Someday Morning

Someday Morning April 27, 2015 Page 1 of 11

The California Alliance Friday, April 27, 2015

…Kloons… of Child and Family Services Volume 12, #10

IN THIS ISSUE

S T A T E

AB 403 Set to Implement CCR p. 1

Alliance Co-Sponsoring Two Bills to Improve Access to Mental Health Services for Children p. 4

T H E A L L I A N C E

Conferences, Training and Events p. 6 Alliance Outgrows Napa; Moves to Monterey in 2016 p. 6 Webinar Explores Impacts of Prenatal Substance Exposure on Children p. 6

For Your Information p. 7 Alliance Welcomes Golden State Family Services as a New Member p. 7 Two More Alliance Agencies Achieve Accreditation p. 7 ChildNet’s Kathy Hughes Honored as Woman of Distinction p. 8 Hathaway-Sycamore’s Bill Martone Retires; Debbie Manners is Interim CEO p. 8

Resources p. 9 Brief Outlines Significance of Trauma Among Dual Status Youth p. 9

And Just Remember… p. 9

C A L E N D A R

STATE

AB 403 Set to Implement CCR

AB 403 (Stone), the bill that would implement the Continuum of Care Reform (CCR) Report, was amended earlier this month resulting in 181 pages of changes that authorize the Department of Social Service (CDSS) to implement its framework for reforming foster care in California, but much of which comprise non-meaty, non-substantive technical amendments.

Since the CCR Report to the Legislature was released with the governor’s proposed budget on Jan. 9, CDSS leadership has firmly asserted that the administration is committed to implementing an integrated package of reforms, not a flurry of independent stand-alone reform bills lacking cohesion and focus.

And, indeed, the amendments to AB 403 open by stating “[i]t is the intent of the Legislature…to improve California’s child welfare system and its outcomes by using comprehensive initial child assessments, increasing the use of home-based family care and the provision of services and supports to home-based family care, reducing the use of congregate care placement

p.5

Alliance Member Agencies

Corbett Group Homes, Inc.

Courage to Change

Crittenton Services for Children & Families

Dangerfield Institute for Urban Problems

David & Margaret Youth and Family Services

East Bay Agency for Children

Edgewood Center for Children

EMQ FamiliesFirst

Ettie Lee Youth & Family Services

Family Builders by Adoption

Family Care Network

Family Life Center

Fields Comprehensive Youth Services

Five Acres

Fred Finch Youth Center

Hathaway-Sycamores Child and Family Services

Haynes Family of Programs

Hillsides

Inland Empire Residential Center

Inner Circle FFA

Junior Blind of America

Kern Bridges Youth Homes

Lilliput Children’s Services

Lincoln Child Center

MAC’s Children & Family Services

Martin’s Achievement Place

Maryvale

Alliance Member Agencies

A Better Way

Advanced Education Services

Advent Group Ministries

Aldea, Inc.

Alliance Human Services

Alternative Family Services

Arrow Child & Family Ministries

Aspiranet

Aviva Family and Children’s Services

Bayfront Youth and Family Services

Berhe Group Home

Bienvenidos Children’s Center

Bill Wilson Center

Boys Republic

Boys Town California

Casa Pacifica Centers for Children & Families

Casey Family Programs

Chamberlain’s Children Center

Charis Youth Center

Childhelp, Inc.

ChildNet Youth & Family Services

Children’s Bureau

Children’s Home of Stockton

Children’s Institute, Inc.

Children’s Receiving Home

Community Solutions

Concept 7

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settings, and creating faster paths to permanency resulting in shorter durations of involvement in the child welfare and juvenile justice systems.”

That said, and despite its length, AB 403 still lacks detail concerning key elements of the reform. Indeed, more than anything, the bill authorizes CDSS to do what it needs to do to implement the CCR Report, without specifying exactly what the implementation specifics will look like.

And that’s not a bad thing. There is an enormous amount of work to be done, decisions to be made, problems to be solved; indeed, it was highly unlikely that the details of that work and its exact products could be spelled out in implementing legislation.

