Region 5 OBSD Model. Region 5 CFSA Responsibility Work with lead agency to enhance capacity to focus...
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Transcript of Region 5 OBSD Model. Region 5 CFSA Responsibility Work with lead agency to enhance capacity to focus...
Region 5 OBSD Model
Region 5 CFSA Responsibility
Work with lead agency to enhance capacity to focus on the achievement of outcomes as the central driver for both case work practice and allocation of resources
Responsibility of the Lead Agency
Through engagement with family, community and CFSA to;
collaborate in assessment activity participate in conference activity and
shared decision making on outcomes develop, implement and manage plan
to achieve outcomes provide outcome measurement and
evaluation
Region 5 Phase In Site
Outcomes
OBSD Agency Video ConferenceOctober 22, 2009
Outcomes Based Service Delivery
Building on the philosophy of the Casework Practice Model of assessment, collaboration and engagement, the Outcomes Based Service Delivery initiative will support the system wide evolution of our services from thorough assessment to how the case plan and services will achieve desired child and family outcomes.
The initiative is intended to result in a service delivery system that has the capacity to measure and focus on the achievement of agreed upon outcomes as the central driver for practice, policy and management decisions.
National Outcome Measures Framework
National Outcome Measures Framework
Using the National Child Welfare Outcomes Indicator Matrix (NOM’S) as the foundation, the outcomes measurement framework attempts to expand upon the core indicators in the four domains. A collaborative relationship with contracted agencies provides the system a unique opportunity to expand upon indicators that have been historically challenging to measure. The information gathered and reported on will be used to: Inform and guide practice towards
improving outcomes for children, youth and families that we serve– using outcomes data for ongoing quality improvement
Consistently measure agency and authority performance over time
Compare agency and authority achievement of outcomes to highlight best practices and areas for attention and improvement
Safety
DOMAIN Ministry Agency
SAFETY Return to Service:Definition: This measure is intended to report on the proportion of children who return for further CI services within 12 months of having ended receiving CI services.
Recurrence of Abuse Definition: need to establish a measure here – maybe able to use critical incidentreports to document and report.
Well Being
DOMAIN Ministry Agency
WELL BEING School Performance:Definition: The measure looks at what proportion of children with an open Child Intervention file are at an age appropriate school grade level.
Child Development:Definition: The measure looks at the percentage of children whose development improved during the course of interventions from theagency.
Adolescent Development [Transition to Adulthood]
Definition: The percentage of adolescent who improved and/or have the characteristics to be successful in transitioning toindependence and are autonomous.
Permanence
DOMAIN Ministry Agency
PERMANENCE Children Remaining at Home:Definition: The measure looks at what proportion of childrenwho received ongoing childintervention services, during thereporting period, remained atwith family for up to one year ofreceiving services.
Children Returning Home:Definition: The measure looks at what proportion of childrenwho were in-care under a temporary legal authority who returned to their home
Children Remaining at Home:Definition: The measure looks at what proportion of children who received ongoing child intervention services, during the reporting period, remained at home.
Children Returning Home:Definition: The measure looks atwhat percentage of children whowere in-care under a temporarylegal authority who returned to theirfamily.
Permanence
DOMAIN Ministry Agency
PERMANENCE Children Achieving Permanency:Definition: The measure looks at the number of children with an in-care status who had an adoption or private guardianship order granted.
Moves in Care:Definition: The measure looks at the number of placement moves occur for a child in care. The measure excludes initial placements in care, return home, placements shorter than 72 hours, respite and placement in youth justice.
Children Achieving Permanency:Definition: The measure looks at the percentage of children with a permanent care status who were placed in an adoptive placement (i.e. Permanency Placement Adoption start) or private guardianship order granted.
Moves in Care: Planned and Unplanned Moves in Care: NEED AGENCY INVOLVEMENT TO CAPTURE ‘PLANNED AND UNPLANNED MOVES’
Permanence
DOMAIN Ministry Agency
PERMANENCE Time in Temporary Care:Definition: The measure looks at the average length of time a child remains in temporary care before returning to parental care.
Duration of ServiceDefinition: The length of time a specific child was provided services by the agency. Services are defined as at home and out of home. Out of home services are further defined as kinship, foster care, group care, residential treatment care and independent living.
Duration of ServiceDefinition: The length of time a specific child was provided services by the agency. Services are defined as at home and out of home. Out of home services are further defined as kinship, foster care, group care, residential treatment care and independent living.
Family and Community Support
DOMAIN Ministry Agency
FAMILY ANDCOMMUNITYSUPPORT
Community Placements:Definition: The measure looksat the proportion of aboriginalchildren, who come into care,that are placed in their ownethno-cultural community.
