1
North Carolina Child Welfare Manual 2019
Terri Reichert & Emi Wyble
Division of Social Services
Children’s Services Committee
January 9, 2019
2
Program Improvement Plan
• Modified Policy Manual aka “Manual”
− Roll out Jan. 14th, 2019
− TA Gateway Knowledge Base
• https://nccwta.org/
− DHHS Manual website
• https://www2.ncdhhs.gov/info/olm/manuals/dss/
3
CPS Intake Highlights
• General language cleanup:
− Reduced redundancy
− He or she = they
− As well as = and
− With regards to = about
• Caretaker Definition
4
CPS Intake Highlights
• Out of State Situations
− Clarified screening criteria and timeframes
• Multiple Reports involving the same family
− What to do when there is an open case
5
CPS Intake Highlights
• Two-Level Decision Making
− New section
− Staffing between worker and supervisor
• Reporter Notification
− Sharing the screening decision with the reporter prior to the 5-
Day letter
• Maltreatment Type Screening Tools
− Sex offender reports must use the injurious environment
maltreatment tool
− Human Trafficking (new)
• Response Priority/ Timeframe Decision tree
− Human Trafficking (new)
− Dependency tree now includes Safe Surrender
6
CPS ASSESSMENTS Highlights
• Timeframes Chart
• Checking Agency Records
− NC FAST Services History & Central Registry
• Initiation
− Discussion of allegations during interview
− Unable to locate parent – must still see the child within
timeframe
• Unable to locate
− Administrative closure
• Safety Planning
− Additional guidance on required activities for TSP
− Modification of Safety Assessments
7
CPS ASSESSMENTS Highlights
• Contacts During the assessment
− Timeframes – on-going during assessment
− When other children or families reside in the same home
− Home visit
• must occur the same day the child is seen
• To assess the family’s living environment and how it
impacts child safety, the County child welfare worker needs
to tour the home and premises where the child sleeps, eats,
and plays.
• Address Fire Safety
• Guidance on when a parent refuses access to the home
− Non-Resident Parent
− Collateral purpose
8
• Two-Level Decision Making/Role of the Supervisor
− New section that provides guidance on what staffing a case
looks like
• Decision Making and Case Closure
− When both parents are alleged perpetrators and they live
separately, a separate Risk Assessment must be done
• Notifications
− All reporters and TSP
• MRS Requirements
− A “Services Needed” finding is not appropriate if you can’t
walk away without services
− Another adult should be present during a full body
assessment
• Documentation using the 5010
CPS ASSESSMENTS Highlights
8
9
• Intake and Assessment January 14th
• posted to the TA Gateway and the DHHS On-line Manuals
website
• Creating a new CPS Intake
− Managing the CPS Intake is an NC FAST term
− NC FAST is a structured intake
− Clarified that looking up services history is not looking at the
central registry.
− Identifying Case Participants, roles and case head (NC FAST
terminology)
• Checking Agency Records
− NC FAST Services History & Central Registry
9
NC FAST Language
11
Terri Reichert
919-527-7295
Emi Wyble
919-527-7258
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 12
Triple P – Positive Parenting Program
Kristin O’Connor, Section Chief
Child Welfare Policy and Programs
North Carolina Division of Social Services
Jason Mahoney, Child Welfare Program Manager
Wake County Human Services
Children’s Services Committee
January 9, 2019
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 13
Presentation Overview
• Provide an update to the statewide scale-up of
Triple P – Positive Parenting Program system of
interventions in North Carolina
• Describe the Triple P infrastructure and support
system in North Carolina
• Highlight why investments in population-level
saturation of Triple P matters to child welfare.
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 14
Presentation Overview
• Using Wake County as an example, demonstrate
how investments in implementation supports build
measurable capacity growth at the local level.
• Describe how Wake County has imbedded Triple P
in its child welfare practice.
• Provide overview of Triple P expansion opportunity
for county child welfare agencies.
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 15
What is Triple P?
The Triple P – Positive Parenting Program® is
a system of evidence-based education and
supports for parents and caregivers of
children and adolescents.
