IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based...

74
STANDARDS MONITORING EVALUATION PERFORMANCE MEASUREMENTS AND ACCOUNTABILITY IN PROVIDING CONTRACTED CHILD CARE AN]) PROTECTION IN BRITISH COLUMBIA A RESEARCH PAPER Prepared for the GOVE INQUIRY INTO CHILD PROTECTION

Transcript of IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based...

Page 1: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

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Page 4: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

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mos

to

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fost

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s,an

din

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spr

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out

4,00

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agre

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gw

ithch

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nan

dfa

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esat

anan

nuai

cost

of

$300

mill

ion.

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min

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yco

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cts

with

ava

riety

ofno

n-pr

ofit

and

prof

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esto

help

child

ren

and

thei

rfa

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quire

the

nece

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ysk

ills

topr

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epr

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orac

hiev

eim

port

ant

lifes

kills

thro

ugh

coun

selli

ng,

hom

eca

re,

and

plac

emen

ts.

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cont

ract

arra

ngem

ents

are

base

d

larg

ely

onth

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aditi

onal

mod

elw

here

bygo

vern

men

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ods

and

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ices

atth

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enm

aint

ains

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sine

ssre

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psw

ithth

esu

cces

sful

bidd

ers

who

deliv

erth

ese

rvic

e.

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ing

the

past

four

year

sth

ere

has

been

asi

gnifi

cant

incr

ease

inth

enu

mbe

ro

fdo

llar

valu

e

of

cont

ract

sis

sued

byth

em

inis

try.

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exam

ple,

the

num

ber

ofch

ildca

rere

sour

ceco

ntra

cts

incr

ease

dfr

om1,

200

to1,

660

(38

per

cent

)an

dco

sts

incr

ease

dby

15pe

rce

nt.

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ilarly

,

the

num

ber

of

cont

ract

sfo

rse

rvic

esto

supp

ort

fam

ilies

incr

ease

dfr

om60

7to

1,30

7(1

15pe

r

cent

)an

dco

sts

incr

ease

dby

71pe

rce

nt.

Ale

adin

gis

sue

iden

tifie

ddu

ring

the

exam

inat

ion

ofth

eco

ntra

ctw

ork

was

the

abse

nce

of

stan

dard

s,m

onito

ring,

eval

uatio

n,an

dpr

ogra

ms

tode

term

ine

valu

efo

rm

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.

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abse

nce

ofcl

early

defin

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dco

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only

supp

orte

dst

anda

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prev

ents

mon

itorin

gan

d

eval

uatio

no

fch

ildan

dfa

mily

serv

ices

inB

ritis

hC

olum

bia.

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inab

ility

toev

alua

te

deliv

ery

activ

ities

,co

mbi

ned

with

afra

gmen

ted

deci

sion

-mak

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and

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trativ

esy

stem

unde

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toen

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for

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and

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ectio

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GO

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95

Page 5: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

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OR

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LU

AT

ION

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])A

CC

OU

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AB

ILIT

Y

Afte

rm

orethan

10years

of

seekingto

defme

andreach

agreement

aboutstandards

thew

ork

remains

unfinished.This

unfinishedw

orkcontributes

tom

anyo

fthe

currentconcerns

raised

bythe

ministry

staff,contracted

agencyrepresentatives,

comm

unityinterest

groupsand

the

clientsw

hofo

rpuiposes

of

thispaper

arechildren.

Without

aset

of

acceptableand

recognizedstandards

thereis

nom

eaningfulevaluation

system,

andw

ithoutm

onitoringand

evaluationreports

thereis

now

ayto

determine

outcomes

of

thew

orkin

terms

of

providing“care”

and“caring”

tochildren,

qualityassurance

and

valuefo

rthe

money

usedby

them

inistry.

An

examination

of

thesubm

issionsprovided

tothe

Inquiryand

areview

of

comm

ents

presentedat

meetings

throughoutthe

province,clearly

showan

overwhelm

ingneed

to

providestandards

toensure

consistentlevels

of

service.There

isfu

llagreem

entam

ongall

thecare

providersthat

theuse

of

standardsw

ouldserve

asthe

foundationupon

which

evaluationm

odelscould

beused

todecide

whether

thehelp

orservice

providedto

children

exceeds,m

eets,or

fallsshort

of

provincialand

comm

unityexpectations.

Research

shows

anabundant

awareness

aboutthe

needto

providestandards.

Them

ain

blockageor

difficu

ltyin

acceptancein

British

Colum

biaappears

tobe

theinability

ofthe

ministry

tofinalize

thew

orkand

proceedw

ithim

plementation

orrecognize

andadopt

standardsalready

developedby

othersin

theprovince.

GO

VE

Inq

uiry

Into

Ch

ildP

rotection-

July,

19952

Page 6: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

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urge

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and

supp

ort

for

stan

dard

sar

efo

und

indo

cum

ents

,bo

thhi

stor

ican

dcu

rren

t,

subm

itted

toth

em

inis

try.

For

exam

ple,

aJu

ly19

94dr

aft

pape

rpr

epar

edby

the

Chi

ldan

d

You

thS

ecre

taria

tno

tes,

“th

ene

edfo

rco

mpr

ehen

sive

stan

dard

sin

child

and

yout

hse

rvin

g

prog

ram

sem

erge

das

the

unm

etch

alle

nge”

.’

The

exam

inat

ion

foun

dan

ongo

ing

effo

rtto

com

plet

ea

set

of

stan

dard

s,ho

wev

er,

for

a

num

ber

of

adm

inis

trat

ive

and

orga

niza

tiona

lre

stru

ctur

ing

reas

ons,

nom

eani

ngfu

lpr

ogre

ss

has

occu

rred

.

The

stud

yde

tenn

ined

that

stan

dard

sar

ere

quire

dno

wto

over

com

edi

fficu

lties

onqu

estio

ns

of

eval

uatio

ns,

mon

itorin

g,ac

coun

tabi

lity,

qual

ityas

sura

nce

and

valu

e-fo

r-m

oney

.

This

pape

rst

udie

sth

ene

edfo

rst

anda

rds

and

reco

mm

ends

anim

med

iate

solu

tion

base

don

the

cons

truct

ive

wor

kpr

epar

eddu

ring

the

past

deca

de.

Chi

ldan

dYo

uth

Secr

etar

iat.

P.1.

GO

VE

Inq

uiry

Into

Ch

ildP

rote

ctio

n-

July

,19

953

Page 7: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

1.1S

umm

aryo

fF

indings

1.There

isan

inabilityto

convertlegislative

policiesinto

standardsfor

child

welfare

andprotection

inthe

contractcom

munity.

2.D

uringthe

pastdecade

anum

bero

fw

ell-documented

andconstructive

papers

with

actionplans

andrecom

mendations

aboutstandards

were

preparedand

submitted

tothe

ministry

bya

wide-range

of

interestedgroups.

3.A

dministrative

andfm

ancialcontrols

existand

compliance

auditsare

conductedbut

thereis

noclear

focuson

standards,levels

ofservice

and

expectedoutcom

esby

which

tom

easurethe

successor

failureo

fthe

contractorto

dothe

work.

4.A

bsenceo

fstandards

preventsthe

ministry

fromdeterm

iningw

hetherthe

tax

payer,the

government,

them

inistry,the

comm

unity,the

contractedagency

or

individual,and

theclient

receivevalue

for

money

spenton

childservice

programs.

5.A

bsenceo

fstandards

andfailure

torecognize

andincorporate

theextensive

researchand

preparationw

orkto

datehas

resultedin

afragm

entedservice

deliveryprogram

.

6.A

nim

mediate

needexists

todevelop

performance

measurem

ents,based

on

childw

elfareand

protectionthat

canbe

usedto

monitor,

measure,

and

evaluateservices

inthe

contractsector.

GO

VE

Inq

uiry

Into

Ch

ildP

rotection-

July,

19954

Page 8: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

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and

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num

bere

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for

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Page 13: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

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ITO

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GA

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ITQ

UA

LIT

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Ministry

of

Social

Services

2316

77

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Contractors

916

1517

311

Independent11

278

71

4

FosterParents

56

11

02

Aboriginal/F

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ationsPeoples

56

32

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ublicS

ervice1

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Totals:

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9141

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9183

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Page 14: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

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9511

Page 15: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

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Therequirem

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arrangements

toprovide

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autionsabout

thelack

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issues,levels

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andquality

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servicew

ere

notedin

a1981

paperprepared

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British

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overnment

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GE

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papertitled,

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accountability,quality

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the1990

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ofthe

Om

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“Public

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outhand

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amilies

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thestandards

thereis

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theInquiry

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“managem

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1992A

uditorG

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eportreview

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2B

ritishC

olumbia

Governm

entEm

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nion(B

CG

EU

).D

ecember

1981.“The

nongovernm

entSocialService

Delivery

Systemof

British

Colum

bia.”.4

GO

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12

Page 16: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

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and

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hSe

cret

aria

t.P.

1.4

GO

VE

Inq

uiry

Into

Chi

ldP

rote

ctio

n-

July

,19

9513

Page 17: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

Thesestandards

providenot

onlythe

coreparts

butalso

detailsw

hichform

anim

mediate

startingpoint

for

imm

ediatediscussions

toprovide

thebasis

of

acceptableprovincial

standards.

TheC

hildand

Youth

Secretariat,

createdin

1991,identified

theneed

for

standardsas

a

priorityitem

.A

working

groupw

asform

edto

considerthe

needfo

rstandards

andprepare

a

reportbased

on:

oprinciples

onw

hichto

baseservice

delivery;

oa

seto

fstandards

for

serviceintegration

ofjoin

tlyfunded

programs;

oan

on-goingprocess

for

integratednon-governm

ent/government

service

standarddevelopm

ent;and

oan

on-goingprocess

toim

proveinternal

grievanceand

administrative

reviewprocesses.

GO

VE

Inq

uiry

Into

Child

Protection

-Ju

ly,1995

14

Page 18: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

The

1981

pape

rpr

epar

edby

the

BC

GE

Uca

utio

ned

that

“set

ting

of

stan

dard

sis

ofte

na

very

arbi

trar

ypr

oces

s.Th

epa

per

stat

es:

Nor

ms

ofte

nbe

com

eth

est

anda

rds,

ther

eby

mak

ing

qual

ityse

rvice

s~sy

nony

mou

sw

ith

acce

pted

prac

tices

.A

sgo

vern

men

tha

spl

ayed

the

maj

orro

lein

soci

alse

rvic

ede

liver

y

inth

epa

stfe

wye

ars,

itha

sbe

com

eth

est

anda

rdag

ains

tw

hich

tom

easu

requ

ality

for

man

ype

ople

.6

The

stud

yal

sofo

und

anu

mbe

ro

fin

stan

ces

inw

hich

repo

rtsan

dsu

bmis

sion

sw

ere

mad

eto

the

min

istr

yan

dno

actio

nw

asta

ken.

For

exam

ple,

the

Rep

ort

onth

eTa

skFo

rce

onth

e

Del

iver

yo

fHom

eS

uppo

rtS

ervi

ces

toth

eM

inis

try

ofS

ocia

lSer

vice

san

dH

ousi

ngw

as

com

plet

edin

1989

and

the

rere

com

men

datio

nsre

mai

nre

leva

ntto

day.

The

repo

rtan

dits

reco

mm

enda

tions

wer

epr

esen

ted

toan

ddi

scus

sed

with

the

min

istr

yre

pres

enta

tives

on

seve

ral

occa

sion

s.Th

ese

incl

uded

mee

tings

with

Fam

ilyan

dC

hild

ren’

sS

ervi

ces

inM

arch

,

1991

;an

assi

stan

tde

puty

min

iste

rin

Oct

ober

,19

92;

Fam

ilyan

dC

hild

ren’

sS

ervi

ces

in

Dec

embe

r19

92;

min

istr

yst

aff

inF

ebru

ary/

Mar

ch19

93;

and

the

Min

iste

rin

Aug

ust,

1994

.

Afu

rthe

rV

icto

riam

eetin

gw

itha

num

ber

of

repr

esen

tativ

eso

fth

eas

soci

atio

nis

plan

ned

in

July

1995

.

Thro

ugho

utth

eco

ntra

ctst

udy

proj

ect

ther

ew

asa

cons

iste

ntde

man

dfo

rst

anda

rds

asa

basi

s

ofp

rovi

ding

deta

ilsin

the

“Sch

edul

eA

”or

serv

ice

deliv

ery

parts

of

cont

ract

s.A

succ

essf

ul

pilo

tpr

ojec

tw

asst

arte

dby

agr

oup

of

north

ern

mem

bers

ofa

prov

inci

alas

soci

atio

nan

dth

eir

failu

reto

have

the

form

atad

opte

dou

tline

din

the

follo

win

gre

ason

s:

1.di

sagr

eem

ent

rega

rdin

gw

hich

cost

item

ssh

ould

bein

clud

edin

aco

stca

tego

ry;

6B

CG

EU

Op.

Cit.

P.11

.

