1 # Bulletin October 3, 2003 Minnesota Department of Human Services 444 Lafayette Rd. St. Paul, MN OF INTEREST TO County Directors Tribal Social Service Directors Child Welfare Supervisors Fiscal Supervisors SELF Coordinators ACTION 1. Complete request for release of allocation 2. Complete request for supplemental allocation, if desired. 3. Note information about eligibility and use of funds. 4. Note information about fiscal management. Apply now for adolescent independent living skills funds; note eligibility and use of funds TOPIC Application instructions, eligibility, use and fiscal management of funds for the Support for Emancipation and Living Functionally (SELF) program. PURPOSE Provide counties and tribal social service agencies with information on program eligibility, use of funds, and the amount of calendar year 2004 SELF allocations, along with an application form. CONTACT Claire Hill at or by at Minnesota Department of Human Services 444 Lafayette Road North St. Paul, Minnesota SIGNED MARIA GOMEZ Assistant Commissioner Children s Services DUE DATE December 15, 2003
2 Bulletin # October 3, 2003 Page 2 BACKGROUND The Support for Emancipation and Living Functionally (SELF) Program funds have been allocated to counties since 1987 through Public Law , Public Law , Public Law and the Federal Welfare Reform Bill of On December 14, 1999 President Clinton signed into law the Chafee Foster Care Independence Act. It replaces Section 477 of the Social Security Act, which originally defined Minnesota s SELF Program. Under the provisions of the Chafee Act, the intent of the SELF funding continues to be the prevention of homelessness and welfare dependency; however, the Act increased Minnesota s level of funding and allowed expansion of the eligibility criteria. Counties and tribes need to be aware that the Chafee Foster Care Independence Act of 1999 defines the SELF Program in the following ways: Eligibility includes 14- to 21-year-olds, who have experienced a county approved, out-of-home placement after age 14. This includes county approved placements with kin, whether they are licensed or not. After leaving placement, youth may continue to receive SELF funded services up to the age of 21. Youth who are adjudicated delinquent, and whose only placement has been in a facility operated primarily for detention are not SELF eligible. SELF funds must supplement and not replace current county efforts and funding sources. Youth who are likely to remain in placement until age 18, and those who have aged out of placement, should be given the highest priority for SELF services. Minnesota is required to serve eligible youth up to age 21 who left placement because they reached age 18. SELF allocations are available to all Minnesota tribal social service agencies on the same basis as counties. Counties must provide those eligible youth who are age 16 and older and in substitute care with a written independent living skills plan, which is incorporated into the out-of-home placement plan. Young people must participate directly in designing their program activities and accept personal responsibility for achieving independence. Minnesota may use up to 30 percent of SELF funds for room and board for youth ages 18 to 21, who have left substitute care because they reached age 18. Room and board is defined as damage deposits, rent subsidies, utility and telephone hook-up charges. If an agency is providing help with room and board costs, it should approve the youth s residence as safe and appropriate. An agency providing assistance with room and board may require that the youth participate in independent living skills training, case management, and/or home visits by the agency serving the youth. Independent living activities should not be seen as an alternative to permanence for children and can be provided concurrently with adoption and other permanency activities. Young people are allowed to have $10,000 in assets and remain eligible for Title IV-E funded foster care. States must provide training to help adoptive and foster parents, workers in group homes and case managers understand and address the issues confronting adolescents preparing for independent living. Minnesota Department of Human Services (DHS) SELF Program staff