Here are some of the key provisions of AB 403:

North Star Family Center

Northern Valley Catholic Social Services

Oak Grove Center

Oakendell Facility

Olive Crest Homes & Services for Abused Children

Optimist Youth and Family Services

Pacific Lodge Youth Services

Paradise Oaks Youth Services

Parents by Choice

Penny Lane

Phoenix House of California

Promesa Behavioral Health

Rancho San Antonio

Rebekah Children's Services

Redwood Children's Services

Remi Vista

River Oak Center for Children

RiverStones Residential Services

Rosemary Children’s Services

Sacramento Children's Home

San Diego Center for Children

Seneca Family of Agencies

Sierra Child & Family Services

Sierra Forever Families

Sierra Vista Child & Family Services

St. Anne’s

Stanford Youth Solutions

Stars Behavioral Health Group

Summitview Child & Family Services

Sunny Hills Services

Tahoe Turning Point

Thunder Road Adolescent Treatment Centers

TLC Child & Family Services

Transitions Children’s Services

Triad Family Services

Trinity Youth Services

Unity Care Group

Valley Oak Residential Treatment Program

Valley Teen Ranch

Victor Treatment Centers

Vista Del Mar

Walden Family Services

Westcoast Children’s Clinic

Westside Children’s Center

Youth For Change

Youth Homes, Inc.

Youth Services Network

Provisional Member Agencies (pending accreditation)

Aaron’s Boys Home

California Anchor Residents

First Place for Youth

Foster Hope Sacramento

Golden State Family Services

Greater Hope Foundation

Human Services Project, Inc.

Plumfield Academy

Progress Ranch

Sonoma County Children’s Village

The Village Family

Services

Provides for the development of child and family teams to inform placement and service decisions; sections dealing with child and family teams are extremely detailed.

Group homes FFAs

Group homes will go away. The only type of congregate care in the foster care system will be short term residential treatment centers (STRTCs).

CDSS will establish new STRTC administrator certification standards and training.

Increases the qualifications and training for STRTC staff.

Out of state group homes will have to meet licensing standards for STRTCs in California.

CDSS will develop regulations as needed for STRTCs serving children 6 years old and under, and for mother infant programs serving children under age 6.

All STRTCs must be nationally accredited by January 2018.

Creates two categories of FFAs: treatment (FFA/T) and non-treatment (FFA/NT)

FFAs would have to meet Resource Family Approval standards, which are detailed.

Foster parent training requirements would be revised and expanded.

All FFAs must be nationally accredited by January 2018

Requires CDSS to publish and make available on a public Internet Web site performance indicators for STRTCs and FFAs, although it does not specify the indicators.

Permits counties to operate STRTCs or FFAs and requires them to meet the same requirements as nonprofit agencies operating the same programs.

Treatment placements:

Limits STRTCs and FFA/Ts (Treatment FFAs) to accepting for placement only children and youth classified as severely emotionally disturbed (SED) for whom there is written approval by an interagency placement committee (IPC) or an IEP team. Emergency placements are permitted,

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but only if a mental health professional makes a written determination within 72 hours of the child’s status as SED and need for that level of care. The child and family team or IPC would have to approve the placement within 30 days.

STRTCs and FFA/Ts would have to be certified to provide behavioral health services by either DHCS or a county Behavioral Health Department. Certification would have to be renewed annually.

Requires CDSS and DHCS to set up a coordinated monitoring system.

Foster Care Rates:

Authorizes CDSS to develop new payment structures for STRTCs and FFAs and to implement them by January 2017.

Replaces the RCL system and the FFA rate system with as yet undefined STRTC, FFA/NT and FFA/T payment systems. In order to receive a rate, an STRTC or FFA/T would need a recommendation from the host county or the primary placing county that the program is needed and that the provider is willing and capable of operating the program at the level sought.

The systems are to include payment for “core services” that encompass community service and supports, permanency-related services, medical and mental health support and access to services, educational support, life and social support, transitional support services upon discharge, biological parent and resource family supports, and services for non-minor dependents. The system must also cover staff training, Health and Safety Code requirements, achievement and maintenance of national accreditation, and certification of the agency to provide mental health services.

The bill differentiates between non-treatment, treatment, intensive treatment, and therapeutic foster care programs without clarifying the distinction between the latter three.