GO

VE

Inq

uiry

Into

Chi

ldP

rote

ctio

n-

July

,19

9515

Page 19: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

])A

CC

OU

NT

AB

ILIT

Y

2.significant

differencesin

them

ethodsused

byfunders

(ministries)

tocalculate

unitrates.

For

example,

SocialS

ervicesdivided

totalcosts

byactual

hourso

f

directclinical

services;other

ministries

lookedat

eachcost

category

individually;and,

3interest

increating

anintegrated

“Schedule

A”

was

lostdue

todiffering

prioritiesam

ongflanders.

For

example,

theM

inistryo

fH

ealthw

as

preoccupiedat

thetim

ew

ithN

ewD

irections.

A

GO

VE

Inq

uiry

Into

Ch

ildP

rotection-

July,

199516

Page 20: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

5.0

TH

EIS

SUES

The

stud

yha

sde

term

ined

that

ther

ear

esi

gnifi

cant

wea

knes

ses

inth

ear

eso

fm

onito

ring,

eval

uatin

g,an

dco

rrec

ting

child

wel

fare

and

prot

ectio

nw

ork

inB

ritis

hC

olum

bia

beca

use

of

the

lack

of

stan

dard

sfo

rco

ntra

cted

reso

urce

s.Th

efo

llow

ing

sum

mar

yan

ddi

scus

sion

list

is

desi

gned

tohe

lpw

ithth

eid

entif

icat

ion

of

the

lead

ing

issue

san

dre

com

men

dac

tions

to

over

com

eth

ew

eakn

esse

s.

ISS

UE

1:Th

eab

senc

eo

fun

iform

orco

mpr

ehen

sive

stan

dard

sin

child

wel

fare

.

Sum

mar

ydi

scus

sion

:

The

revi

ewte

amha

sst

udie

dth

eco

mpl

eted

wor

kin

the

area

ofst

anda

rds

for

cont

ract

edre

sour

ces

inB

ritis

hC

olum

bia

and

dete

rmin

edth

isis

sue

can

be

reso

lved

usin

gex

istin

gw

ork

with

afu

lltim

eef

fort

and

with

ina

time

of

six

mon

ths.

The

stud

ypr

opos

esa

mat

rixo

fco

mm

onar

eas

of

agre

emen

tas

the

star

ting

poin

tof

thes

edi

scus

sion

s.

4

GO

VEIn

qu

iry

Into

Ch

ildP

rote

ctio

n-

July

,19

9517

Page 21: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

STA

ND

AR

DS

,M

OM

TO

RIN

G,

EV

ALU

AT

ION

AN

])A

CC

OU

NT

AB

iLITY

ISS

UE

2:The

inabilityo

fprevious

effortsw

ithinthe

Ministry

of

Social

Services

and

acrossrelated

ministries

andcoordinating

groupsto

reachagreem

enton

practicestandards

forcontracted

resources.

Sum

mary

Discussion:

Thestudy

hasfound

alack

of

collegialor

co-operativeinfluences

between

the

ministry

of

interestedgroups

tom

oveforw

ardon

theim

portantissues

of

standardsfo

rcontracted

resources.The

studyis

unableto

determine

theroot

causeo

fthis

lacko

fco-operation

butit

isclear

fromthe

executivelevel

correspondencethat

offerso

fhelp

tocom

pletethe

work

havebeen

consistently

rejected.

ISS

UE

3:F

ailureo

fpolicies

andprocedures

toenable

theprofessional

worlcforce

touse

theirdiscretion

inm

akingdecisions.

Sum

mary

Discussion:

Social

workers

andcare

providersin

boththe

ministry

andcontracted

agencies

seekstandards,

policiesand

proceduresto

providethem

with

thediscretionary

opportunitiesto

dotheir

work

asprofessionals

without

constantconcern

about

theirw

orkefforts

beingoverruled.

Thereis

aneed

for

principle-based

professionaljudgement

inthe

dailyw

orko

fsocial

workers,

financialassistance

workers,

andtheir

colleaguesin

thecontract

comm

unity.

GO

VE

Inq

uiry

Into

Ch

ildP

rotection-

July,

199518

Page 22: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

STA

ND

AR

DS

,M

ON

ITO

RIN

G,

EV

ALU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

ISS

UE

4:A

nad

min

istra

tive,

orga

niza

tiona

l,an

dop

erat

iona

lsy

stem

base

don

fragm

ente

d

wor

kan

dse

rvic

ede

liver

ypa

ttern

s.

Sum

mar

yD

iscu

ssio

n:-

The

exam

inat

ion

show

sth

atth

eco

mm

unic

atio

nlin

ksbe

twee

nan

dam

ong

the

min

istr

ies,

agen

cies

,co

ntra

ctor

s,ca

repr

ovid

ers,

child

ren

and

fam

ilies

as

clie

nts

are

fragm

ente

dan

dth

eav

aila

ble

info

rmat

ion

tom

aint

ain

aca

sefil

eis

ofte

nne

ither

shar

eddi

rect

lyno

rtra

nsfe

rred

whe

na

fam

ilym

oves

.Th

isal

so

occu

rsre

gula

rlyw

hen

staf

fre

spon

sibl

efo

rth

em

anag

emen

to

fth

eca

se

chan

ge.

Als

o,th

ere

are

nocl

ear

guid

elin

esto

enco

urag

eca

seco

nfer

ence

s,in

tera

genc

y

mee

tings

,an

dco

nsol

idat

edpo

licie

san

dpr

oced

ures

toas

sist

with

the

appl

icat

ion

of

stat

utor

ych

ildse

rvic

es.

And

,w

hen

case

conf

eren

ces

are

sche

dule

dit

isof

ten

that

the

mos

tcr

itica

lre

pres

enta

tives

,th

em

inis

try

soci

al

wor

kers

,ca

nnot

ordo

not

atte

ndan

dth

epl

anni

ngan

ddi

scus

sion

beco

me

mea

ning

less

,or

they

atte

ndan

dha

veal

read

yde

term

ined

wha

tis

goin

gto

be

the

case

plan

..

GO

VE

Inq

uiry

Into

Chi

ldP

rote

ctio

n-

July

,19

9519

Page 23: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

ISS

UE

5:Lack

of

models

tointegrate

servicesusing

co-operative,collegial,

orconsensus

approaches.

Sum

mary

Discussion:

Thereis

adisconcerting

anddom

inantcontrol

bythe

ministry

which

discouragesparticipation

andinteraction

bycontracted

agenciesw

hoprovide

them

ajorityo

fdirect

servicesand

usesim

pliedor

directthreat

of

losso

f

contractsas

areinforcem

enttool.

Information

israrely

forthcoming

fromthe

ministry

staffto

contractorsand

especiallyfoster

parents.

ISS

UE

6:B

rokenand

mis-m

atchedlines

of

accountabilitybecause

of

thediverse

interests

inservice

deliveryprogram

s.

Sum

mary

Discussion:

Thestudy

hasfound

ahigh

levelo

funcertainty

inthe

lineso

fgovernance

and

accountabilityo

fchild

careas

toactual

deliveryo

fservices

basedon

sharing

partnerships,com

munity

involvement,

directprovincial

participation,and

the

roleo

fthe

contractor.

For

example,

casem

anagement

isdescribed

asconsistently

poor.A

principal

reasongiven

isthat

ministry

socialw

orkersretain

theright

tocase

managem

entbut

actualplanning,coordination,

andm

anagement

fallsto

the

contractedagencies

bydefault.

Them

ajorproblem

isthat

accountabilityfo

r

thecase

managem

entportiono

fthe

work

doesnot

followto

thecontractors.

Theresult

isconfusion

onthe

parto

fthe

contractedagencies

asto

howfar

theycan

become

involvedin

casem

anagement

without

upsettingthe

ministry

staffand

resultingchallenges

which

occur.

GO

VE

Inq

uiry

Into

Ch

ildP

rotection-

July,

199520

Page 24: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

Min

istr

yso

cial

wor

kers

dono

tac

cept

that

they

shou

ldco

oper

ate,

how

ever

,

they

seek

and

dem

and

that

othe

rsco

oper

ate

with

them

,w

hich

resu

ltsin

one-

way

flow

of

info

rmat

ion.

The

min

istr

yha

sno

way

tode

term

ine

whe

ther

the

tax

paye

r,th

ego

vern

men

t,

the

min

istr

y,th

eco

mm

unity

,th

eco

ntra

cted

agen

cy,

and

the

clie

ntre

ceiv

e

valu

efo

rm

oney

spen

ton

child

serv

ice

prog

ram

s.

ISS

UE

7:M

onito

ring

Chi

ldW

elfa

rese

rvic

espr

ovid

edth

roug

hco

ntra

ct.

Sum

mar

yD

iscu

ssio

n:

Con

tract

ors

have

told

the

Inqu

iryas

part

of

the

rese

arch

and

info

rmat

ion

gath

erin

gw

ork

that

ther

ear

eno

mon

itorin

gor

eval

uatio

nto

ols

used

aspa

rto

f

the

cont

ract

revi

ewan

dye

tth

ese

sam

eco

ntra

ctor

sin

dica

teth

atth

ese

tool

sar

e

easi

lyav

aila

ble.

Kno

wle

dge,

skill

san

dex

perie

nce

exis

tto

prov

ide

eval

uatio

n

and

mon

itorin

gpl

ans

for

serv

ice

deliv

ery

prog

ram

s.Th

ere

sear

chha

sbe

en

done

and

the

met

hodo

logy

and

appl

icat

ions

are

avai

labl

e.Th

ere

isno

need

to

inve

ntne

won

es.

ISS

UE

8:S

PM

Han

dF

and

CS

appr

oach

esto

Qua

lity

Ass

uran

ce

Sum

mar

yD

iscu

ssio

n:

The

Pro

vinc

ial

Rev

iew

Team

cont

ract

edse

rvic

epr

ovid

esan

ongo

ing

mon

itorin

gov

ervi

ewo

fre

side

ntia

lho

mes

for

men

talh

ealth

patie

nts.

Ther

eis

noco

mpa

rabl

em

onito

ring

with

inth

eF

amily

and

Chi

ldS

ervi

ces

sect

ion

to

repo

rton

qual

ityas

sura

nce

mat

ters

.

4

GO

VE

Inq

uiry

Into

Ch

ildP

rote

ctio

n-

July

,19

9521

Page 25: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

STA

ND

AR

DS

,M

ON

ITO

RIN

G,

EV

ALU

AT

ION

AN

DA

CC

OU

NT

AB

ILITY

ISS

UE

9:A

uditorG

eneralV

alue-for-Money

report.

Sum

mary

Discussion:

TheO

fficeo

fthe

Auditor

General

isencouraging

ministries’to

takean

increasedleadership

rolein

seekingvalue

for

money

information

aspart

of

programevaluation

work.

TheA

uditorG

eneral’s1992

Report

onw

orko

fthe

Ministry

of

Social

Services

says:

Managing

socialservice

deliveryinvolves

fmding

theright

mix

of

differentkinds

ofservice

deliveryto

meet

theclient

needs,w

hile

making

thebest

useo

flim

itedresources.

One

keycom

ponentof

gettingthe

rightm

ixis

knowing

howw

ell

differentkinds

ofservice

deliveryactually

producethe

desiredbenefit

for

theclient:

inother

words

howeffective

arethey?

Theother

key

component

iscost:

howm

uchdid

them

inistryhave

topay

toget

the

amount

of

service.

Theinability

of

theA

uditorG

eneral’sstaff

toconduct

valuefor

money

audits

andto

focuson

childcare

issuesis

highlightedin

the1992

report.The

report

alsofinds

thatthe

ministry

monitors

primary

objectiveso

ftheir

programs

but

doesnot

addresseither

clientneeds

orcosts

of

producingprogram

sor

actual

benefits,client

satisfaction,w

orkingenvironm

ent,assets

andperform

ance

monitoring.

Thereport

concludesthat

while

thereis

agreement

within

the

ministry

thatm

onitoringshould

occur,there

islittle

centraldirection

onhow

it

shouldbe

carriedout.

GO

VE

Inq

uiry

Into

Child

Protection

-Ju

ly,1995

22

Page 26: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

Cur

rent

mon

itorin

gis

ofte

nin

form

al,

and

area

man

ager

san

dth

eir

staf

f

are

kirg

ely

left

tode

velo

ppr

oces

ses

asth

eyse

efit

.7

Ther

eis

anab

senc

eof

any

fram

ewor

kin

the

min

istr

yto

defe

rmin

ew

heth

eror

not

cont

ract

ing

gene

rally

,or

spec

ific

cont

ract

s,pr

ovid

ego

odva

lue

for

tax

dolla

rs.

~B

ritis

hC

olum

bia.

Offi

ceo

fthe

Aud

itor

gene

ral.

Ann

ualR

epor

tto

the

Legi

slat

ive

Asse

mbl

yof

Brit

ish

Col

umbi

a,Ju

ne19

92.

P.49

.