Community Placements: Definition: The measure looks at the percentage of children,who come into care, that areplaced in their own ethno-cultural community. This measure will report on aboriginal children and non-aboriginal childrenseparately.
Parenting:Definition: The percentage of parents whose ‘parentingcapacity’ has improved during the course of their involvement in child Intervention.
Other
DOMAIN Ministry Agency
OTHER Placement Structure:Definition: The measure looks at the average length of time a child is placed in morestructured placements, in this case, residential and group care
Client Engagement:Definition: The percentage of children, youth and families who express they feel engaged withthe agency.
In closing… The above framework is not intended to be exclusive or the
whole of performance measurement/management and does not replace accreditation and practice standards which tend to measure processes that support quality service delivery. Ideally, over time, accreditation and practice standards can evolve into those that are most strongly correlated to improved outcomes.
Principles The framework needs to build upon the contract agency’s
significant existing capacity to measure outcomes data The information needs to be relatively simple to gather and
build upon existing reporting processes and data collection systems
The Ministry, regions and agencies need to be supported by structured opportunities and processes to review outcomes data
This framework was taken from Outcomes Measurement Overview Draft Working Document September 30, 2009 and is currently still a DRAFT document.
Case Work Practice ModelCWPM
Agency PresentationOctober 2009
Learning Objectives
Enhancing your understanding of: the importance of the CWPM in
continuous improvement of outcomes for children and families;
the benefits of engagement and collaboration during case planning;
the core principles of the CWPM
Purpose The Casework Practice Model defines practice
under the Child, Youth and Family Enhancement Act for all Child Intervention Services staff and their supervisors.
The model, a result of collaborative activities, supports consistency of casework practice across the province.
The model places an increased emphasis on the assessment process; engagement with the family; and collaboration with the family and resources in their community.
Why the CWPM The CWPM was developed to support the intent of the legislation:
Shortened timeframes for children in care under a non-permanent order;
Focus on earlier permanency for children through concurrent planning processes;
Increased expectations by the Ministry and the Court system to engage parents in assessment and case planning;
The use of a differential response in screening reports for possible intervention services and subsequent service delivery;
The definition and provisions of effective supports for youth transitions
Will bring consistency to casework practice across the province and aligns practice with the Enhancement Act
Supports what front line workers have indicated they want in terms of best practice application through collaboration, assessment, and engagement activities.
Intended Outcomes Children will experience shorter time in care
(better more thorough assessment leads to more informed decision making
Shorter timeframes for involvement with the Director
Families will access community supports sooner
Supports provided will align with families needs
Reduce recidivism with our system (i.e. less often coming back to us)
Intake
De
ci s
ion
1
Safety Phase
De
ci s
ion
2
Detailed Phase
An
al y
si s
/ R
eco
mm
en
da
tio
ns
De
ci s
ion
3
Ca
se
Pl a
n
Family Enhancement Services
Protective Services
An
al y
si s
/ R
eco
mm
en
da
tio
ns
Ass
essm
ent
Up
date
& C
ase
Pla
n R
evie
w
De
ci s
ion
4
De
ci s
ion
5
Assessment
Max 5 working days Max 10 working days Max 30 working days
Every 3 monthsor as required by legal authority
or case plan
Decisions that require supervisory consultation and approval
Decision Does the report suggest intervention is required?Action taken: Recommend assessment or investigation Safety Phase – Assessment Safety Phase – InvestigationDocumentation: Complete Screening form and show recommended action
Decision 2: Is the child in need of intervention?Action taken: Close Close with referral Detailed assessment Protective services (e .g . apprehension)Documentation: Complete Safety Assessment Record
Decision 3: Is the child in need of intervention?Action taken: Close Close with referral Family Enhancement Services Protective Services (if preceded by Investigation)Documentation: Complete Detailed Assessment Record
Decision 4: Is the child still in need of intervention?Action taken: Family Enhancement Services continued Protective Services continued Close Close with referralDocumentation: Review and update Assessment Record Revised case plan if case remains open
Decision 5: Does the child or family want a Resource Information Record?Action taken: Close Close with referral Close file with a Resource Information RecordDocumentation: Document reason for closure
Closure
Model Diagram: Overview of the Casework Practice Model March 2008
1:
Safety Phase Assessment Safety phase includes investigation and assessment as
related to Section 6 of the Child Youth and Family Enhancement Act. Policy has been developed to direct which approach workers will take in this phase of assessment activity. Policy for safety phase is highlighted in 3.4 and 3.5.