3 Bulletin # October 3, 2003 Page 3 will continue to provide training for social workers and youth workers. A curriculum for foster parents, adoptive parents, group home and residential treatment staff has been developed and is offered to counties by the DHS Child Welfare Training System. The training is free for foster parents licensed by counties and they have the highest priority as registrants. COUNTY AND TRIBAL SOCIAL SERVICE AGENCY ALLOCATIONS In CY 2004 DHS will allocate a total of $725,000 to county and tribal social service agencies who have applied for SELF funds in response to this bulletin. County CY 2004 allocations are based on the total number of 14- to 21-year-olds (excluding the developmentally disabled) in substitute care during 2002 according to the county s Substitute and Adoptive Care report to DHS, and the total number of youth each county served with SELF funds between September 1, 2002 and August 31, Tribal CY 2002 allocations are based on 2000 census data of the American Indian population on reservations, ages 14 through 20, multiplied by.10, which represents the percentage of American Indian youth in out-of-home placement in Minnesota in A contract must be promulgated between DHS and each tribe requesting an allocation. Tribal social service agencies will be reimbursed for expenses incurred serving eligible youth. Please note that a county with unexpended SELF funds from calendar year (CY) 2003 will have that amount deducted from its CY 2004 allocation shown in Attachment 2. SUPPLEMENTAL ALLOCATIONS DHS is offering a supplemental allocation to counties and tribal social service agencies for CY 2004 to increase services to SELF eligible youth. During CY 2004, a total of $625,000 will be available for supplemental allocations. Most agencies find their base SELF allocation adequate to serve eligible youth. However, some agencies use their allocation before the end of the year and need supplemental funding. Counties and tribes may use a supplemental allocation to purchase life skills training from other agencies or expand their own life skills training programs. Counties and tribes who are certain, based on planned activities, that their CY 2004 SELF allocation is insufficient, may apply. Requests may be submitted for no less than $1,000 and no more than $20,000. A county or tribe may apply only once for CY The 2004 Supplemental Allocation Application is attached and is due December 15, A supplemental allocation may be used for: Private agency independent living skills programs Specialized youth retreats and field trips Additional life skills training groups provided by the county or reservation Transitional housing programs for youth leaving substitute care at age 18 or older Driver s Education instruction Scholarships for individual youth to attend college or vocational-technical school
4 Bulletin # October 3, 2003 Page 4 Youth leadership conference attendance Paid internship, part or all of a salary for a work experience Cultural or cross-cultural experience to enhance self-esteem, explore cultural heritage or promote a youth s ability to live in a multi-cultural society Tutors for youth. DHS will not consider requests to purchase goods for youth (e.g. clothing, computers, furniture, household goods). FISCAL MANAGEMENT In CY 2004, DHS will advance quarterly 25 percent of each county allocation. Counties will receive their first quarterly advance upon written DHS approval of the Request for Release of Allocation plan. After DHS approves county applications in writing, the amount of the supplemental allocation will be issued as part of each SELF quarterly check. The supplemental allocation will be added to the county s base CY 2004 allocation, establishing an increased total. A county must expend its total allocation by the end of CY Expenditures incurred after December 31, 2004 will come from the CY 2005 allocation. Counties must submit a SELF Program Final Report to DHS that summarizes the expenditures of its total allocation. The report must include only cash basis expenditures within the calendar year. The due date for this report is January 31 of each calendar year. Tribes requesting a SELF allocation must negotiate a contract with DHS. The contract budget will combine the amount of the base and, if approved, supplemental allocation. A contract will specify reporting requirements and will reimburse a tribe for expenses incurred serving SELF eligible youth. ACTION Tribes must complete the SELF Request for Release of Allocation plan (Attachment 1). This is a 1-year plan. A tribe that does not complete the SELF Release of Allocation plan will not receive a SELF allocation. DATE DUE: December 15, 2003 Counties must complete the SELF Request for Release of Allocation plan (Attachment 1). This is a 1-year plan. A county that does not complete the SELF Release of Allocation plan will not receive a SELF allocation.
5 Bulletin # October 3, 2003 Page 5 DATE DUE: December 15, 2003 Review and familiarize staff with the SELF Program. See Attachment 2 for the base allocation available for calendar year If desired, complete Attachment 3, the SELF Request for Supplemental Allocation. This is a 1-year plan. DATE DUE: December 15, Note the fiscal management guidelines. SPECIAL NEEDS This information is available in other forms to people with disabilities by contacting us at (voice). TDD users can call the Minnesota Relay Service at 711 or Call Speech-to-Speech relay service.