GO

VE

Inq

uiry

Into

Ch

ildP

rote

ctio

n-

July

,19

9523

Page 27: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

Thestudy

foundthat

theabsence

of

standardsand

thefragm

entationo

fservice

deliveryprogram

sunderm

ineany

comprehensive

auditand

evaluationsby

the

Office

of

theA

uditorG

eneral.W

ithoutthe

standardsthere

isno

focuson

child

welfare

andprotection

services.Therefore,

noopportunity

e3cistsfo

rthe

audit

comm

unityto

studylevels

of

servicequality,

responsivenessto

childneeds,

andvalue

form

oney.

TheO

fficeof

theA

uditorG

eneraland

associatedgroups

of

auditorsincluding

them

inistry’sinternal

auditors,the

auditorsw

iththe

Office

of

the

Com

ptrollerG

eneraland

independentauditors

usedby

thecontracted

agencies

areunable

toconduct

meaningful

work

with

outa

framew

orkof

standards.

Discussions

with

seniorprovincial

auditorssum

marized

valuefor

money

by

asking“d

oyou

knoww

hatstandard

of

serviceis

neededand

arepeople

gettingit?”

Theauditors

addedthat

standards,m

onitoring,and

evaluationare

keym

anagement

responsibilities.The

work,

however,

isnot

doneunless

there

areincentives.

Thereare

noexisting

rewards

todo

theevaluation

orvalue

for

money

auditsand

thereis

nopenalty

ifthe

work

isnot

done.

An

idealstarting

pointto

helpthe

auditand

evaluationw

orkif

forthe

ministry

tobegin

imm

ediatelyusing

the12

attributeso

feffectiveness

andefficiency,

promoted

bythe

Office

ofthe

Auditor

generalto

answer

questionsabout

value

for

money.

Details

aboutthe

12attributes

areprovided

inC

hapter10.0

Evaluation.

4

GO

VE

Inq

uiry

Into

Ch

ildP

rotection-

July,1995

24

Page 28: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

])A

CC

OU

NT

AB

ILIT

Y

6.0

WH

AT

TH

EIN

QU

IRY

RE

AD

AN

])H

EA

RD

Inm

any

way

sth

eov

eral

lco

ncer

nw

asab

out

the

lack

of

stan

dard

sfo

rco

ntra

ctin

go

fch

ild

wel

fare

and

prot

ectio

nse

rvic

esw

hich

form

the

basi

so

fac

tiviti

esin

volv

ing

prog

ram

deliv

ery,

mon

itorin

g,ev

alua

tions

and

inte

r-m

inis

try

com

mun

icat

ions

.

The

cons

tant

them

eth

roug

hout

the

revi

eww

ork

isth

atth

eab

senc

eof

stan

dard

sis

reco

gniz

ed

asth

ele

adin

gpr

oble

m.

Whi

leth

epr

oble

mis

ackn

owle

dged

the

solu

tion

ism

ore

diff

icu

ltas

a

wid

e-ra

nge

of

inte

rest

grou

psan

das

soci

atio

nsha

vew

orke

dto

war

dsag

reem

ent

ona

set

of

stan

dard

sbu

tea

chap

proa

chto

wor

kw

ithth

em

inis

try

has

been

met

with

resi

stan

cean

d

ultim

atel

yfa

ilure

toad

vanc

eto

war

dsac

cept

edpr

ovin

cial

stan

dard

s.

Sen

ior

prov

inci

alau

dit

staf

fsu

mm

ariz

eth

ene

edin

aco

uple

of

appr

oach

esw

hich

shou

ld

form

the

begi

nnin

gpo

int.

The

first

isth

atst

anda

rds

are

the

mai

nfe

atur

eof

wha

tis

calle

dth

e

acco

unta

bilit

ylo

op.

Ful

lre

spon

sibi

lity

orac

coun

tabi

lity

for

anac

tivity

can

bem

onito

red

and

eval

uate

dw

hen

ther

ear

ecl

ear

stan

dard

sw

hich

incl

ude

prin

cipl

es,

proc

ess

and

prod

uct.

Sim

ilarly

stan

dard

sar

ede

scrib

edas

aw

ayo

fde

cidi

ngw

hat

isrig

ht,

writ

eit

dow

n,an

ddo

it. Rec

ogni

tion

of

the

need

sto

ensu

reth

atth

efr

ont

line

staf

fw

hode

liver

the

serv

ice

unde

rsta

nd

the

serv

ice

and

are

awar

eo

fth

eim

porta

ntro

les

that

they

have

toen

sure

that

qual

ityco

ntro

l

exis

ts.

The

need

sfo

rqu

ality

cont

rol

and

assu

ranc

esh

ould

befo

und

thro

ugho

utan

orga

niza

tion

and

not

limite

dto

a“m

issi

onst

atem

ent”

orco

rpor

ate

polic

y.

One

answ

eris

to

use

a“p

rinci

ples

”ap

proa

ch.

4

GO

VE

Inq

uiry

Into

Chi

ldP

rote

ctio

n-

July

,19

9525

Page 29: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

])A

CC

OU

NT

AB

ILIT

Y

Thereis

full

agreement

onthe

requirement

thatthe

provincedefm

ecertain

minim

al

standards.In

preparingthe

standardsthere

isa

needto

separatethe

“care”and

“caring”

aspects.C

areis

tangibleand

easyto

measure

while

“caring”requires

professionaljudgement.

6.1R

EC

OM

ME

ND

AT

ION

:

AF

UL

LT

IME

EF

FO

RT

TO

DE

VE

LOP

,S

EE

KJO

INT

AG

RE

EM

EN

T,

AN

D

IMP

LE

ME

NT

CH

ILI)

AN

DF

AM

ILY

SE

RV

ICE

CO

NT

RA

CT

ING

ST

AN

DA

RD

S

WIT

HIN

SIX

MO

NT

HS

OF

‘1IiF~R

ELE

AS

EO

FT

HIS

RE

PO

RT

AS

AW

AY

OF

RE

CO

GN

IZIN

GT

HE

RE

PE

AT

ED

RE

CO

MM

EN

DA

TIO

NS

AN

DT

HE

EX

TE

NS

WE

WO

RK

IND

EV

EL

OP

ING

DR

AF

TS

TA

ND

AR

DS

FO

RC

ON

TR

AC

TR

ES

OU

RC

ES

IN

BR

ITIS

HC

OL

UM

BIA

BY

AV

AR

IET

YO

FS

OU

RC

ES

DU

RIN

GT

HE

PA

ST

10

YE

AR

S.

6.2R

EC

OM

ME

ND

AT

ION

:

DE

VE

LO

PT

HE

CR

ITE

RIA

NE

ED

ED

TO

ME

AS

UR

ES

ER

VIC

ED

EL

IVE

RY

IN

TE

RM

SO

FC

AR

EA

ND

CA

RIN

GT

OP

RO

V]D

EA

ST

AR

TIN

GP

OIN

TT

O

MO

NIT

OR

,E

VA

LU

AT

E,

AN

DP

RO

VID

EC

OR

RE

CT

IVE

AC

TIO

NA

SN

EE

DE

DT

O

EN

SU

RE

TH

AT

TH

ES

TA

ND

AR

DS

FO

RC

ON

TR

AC

TR

ES

OU

RC

ES

AR

EA

PP

LIE

D

CO

NS

IST

EN

TLY

TH

RO

UG

HO

UT

TH

EP

RO

VIN

CE

.

GO

VE

Inq

uiry

Into

Ch

ildP

rotection-

July,1995

Page 30: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

6.3

RE

CO

MM

EN

DA

TIO

N:

INC

OR

PO

RA

TE

TH

ES

TA

ND

AR

DS

,M

ON

ITO

RIN

GA

ND

EV

AL

UA

TIO

NIN

AL

L

CO

NT

RA

CT

SA

ND

EN

SU

RE

TH

AT

TH

EW

OR

KIS

CO

ND

UC

TE

DA

ND

SE

MI

AN

NU

AL

RE

PO

RT

SP

RE

PA

RE

DW

ITH

CO

PIE

ST

OT

HE

OF

FIC

ES

OF

TH

E

CH

ILD

,Y

OU

TH

AN

DF

AM

ILY

AD

VO

CA

TE

,O

MB

UD

SM

AN

,A

UD

ITO

R

GE

NE

RA

L,

CO

MP

TR

OL

LE

RG

EN

ER

AL

,B

.C.

PU

RC

HA

SiN

GC

OM

MIS

SIO

NA

ND

TH

EL

EG

ISL

AT

UR

EB

YW

AY

OF

PU

BL

ICS

TA

TE

ME

NT

SA

ND

RE

PO

RT

SB

YT

ILE

MIN

IST

ER

.

6.4

RE

CO

MM

EN

DA

TIO

N:

US

ET

HE

EX

IST

ING

ST

RU

CT

UR

EO

FT

HE

TR

AIN

ING

OF

FIC

EA

ND

AD

D

RE

SO

UR

CE

SA

SN

EE

DE

DF

RO

MT

HE

OF

FIC

EO

FT

HE

AU

DIT

OR

GE

NE

RA

LT

O

INC

LU

DE

QU

AL

ITY

AS

SU

RA

NC

EP

RA

CT

ICE

SIN

AL

LN

EW

PR

OG

RA

MS

AN

D

EN

SU

RE

TH

AT

AL

LLE

VE

LSO

FM

INIS

TR

YA

ND

CO

NT

RA

CT

ED

ST

AF

F

DE

AL

ING

WIT

HC

HIL

DW

EL

FA

RE

AN

DP

RO

TE

CT

ION

BE

INC

LU

DE

DIN

TH

E

QU

AL

ITY

AS

SU

RA

NC

ET

RA

ININ

G.

6.5

RE

CO

MM

EN

DA

TIO

N:

PR

OV

IDE

TR

AIN

ING

TO

TH

EC

ON

TR

AC

TS

EC

TO

RE

MP

LOY

EE

SA

NI)

ME

MB

ER

SO

FT

HE

CH

ILD

AN

DY

OU

TH

CO

MM

ITT

EE

SW

ITH

JOIN

T

PR

OG

RA

MS

SU

CH

AS

TH

EW

OR

KS

HO

PM

OD

EL

US

ED

BY

TH

EIN

QU

IRY

.

GO

VE

Inq

uiry

Into

Ch

ildP

rote

ctio

n-

July

,19

9527

Page 31: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OT

JNT

AE

ILIT

Y

7.0A

CC

O{JN

FA

BIL

ITY

An

increasedidentification

of

thesocial

worker

with

thecom

munity

isa

recurringthem

e

throughoutthe

submissions

andreview

of

publichearings.

Asubm

issions~im

marizes

the

generalthem

eby

writing:

Acom

munity-based

teamapproach

would

alleviatem

anyo

fthe

problems.

Services

couldbe

more

effectivelycoordinated,

information

couldbe

sharedappropriately

and

accountabilityw

ouldbe

more

clear.Fam

iliesw

ouldbe

more

willin

gto

engagew

ith

theM

inistryo

fS

ocialS

ervices’social

workers

ifthey

were

seenas

onlypart

of

a

broaderpicture,

andif

theyw

ereknow

nas

caringindividuals

within

thecom

munity.

Theexam

inationraises

acritical

question.W

hois

ultimately

responsiblefo

rchild

welfare

andprotection

inB

ritishC

olumbia?

While

onthe

surfacethe

answer

seems

reasonableto

assume

theprovince

isresponsible

andthe

Ministry

ofS

ocialS

ervicesaccountable.

In

practicalterm

sthese

questionsabout

responsibilityand

accountabilityare

sharedam

onga

number

of

ministries

andagencies.

Therefore,the

answer

tothe

questionis

thatthere

isno

onegroup

orcentre

offocus

with

them

andateto

beheld

accountablefo

rchild

welfare

and

protection.

4

GO

VE

Inq

uiry

Into

Child

Protection

-July,

1995

Page 32: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

The

stud

yha

sde

term

ined

that

ther

ear

em

any

brea

ksin

the

cont

inuu

mo

fac

coun

tabi

lity

and

resp

onsi

bilit

yw

hich

star

tsw

ithth

est

atut

ory

oblig

atio

nso

fth

epr

ovin

cean

dM

inis

try

of

Soc

ial

Ser

vice

sto

help

child

ren

and

fam

ilies

and

conc

lude

sw

ithth

eac

tual

deliv

ery

of

the

help

byth

eco

ntra

cted

agen

cies

orm

inis

trie

sot

her

than

Soc

ial

Ser

vice

ssu

chas

Wom

en’s

Equ

ality

,w

hich

isno

wre

spon

sibl

efo

rtr

ansi

tion

hous

es.

As

are

sult

the

lines

of

gove

rnan

ce,

auth

ority

,ac

coun

tabi

lity

and

resp

onsi

bly

are

blur

red.

This

blur

ring

lead

sto

anu

mbe

ro

fw

eakn

esse

sin

serv

ice

deliv

ery

man

agem

ent

and

prev

ents

acl

ear

deci

sion

-mal

dng

proc

ess

and

inth

eca

seo

fth

elin

ew

orke

rsin

hibi

tsth

eus

eo

fth

eir

prof

essi

onal

disc

retio

nto

help

child

ren.

