Substance Abuse Family Intervention Specialist Services

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1 Substance Abuse Family Intervention Specialist Services Authority KH 225 Exhibit V 1. PURPOSE: Family Intervention Specialists () are intended to reduce the incidence of child abuse and neglect resulting from parent(s) or caregiver(s) substance abuse and to improve outcomes for substance involved families in the child welfare system. 2. AUTHORITY 3. PROGRAM SPECIFIC TERMS 4. GEOGRAPHIC AREA & LOCATION: a) services should be located in a place where they will be easily available and accessible to child welfare personnel. b) locations must be licensed for intervention/case management as required by Chapter 65D-30, F.A.C. 5. SERVICES & TIMES: provide adult substance abuse outreach, screening, intervention, and case management. do not provide direct treatment services. Services will be provided at a minimum Monday through Friday with flexible hours to meet the needs of clients. 6. PROFESSIONAL QUALIFICATIONS: a. This contract provides for 6 Family Intervention Specialists b. These must be specific staff positions identified as a or supervisor. c. Staff will preferably hold the appropriate clinical license or certification. The minimum qualifications are a bachelor's degree in a social behavior science or related field and oneyear of applicable experience. Preference should be given to certified addictions professionals or to individuals who have both substance abuse and child abuse/neglect knowledge and experience. All services are to be provided under the supervision of a qualified professional, as required by Chapter , FAC. Page 1 of 7

2 7. CLIENT ELIGIBILITY: Services are provided to parents/caregivers referred by child welfare or a dependency court in which substance abuse is suspected during the initial child abuse/neglect investigation, or at any point during child protective supervision or out-of-home care. 8. REFERRALS TO : a. A referral will be made when the dependency court or a child welfare worker suspects that parent(s)/caregiver(s) alcohol and/or drug abuse may be contributing factors in a situation where a child's safety or well being is at risk. * Priority referrals are those children at risk for immediate removal or when children have been removed. b. The will attempt contact with the client within three (3) working days from receipt of the complete referral package. A phone contact or face-to-face visit is acceptable for the initial contact. * During this contact the will conduct a screening or set an appointment to conduct a screening. c. The provider is responsible for determining what constitutes a complete referral package and conveying the requirements for a complete referral package to the referral agents. 9. CASELOAD: * Each will maintain a caseload with a maximum of thirty-five (35) families. A family includes all members of the family who are in need of substance abuse services. Caseload size will be based on the severity, case management needs, and resources available to support the. * Once the case load has reached capacity, the referrals will continue to be screened, and referred to an appropriate treatment provider. 10. SCREENING: a. will conduct a comprehensive screening, using the departments " Screen for Mental Health, Substance Abuse, and Co-Occurring instrument" or a screening instrument approved by the department. * A toxicology chemical dependency screening may be completed to identify the nature and extent of the substance use and to determine the most appropriate substance abuse referral source. Page 2 of 7

3 b. The screening will be completed within ten (10) working days from the date of the receipt of the referral package. 11. REFERAL OF CLIENT TO SERVICES: a. If the client or a client's family member is in need of services, the will refer and schedule an appointment within seven (7) working days after completion of the screening with the most appropriate local provider for an assessment and subsequent services. b. Upon completion of the client referral, the will provide a summary to the referral agent/child welfare worker. * can provide the summary to the referral agent/child welfare worker through electronic transmissions. The must use appropriate safeguards to prevent use or disclosure of protected health information. c. The primary referrals may be to substance abuse treatment providers for more in-depth evaluation and substance abuse treatment, if needed. Other referrals may include referrals for mental health screenings, assessments or treatment, referrals for medical d. Referral will be based upon the client's needs, available community resources, and financial considerations. e. Each will maintain a directory of treatment resources, eligibility criteria, and referrai procedures for available prevention and treatment resources in each community. * As per Section B.6.b.(1) of Attachment I, the provider agrees to mutually define with child welfare the role of the positions within the system of care. f. The will establish and maintain a working relationship with the department's contracted Community Based Care provider within the community. Page 3 of 7