Specifies that counties may use a portion of their own county funds to increase rates paid to family homes and, foster family agencies, group homes, and short-term residential treatment centers within that county, and to make payments for specialized care increments, clothing allowances, or infant supplements to homes within that county, solely at that county’s expense. Counties, however, may claim federal participation only for supplemental rates used to provide additional care and supervision for commercially sexually exploited foster children and youth (CSEC).

Codifies the Legislature’s intent to make the annual CNI adjustment to the THP-Plus Foster Care program support not just the care and supervision, but also needed services and supports for nonminor dependents who are receiving transitional housing services.

Wraparound

Establishes a rate for wraparound services of $8573 effective January 1, 2017 with the proviso that the rate does not exceed the cost of placement in a STRTC. The rate is to receive an annual CNI increase “subject to the availability of county funds.”

Concerns

The bill refers frequently to assessments, without referencing standardized assessment of need or directly linking assessments to determination of who will provide care and supervision, what services and support they may need, or a child’s needed mental health treatment and therapies. The only assessment specified is on to determine whether a child is severely emotionally disturbed.

It seems incongruous, moreover, that all children and youth requiring placement in a STRTC or FFA/T be certified as SED. Those young people who are not SED but need the level of care and supervision or level of services and support provided in one of those settings would either be denied that service or be pathologized in order to get their needs met.

Many probation youth for whom STRTC placement would serve as a step down from secure confinement, for example, would either lose that option or have to be unnecessarily and inaccurately certified as SED.

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The distinction between treatment and non-treatment FFAs itself seems arbitrary and runs counter to the model developed by the CCR workgroup. Presumably, a child living in a non-treatment setting who needs mental health treatment or intensive levels of services and support would have to change to a treatment setting; conversely, a child in a treatment setting who no longer needs treatment would have to move to a non-treatment setting.

By contrast, the CCR workgroup articulated a model in which a child can receive needed mental health treatment and therapies while s/he and his/her caregiver receive the level of services and support they need, regardless of where or with whom the child is living, be it parent, family member, county foster family, nonrelated extended family member, or FFA certified family. Even the bill affirms “…the intent of the Legislature that…[s]ervices and supports should be tailored to meet the needs of the individual child and family being served….”

As laid out in AB 403, however, children and youth would be subject to the same placement changes they now experience any time their needs change, a practice the CCR workgroup sought to end. Children should not have to move from FFA/NT to FFA/T to get their needs met and they should not have to change caregivers and treatment teams as their needs change.

The bill also fails to address the key roles of STRTCs in providing follow along support and services when youth return to home-based family settings in the community, and of FFAs as children and youth move to permanency.

Looking Ahead

It may be that some of the above concerns will be answered during implementation, but in the meantime, the California Alliance and allied advocacy organizations are continuing to work with CDSS and the author to address those concerns and help flesh out details of the bill.

The bill sets the optimistic, some might say adventuresome, deadline of January 2017 for implementation. Clearly some aspects of the Reform can be implemented by that date, others more quickly and others likely will take longer.

Information

For information, contact Doug Johnson or Jackie Rutheiser at djohnson@cacfs.org or jrutheiser@cacfs.org respectively, or by phone at 916/449-2273.

AB 403 and the other CCR materials are available on the California Alliance website at: http://www.cacfs.org/?page=PublicPolicy.

Alliance Co-Sponsoring Two Bills to Improve Access to Mental Health Services for Children

The California Alliance has joined with other organizations to sponsor AB 741 (Williams) and AB 1299 (Ridley-Thomas) which would improve children’s access to mental health services.

Crisis Residential Services for Children and Youth

AB 741 (Williams) would ensure that the full continuum of mental health services is available and accessible to children and youth experiencing a crisis by creating a category of crisis residential services.

No comprehensive continuum of mental health crisis services for children and youth exists in any county in California, much less statewide, and 47 out of 58 counties lack any child/adolescent

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psychiatric inpatient beds. Yet, nearly 20 percent of high school students have considered suicide and more than 10 percent have actually attempted it.

Currently, children experiencing mental health crises are often transported to local hospital emergency rooms that were never intended to provide mental health treatment. Their crises are further compounded when they have to wait often days for admittance to available inpatient hospital beds which may be hundreds of miles away from their families.