For

exam

ple,

the

exis

ting

man

date

isco

ntra

dict

ory

and

the

staf

fan

dth

epu

blic

are

left

not

know

ing

whe

reac

coun

tabi

lity

and

resp

onsi

bilit

yst

art

oren

d.Th

eke

yqu

estio

nis

to

dete

rmin

ean

dst

ate

clea

rlyw

heth

erso

cial

wor

kers

are

man

date

dto

serv

eth

ene

eds

of

child

orth

efa

mily

.A

ttem

pts

tose

rve

both

the

child

and

the

fam

ilyle

ads

toco

nfus

ion

and

unce

rtain

ties

inth

ede

liver

yof

serv

ices

and

case

man

agem

ent.

Ther

eis

anon

goin

gre

ques

tin

the

subm

issi

ons

whi

chre

ques

tsa

clea

rde

finiti

onof

the

exte

nt

tow

hich

soci

alw

orke

rsar

ehe

ldpe

rson

ally

resp

onsi

ble

for

the

actio

nsta

ken

byth

eir

clie

nts.

4

GO

VE

Inq

uiry

Into

Ch

ildP

rote

ctio

n-

July

,19

9529

Page 33: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

7.1R

EC

OM

ME

ND

AT

ION

:

DE

TE

RM

INE

AN

DA

DH

ER

ET

OC

LE

AR

PO

LICIE

SID

EN

TIF

YIN

GW

HO

IS

AC

CO

UN

TA

BL

EF

OR

CH

ILD

PR

OT

EC

TIO

NA

ND

EN

DT

HE

UN

CE

RT

AIN

TIE

S

AB

OU

TR

ES

PO

NS

IBIL

ITY

AN

DA

CC

OU

NT

AB

ILIT

YW

HIC

HE

XIS

TT

OD

AY

AM

ON

GT

HE

GO

VE

RN

ME

NT

MIN

IST

RIE

S,

MIN

IST

RY

ST

AF

F,

CO

OR

DIN

AT

ING

GR

OU

PS

,A

SS

OC

IAT

ION

S,

AN

DC

ON

TR

AC

TO

RS

.

GO

VE

Inq

uiry

Into

Ch

ildP

rotection-

July,1995

30

Page 34: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

8.0

ST

AN

DA

RD

S

The

Inqu

irybe

lieve

sth

atit

can

have

aus

eful

role

inde

term

inin

gth

eis

sue

ofst

anda

rds

for

cont

ract

ors

with

inan

acce

ptab

letim

efra

me.

As

outli

ned

inth

ean

alys

isan

d

reco

mm

enda

tions

ther

eis

ane

edfo

ra

full-

time

effo

rtby

publ

ican

dpr

iva~

ese

ctor

grou

ps

wor

king

toge

ther

with

com

mun

ityre

pres

enta

tives

toco

mpl

ete

ase

to

fst

anda

rds.

Our

stro

ng

sugg

estio

nis

that

thes

est

anda

rds

beap

plie

dfo

rth

efir

stye

aran

dth

enre

visi

ted

for

adju

stm

ents

asne

eded

.W

edo

not

belie

veth

atre

new

edw

ork

tow

ards

prov

inci

alst

anda

rds

in

child

wel

fare

and

prot

ectio

nw

ifipr

ovid

ean

ygr

eate

rcl

arity

and

acce

ptan

ceth

anth

e

reco

gniti

ono

fth

eva

luab

lew

ork

toda

te.

Acc

ordi

ngly

the

Inqu

iryha

sco

nduc

ted

ath

orou

ghre

view

of

the

draf

tst

anda

rds

prep

ared

by

anu

mbe

ro

fin

tere

sted

grou

ps.

Thes

est

anda

rds

have

been

stud

ied

onth

eba

sis

ofp

oint

so

f

gene

ral

agre

emen

tw

ithin

usin

gth

ree

key

cate

gorie

sof

prin

cipl

es,

proc

esse

s,an

dou

tcom

es.

4

GO

VE

Inq

uiry

Into

Chi

ldP

rote

ctio

n-

July

,19

9531

Page 35: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

])A

CC

OU

NT

AB

ILIT

Y

8.1P

RIN

CIP

LES

Recognition

thatabuse

andneglect

isan

actionthat

ishurtful,

damaging

ortraum

atic

toa

childeither

physicallyor

emotionally.

Acknow

ledgement

of

theright

of

British

Colum

biachildren

tocare

andcaring

andthe

responsibilityo

fthe

provinceto

ensurethat

aconsistent

standardo

fquality

careand

caringis

provided.

8.2P

RO

CE

SS

ES

TheM

inistrym

ustinform

thepublic

abouthow

toreport

childw

elfareconcerns

and

respondpositively

andappropriately,

includingreporting

backto

complainants

with

more

information

thanis

givenat

present.

Use

of

acom

munity-based

teamapproach

toco-ordinate

services,share

information,

andm

anagecases

cooperatively,and

seekw

aysto

includethe

client.

8.3O

UT

CO

ME

S

Agovernm

entsponsored

andaccountable

systemw

hichrecognizes

theneed

fordirect

careo

fthe

physicalw

ell-beingo

fthe

childand

theongoing

caringo

fthe

emotional

needso

fthe

child.

4

GO

VE

Inq

uiry

Into

Ch

ildP

rotection-

July,

199532

Page 36: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

Ale

vel

of

serv

ice

that

invo

lves

qual

ity,

effic

ienc

yan

dis

effe

ctiv

ein

help

ing

the

child

toth

yto

avoi

dm

ore

com

plic

ated

and

cost

lyca

rene

eds

inth

efu

ture

bybe

com

ing

a

usef

ulco

ntrib

utor

toso

ciet

y.In

effe

ctiv

eth

eob

ject

ive

isto

prev

ent

the

Min

istr

yo

f

Soc

ial

Ser

vice

sch

ild-in

-car

ein

divi

dual

beco

min

gth

eev

entu

alre

spon

sibi

lity

of

the

Min

istr

yo

fA

ttorn

eyge

nera

las

ayo

ung

pers

onin

cust

ody.

GO

VE

Inq

uiry

Into

Ch

ildP

rote

ctio

n-

July

,19

9533

Page 37: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

I)AR

DS

,M

ON

ITO

RIN

G,

EV

AL

UA

TIO

NA

M)

AC

CO

UN

TA

BIL

ITY

Thestudy

examined

thew

orkto

dateto

providew

ithm

inistryw

itha

seto

fstandards

to

assistw

ithw

orkin

contractedservice

deliveryprogram

s.The

following

matrix

representsa

consolidationo

fm

ucho

fthe

work.

Details

areprovided

inthe

appendicesto

thereport.

CH

AR

T2PR

INC

IPLE

SP

RO

CE

SS

ES

OU

TC

OM

ES

•T

ha

teach

child

hasT

heprovision

of

service

sis

mo

stE

valuationunique

needsand

mu

stsu

ccessfu

lw

he

nthe

follo

win

gconditions

•P

rovideadequate

guidelinesand

fundingbe

trea

ted

with

resp

ect

aree

vide

nt:

toensure

programevaluations

areand

dig

nity.

completed

onthe

basiso

fw

he

the

ra

•a

co-m

an

ag

em

en

tp

roto

col

isin

placeservice

providedhas

beenin

the

child

’s•

Th

at

com

mu

nitie

shave

allo

win

gfo

rin

pu

tin

toS

chedule‘A

’best

inte

rest.

ano

blig

atio

nto

sup

po

rte

xpe

ctatio

ns

andse

rvices

bythe

child

ren

,co

ntra

cting

ag

en

cy;C

om

mu

nica

tion

•T

hem

ost

effe

ctivep

artn

ersh

ips

arethose

•T

ha

tse

rvicep

rovid

ers

•there

isa

com

mitm

en

tto

disputew

hich

areco

mm

itted

toco

mm

un

icatio

nare

ane

xpre

ssion

of

me

dia

tion

be

twe

en

asocial

wo

rker

andm

utualre

spe

ct.In

com

mu

nitie

sth

eir

com

mu

nitie

sand

andth

ea

ge

ncy;

wh

ere

thisis

evid

en

tb

etw

ee

nM

inistry

go

vern

me

nt’s

ob

liga

tion

andagency,

childrenb

en

efit

from

am

oreto

sup

po

rtch

ildre

n.

•there

isa

reg

ula

rre

view

of

clientson

cohesiveand

resp

ectfu

lse

rvice.

caseloads;•

Th

at

the

go

vern

me

nt

Planning

hasa

resp

on

sibility

to•

thereis

alia

ison

socialw

orke

r•

Inte

rme

dia

teand

long-rangeco

ntra

ctsare

providesu

fficien

tattached

toth

ep

rog

ram

;essential

toplan

ap

pro

pria

tely

for

children.resources

top

rote

ctch

ildre

nand

tosu

pp

ort

•a

casem

anageris

clea

rlyid

en

tified

;A

na

ge

ncy

can,and

does,lose

aco

mm

un

ities

inth

eir

and,co

ntra

ctbecause

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for

some

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nkn

ow

nreason,

faile

dto

pleasethe

•o

pp

ortu

nitie

se

xistfo

rjo

int

trainingM

inistry.

The‘fear

of

retrib

utio

n’

isand

staff

de

velo

pm

en

t,so

me

thin

ga

llcon

tracte

dagencies

livew

ith.

The

abovein

form

atio

nco

me

sfro

ma

varie

tyo

fsources,

inclu

din

gth

eF

ederationof

Child

andF

amily

Services

of

British

Colum

bia.S

trate

gic

Plan

1993;T

heC

hildand

Yo

uth

Se

creta

riat.

Delivery

Sta

nd

ard

sfo

rJo

intly

Funded

Services

toC

hildrenand

Yo

uth

IDR

AF

TI.

July

19

94

;T

heB

ritishC

olumbia

Go

vern

me

nt

Em

ployeesU

nion.S

ubmission

toth

eIG

ove

lInquiry

intoC

hildP

rote

ctio

n.

Ja

nu

ary

1995;T

heH

ome

Su

pp

ort

Asso

ciatio

no

fB

.C..

Report

of

the

Task

Force

onth

eD

eliveryo

fH

ome

Su

pp

ort

Services

tothe

Min

istryo

fS

ocialS

ervicesand

Housing.

May

19

89

;the

Om

budsman

for

British

Colum

bia,P

ublicS

ervicesto

Children,

Yo

uth

andT

heirF

amilies

inB

ritishC

olumbia:

TheN

eedfo

rIn

teg

ratio

n,

Report

#2

2.

No

vem

be

r1

99

0;

and,T

heBC

Federation

of

Fo

ster

Parent

Asso

ciatio

ns,

Peer

Review

Guidelines

Annual

General

Meeting.

May

19

94

.

4

GO

VE

Inq

uiry

Into

Child

Protection

-Ju

ly,1995

34

Page 38: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

The

Pro

vinc

eof

Alb

erta

,fo

rex

ampl

e,ha

sco

rest

anda

rds

whi

chha

veev

olve

dov

era

perio

d

ofye

ars

begi

nnin

gin

1985

.D

urin

gth

attim

e,in

put

from

cont

ract

edse

rvic

epr

ovid

ers,

maj

orpr

ovin

cial

hum

anre

sour

ceor

gani

zatio

ns,

prof

essi

onal

asso

ciat

ions

and

spec

ial

inte

rest

grou

psw

asso

ught

and

obta

ined

byth

eD

epar

tmen

tof

Soc

ial

Ser

vice

s.

The

Cor

eS

tand

ards

are

gene

rican

dco

nsis

tof

only

thos

est

anda

rds

that

are

esse

ntia

lto

ensu

reth

atth

ese

rvic

esof

fere

dar

esa

fean

def

fect

ivel

yop

erat

ed.

They

incl

ude

prov

isio

ns

gove

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gth

epr

otec

tion

ofcl

ient

right

s,se

rvic

epl

anni

ngan

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,cl

ient

safe

ty,

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ice

pers

onne

lre

spon

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litie

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dac

coun

tabi

lity,

man

agem

ent

offu

nds,

and

the

adm

inis

trat

ion

ofm

edic

atio

ns.

GO

VE

Inq

uiry

Into

Chi

ldP

rote

ctio

n-

July

,19

9535

Page 39: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

STA

ND

AR

DS

,M

ON

ITO

RIN

G,

EV

ALU

AT

ION

AN

DA

CC

OU

NT

AB

ILITY

9.0

MO

NIT

OR

ING

Thereis

noeffective

andongoing

monitoring

systemused

inthe

work

ofchild

welfare

contractedservices

inthe

province.A

contractorsum

marized

thelack

otmonitoring

by

writing

that:

them

inistrydoes

notknow

what

theyare

buyingand

notsure

what

theyshould

buy

becausethey

havenot

goneout

andconducted

ahom

e

visit,

some

casesare

inthe

handsof

unqualifiedm

inistrystaff

workers,

socialw

orkersare

notdoing

socialw

orkbut

brokeringstaff,

followup

isusually

doneby

telephoneor

anoffice

visit,there

arevery

fewhom

evisits,

and

thereappears

tobe

anexpectation

thatagency

workers

will

do

everythingand

anythingas

thecost

ofthe

serviceis

low.