4 12. CASE PLANING: a. The are responsible for developing the substance abuse intervention plan as required by Chapter , F.A.C. * The are required to provide a copy of the intervention plan to the Child Welfare worker for incorporation into the child welfare case plan. b. The are responsible for reviewing and updating the substance abuse intervention plan as required by Chapter , FAC. An updated intervention plan is also required when there is a major change of status regarding the client's participation in substance abuse treatment. * The are required to provide a copy of the updated intervention plan to the Child Welfare worker for incorporation into the child we!fare case plan. 13. CASE MANAGEMENT: a. The will perform continued case management related to the substance abuse portion of the plan. This will continue throughout the duration of the client's participation in substance abuse services. * should make contact preferably face-to-face, at least monthly with the client. This may include participation in formal staffing or informal contact. I) Case management activities shall include: Monitoring clients condition and progress in treatment Linking clients to services as dictated by their needs Follow-up on all referrals for other services Advocacy on behalf of clients Facilitating client's participation in treatment by removing barriers 14. PROGRESS REPORT & STAFFING: a. The will provide a monthly written status report throughout the duration of the open substance abuse case to the child welfare worker indicating treatment progress and alerting the child welfare worker to any barriers or other concerns. * A written report is also required when there is a major change of status regarding the client's participation, and at the close of the case. b. The will participate in staffing of the family's progress as requested by the child welfare worker, or the substance abuse provider. Page 4 of 7

5 * The will facilitate a staffing of the family's progress when there is a major change of status regarding the client's participation in substance abuse treatment. Although the intent is that the staffing is face-to-face, interested parties may participate through telephone conferencing. c. are required to remain informed regarding the status of the child welfare case plan. 15. DEPENDENCY COURT LIAISON: a. will provide liaison services to the dependency court and inter-agency communication regarding the status and progress of clients in the caseload who are in substance abuse treatment. b. The will appear in court under any of the following circumstances: Clinical case staffing of the client indicates the need for the. The Court issues a subpoena to the. The department or a child welfare agency provides a request to the in writing, requesting client court representation. Upon request of an attorney representing the department. c. If the court requests a written status report in lieu of court appearance, the will provide said report to the department's legal Counsel for filing with the court. Client/family requests for a to appear on their behalf will be taken into consideration. 16. LENGTH OF SERVICE & DISCHARGE: a. services will be provided to an eligible client receiving substance abuse treatment or substance abuse aftercare treatment to ensure linkage with and support for the child welfare case plan. The provider may continue to provide services to clients in active substance abuse treatment, or in substance abuse aftercare after the child welfare case is closed. b. The client may be discharged from services upon any of the following: Substance abuse treatment is completed The case is closed by the child welfare agency The client refuses to participate in the program The client is incarcerated, or moves to another geographic area c. Decisions about when to close a case or keep it open should be made by the in consultation with the substance abuse provider, child welfare worker and/or the court. Page 5 of 7

6 17. CASE RECORDS: Case records must be consistent with requirements of Chapter 65D-30, F.A.C. Refer to the revised guidelines for specific description of required records. The revised guidelines can be obtained from the contract manager. 18. DATA REPORTING REQUIREMENTS: Data will be maintained by the provider and submitted to the state Substance Abuse Program Office as required by PAM shall enter data using an Staff ID as defined in CFP Data will also be submitted to the district office as per Exhibit C. 19. TRAINING: The provider agrees to allocate training dollars per position to participate in the statewide meeting and to attend a work related conference. 20. INCIDENTALS/CONTINGENCY FUNDS These funds may be used to remove barriers to treatment that are identified as problems in the client's service plan and to provide resources that are necessary to keep the family member in treatment. This funding may be used when no other resources are available. Uses of these funds include, but are not limited to, transportation, childcare, housing assistance, clothing, and educational/vocational assistance. Incidental/contingency funds may also be used for toxicology screens when they are identified as necessary in the client's screening/assessment process, and in those instances when it is necessary to verify use or abstinence for a client in treatment. c. Incidental funds should primarily be used to fuds clients' needs to remove barriers to treatment. d. Criteria for use of the incidental/contingency funds, procedures for accessing them and the accounting for expenditures will be developed cooperatively between the provider, the, and the contract manager. e. Each month, a report will be made which details year-to-date expenditures and the balance of the family intervention specialist incidental/contingency funds, along with the corresponding incidental/contingency form request submitted to the substance abuse contract manager. * The expenditure of substance abuse incidental/contingency funds will be reflected in the incidental expenses cost center on the monthly invoice. Page 6 of 7

7 * This information must be monitored by the contracted provider agency to ensure that the funds allocated at the beginning of each fiscal year are not exceeded. * The provider agrees to make available $125, of Incidentals/Contingency funds. 21. INCIDENTAL/CONTINGENCY FUND REQUEST FORM a) The incidental/contingency fund request must contain at a minimum the below information: Name of the accessing funds Funds spent on behalf of (client name) Referral type(protective investigation/supervision) Date of request Description of Goods/Services requested How the purchase is related directly to the intervention plan Goal/Reason for purchase amount requested and approving authority signature with date Page 7 of 7

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