Source: Triple P International
Tailored support for every family
Population Health
Approach Supported by extensive research base
30 + Years and
Counting Improves parenting skills and confidence
Proven Results
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 16
Triple P – Positive Parenting Program
Source: Triple P International
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 17
History of Triple P in NC
• 2008 - Exploration begins
−Alliance for Evidence Based Family
Strengthening Programs
−Division of Public Health (DPH) as Lead
• 2012-2016 – Expansion
− 37 counties
− 7 regional coalitions
−Triple P State Leadership Team and Learning
Collaborative
−Data collection and reporting system
−Focus on infrastructure to support scaling
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 18
History of Triple P – NC DSS Funding
• Session Law 2016-94
−$1.475M non-recurring
• Session Law 2017-57
− $1.975M recurring
• Investments Informed by the Research
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 19
What the Science Says
• Implementation matters
• Fidelity predicts program outcomes
• Successful and sustainable
implementation does not happen naturally
• Poorly implemented programs can result
in harm to participants
• High return on investment
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 20
The State Triple P Partnership
• Division of Social Services – Child Welfare
Services Section
• Division of Public Health, Children & Youth
Branch
• The Duke Endowment
• Triple P America
• Impact Center at Frank Porter Graham Child
Development Institute at UNC-CH
• Prevent Child Abuse North Carolina
NCDHHS, Division | Presentation Title | Presentation Date 21
GASTONCHEROKEE
SWAIN
MACON
GRAHAM
CLAY
JACK-
SON
HAY-
WOOD
HENDER-
SONTRAN-
SYLVANIAPOLK
RUTHER-
FORD
BUN-
COMBE
YAN-
CEYMADISON
MITCHELLAVERY
CLEVE-
LAND
LINCOLN
CATAWBABURKE
MECKLEN-
BURG
UNION
CABARRUS
ROWAN
IREDELL
STANLY
DAVID-
SON
MONT-
GOMERY
RANDOLPH
MOORE
ANSONRICH-
MONDHOKE
CHATHAM
LEE
HARNETT
CUMBER-
LAND
ROBESON
SCOT-
LAND
BLADEN
SAMPSON
COLUMBUS
BRUNSWICK
NEW
HANOVER
PENDER
ALA-
MANCE
ORANGE
DURHAM
CASWELLPERSON
GRAN-
VILLE
VANCEWARREN
FRANKLIN
WAKE
NASH
JOHNSTON
WAYNE
DUPLIN
GREENE
LENOIR
PITT
JONES
ONSLOW CARTERET
PAM-
LICO
BEAU-
FORT
CRAVEN
HYDE
DARETYRELLWASH-
INGTON
BERTIE
MARTIN
PASQUO-
TANK
HERT-
FORD
CHO-
WAN
CAM-
DEN
PER-
QUIMANS
CURRITUCKNORTH-
AMPTONGATES
HALIFAX
EDGE-
COMBE
ROCKING-
HAM
STOKESSURRY
FORSYTHGUILFORD
YADKIN
DAVIE
ASHE
WATAUGA WILKES
ALLE-
GHANY
CALDWELL ALEX-
ANDER
McDowellWILSON
GASTO
N
Lead health departments will expand coverage to all
counties in their color area
New lead health department (Cumberland) will
provide coverage in the green counties in SE North
Carolina
Cabarrus and Wake are stand-alone counties with
other funding sources
Triple P in North Carolina, 2018
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 22
North Carolina’s Tiered Model
SOURCE: The Impact Center at Frank Porter Graham | North Carolina Implementation Capacity for Triple P
Multi-Level Model of Implementation
Support in NC’s Triple P System
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 23
Improved
Parent and
Child
Outcomes
Getting to Outcomes
• With capacity building and supported performance resources from the
Triple P support system in NC:
Community Capacity
Service Agency
Capacity
Effective and Responsive Practitioner
Delivery
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 24
Community Capacity Increases Resulting from Active Implementation Supports (Example Indicators = Implementation Drivers)
FID = Fidelity Index
DSDS = Decision Support
Data System
FAC = Facilitative
Administration
SI = Systems Interventions
CIDS = Community
Implementation Drivers
Summary Index
Source: The Impact Center at FPG,
(2018).Wake County Combined CCA
Analysis. Unpublished Data Report.
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 25
Wake County Human Services
Imbedding Triple P in Practice
Jason Mahoney
Triple P Wake County Human Services
History of Triple P in Wake
2013▪ John Rex Endowment (JRE) awarded a 1 year planning grant to Project Enlightenment ▪ A cross-agency committee wrote an Implementation Grant Proposal
2014▪ JRE awarded $1.2 million grant to lead agency Project Enlightenment, to coordinate the community-
wide implementation of Triple P▪ 15 Partners, WCHS is the largest partner
2015 ▪ Staff Training
2016
▪ Project Enlightenment awarded $765k Sustainability Grant (JRE) ▪ Wake Triple P Collaborative selected for implementation and sustainability support from Frank Porter
Graham Child Development Institute (supported by The Duke Endowment)
2017 ▪ Wake County Human Services initiated a Triple P “Re-Engagement & Implementation Plan”
WCHS CW Staff Trained in Triple P
44 Total
▪3 Parent Educators
▪4 Prevention Social Workers
▪7 Foster Home Licensing Staff
▪16 In-Home Social Workers
▪2 Assessment Workers
▪7 Foster Care Workers
▪2 Supervisors
▪3 Human Services Techs
Lack of preparedness prior to Triple P training
▪ Selected training level not conducive to position responsibilities
▪ Practitioners & Supervisors not adequately prepared
Unclear practitioner expectations post-training
Lack of knowledge & ability to provide post-training on:
▪ How to embed Triple P within other CW responsibilities
▪ How to adapt Triple P to CW population, while maintaining fidelity to the model
Multiple changes in executive leadership and ongoing competing priorities
Outcome: Approximately 90 percent of trained staff did not consistently provide interventions, turn in data, nor attend peer support groups regularly.