In response, AB741 involved would:

1. Broaden the definition of Social Rehabilitation Facility to include children, thereby

2. Creating a category of licensing to use to become eligible for Medi-Cal funding as a crisis residential service, and describing the link from Mental Rehabilitation Center to Psychiatric Residential Treatment Facility to Social Rehabilitation Facility, and detailing the necessary conditions to secure federal matching funds; and

3. Make children’s crisis residential programs eligible for SB 82 start-up funds.

The bill, co-sponsored by the California Alliance and the California Council of Community Mental Health Agencies (CCCMHA), passed out of the Assembly Health Committee by unanimous vote on April 21.

Mental Health Services for Foster Children Placed Out-of-County

AB 1299 (Ridley-Thomas) would require the Department of Health Care Services (DHCS) to issue policy guidance that establishes the presumptive transfer of responsibility for providing or arranging for mental health services to foster youth from the county of original jurisdiction to the foster child’s county of residence. In other words, the county where a foster child lives, regardless of where s/he is a dependent, would be responsible for ensuring s/he receives needed mental health services.

The bill would also require the Department of Finance to set or adjust its allocation schedule of the Behavioral Health Subaccount to ensure that counties that have paid, or will pay, for specialty mental health services for foster children placed out-of-county are fully reimbursed during the fiscal year in which the services are provided. In other words, realignment money would flow to the county responsible for the mental health services in the same year the services are provided.

The question of which county mental health plan must provide behavioral health services for children and youth in foster care who are placed outside their counties of jurisdiction has vexed California for over 20 years. Currently, there is no definitive answer. As a result, foster children and youth placed across county lines often experience lengthy delays in accessing behavioral health services or are denied service altogether.

This bill would declare the intent of the Legislature that foster children who are placed outside of their county of original jurisdiction are provided equal and timely access to mental health services consistent with their individualized strengths and needs.

AB 1299 would require the Department of Health Care Services to issue policy guidance that shifts responsibility for providing or arranging for mental health services to foster youth from the county of original jurisdiction to the foster child’s county of residence. The department is also directed to determine the circumstances under which transfer of responsibility is not appropriate, and issue the appropriate guidance to counties.

The Department of Finance, by May 1, 2016, would be required to set or adjust its allocation schedule of the Behavioral Health Subaccount in order that counties that have paid, or will pay, for the specialty mental health services provided pursuant to the bill, are fully reimbursed during the fiscal year in which the services were provided.

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This bill would require the department to determine whether it is necessary to seek approval under the state’s Section 1915(b) Medicaid waiver from the federal Centers for Medicare and Medicaid Services (CMS) prior to implementing the bill, and if so, to do everything within its power necessary to secure an expeditious approval.

AB1299 – co-sponsored by the California Alliance, the Steinberg Institute and the Women’s Foundation of California: Women’s Policy Institute – passed out of the Assembly Human Services Committee by consent on April 14th.

Information

For information or to submit letter of support, volunteer to testify at upcoming committee hearings, or offer other assistance to move these bills toward passage, contact Lynn Thull at lthull@cacfs.org.

THE ALLIANCE

Conferences, Training and Events

Alliance Outgrows Napa; Moves to Monterey in 2016

The Alliance has finalized the date and location for the 2016 Winter Executive’s Conference so put Feb. 2-5, 2016, at the Hyatt Regency Monterey on your calendar. The conference has outgrown the Napa Marriott, and the Hyatt Regency Monterey presents the best alternative regarding space, price and access.

Also, don’t forget the other locations. Here’s a complete list for 2015/16:

Fall Executive’s Conference, September 9-11, 2015, JW Marriott Desert Springs Resort & Spa Winter Executive’s Conference, February 2-5, 2016, Hyatt Regency Monterey Fall Executive’s Conference, September 7-9, 2016, Marriott Laguna Cliffs Resort & Spa

More details about registration and hotel reservations coming soon.

Webinar Explores Impacts of Prenatal Substance Exposure on Children

Alliance member agency Children’s Institute, along with the National Abandoned Infant’s Assistance Resource Center, are offering a webinar called Strengthening the Parent-Child Attachment in Families Affected by Substance Use to explore how young children are impacted by prenatal

substance exposure. The webinar is May 12 from 10-11:30 a.m.