Thestudy

learnedthat

theM

inistryof

Social

Services

hasa

model

inplace

toprovide

an

imm

ediatestart

tothe

monitoring

work

requiredin

childand

family

services.The

Provincial

Review

Team,an

independentcontractor,

monitors

andreview

sthe

qualityof

service

providedto

peoplew

ithm

entalhandicaps.

Thecontract

providesfor

anindependent

and

professionalreview

ofresidential

andday

programs

foradults.

GO

VE

Inq

uiry

Into

Child

Protection

-Ju

ly,1995

36

Page 40: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

This

mon

itorin

gw

ork

was

star

ted

in19

88an

dto

day

revi

ews

abou

t40

0se

rvic

esan

nual

ly.

Ther

ear

e11

team

sin

plac

ew

hich

allo

ws

the

cont

ract

orto

revi

ewev

ery

serv

ice

inth

e

prov

ince

atle

ast

once

ever

yth

ree

year

s.

9.1

RE

CO

MM

EN

DA

TIO

N:

TH

EM

INIS

TR

YO

FS

OC

IAL

SE

RV

ICE

SP

RO

VID

EA

NIN

DE

PE

ND

EN

TM

ON

ITO

RIN

G

AG

EN

CY

TO

OB

SE

RV

E,

AN

ALY

ZE

,A

ND

FO

LLO

W-U

PO

NT

HE

DE

LIV

ER

YO

FC

HIL

DA

ND

FA

MIL

YS

ER

VIC

ES

INB

RIT

ISH

CO

LUM

BIA

.

9.2

RE

CO

MM

EN

DA

TIO

N:

TO

EX

PE

DIT

ET

HE

INT

RO

DU

CT

ION

OF

MO

NIT

OR

ING

SE

RV

ICE

DE

LIV

ER

YQ

UA

LIT

YT

HE

MIN

IST

RY

US

ET

HE

EX

IST

ING

MO

DE

LO

F“T

HE

PR

OV

INC

IAL

RE

VIE

WT

EA

M”.

GO

VE

Inq

uiry

Into

Ch

ildP

rote

ctio

n-

July

,19

9537

Page 41: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LUA

TIO

NA

ND

AC

CO

UN

TA

BILIT

Y

10

.0E

VA

LUA

TIO

N

Thestudy

determined

thatcurrent

outcomes

areprocess

drivenby

usingbeds

provided,

meals,

andtravel

time

butlittle

ifany

emphasis

isplaced

onsubstantive-results

basedon

measuring,

monitoring,

andevaluating

theoutcom

esof

careto

children.T

wo

words

are

oftenused

asa

startingpoint.

Thefirst

is“care”

interm

sof

thebasic

needsof

food,

shelter,and

safety.The

secondis

“caring”as

measured

byan

understandingand

nurturing

environment

which

seeksto

buildon

theem

otionalneeds

ofa

childto

develophis

orher

potentialsto

achievepersonal

satisfactionand

confidencein

himself

orherself

andin

the

longterm

contributeto

society.

Thestudy

findsan

absenceof

outcome

measurem

entsor

benchmarks

againstw

hichto

measure

andevaluate

performance

interm

sof

programs,

contractedw

orkand

related

expenditures.

TheInquiry

agreesw

iththe

many

suggestionsthat

callfor

outcome

oroutput

measurem

entsbased

onthe

contributionsand

effortsstaff

andagencies

make

toprovide

thelevels

ofhealth,

competence,

care,nurturing,

andw

ell-beingof

children,youth

and

families.

4

GO

VE

Inq

uiry

Into

Child

Protection

-July,

199538

Page 42: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

T)A

CC

OU

NT

AB

ILIT

Y

Exa

mpl

esof

outc

omes

tobe

mon

itore

d,ev

alua

ted

and

docu

men

ted

tode

term

ine

inte

rmed

iate

and

long

term

outc

omes

are:

oin

adeq

uate

child

care

oin

appr

opria

tedi

scip

line

ove

rbal

abus

eo

thre

aten

ing

abus

eo

unab

leto

cope

with

life

oov

erw

helm

edby

child

care

oin

abili

tyto

cont

rol

ange

ro

lack

ofre

crea

tion

opo

ornu

triti

ono

lear

ning

disa

bilit

ies

oco

mm

unic

atio

npr

oble

ms

obe

havi

oral

prob

lem

so

poor

self

este

emo

emot

iona

lpr

oble

ms

The

Inqu

iryal

soen

cour

ages

the

imm

edia

teus

eof

the

“12

attr

ibut

esof

effe

ctiv

enes

s”

prep

ared

and

dist

ribut

edby

the

Can

adia

nC

ompr

ehen

sive

Aud

iting

Foun

datio

nan

d

supp

orte

dby

the

B.C

.A

udito

rG

ener

al’s

Offi

ce.

Thes

em

easu

rem

ent

tool

prov

ide

are

ady

mad

est

artin

gpo

int

toco

nduc

tev

alua

tion

wor

k.Th

eIn

quiry

lear

ned

that

the

“12

attr

ibut

es

ofef

fect

iven

ess’

have

alre

ady

been

mod

ified

byon

eV

icto

riaar

eaag

ency

tom

eet

thei

r

eval

uatio

nne

eds

inch

ildca

re.

4

GO

VE

Inq

uiry

Into

Ch

ildP

rote

ctio

n-

July

,19

9539

Page 43: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

Insum

mary

these“attributes”

andcore

questionsare:

(1)M

anagement

Direction

Does

everyoneunderstand

what

theyare

meant

tobe

doing?(2)

Relevance

Do

activitiescontinue

tom

akesense

inaddressing

theneeds

forw

hichthey

areintended?

(3)A

ppropriatenessA

rew

egoing

aboutour

objectivesin

thebest

way?

(4)A

chievement

ofIntended

Results

What

succeeded?W

hatfailed?

How

challengingw

erethe

goals?(5)

Acceptance

Do

thosew

house

aprogram

orservice

judgeit

tobe

satisfactory?(6)

Secondary

Impacts

What

unintendedeffects

-positive

ornegative

-are

occurring?(7)

Costs

andP

roductivityIs

outputincreasing

while

costsare

decreasing?(8)

Responsiveness

How

well

doesan

organizationanticipate

andrespond

tochange?

(9)Financial

Results

How

dorevenues

compare

with

costs?H

owdo

assetscom

parew

ithobligations?

(10)W

orkingE

nvironment

Does

thew

orkingenvironm

entprom

otecom

mitm

ent,initiative,

safety,and

employee

development?

(11)P

rotectionof

Assets

How

well

protectedare

keyresources?

(12)M

onitoringand

Reporting

Does

everyonehave

theinform

ationthey

oughtto

have?D

othey

useit?

GO

VE

Inq

uiry

Into

Ch

ildP

rotection-

July,1995

40

Page 44: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

10.1

RE

CO

MM

EN

DA

TIO

N

TH

EM

INIS

TR

YD

EV

ELO

PA

ND

BE

GIN

US

ING

EX

IST

ING

MO

DE

LSO

FO

QT

CO

ME

ME

AS

UR

EM

EN

TS

TO

DE

TE

RM

INE

TH

EIN

TE

RM

ED

IAT

EA

ND

LON

G-T

ER

MR

ES

ULT

SO

F

TH

EIR

PR

OG

RA

MS

,C

ON

TR

AC

TE

DW

OR

K,

AN

DR

ELA

TE

DE

XP

EN

DIT

UR

ES

.

h

GO

VE

Inq

uiry

Into

Ch

ildP

rote

ctio

n-

July

,19

9541

Page 45: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

STA

ND

AR

DS

,M

ON

ITO

RIN

G,

EV

ALU

AT

ION

AN

DA

CC

OU

NT

AB

ILITY

11

.0Q

UA

LIT

YA

SS

UR

AN

CE

As

notedearly

inthis

paperthe

lackof

standardsand

inabilityto

monitor

programs

undermines

applicationof

qualityassurance

programs.

The1992

Auditor_G

eneral’sR

eport

comm

entson

thelack

ofspecific

information

toansw

erquestions

aboutservice

quality.

Thereport

states:

Service

levelsw

ereusually

verygeneral,

processesfor

deliveringservices

were

not

comm

onlyspecified,

andthe

resultsto

beachieved

were

rarelystated.

As

aresult

itis

difficultfor

them

inistryto

besure

thatsuppliers

producethe

servicesrequired.

Theliterature

unanimously

arguesfor

strengthenedm

onitoringand

evaluationpolicies

and

proceduresto

givem

eaningfulinform

ationabout

theoutcom

esof

programs

andthe

quality

ofthese

outcomes.

Thisis

identifiedas

aconsistent

weakness

inany

programto

determine

qualityassurance

issuesrather

thanthe

traditionaltests

ondollars,

administrative

policies,and

historicalstatistics.

AV

ictoriacontractor

toldthe

Inquirythat

goodservice

getsto

clientsbut

becausethere

is

now

ayto

monitor

andevaluate

thew

orkthe

causesand

conditionsprom

otinggood

work

isneither

known

norfully

understood.A

sa

resultgood

businesspractice

opportunitiesare

lostas

theyare

notdocum

entedand

made

availableto

sharew

ithothers

who

provide

similar

programs.

TheInquiry

isconvinced

froma

reviewof

theliterature,

assessment

ofthe

currentm

inistry

practices,and

studyof

thesubm

issionsthat

theabsence

ofquality

assurance

measurem

entsin

childw

elfareand

protectionallow

sfor

slippageand

major

inconsistencies

inthe

levelsof

careprovided

tochildren.

Thisis

thecase

becausethe

studyshow

sthat:

othere

areno

practicestandards

adheredto

consistentlyacross

theprovince

or

within

geographicand

comm

unityareas,

GO

VE

Inq

uiry

IntoC

hildP

rotection-

July,1995

42

Page 46: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

oth

ere

isa

pres

sure

onlo

cal

staf

fto

dom

ore

with

less

inte

rms

ofm

anag

ing

exis

ting

wor

kloa

d,

oth

em

onito

ring

syst

ems

esta

blis

hed

byth

em

inis

try,

whe

reth

eydo

exis

t,ar

e

inef

fect

ive.

Itis

also

impo

rtan

tto

note

and

reca

llth

ew

ork

ofth

e19

92B.

C.

Fina

ncia

lre

view

stud

y

and

the

sect

ions

whi

chsp

oke

abou

tpr

ogra

mev

alua

tion

and

poin

ted

toth

ene

edof

qual

ity

assu

ranc

epr

ogra

ms.

The

repo

rtra

ised

four

ques

tions

aspa

rtof

qual

ityas

sura

nce.

(1)

Tow

hat

exte

ntdi

dth

epr

ogra

mm

eet

itsob

ject

ives

?

(2)

Wha

tim

pact

soc

curr

edas

are

sult

ofth

epr

ogra

m?

(3)

Wha

tne

edis

the

prog

ram

addr

essi

ng,

and

does

the

need

still

exis

t?

(4)

Are

ther

em

ore

effic

ient

alte

rnat

ives

toth

epr

ogra

m?

The

Inqu

iryha

sfo

und

thro

ugh

itsre

sear

chan

dre

view

ofth

esu

bmis

sion

sth

atco

mpl

ianc

e

with

polic

ies

and

proc

edur

esde

alin

gw

ithfin

anci

alan

dad

min

istr

ativ

ew

ork

requ

irem

ents

over

shad

ows

the

actu

altim

eav

aila

ble

topl

an,

man

age,

and

eval

uate

the

qual

ityof

serv

ice

deliv

ery

toch

ildre

n.

The

info

rmat

ion

revi

ewed

byth

eIn

quiry

also

poin

tsin

the

dire

ctio

nof

qual

ityas

sura

nce

prog

ram

sw

hich

gobe

yond

the

eval

uatio

nof

stan

dard

sto

help

child

ren

and

incl

ude

issu

es

such

as:

Com

mun

icat

ions

Trai

ning

Con

fiden

ceto

doth

ejo

b

Sta

ffst

abili

tyan

dco

ntin

uity

File

exch

ange

mec

hani

sms

GO

VE

Inq

uiry

Into

Ch

ildP

rote

ctio

n-

July

,19

9543

Page 47: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

TheInquiry

recognizesthat

theseissues

arecentral

tothe

overridingthem

eof

confidentialityin

thesocial

servicescom

munity.

As

astart

ministry

staff

donot

receive

trainingin

what

isperm

ittedand

what

isnon

permitted

underprivacy

legislation.The

examination

alsofound

thatm

inistrysta

ffare

oftennot

confidentaboutS

heirpersonal

abilities,because

ofinsufficient

training,and

thereforedo

notw

antother

potentiallym

ore

competent

peopleto

haveaccess

toall

theinform

ation.