This phase is about assessing the child’s safety
There are three domains assessed during this phase (child development; parenting capacity and environmental/family factors
Determine also whether the “child is in need of intervention”
The Assessment RecordThe Assessment Record
ChildSafeguarding
and promotingwellbeingC
hild
’ s D
evel
opm
enta
l Nee
ds
Parenting C
apacity
Family and Environmental Factors
Detailed Phase Assessment Detailed phase is 30 days and now includes a
mandatory case conference/case transfer activity that must be completed.
Assessment continues to build on the three domains
Collaborative practice is emphasized through the mandatory case conference and case plans
Consultation with the supervisor is critical to strengthen analysis and the recommended direction for intervention
Detailed phase cont’d Collects additional information from the child, family,
collaterals and others as needed
Explores the families strengths (protective factors) and risk factors
The child’s developmental progress
Parental capacity
Environmental factors affecting the child’s need for intervention and the type of service required.
The detailed assessment phase builds on information gained at intake and during the safety phase to provide a sound basis for determining a child’s intervention needs and case planning
Intervention Phase
Continued assessment and analysis are required for ongoing intervention
Case plan outcomes are an important source of assessment information
Case conferencing is not mandatory in this phase of assessment but it is strongly recommended
Assessment information gathered during this phase of the Model is added to assessment information gathered during safety and detailed assessment phases.
If the child is in care then use the “In-care Assessment Record” (make note to review this as this is being recommended for change)
Review during intervention is to occur every three months
Closure Phase The Closure Phase provides the opportunity to review the
family’s progress through the case plan in light of child in need of intervention concerns
Here you assess the continued need for intervention services and supports that could be provided within the community
Document the final analysis as related to need for intervention and supported reasons for closure
Closure can occur at any of the following four phases of the Model Intake Safety Phase Detailed Phase Intervention Phase
CWPM Fundamentals
Collaboration Engagement
Assessment
Child-Focused Family-Centred
CriticalThinking
CWPM Fundamental
The CWPM is based on six core fundamentals as follows: Engagement Collaboration Assessment
The other three fundamentals are well known to workers as well and really focus on practice frameworks and are often seen in the way a worker approaches the child, family and their casework supervision. These are: Child Focused Family Centered Critical Thinking
Engagement
Engagement sows the seed for future collaborations.
It is not a separate or distinct activity but part of a three part process that includes assessment and collaboration.
Collaboration Numerous formal and informal partners working
together, explicit about what each is getting from their temporary alliance with others;
Flexibility in how resources are shared, when sharing is possible;
Honest efforts to represent the less powerful views of those with whom we work ;
Understanding that resistance to rules and procedures can be useful;
Encouragement of others to seek solutions that promote social justice (e.g., challenging funding formulas, promoting kinship adoptions, developing culturally appropriate case plans).
Assessment
Assessment = Information Gathering x Analysis
Assessment is a process to obtaining and analyzing information through interviewing, observation and interpreting primary data sources.
Analysis is a process to search for understanding, by taking things apart and studying the parts.
Four Principles of Assessment
Principle Three: Assess all those involved The scope of our assessment determines who will
assume responsibility for change; Assessment is an opportunity to engage others in
analysis of problems and discussion of preferred solutions;
Families and individuals, schools, our agency and funders should all be assessed in order to explore what resources are realistically available and accessible;
What we can achieve depends on the structures around us (e.g., our agency’s mandate to respond, flexibility in program design, funding for alternatives).
Child Focused
The Child is always the focus of the assessment.
Child or youth’s perspective is always taken into consideration
Direct contact with the child is a must!
The safety of the child must be ensured.