In this exploration, providers will learn how to work with the parent-child dyad to forge a strong attachment and mitigate symptoms of parental substance use. The principles of Child-Parent Psychotherapy (CPP) will be examined. Additionally,

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this webinar will provide information on the use of Reflective Function (RF) in the treatment of young children and their families. RF supports the caregiver in managing emotions effectively so that (s)he is better attuned to his or her own needs and can increase attentiveness to the child’s needs and physical and emotional safety.

Speakers include Karen Gould, M.S.W., L.C.S.W., director of early childhood trauma services at the Institute for Health and Recovery (IHR), and Beth Marron, M.Ed., L.I.C.S.W., child clinician at the Institute for Health and Recovery in Cambridge, MA.

For more information and to register, go to http://aia.berkeley.edu/training/online/webinars/2015-aia-webinar-series/.

Thank you to the National Center for Child Welfare Excellence for this information.

For Your Information

Alliance Welcomes Golden State Family Services as New Member

Golden State Family Services recently became a Provisional member of the California Alliance.

Golden State Family Services is a nonprofit foster family agency serving the Central Valley, with offices in Fresno, Hanford and Tulare. Their programs consist of therapeutic foster care, adoption services and Intensive Treatment Foster Care (ITFC). They are licensed to serve ambulatory children ages 0-20 years. Golden State is dedicated to affecting positive change in the lives of their community’s children and families by providing high-quality innovative services in safe, nurturing environments.

Welcome Golden State Family Services to the Alliance family!

Two Alliance Agencies Achieve Accreditation

Two more Alliance agencies have recently accomplished national accreditation. Remi Vista is now accredited through The Joint Commission and Unity Care is COA accredited.

Remi Vista provides mental health, residential treatment, community counseling, foster care and transitional housing services for many Northern California communities. They also provide behavioral support services for students with special education needs and for individuals with developmental disabilities. Remi Vista exists to bring hope to individuals who are without hope and empower them to function at their maximum potential. Remi Vista has served as “Ambassadors of Hope” since 1969.

Unity Care offers a wide range of services benefiting disadvantaged and foster youth and their families throughout Northern California. Its signature program, founded in 1993, focuses on serving the housing needs of youth in foster care and beyond. The organization’s mission has grown and expanded over the past two decades and, today, includes more than a dozen community-based, education and behavioral health programs, aiding approximately 5,500 underserved youth and families annually. To learn more, visit www.unitycare.org.

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ChildNet’s Kathy Hughes Honored as Woman of Distinction

Assemblymember Patrick O’Donnell (D-Long Beach) honored Kathy Hughes, president and chief executive director of California Alliance member ChildNet Youth & Family Services, as 2015 70th District Woman of Distinction.

In honor of Women’s History Month, Assemblymember O’Connell recognizes women who go above and beyond for their community. Women throughout the district were nominated by their colleagues in one of five categories: Arts, Business, Community Service, Education and Health Services.

“Those being honored as one of my 2015 Women of Distinction exemplify leadership and have shown a dedicated commitment to helping others,” said Assemblymember O’Donnell. “I’m grateful for the opportunity to recognize each woman with this honor.”

Congratulations, Kathy Hughes, who chairs the California Alliance FFA Committee!

Hathaway Sycamore’s Bill Martone retires; Debbie Manners is Interim CEO

After more than 20 years of service as president & CEO of Alliance member agency Hathaway-‐Sycamores Child and Family Services, Bill

Martone has decided to retire from working on a full-‐time basis and pursue consulting opportunities.

“It has been my privilege and pleasure to lead this remarkable organization to become one of the largest and most respected agencies in California,” Mr. Martone said.

During the past two decades, Hathaway-Sycamores has expanded its services from its historical residential treatment roots to include foster care and adoption, wraparound, transitional living and an array of children’s mental health services to name just a few of the vital services we now provide our community. Through mergers

with other agencies, the agency has expanded its geographical service area by hundreds of square miles to touch the lives of thousands of children and families each year.

Mr. Martone has dedicated 40 years of his life to his career in non-‐profit direct service work and executive management, working side-‐by-‐side with dedicated professionals in helping children and families with complex emotional and behavioral challenges. He has served as President of the California Alliance as well as Chair of the Mental Health Committee and as Practice Improvement Committee Representative on the Board of Directors.