At

thesam

etim

ethe

highlevels

ofsta

ffturnover

within

district,area,

andregional

offices

limits

thesharing

ofinform

ation.A

ddedto

theinform

ationblockages

isa

computer

system

with

out-datedtechnology

tom

eetcurrent

trendsin

electronicinform

ationexchanges.

GO

VE

Inq

uiry

Into

Ch

ildP

rotection-

July,

199544

Page 48: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

STA

ND

AR

DS

,M

ON

ITO

RIN

G,

EV

ALU

AT

ION

AN

])A

CC

OU

NT

AB

ILIT

Y

12

.0IM

PLE

ME

NT

AT

ION

The

stud

yha

sde

term

ine

that

mor

eth

an10

year

sof

resp

onsi

ble

and

cont

ruct

ive

wor

kby

a

wid

era

nge

ofin

tere

stgr

oups

has

faile

dto

achi

eve

reco

gniti

onan

dim

plem

enta

tion

of

stan

dard

sfo

rth

eco

ntra

ctco

mm

unity

and

agen

cies

byth

eM

inis

try

ofS

ocia

lS

ervi

ces.

The

root

caus

eis

diffi

cult

tode

fine

asth

ere

are

anu

mbe

rof

adm

inis

trat

ive

and

orga

niza

tiona

l

reas

ons

give

n.

At

pres

ent

the

cont

ract

com

mun

ityha

sbe

ento

ldto

wai

tun

tilth

eim

plem

enta

tion

ofth

e

new

legi

slat

ion

and

that

this

will

reso

lve

the

ques

tion

ofst

anda

rds.

Sim

ilar

resp

onse

sw

ere

prov

ided

alon

gth

esa

me

them

eto

earli

erin

itiat

ives

and

reco

mm

enda

tions

mad

eby

asso

ciat

ions

and

grou

psre

pres

entin

gth

ein

tere

sts

ofco

ntra

ctor

s.Fo

rex

ampl

e,re

sear

ch

has

show

nth

atth

eco

mm

unity

was

prom

ised

stan

dard

sat

the

time

ofpr

ivat

izat

ion

inth

e

mid

-i98

0’s

and

agai

na

few

year

sla

ter

whe

nth

em

inis

try

was

reor

gani

zed

topr

ovid

e

soci

alse

rvic

esba

sed

ona

func

tiona

lm

odel

with

staf

fre

spon

sibl

efo

rsp

ecifi

cpa

rtsof

prog

ram

deliv

ery.

The

Inqu

iryre

cogn

izes

the

incr

easi

ngco

ncer

non

the

part

ofth

eor

gani

zatio

nsth

atha

ve

wor

ked

topr

epar

edr

aft

stan

dard

san

dto

seek

join

tag

reem

ent

thro

ugh

disc

ussi

ons

with

the

Min

istr

yof

Soc

ial

Ser

vice

s.W

efo

und

that

the

polit

enes

sis

wea

ring

thin

and

that

the

impo

rtan

tis

sues

ofac

coun

tabi

lity

and

resp

onsi

bilit

yca

nnot

bead

dres

sed

until

ther

ear

e

basi

cst

anda

rds

inpl

ace.

GO

VE

Inq

uiry

Into

Chi

ldP

rote

ctio

n-

July

,19

9545

Page 49: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

According,

theInquiry

isconvinced

ofthe

imm

ediateneed

tointroduce

afram

ework

of

standardsbased

onaccepted

principles,processes,

andexpected

outcomes.

Theefforts

duringthe

past10

yearshave

provideda

well-reasoned

andresponsible

setof

standards

representinga

“made

inB

ritishC

olumbia”

approach.It

isnow

time

tobegin

usingthe

standardsand

monitor

theuse

forthe

nexttw

oyears

andthen

modify

oradjust

as

needed.

12.1R

EC

OM

ME

ND

AT

ION

IMM

ED

IAT

ELY

AP

PLY

TH

EC

ON

SO

LIDA

TE

DS

TA

ND

AR

DS

DE

VE

LOP

ED

BY

TH

EIN

QU

IRY

WH

ICH

AR

EB

AS

ED

ON

AC

ON

SO

LIDA

TIO

NO

FT

HE

CO

MP

LET

ED

WO

RK

BY

AG

EN

CIE

S

AN

DA

SS

OC

IAT

ION

S,

AN

DU

SE

TH

ES

ES

TA

ND

AR

DS

AS

AP

RO

TO

TY

PE

FOR

TH

EN

EX

T

TW

OY

EA

RS

.

GO

frIn

qu

iryIn

toC

hild

Protection

-Ju

ly,1995

46

Page 50: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

13

.0E

NF

OR

CE

ME

NT

:R

EW

AR

DS

AN

DP

EN

AL

TIE

S

The

Inqu

iryis

awar

eof

gove

rnm

ent-

wid

est

udie

sin

toth

eis

sue

ofre

war

dsan

dpe

nalti

esto

enco

urag

em

anag

ers

tose

ekou

t“b

est

busi

ness

”pr

actic

esan

dto

appl

yco

rrec

tive

actio

ns

toth

ose

man

ager

sw

hofa

ilto

achi

eve

prog

ram

obje

ctiv

es.

At

pres

ent

the

ince

ntiv

ean

d

pena

ltypr

ogra

ms

repr

esen

ta

patc

h-w

ork

ofpo

licie

san

dpr

oced

ures

.P

erfo

rman

ce

appr

aisa

lsar

eno

tco

nsis

tent

and

beca

use

man

ym

anag

ers

are

atth

em

axim

umof

thei

r

sala

ryra

nges

ther

eis

nofu

rthe

rop

port

unity

for

mon

etar

yga

in.

The

new

dire

ctio

nsun

der

cons

ider

atio

nlo

okat

man

agem

ent

rew

ards

and

ince

ntiv

esba

sed

onin

crea

sed

auth

ority

for

flexi

bilit

yof

thei

rde

cisi

ons,

redu

ced

inpu

tco

ntro

ls,

and

the

oppo

rtun

ityto

carr

y-ov

erun

used

fund

sin

toth

ene

xtfis

cal

year

.Th

ere

cont

inue

sto

bea

vagu

enes

sab

out

the

pena

lties

tobe

impo

sed.

Res

earc

hin

toth

ere

ports

and

stud

ies

ofa

num

ber

ofso

cial

serv

ice

issu

esin

Brit

ish

Col

umbi

ash

ows

that

adm

inis

trat

ive

wea

knes

ses

and

failu

reto

com

ply

with

polic

ies

and

proc

edur

esha

sre

sulte

din

prob

lem

sw

hich

have

requ

ired

inve

stig

atio

nsan

dex

amin

atio

ns.

Inea

chca

sere

com

men

datio

nsw

ere

mad

ebu

tth

isIn

quiry

isun

able

tofin

dcl

ear

evid

ence

that

any

ofth

ere

com

men

datio

nsw

ere

acte

don

imm

edia

tely

.

Ans

wer

sto

the

ques

tions

ofre

war

dsan

dpe

nalti

esin

gove

rnm

ent

adm

inis

trat

ive

and

serv

ice

deliv

ery

wor

kre

pres

ents

ake

yto

resp

ondi

ngto

the

qual

ityas

sura

nce,

acco

unta

bilit

y,an

dva

lue

for

mon

eyas

pect

sof

child

wel

fare

prog

ram

san

dth

e

rela

tions

hips

betw

een

the

min

istr

yan

dco

ntra

ctco

mm

unity

.

.4

GO

VE

Inq

uiry

Into

Ch

ildP

rote

ctio

n-

July

,19

9547

Page 51: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

ST

AN

DA

RD

S,

MO

NIT

OR

ING

,E

VA

LU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

13.1R

EC

OM

ME

ND

AT

ION

TH

EG

OV

ER

NM

EN

T,

RE

PR

ES

EN

TING

TH

EIN

TER

ES

TSO

FA

LLM

INIS

TR

IES

PR

OV

IDIN

G

CH

ILDW

ELF

AR

EA

ND

PR

OT

EC

TIO

NS

ER

VIC

ES

,D

ET

ER

MIN

EW

AY

STO

MO

NIT

OR

AN

D

EN

FOR

CE

TH

EC

ON

SIS

TE

NT

AP

PLIC

AT

ION

OF

ST

AN

DA

RD

ST

HR

OU

GH

OU

TT

HE

PR

OV

INC

E.

.4

GO

VE

Inq

uiry

Into

Ch

ildP

rotection-

July,1995

48

Page 52: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

STA

ND

AR

DS

,M

ON

ITO

RIN

G,

EV

ALU

AT

ION

AN

DA

CC

OU

NT

AB

ILIT

Y

14

.0S

TA

FF

PR

OF

ES

SIO

NA

LIS

MA

ND

DIS

CR

ET

ION

TO

MA

KE

DE

CIS

ION

S

Thr

ough

out

the

revi

eww

ork

ther

ew

asev

iden

ceth

atm

inis

try

soci

alw

orke

rsan

dth

e

prof

essi

onal

sta

ffas

soci

ated

with

the

cont

ract

edag

enci

esse

ekgr

eate

rpo

wer

tom

ake

disc

retio

nary

deci

sion

sin

thei

rw

ork.

The

com

men

tre

peat

edm

any

times

thro

ugho

utth

e

inte

rvie

ws

was

that

ofso

cial

wor

kers

seek

ing

the

trus

tan

dsu

ppor

tof

thei

rsu

perv

isor

s

and

area

man

ager

s.

The

com

plex

ities

ofth

epo

licie

san

dpr

oced

ures

and

deta

ilsin

the

man

uals

,w

hich

are

ofte

nno

tup

date

d,pr

ovid

ea

wor

ken

viro

nmen

tw

hich

thriv

eson

non-

com

plia

nce

solu

tions

bym

anag

emen

tto

cont

rol

staf

fac

tions

.S

taff

seek

todo

the

best

job

poss

ible

,so

met

imes

with

limite

dtr

aini

ngan

dex

perie

nce,

and

whe

nth

eym

ake

am

ista

keth

efu

llw

eigh

tof

the

man

agem

ent

ispl

aced

onth

em.

Mor

eove

r,w

hen

soci

alw

orke

rsm

ake

ade

cisi

onth

ey

ofte

nex

perie

nce

am

anag

emen

tre

vers

alof

thei

rac

tions

.

This

lead

sto

conf

usio

nan

din

cons

iste

ntap

plic

atio

nof

the

rule

san

dre

sults

inw

hat

is

ofte

nte

rmed

“man

agem

ent

bype

rson

ality

”.

14.1

RE

CO

MM

EN

DA

TIO

N

TH

EM

INIS

TR

YO

FS

OC

IAL

SE

RV

ICE

SU

ND

ER

TA

KE

TOP

UT

TH

EM

AN

UA

LSO

N-L

INE

AN

D

EN

SU

RE

TH

AT

UP

DA

TE

SA

RE

PO

STE

DIM

ME

DIA

TE

LYA

ND

AR

EF

LAG

GE

DIN

SU

CH

AS

WA

YA

ST

OD

RA

WA

TT

EN

TIO

NT

OT

HE

CH

AN

GE

S.

4

GO

VE

Inq

uiry

Into

Ch

ildP

rote

ctio

n-

July

,19

9549

Page 53: IN AN]) CHILD€¦ · counselling, home care, and placements. The contract arrangements are based largely on the traditional model whereby government buys goods and services at the

STA

ND

AR

DS

,M

ON

ITO

RIN

G,

EV

ALU

AT

ION

AN

])A

CC

OU

NT

AB

ILITY

15

.0S

ER

VIC

ED

ELIV

ER

YF

RA

GM

EN

TA

TIO

N

Thestudy

hasdeterm

inedthat

thenum

berof

layersin

theorganization

andadm

inistrative

structureof

theM

inistryof

Social

Services,

andthe

dividedresponsibilities

among

another

sixm

inistries,is

continuallyraised

asa

decision-making

barrierby

them

inistryand

contractsta

ffw

hoprovide

childw

elfareand

protectionservices.

Theproposals

tostrengthen

servicedelivery,

provideaccountability,

andensure

service

qualityare

centredon

theneed

toovercom

ethe

fragmentation

ofservices

andthe

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FederationofChildandFamilyServicesofB.C.

PrinciplesProcedureOutcomes

TheFederationofChildandFamilyServicesofBritishcolumbiaisthecollectivevoiceformemberchildandfamilyservingagenciesthroughouttheprovince.Weexisttoprovideaforumforidentifying,studying,andactingonissuesdirectlyrelatedtothepromotionofexcellenceinthefieldofchildandfamilywell-being.

Webelievethat:

1.ThechildrenandfamiliesofBritishColumbiadeserveservicesthatarevaluedwithinthelargercontextofsocietyandculture,areresponsivetoindividualneeds,andareuniformlyofthehighestqualityandstandard.

2.Therightsofchildrenandfamiliesmustberespectedthroughthedeliveryofservicesthatutilizetheleastintrusivemethodofeffectiveintervention,whicharesensitivetoregionalandethnicdiversitiesandmores.

3.Tobetrulyaccessibletochildrenandfamiliesinneed,servicesmustbecommunitybasedandavailablewithinthemostimmediategeographicregionpossible.