Family Centered
FamilyCentredService
CollaborationFull Disclosure
Empathy
CommunityPartnerships
TransparentDecision - Making
Strengths - Based
Respect
Individualized ServiceFocusing on:ResourcesOptionsPossibilitiesExceptionsSolutions
Helping to “connect the dots”Open, participatorydecision-making
Jointly reviewing optionsSeeking mutuallysatisfactory solutions
Listening to the family'swishes and prioritiesAccepting cultural diversitySensitive to the family'scoping style
Building communitysupports andassisting in servicecoordination
Explaining programbenefits in commonunderstandable termsOutlining what canand cannot be done
Vicariously experiencingfamily’s feelings,motivation, or ideas
Developing serviceplans that detail:• Needs • Outcomes• Criteria• Procedures• Timelines
Mandatory Case Conference
Requires a level of engagement with the family
Ensures collaboration with agencies and family
One plan for all involved to know their role (support or tasks)
Child focused
Improved Outcomes for Children and Youth and Families Supporting vulnerable children to live successfully in community Children in Temporary Care will be re-united quickly with family Children in Permanent Care will be placed in permanent homes more quickly Youth transitioned to Adulthood successfully Aboriginal children will live in culturally appropriate home
Philosophical Framework
Entrenching Our Goals in Legislation
Providing the Framework and Tools
Outcome Based Services (O.B.S.)§ Performance Measurement§ Collaborative Approach to Service Delivery§ Evidence-based Management
Agency &
CommunityPractice
ACYS
Practice
Shared
Practice
§ Safety§ Permanency§ Child well-being§ Family & community
connections
PRACTICE
Child, Youth and Family Enhancement Act
§ Differential Response§ Strengthen family & community
involvement§ Strengthening Aboriginal Involvement§ Strengthening Permanency
Casework Practice Model (CWPM)
§ Assessment§ Collaboration§ Engagement
Alberta Response Model
§ Community Engagement§ Differential Response§ Permanency Planning§ Outcomes Evaluation
Improved Outcomes for Children and Youth Flowchart
Version 5 - February 25, 2009
Region 5 East Central Alberta
Child and Family Services
Outcome Based ContractingRequest For Proposal Overview
What is Outcomes Based Contracting?
This is performance based contracting and can be generally defined as:
A model that focuses on outputs, quality, and outcomes of service provision and may tie at least a portion of a contractor's payment, as well as contract extension or renewal, to their achievement
CFSA Organization/Agency will continue to hold a contractual business relationship but the CFSA case worker/Agency staff worker relationship will be collaborative
Predominant Benefit to Agencies
Flexible funding mechanisms Potential for longer term funding
commitments Ability to internally measure performance Engagement with the broader system as a
partner Ability to reinvest committed dollars into
programming Increased communication between agency
and CFSA Case Workers
Overview of Request For Proposal
The RFP has a very formalized format with a prescriptive process. There are many pieces to this process and as you can see below it is very detailed. I want to give you a brief overview of each piece, as once the RFP is posted on the Alberta Purchasing Connection you will be able to download all the related documents needed to complete this process.
General This would be a an overview of the process
Legislated Requirements Proponents must know and abide by all relevant
federal, provincial and municipal laws.
RFP Overview cont’d
Project/Service Information Introduction Background Project/Service Objectives Description of Deliverables Reporting Requirements Project/Service Duration Project/Service Scope Budget
RFP Overview cont’d
Tender Process and Submission Guide RFP Information Session Proposal Format Proposal Submission Requirements Evaluation Criteria
Evaluation Evaluation Criteria Evaluation Process Interviews
RFP Overview cont’d
Additional RFP Administration Terms and Conditions Additional Stipulations The Contract Subcontracting Insurance Copyright Contract Information
There will also be several appendix that will part of the RFP process and will be available through the Alberta Purchasing Connection (APC) once the RFP has been posted
Accessing RFP
Request For Proposal information can be accessed through Alberta Purchasing Connection (APC) @ www.purchasingconnection.ca
Next Steps
General Information and Key dates
Posting of RFP on the Alberta Purchasing Connection on November 16, 2009
Mandatory public meeting for all interested proponent scheduled for November 23, 2009
RFP closing on December 14, 2009 at 12 noon Public Opening of Proposals –Wainwright CRC
Boardroom at 1:30pm on Dec 14, 2009 Successful proponent announced and posted on
Alberta Purchasing Connection on December 18, 2009
Start up date January 1, 2010
Improved Outcomes for Children and Youth and Families Supporting vulnerable children to live successfully in community Children in Temporary Care will be re-united quickly with family Children in Permanent Care will be placed in permanent homes more quickly Youth transitioned to Adulthood successfully Aboriginal children will live in culturally appropriate home
Philosophical Framework
Entrenching Our Goals in Legislation
Providing the Framework and Tools
Outcome Based Services (O.B.S.)§ Performance Measurement§ Collaborative Approach to Service Delivery§ Evidence-based Management
Agency &
CommunityPractice
ACYS
Practice
Shared
Practice
§ Safety§ Permanency§ Child well-being§ Family & community
connections
PRACTICE
Child, Youth and Family Enhancement Act
§ Differential Response§ Strengthen family & community
involvement§ Strengthening Aboriginal Involvement§ Strengthening Permanency
Casework Practice Model (CWPM)
§ Assessment§ Collaboration§ Engagement
Alberta Response Model
§ Community Engagement§ Differential Response§ Permanency Planning§ Outcomes Evaluation
Improved Outcomes for Children and Youth Flowchart
Version 5 - February 25, 2009