“I’ve reached the point in my career where it is now time for me to transition my focus away from agency operations and utilize my skills and expertise to focus on providing consultation to statewide and national organizations and initiatives dedicated on improving the

Assemblymember Patrick O’Donnell presents the award to Kathy Hughes.

Bill Martone

Debbie Manners

Bill Martone

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financial and human resources available to help children and families,” he said.

To lead the agency through this transition, the board has appointed Debbie Manners as interim chief executive officer. Not only has Ms. Manners has played a key role in the development and growth of the agency, she currently serves as Chair of the Practice Improvement Committee of the Alliance.

Resources

Brief Outlines Significance of Trauma Among Dual-Status Youth

The Robert F. Kennedy (RFK) Children’s Action Corps and the RFK National Resource Center for Juvenile Justice published a brief outlining the significance of identifying and treating trauma in children and youth with both child welfare and juvenile justice system involvement – also known as dual-status youth.

The brief begins by examining the prevalence of exposure to potentially traumatic events among dual-status youth, as well as the prevalence of trauma-based behavior among this population. The importance of creating “best practices” to identifying these trauma-based behavioral or psychological problems is discussed, including practices for screening and assessment methods. The brief pinpoints five core needs in making first steps to supporting dual-status youth experiencing trauma: defined objectives regarding what needs to be identified, a best-practice screening and assessment protocol, guidelines for information collected and shared, a response protocol to screening and assessment, and staff training.

This brief is designed to be the first in a series that will provide indepth information and tools for recognizing and responding to trauma-based issues affecting dual-status youth. Trauma in Dual Status Youth: Putting Things in Perspective, by T. Grisso and G. Vincent, is available on the RFK National Resource Center for Juvenile Justice website at http://www.rfknrcjj.org/wp-content/uploads/2014/12/Trauma-in-Dual-Status-Youth-Putting-Things-In-Perspective-Grisso-Vincent-RFKNRCJJ.pdf.

Thank you to the National Center for Child Welfare Excellence for this information.

And Just Remember…

You will have to go to YouTube for this.

Brian Lewis facilitated a two-day branding task force for the California Alliance several weeks ago and he was very good, and I normally think branding is something you do with cattle.

His son, as it turns out, is an actor and videographer who has a series on YouTube called The Kloons. Did you know there are YouTube series? That people get paid for? Anyway, he audiotapes his mother and aunt talking, then lip synchs the dialogue with another actor.

The Rolling Stones contracted with him to do this one. The Editor guarantees you will enjoy this:

https://www.youtube.com/watch?v=AJ_os6y0tMA

Identify the voices of the two women talking in the coffee shop at the end.

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CALENDAR

2015

May

12 Strengthening the Parent-Child Attachment in Families Affected by Substance Abuse

Webinar 10-11:30 a.m.

Registration and inforamtion: http://aia.berkeley.edu/training/online/webinars/2015-aia-webinar-series/

13-15 CMHACY Conference is May 13-15 in Asilomar

Asilomar Conference Grounds, Pacific Grove

Registration: www.CMHACY.org

June

8-9 COA Intensive Accreditation Training

Chicago, IL

Registration: http://coa.force.com/coasite/eventsearch

10 COA Performance Quality Improvement Training

Chicago, IL

Registration: http://coa.force.com/coasite/eventsearch

19 Fatherhood Solutions Conference

Los Angeles Details: http://www.childrensinstitute.org/events/details/135

September

9-11 Alliance Fall Executive’s Conference

JW Marriott Desert Springs Resort & Spa

Details: http://www.cacfs.org/?page=Conferences

November

13 EDGY 2015

Los Angeles Skirball Cultural Center 8 a.m. – 5 p.m.

Proposals: http://www.edgyconference.com/#!submit-a-proposal/cb9w

GET 25% OFF! Enter code P4B3P4AN Current job listings:

Associate Executive Director Aldea Children & Family Services, Napa

Program Manager – Fost-Adopt Program Family Builders by Adoption, Oakland

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Child Care Worker I- Part Time Aspiranet, Contra Costa

Clinical Supervisor Stanford Youth Solutions, Sacramento

Clinical Supervisor for Wraparound Program Starlight Community Services, member of Stars Behavioral Health, San Jose

Executive Director Kidango, Fremont