4.Thehighestqualityofchildandfamilyservicesmustbefosteredthroughtrainingandthecollaborativedevelopmentofprograms,standardsandrelationshipsthatenhancethedeliveryofservices.

5.TheidealofthesepremiseswilldirectthefutureendeavoursoftheFederation.

COREVALUES

1.Webelieveinfosteringthehighestpossiblestandardsofservicedelivery.

PartnershipCommunityagenciesorindividualssubmitproposalsfortenderstoprovideservices.IndoingsothemessagehaslongbeenthatthefundingMinistrywantedthebestserviceatthelowestprice.Whileinprincipletheremaybenothingwrongwiththatattitude,therealitymaycreateunhealthycompetitionamongstagenciesintheircollectiverushtodobusinesswiththeMinistry.

LackofconsultationOftencontractsaretenderedwithoutconsultationwithcontractserviceproviderswhomaywellunderstandthecommunityneedsbetter.(p.2)

GuidelinesGuidelinesforprovidingservicesareofteninconsistent,thequalificationsandcommensuratesalaryvarywidely,programevaluationisambiguousandturnoverrateamongststaffishigh.(p.2)

BestcasescenarioItappearsthattheprovisionofservicesismostsuccessfulwhenthefollowingconditionsareevident:i)aco-managementprotocolisinplace

allowingforinputintoSchedule‘A’expectationsbythecontractingagency;

ii)thereisacommitmenttodisputemediationbetweenasocialworkerandtheagency;

iii)thereisaregularreviewofclientsoncaseloads;

iv)thereisaliaisonsocialworkerattachedtotheprogram;

v)thereisawrittencaseplanthatiswritten,reviewedandwhereverpossible,hasinvolvedthefamilymembers;

vi)acasemanagerhasbeenclearlyidentified;and,

PartnershipThetermpartnershiphasmanyinterpretations.Inmanyinstancesthepartnershiphasmeantamarriageofconvenienceinwhichthecontracted‘partner’hasplayedasubservientroletothecontractingMinistry...Unfortunately,asitiswithsome‘marriages’thecontractor,attimes,istooeagertoconsummatethemarriageandisplacedinthepositionofmakingcommitmentsthataretoodifficultortoounrealistictofulfil..Therearemanyreasonsthecontractingagencyplacesitselforisallowedtobeplacedinthisunenviablesituation.

Thepartnershipswhichworkwellarethosethatarecommittedtogoodcommunicationandmutualrespect.IncommunitieswherethisisevidentbetweenMinistryandagency,childrenandfamiliesappeartobenefitfromamorecohesiveandrespectfulservice.(p.3)

Considerablepressureinsomeregionstoreducethenumberofchildrencomingintocarehasledtopoordecisionsbeingmadebyeithernotrespondingtocomplaint,orofferingserviceswhichareinadequateortoolatetomakeanynoticeabledifferenceinthesituation.(p.3)

CourtProcessItiscommonforsocialworkerstofeelliketheproverbial‘whippingboy’duringthecourtprocesswhenachildhasbeentakenintocare

Thecourtwilloçten‘order’ormakeunrealisticdemandsuponthesocialworker,whothenmustrelyonthecommunity-basedagencies.Socialworkersthenexertpressureontheagencytocomeupwithservicesimmediately...Thereissuchintenseexplicitorimplicitpressureonallpartiesthatagenciesmayproducepeoplewhoarenotqualifiedforthetaskahead.

2Webelievetherightsofclientsmustbe

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Federation of Child and Family Services of B.C.

Principles

respected at all stages of service delivery.We believe all individuals and families musthave an opportunity to participate in decisionswhich affect their lives.

3. We believe that service delivery must becommunity-based and must respectcommunity values.

4. We recognize and respect a First Nation’sresponsibility in delivering child and familyservices to its people.

5. We believe services delivered must respectsocial and cultural diversity. We believe thateffective and appropriate services are bestprovided when social and cultural differencesare appreciated, accepted, and respected asintegral in the helping process.

6. We believe that child and family services mustbe as non-intrusive as possible while helpingfamilies build on their strengths andresources.

7. We believe that services must be equitableand accessible to all families across theprovince.

Procedure

vii) opportunities exist for joint training andstaff development.

Contracting IssuesCommunity-based agencies fear that contractswill not be renewed. Although the fear seemsirrational, is very real and creates anxiety and a“we have to please them” attitude that ispervasive and unhealthy for all concerned.

Statutory agencies should look to agencies as asource of solutions to the problems in servicedelivery. Agencies are often in a unique or bestposition to know where the co-ordination andinter-agency communication gaps are becauseagencies are working directly with clients andoften know all of the other agencies involved in aclient’s life.

(Submission to Gove Inquiry into Child Protection,Federation of Child & Family Services of BritishColumbia, February 1995 pp. 1-7.)

Outcomes

Contracting IssuesIn order to plan appropriately for clients,agencies must be able to plan appropriately,

An agency can, and does, lose a contractbecause it has, for some unknown reason, failedto please the Ministry. The ‘fear of retribution’is something all contracted agencies live with.

EvaluationThere are inadequate program evaluationguidelines and insufficient funding for theprocess.

(Submission to Gove Inquiry into Child Protection,Federation of Child & Family Services of BritishColumbia, February 1995 pp. 1-9.)

8. We believe in a collaborative and supportiveapproach among agencies in developingprograms,

9. We believe in a partnership relationship withlocal communities and funding bodies.

10. We believe poverty is one of the mostsignificant problems currently facing childrenand families.

12. We endorse the U.N. Convention on theRights of the Child

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FederationofChildandFamilyServicesofB.C.

PrinciplesProcedureOutcomes

13.Webelieveintheprinciplesofnormalizationastheyapplytothedeliveryofservicestochildren,youthandfamilies.

14.Werecognizeandvaluethecontributionofmemberagenciesandvolunteercommittees.

Toprovideservicesascontractagents,alongwithprovidersofstatutoryservices,withtheparamountconcernbeingthebestinterestsofchildren.

Toprovideeffectiveandaccountableservicetothecommunity.

TrustandRespect

Thereneedstobeastrongcommitmentfrombothstatutoryandcontractedagenciestoworktogethertoprovideamorecohesiveservicetofamiliesandchildren.

(SubmissiontoGoveInquiryintoChildProtection,FederationofChild&FamilyServicesofBritishColumbia,February1995pp.1-7.)

A.~AgencyintheCommunity

TheAgencywillprovideservicesthatarereflectiveofcommunityneedsandrespectcommunitynorms.

A.1PurposeA.1.01TheAgencywillestablishaclearlydefined

statementofpurpose.A.1.02TheAgencywillprovideservices

consistentwithitsstatementofpurpose.

TheAgencyandtheProfessionalCommunityA,4.02TheAgencywilladvocateforquality

servicesthatpromotethewellbeingofitsclients.

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Federation of Child and Family Services of B.C.

Principles Procedure Outcomes

A4.03 The Agency will participate in cooperativeefforts that enhance the well-being of itsclients and the community.

A.4.04 The Agency will promote the developmentof research and practice.

(Standards of Service to Children and Families,Federation of Child and Family Services of BritishColumbia, April 1994, pp.4-5..)

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Child and Youth Secretariat

Principles

The Secretariat believes that there is a need todefine fundamental principles, to delineate the roleof key players in the sector and to develop andmaintain consensus on standards of servicedelivery while continuing to support the currentcomprehensive network of programs for childrenand youth.

Draft Delivery Standards for Jointly FundedServices to Children and Youth: An Integrated

Model Non-Government/Government Collaboration.Child and Youth Secretariat. July 1994. (p. 2.)

Procedures

Quality assurance requires development of acommon language, clearly defined performanceexpectations and recognized systems ofevaluation and advocacy as well as ensuringeffective collaboration among governmentMinistries and service providers. The goal mustbe a better quality of service with assuredconsumer input.

Beginningprovides an opportunity for early intervention

Outcomes

Over the course of the past three years, the needfor comprehensive standards in child and youthserving programs as an unmet challenge.(Delivery Standards, July 1994)

Federation of Family & Child Services of BritishColumbiaTo work as contract agencies together withproviders of statutory services

1. Accountability: integrated case managementactivities should be recorded and evaluated.

2. Cooperation: integrated case managementmust be approached with a spirit ofcooperation, enabling the team to worktogether to find the most effective solutions totheir concerns.

3. Continuity: children, youth and their familiesneed a sense of continuity in the services theyare receiving, not only in how the servicesrelate to each other, but also in how they relateto each other over time.

4. Empowerment: The intent of integrated casemanagement is to give as much authority tothe youth and parents as they are willing andable to take on.

5. Holism: The intent of an integrated casemanagement approach is to provide completeunderstanding of the various aspects of a childor youth’s circumstances and needs, includingfamily considerations, and a case plan which isbroad enough to address them.

6. Inclusiveness: integrated case managementshould include everyone who needs to beinvolved. If the number of people at the

-early and well.planned responses will avoidgaps, duplications and confusion and willensure a time and cost effective resolution towhat could have been a more seriousproblem.

Case Manageressential to the maintenance of the integratedcase management process

the case manager should be a caregiver, anolder youth, and advocate or one of the serviceproviders involved with the case.

Assessmentthe gathering of information to establish thecase circumstances at the beginning of themanagement process

identify strengths and problems - researchindicates that working with strengths can beas effective or more so than working withproblem areas.

Planningthe gathering of information provides thematerial on which to build an integrated caseplan

- development of goals and interventions ineach of the focus areas and identify peoplewho will be responsible for them - essentialto incorporate any individual case planningwhich has occurred.

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ChildandYouthSecretariat

Principles

meetingseemstoolarge,seriousconsiderationshouldbegiventotherelevanceoftheirroleintheyoungperson’sandfamily’slives.

7.LeastIntensiveIntervention:Whileitisclearthatinterventionsarenecessarywhenyouthandtheirfamiliesencounterdifficulties,itisimportanttokeeptheinterventionstoanecessaryminimum,innumber,intensity,duration,andrestriction.

8.Participation:Teammembersneedtobewillingtoparticipatefullyintheactivitiesoftheteam.

9.Respect:itisessentialthatthemembersoftheteamshowrespectforeachother’sknowledge,skills,experienceandperspectiveregardlessofleveloftraining,position,jobclassification,particulardiscipline,ortheMinistryoragencyrepresented,and,inthecaseofyouthespecially,age.

10.Support:teammembersneedtoprovidesupporttotheyouthandfamilytoenablethemtotakeanactiveroleandtoimprove3heircircumstances.

11.Transitions:Specialcaremustbetakentobeawareofaplanfortransitionsintheyoungpersonsorfamily’slife,e.g.,changingschools,movingfromchildhoodtoadolescence,changingfamilymakeup.

12.Workingwithstrengths:apositiveapproachthatfocusesonthestrengthsofteammembersaswellasthoseoftheyouthandfamilyispreferredtoonethatfocusesonweaknessesorproblems.

AHandbooktoIntegratedCareManagemnt(Draft).ChildandYouthSecretariat.March1993(pp.4-5.)

Procedures

Monitoringatthetimetheintegratedcaseplanisdeveloped,adateshouldbesetforthefirstcasestatusmeeting,andatwhatfrequencytheyshouldtakeplace.

Assistanceitaserviceisrequiredthatisnotavailablefromtheteammembers,therequestshouldgodirectlytothemandatedministryorviatheLocalorRegionalChildandYouthCommittee

Transferorclosurethismustbeapurposefulevent,andreasonsfortheactivityshouldbedocumented

EvaluationInadditiontoaskingthecasemanagementteamtoformallyandconsensuallyclosethecase,thismodelaskstheteamtoevaluatetheprocess(questionstoaskinclude:wasthecaseplanimplemented?;wasthecaseplaneffective?

Three(3)questions:Wastheplanimplemented?Wastheplaneffective?

Wasthecaseplanimplemented?(allowstheteamtodocumentwhetherornotthecaseplanwasputintoeffect)-ittheanswerisnegative,theeffectivenesscannotbeevaluated;

Iftheanswerispositive,thesecondquestionasks,

Wasthecaseplaneffective?Iftherearedifferingviewpointsastohoweffectivetheplanwas,eachshouldbedocumented,alongwithexamples(allowsteamtoanalyzewhatWorkedandwhatdidnot,andtousethatknowledgeinthefuture.

Outcomes

Includesadiscussionoftheissuesand

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Child and Youth Secretariat

P,inciples Procedures Outcomes

barriers either in the clinical process or in theuse of the Handbook.

Monitoring- At the time that the integrated case plan is

developed, a date should be set for the firstcase status meeting.

