
Provided time, resources, and financial support for training of
program staff (Nurturing Parent and Behavioral Observation)
Provides the initial assessment to determine parent needs and
appropriateness of services, including treatment
Provides linkage to behavioral health services and monitors
parents’ progress
Provides monthly progress reports to the Court
Actively participates in the Implementation Team
Who we are
Executive Management for the Community Based Care (CBC) Lead agency
What is our role in EB Parenting for our Circuit?
CBC leadership volunteered for the circuit to participate
Manage network of service providers, oversee delivery and quality of services and
interface with other systems that provide services to children and families
Who are the other players?
GAL, CLS, Regional Council (parents attorneys), Judges and General Magistrates
Our Journey with EB Parenting – from the beginning through March of
2013
Contract for Nurturing Parenting Program
From March of 2013 to the present
Some subtle and some significant changes
We built:
A Local Workgroup
Court reporting tools
Parent Readiness Assessment
Contract Restructure
Improved Delivery Model
Challenges
A quick, common sense solution for Behavioral Observation
Leveraging our relationships and Local Workgroup to eliminate obstacles before they
appeared
All parties “buy-in”
Parent Readiness – how we minimized case plan impact
What’s left to do?
Fidelity Monitoring
Ongoing Efficacy Assessment
Service Array Expansion
BROWARD
COUNTY
17th Judicial Circuit
Community Based Provider
Child Net
The TeamRandi Glick Boven, General Magistrate
Dr. Rachel Kaplan, Child Net
Cindy Bruschi, Attorney General Office
Dina Hyppolite, Office of Regional Counsel (parent attorney)
Liz Meyers, Mental Health Association
In the beginning:Each parenting provider used their own program
No monitoring of results
No protocol for issues or areas to be covered
No requirement that parent is ready
Judicial frustration
Check off list mentality from all sides of the table
Next StepGetting the providers and the
parents and the parent counsel to
join the effort and realize the
benefits of evidence based parenting
Building the ProgramEducating the providers was primary
Communication between providers
and case managers is required
Challenges?Oh yes, there were challenges
• Delayed permanency?
• Cost to train providers
• Creating usable forms
• Lack of cooperation
Actually, we found that
permanency may
occur sooner
The initial up front
expense to train was not
unreasonable
community resources
helped with costs
Forms were shared
throughout the state to help
get started. We changed
some aspects for our use,
but no need to recreate the
wheel. We continue to
update and change the forms
Parents, attorneys and case
workers are cooperating as
they begin to see benefits.
Fidelity issues remain and
require continued
attention
Parent readiness issues remain
and require continued attention
Parents who are “not ready” may not
gain insight from the program
Failure to have parents meet
readiness protocol wastes
funds and time
It is not necessary for parents
to have completed parenting
for them to gain increased visits
or reunification. The readiness
does not delay permanency.
QUESTION THE STATUS QUO