The Perfect Storm: Early Implementation
Re-Engagement & Implementation
In 2017, WCHS welcomed additional implementation support from:
▪ Project Enlightenment
• Provides the coordination for the Wake Triple P Collaborative
▪ Frank Porter Graham Child Development Institute
• Quarterly Implementation Drivers Assessments (IDA)
• Provides a tool to measure our progress
• We’re using IDA as a template in developing best practice protocols
• Provides accountability within our team
Re-Engagement & Implementation Support
Necessity for Executive Leadership Investment
▪ Will always be competing priorities in Child Welfare
Prioritize Teams to Re-engage First (Early Wins)
▪ Identify personal qualities & positions to provide Triple P
▪ Embed into job descriptions and performance evaluations
▪ Selected supervisor’s with knowledge and commitment
▪ Current Focus-Parent Coaches, Licensing SW’s, Spanish Speaking Team
Best Fit for WCHS- Triple P level 2
Hold Monthly Implementation and Sustainability Meetings
Lessons Learned
Reengagement Kick-off/Retreat
November 2017 Executive Leadership Message▪ Renewed commitment to Triple P ▪ Triple P as relates to Program Development Plan
Rationale & Expectations for Utilization
Provided Toolkits & Resources
Training in Triple P in conjunction with other tools and initiatives (i.e. TOP)
Review of Supervisory Monitoring & Support Expectations for
Participation in Peer Support Meeting
Reviewed Outcome Data Reports▪Monthly, Quarterly, Annually
Results of Reengagement-Utilization
Within one year we increased our number of interventions by
496%
▪ 2017 32 Interventions
▪ 2018 191 Interventions
WCHS Improvement Data
22
0
68
20
31
25
20
46
3133
72
85
95
30
19
46
5
36
46
0
100 100
95
55
88
68
75
54
75
83
0
10
20
30
40
50
60
70
80
90
100
Pe
rce
nta
ge
of
Po
ints
Po
ssib
le
Index
Implementation Drivers Assessment for Triple PRaleigh Triple P Coalition: Wake County Human Services
Jan-17 Feb-18 Sep-18
Anticipated Outcomes For WCHS Child Welfare
• Increased Safety of Child
• Increased Engagement Of Families
• Increased Placement Stability In Family/Kinship Care VS. Higher
Levels of Care (TFC, Residential, etc.)
• Increased Knowledge & Skill Levels in Foster Families • Increase Retention of High Quality Foster Parents
• Consistent Use, Fidelity, and Integration of Evidenced Based
Practices
• Improved Outcomes on CFSR Well-Being Indicators
Engagement = Results
The best outcomes for children
and their families occur when
good working relationships
exist between families and their
workers and within the agency
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 38
Expanding Triple P in Child Welfare
CPS In-Home Services
Victims of Crime Act (VOCA)
Federal Funding Opportunity
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 39
The Opportunity
• Invitation to DHHS from Governor’s Crime
Commission and Governor’s Office• Triple P – Positive Parenting Program
• Sobriety Treatment and Recovery Teams (START)
• Safe Babies Court Team Model Approach
• October 1, 2019 to September 30, 2021
• Direct services to underserved victims of
crime
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 40
Triple P Proposal – Key Components
• $10M over 2 years
• CPS In-Home Services
• Triple P Levels 3, 4, 5
− Level 3 Primary Care Standard
− Level 4 Standard
− Level 5 – Pathways Triple P
−Triple P Online
• Children/Youth 0-12 years old
• 30 new social worker positions to deliver
Levels 4/5 in up to 30 counties (tentative)
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 41
Triple P Proposal – Key Components
• Triple P Level 3 in all 100 counties
− Invitation to receive training
−Entire CPS in-home workforce including supervisors
• Triple P Online (TPOL)
−Available to all 100 counties
−Clinical support provided
• Training, coaching, implementation support
from Triple P America
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 42
Next Steps
• Competitive application process
−Grounded in implementation science
−Fit, Ability, Willingness
−Technical assistance from Triple P America
• Readiness interviews
−DSS and Triple P state partners
−Determine implementation support needs
• Application and timelines issued mid-late
January
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 43
Kristin O’Connor, Section Chief
Child Welfare Policy and Programs
919-527-6407
www.ncdhhs.gov/dss
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 44
Child Welfare Updates:
• Community Child Protection Team Survey due 2/28/19
• Child Welfare Staffing Survey due 1/31/19
• KinGAP materials available for use
• TRIP funds available to help youth in foster care become
licensed drivers
• ACF Children’s Bureau visit Jan. 30 & 31 to begin prep for
CSFP
• NCFAST roll out Western paper counties 1/22/19
NCDHHS, Division of Social Services | Triple P – Positive Parenting Program | Children’s Services Committee | January 9, 2019 45
Congratulations!
Teresa Strom, MSW
Section Chief
County Operations
Top Related