Frequency of the meetings will depend on anumber of factors:

Youth and family wishes- the youth and family may have the best

sense of how things are going

Stage of planning- more frequent meetings in early phases will

ensure that the plan is working

Life circumstances- stressful circumstances in the life of the

child or family make them more vulnerableand require more support

Milestones- the beginning of school, summer vacation,

Christmas, puberty and other commonidiosyncratic milestones can also bevulnerable times and should be considered

Changes in the team- new members to the team may need more

frequent meetings to become familiar withthe planning

Case monitoring is absolutely essential tosuccessful integrated case management and,unfortunately, the easiest to’let slip.” It isthese regular meetings of the team which willkeep all members informed, will measureprogress, and will allow for plan modification torespond to new circumstances or an ineffectiveplan. This is the process which can often

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ChikiandYouthSecretariat

PrinciplesProceduresOutcomes

preventthecriseswhichcanbesodamagingtothechildandfamilyandsotimeconsumingforservicedeliverers.

DraftDeliveryStandardsforJointlyFundedServicestoChildrenandYouth:AnIntegratedModelNon-Government/GovernmentCollaboration.ChildandYouthSecretariat.July1994.(pp.3-23)

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BCAssociationofCommunityCare1

Principles

Providesleadershipandsupporttomembersindevelopinganddeliveringservicesandprogramswhichenhancethequalityoflifeoftheindividual,thefamily,andthecommunity.(p.1)

Thegoalofhomesupportistoenhanceandmaintaintheindependenceofindividualsandtheintegrityoffamiliesintheirhomesandcommunitiesaslongasitissafeandpracticaltodoso.(p.1)

RecommendthatMSS

1.standardizehomesupportserviceplansandcontracts,aswellasinternalproceduresregardingtheassessmentandre-assessmentofclients,authorizationprocedures,andtheestablishingandrenewalofcontracts,(p.3)

2.Workinconjunctionwithagenciestodevelopandclarifyinformationcriteriatobemetpriortotheinitiationofservice.(p.3)

3.TheAssociationdevelopedSocialServiceHomeSupportguidelinestoaidmemberagenciesintheprovince-widestandardizationofqualityservice,Theseguidelinesdescribedtherespectiverolesandskills/experiencerequirementsforfamilyskillsworkersandtheirsupervisors.Theseguidelinesshouldbeadopted.(p.41

Processes

FromtheBCAssociationofCommunityCareSubmissiontotheGoveInquiryintoChildProtection,November1994,OTH-003

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BCGovernmentEmployees’Union

Procedures

Thesettingofstandardsisoftenaveryarbitraryprocess.Normsoftenbecomethestandards,therebymakingqualityservicessynonymouswithacceptedpractices.Asgovernmenthasplayedthemajorroleinsocialservicedeliveryinthepastfewyears,ithasbecomethestandardagainstwhichtomeasurequalityformanypeople.Othersregardgovernmentpracticesasapoorindicatorforqualityevaluations.

Theissueofstandardssettingisgrowinginimportance.112)

Inorderforevaluationtoberelevanttofundingsourcesandberationallyusefulforanyequitableprioritizationoffundableagencies,standardsforacceptableservicedeliveryrequireformalizing.(121

Outcomes

Insummary,theMinistryofHumanResourcescontinuestoincreasetheamountofdollarsallocatedforprovisionofservicethroughtheprivatesector.However,theindividualnon-governmentorganizationis,generally,notreceivinganybenefitfromthisincrease.Rather,theorganizationisslowlybeingkilledbylessthaninflationincreases.Individualservicesarenotbeingenhancedbutratherthenumbersofservicesavailableisbeingexpanded.Theresultistheincreasingdevelopmentofacomprehensivesocialsystemofferingdecreasinglyadequateservices.

Licensingisamethodusedtoattempttoestablishminimumstandards.Todate,however,mostlicensingof,forexample,grouphomesdealswithphysicalcriterionsuchasfireandhealthrequirementswithoutattemptingtoadequatelyaddressandyprogramstandards.Theenforcementoflicensingisanissuethatrequiresattentionifitistobeaneffectivemethodofestablishingminimumstandardsforqualityinsocialservicedelivery,(12)

1995SubmissionThegovernmenteventuallybegantopayprivateagenciesandsocietiestofillthevoid.Therewasnointegrationorcoordinationofservices.Socialworkersweretoldthattheycouldnotdirectthenatureoftheservicesprovidedbythesocieties.Asaresult,socialworkerslostcontrolofthetreatmentplanfortheirclients.

Short-handedandunderrelentlesspressure,socialworkersfacedailydecisionsaboutthefutureofchildrenthatwouldtestthewisdomofSolomon.Shouldachildbeapprehendedandplacedincare?

Principles

1981Report

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BC Government Employees’ Union

Princip’es Procedures Outcomes

The choice is whether to reinforce and help afamily, or to remove a child with the lullknowledge that there are not enough caring andnurturing foster parents and group homes. Theanswer is never as simple as it first seems.

There is a growing understanding that taking achild into care doesn’t necessarily do much for thechild. Allowing children to remain in their ownhomes with proper, immediate services to assistand strengthen the family is often a far morepositive approach for both the family and thecommunity, No matter what choice is made,there will be intense scrutiny and criticism, and inall likelihood, too few resources to do the jobproperly. Social workers nonetheless continue toperform their duties with skill and professionalism,a tribute to their compassion and dedication.

While short-staffed social workers struggle tomeet their statutory responsibilities, there seemsno end to what the ministry is prepared to spendon social service contracts. For every dollar spenton ministry staff, three dollars are now spent oncontracted services. Though most agencies arevery caring, there are no specific requirementsthat contractors hire qualified staff or even servethe clients referred to them by ministry socialworkers.

This is an idiotic, wasteful, cost-inefficient way ofspending resources.

I assume that we hire qualified workers. We’renot arguing for lower standards; we’re arguingagainst the book-based approach, using the bookas a club. Sometimes professional judgementsupersedes book policy.

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British Columbia Federation of Foster Parent Associations

PRINCIPLES PROCESSES OUTCOMES

Mission StatementThe BCFFPA represents its members who providequality in-home foster care in British Columbia.This is accomplished through provision ofprofessional services including advocacy,education, training and support (BCFFPA AnnualGeneral Meeting, 1994/95, p. 55)

I. Commitment to the Foster Child and NaturalFamily

In recognition of the public trust which is aresult of children placed in their care, fosterparents recognise their obligation in providing asafe, nurturing environment conducive to thedevelopment of each foster child to his or herfull potential. This involves a commitment tothe children placed in care as well as therelationship with the natural family and withother professionals that is necessary to fulfilthis goal.

Foster Parents agree to:

Deal with foster children and natural family in ajust and considerate manner.

Withhold information of a sensitive orconfidential manner, make discreet andguarded use of such information only withother professionals if it is felt the release willbenefit the foster child, the natural family; or ifsharing of such information is required by law.

Refrain from unprofessional comments aboutthe foster child or the natural family.

Work with the child welfare authorities toinform appropriate individuals and agencies ofspecial needs of a foster child and assist otherindividuals and agencies in their endeavour toprovide services, treatment and care.

The following are Practice Standards, all of whichare subject to peer review.

l.a. Foster Parents shall recognize the primary roleof fostering as being the provision of qualitycare to children placed in their care.

lb. Foster Parents shall recognise legal policiesand positions concerning the right of thechild, right to shelter and housing asoutlined, in the following: fAll laws andstatutes of Canada and the Province of BritishColumbia, and more specifically, the Familyand Child Services Act and the GuardianshipActi.

Ic. Foster Parents shall respect the rights of thefoster child and natural family regardingconfidentiality.

Id. Commitment to the foster child shall notoverride the rights of other children in thehome.

I.e. Foster Parents shall participate actively incase planning for children in care.

II. Foster care is a community social concern.Fpster Parents recognise their responsibilitiestowards the community by sharingresponsibility in developing sound policies andprograms.

II. Foster Parents agree to:

Share in the responsibility of improvingchildren’s welfare.

Acknowledge the right and responsibilities ofthe public to participate in the formulation ofchild welfare policy, and foster care policy.

Evaluate, through professional procedures, theconditions of children’s welfare and foster careand make known to the proper authorities andtake proper action, if serious deficiencies exist.

ll.a. Foster Parents shall work towards thepromotion of fostering and the rights ofchildren in our society.

ll.b. Foster Parents shall act in a manner thatrecognises the trust of the community. (Inproviding care for foster children, it isrecognised that a high degree of communitytrust and expectation is part of the socialcontract betweqn the community and thechild welfare system.l

Protect the issue of children’s welfare against

From Peer Review Guidelines Annual General Meeting, May 1994

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BritishColumbiaFederationofFosterParentAssociations

PRINCIPLESPROCESSES

undesirableinfringements.

OUTCOMES

Ill.FosterParentsrecognisethenecessityforcontinuingeducationandindividualgrowthwithintheprofession.FosterParentsrecognisetheneedforprovidingapositiveandresponsiblesituationtoenhancethecompetencyoffosterparents.Theyalsorecognisetheneedfordesigningandsupportinganassociationthatretainscompetentanddedicatedfosterparents.

Ill.FosterParentsagreeto:

Recognisethataprofessionandaprofessionalassociationmustacceptresponsibilityfortheconductofitsmembersandunderstandthatitsmembers’conductmayberegardedasrepresentativeofallfosterparents.

Participateandconductthemselvesinaresponsiblemannerinthedevelopmentandimplementationofpoliciesaffectingfostercare.

Co-operateintherecruitmentandretentionoffosterparentsbyprovidinghonestandobjectiveinformation.

Accordjustandequitabletreatmenttoallmembersintheexerciseoftheirrightsandresponsibilitiesandsupportsthemwhenunjustlyaccusedormistreated.

Refrainfromexploitingone’srelationshipswithintheprofession,theassociationandthecommunity.

lIla.FosterParentsshallabidebytheCodeofEthicsand(PracticeStandardsloftheBCFFPAandwillacceptresponsibilitiesforactionstakenandofdecisionsmadeinreviewingtheconductoffosterparents.

lll.b.FosterParentsshallattainthequalificationtomeetacceptablefamilycarehomerequirements.

lll.c.FosterParentsshalldevelopandincreaseskillsthroughparticipationincontinuingeducationprogramssupportedorofferedthroughtheAssociation.

Ilid.FosterParentsshallrecognizeandmaintaintherequirementsforBCFFPAmembershipandwilladheretothepoliciesandregulationsconcerningmembershipanditsprivileges.

lll.e.FosterParentsshall,bymembership,recognisetheresponsibilitytosupportstatementsmadebytheAssociationonbehalfoffosterparentsandshallnotuseaffiliationwithBCFFPAasanopportunityforself-gain.

Makeappropriateuseofthetimeandprivilegesaccordedbyone’spositionasafosterparentaswellasanassociationofficial.Acceptnogratuitiesorgiftsofsignificancethatmayinfluenceone’sjudgementintheexerciseofprofessionalduties.

Maintainintellectualhonestyandintegritybyappropriateinterpretationanduseofallreferencematerials,researchstudiesandliterature.

FromPeerReviewGuidelinesAnnualGeneralMeeting,May1994

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Maintain the integrity of the Fosteringprofession and the Association by basingcriticism on careful evaluation of the facts.

Accept one’s responsibility towards continuing

OUTCOMES

IV. Foster Parents recognise their role andcontributions within the child welfare systemand in doing so, acknowledge and supportpositive professional practices betweenthemselves and other professionals. Soundrelationships with government representatives,community agencies and other professionalsare built upon personal integrity, dignity andmutual respect.

education and personal development.

IV. Foster Parents agree to:

Accept child placements only when the terms,policies and practices permit the exercise ofone’s professional judgement and skill.

Negotiate and execute the terms of allcontracts fairly and honestly.

Adhere to the conditions of a contract or to theterms of placement until either has beenterminated legally or by mutual consent,

Accept no commitment that will impair theeffectiveness of ones professional service andpermit no exploitation of their professionalposition.

IV.a. Foster Parents accept the responsibility ofinsuring that the rights and responsibilities ofall parties are being fulfilled.

lV.b. Foster Parents shall inform all parties of basicexpectations they have for those using theirservices,

IV.c. Foster Parents shall have the right to requestthe Ministry of Social Services to conduct apersonal written review. Foster Parents willhave the right to request access to this filefor the purposes of review and rebuttal.

IV.d. Foster Parents will support the Resolution ofIssues process as outlined in BCFFPA policy.Foster Parents will support Protocol outliningthe Procedure for Investigation of AbuseAllegation.

lV.e. Foster Parents shall adhere to the conditionsof the contract and fostering agreement andaddress issues of disagreement throughappropriate committees and channels orrepresentatives.

lV.f. Foster Parents will adequately manage andaccount for all monies received under theFamily Child Maintenance Rate.

IV.g. Foster Parents shall keep all records asrequired by Ministry of Social Service andBCFFPA.

IV.h. Foster Parents shall consider their own homeand family when negotiating a placement andprovide for any areas of concern througheither a statement in the contract or arejection of the placement.

lV.i. Foster Parents shall share vital information

From Peer Review Guidelines Annual General Meeting, May 1994

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suchaspastandfutureconcernsseenascrucialtothesafetyandwell-beingofboththefosterchildandfosterfamilies;basedontheirprofessionaljudgement.

FromPeerReviewGuidelinesAnnualGeneralMeeting,May1994