north carolina child welfare manual 2019 - ncacdss• must occur the same day the child is seen •...

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North Carolina Child Welfare Manual 2019

Terri Reichert & Emi Wyble

Division of Social Services

Children’s Services Committee

January 9, 2019

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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/

https://nccwta.org/

https://www2.ncdhhs.gov/info/olm/manuals/dss/

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CPS Intake Highlights

• General language cleanup:

− Reduced redundancy

− He or she = they

− As well as = and

− With regards to = about

• Caretaker Definition

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• Out of State Situations

− Clarified screening criteria and timeframes

• Multiple Reports involving the same family

− What to do when there is an open case

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• 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

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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

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• 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

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• 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


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• 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

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NC FAST Language

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Terri Reichert

919-527-7295

[email protected]

Emi Wyble

919-527-7258

[email protected]

mailto:[email protected]

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


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.


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.


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


Triple P – Positive Parenting Program

Source: Triple P International


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


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


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


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

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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


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


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


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.


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

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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


Expanding Triple P in Child Welfare

CPS In-Home Services

Victims of Crime Act (VOCA)

Federal Funding Opportunity


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


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)


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


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


Kristin O’Connor, Section Chief

Child Welfare Policy and Programs

[email protected]

919-527-6407

www.ncdhhs.gov/dss

mailto:[email protected]

http://www.ncdhhs.gov/dss


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


Congratulations!

Teresa Strom, MSW

Section Chief

County Operations

north carolina child welfare manual 2019 - ncacdss• must occur the same day the child is seen •...

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