6 ATTACHMENT 1 REQUEST FOR RELEASE OF ALLOCATION Support for Emancipation and Living Functionally (SELF) Program COUNTY OR TRIBE Complete this form to request a SELF allocation for Submit the final application by December 15, Contact Person: Telephone #: ( ) Date: / / Instructions: Describe plans to use the 2004 SELF allocation. Plan, budget and estimate number of youths to be served: USE OF FUNDS NUMBER OF YOUTH BUDGETED AMOUNT 1. Salaries 2. Travel 3. Staff training 4. Foster parent or mentor training 5. Resource materials to use as training tools 6. Purchase of services: e.g., public or private agency services, other county programs 7. Driver s Education 8. Transportation of youth 9. Program expenses: e.g., field trips, retreats, refreshments, supplies, curriculum 10. Purchase of goods: e.g., housewares, furniture, tools, uniforms for work 11. Education assistance: e.g., books, test and application fees, tutors, tuition 12. Room and Board expenses for youth leaving out-of-home care at age 18 and older 13. Stipends and other incentives 14. Employment: e.g., career assessment, pre-employment training, uniforms, internship costs, subsidized salary 15. Other: Please specify, e.g., car insurance, YMCA membership, music lessons, youth conference Total number of youth Total Allocation Amount RETURN COMPLETED FORM TO: Claire Hill, SELF Program Consultant Department of Human Services 444 Lafayette Road St. Paul, MN
7 Support for Emancipation and Living Functionally (SELF) Allocations Calendar Year 2004 (Federal Funds) County 2004 Allocation County 2004 Allocation 1. Aitkin $6, Kandiyohi $7, Anoka $13, Kittson $1, Becker $10, Koochiching $6, Beltrami $8, Lac Qui Parle $4, Benton $6, Lake $6, Big Stone $1, Lake of the Woods $1, Blue Earth $9, LeSueur $6, Brown $6, Lyon-Lincoln-Murray $9, Carlton $9, McLeod $5, Carver $8, Mahnomen $6, Cass $9, Marshall $5, Chippewa $3, Meeker $6, Chisago $7, Mille Lacs $7, Clay $8, Morrison $6, Clearwater $5, Mower $7, Cook $1, Nicollet $7, Cottonwood $7, Nobles $5, Crow Wing $11, Norman $3, Dakota $15, Olmsted $14, Dodge $5, Otter Tail $7, Douglas $7, Pennington $5, Faribault-Martin $7, Pine $7, Fillmore $5, Pipestone $5, Freeborn $6, Polk $9, Goodhue $8, Pope $4, Grant $1, Ramsey $58, Hennepin $55, Red Lake $1, Houston $6, Redwood $6, Hubbard $6, Renville $6, Isanti $6, Rice $5, Itasca $11, Rock $2, Jackson $7, Roseau $5, Kanabec $7, St. Louis $20, Scott $7,666 Attachment 2
8 Tribes 68. Sherburne $7, Bois Forte/Vermillion Lake $2, Sibley $5, Fond du Lac $7, Stearns $11, Grand Portage $1, Stele $6, Leech Lake $7, Stevens $3, Lower Sioux $1, Swift $4, Mille Lacs $5, Todd $6, Prairie Island $ Traverse $2, Red Lake $6, Wabasha $6, Shakopee-Mdewakanton $1, Wadena $6, Upper Sioux $ Waseca $5, White Earth $10, Washington $15, Watonwan $6, Wilkin $5,000 Total $725, Winona $7, Wright $8, Yellow Medicine $5,998
9 MINNESOTA DEPARTMENT OF HUMAN SERVICES SUPPORT FOR EMANCIPATION AND LIVING FUNCTIONALLY (SELF) 2004 SUPPLEMENTAL ALLOCATION APPLICATION ATTACHMENT 3 County or Tribe: Date: Contact Person: Telephone: Amount Requested: address: INSTRUCTIONS: Please state clearly how a supplemental allocation will be used to provide expanded or enhanced life skills training for SELF eligible youth. 1. Number of additional SELF eligible clients to be served:. (If you plan to increase the amount of service to youth rather than increase the number of youth served, explain under question #4) 2. Statement of need: 3. Describe in detail the direct services to be provided to youth: (what, when, how long, etc.) 4. Explain why the proposed plan could not be carried out with the initial SELF allocation:
10 5. Describe strategies to recruit eligible youth: 6. Identify who will carry out the proposed activities with youth, and the staff qualifications and experience: (you may attach resumes) 7. Show a line item budget for the direct services to youth. List in-kind support, if any. RETURN APPLICATION TO: Claire Hill, Program Consultant Minnesota Department of Human Services 444 Lafayette Road St. Paul, Minnesota FAX: December 15, 2003