Chapter 7 In-Home Services Policy CAT Slides

Transcription

1 Slide 1 - Welcome Welcome to the Indiana Department of Child Services (DCS) online training session. This session will provide you with an overview of Chapter 7, In-Home Services. This training is intended to provide a high level overview of the sections covered. Therefore, it will be important for you to read all of the chapter policies in their entirety. Page 1 of 37

2 Slide Child at Imminent Risk of Placement Let s begin with Chapter 7, Section 1, Child at Imminent Risk of Placement. When defining this population, candidates for out-of-home placements/children at imminent risk of placement would include: children residing in his/her own home; children on the run from home or facility; and children placed with the non-custodial parents. Children at imminent risk for placement do not include: children in out-of-home placement care; children placed in licensed resource homes, unlicensed relative homes; and children on a trial home visit for the initial six months, and/or children for whom an extension of the trial home visit has been granted by the court. Page 2 of 37

3 Slide Child at Imminent Risk of Placement DCS defines a child at imminent risk of placement as a child less than eighteen years of age who reasonably may be expected to face out-of-home placement in the near future as a result of one of the following: Abuse or neglect Emotional or mental disturbance Family conflict so extensive that reasonable control of the child is not exercised. Page 3 of 37

4 Slide Child at Imminent Risk of Placement The initial determination that a child is at imminent risk of placement will be the substantiation of abuse and/or neglect by DCS as documented by an approved substantiated Assessment of Alleged Child Abuse or Neglect or 311. Redetermination will be completed on every child with an open case type of Informal Adjustment (IA) or In-Home Child In Need of Services (CHINS) within six months of the initial determination. Page 4 of 37

5 Slide Services for the Child's Family Next, we will discuss Chapter 7, Section 2, Services for the Child s Family. This section will briefly discuss the population identified and the assessments that are utilized in identifying the family s underlying needs and corresponding services. Page 5 of 37

6 Slide Services for the Child's Family DCS offers in-home services to children who are identified as candidates at imminent risk of placement and their families. This population includes children and their families who have open case types of IA or In-Home CHINS. These services are utilized to facilitate the child s safety and the safe closure of the case. Page 6 of 37

7 Slide Services for the Child's Family DCS will engage the Child and Family Team (CFT) to review the family s Safety Assessment, Strength and Needs Assessment, Risk Assessment and the Family Functional Assessment Field Guide to assist in identifying the family s underlying needs and corresponding services. Page 7 of 37

8 Slide Minimum Contact Next, Chapter 7, Section 3, Minimum contact, discusses minimum contact standards determined by DCS. Regular contact with the parent, guardian or custodian and the child who is identified as a candidate at imminent risk of placement. This is the most effective way to promote timely implementation of Case Plans or IA s for children and families served by DCS and to track and adjust service plans as needed. Page 8 of 37

9 Slide Minimum Contact DCS will have monthly face-to-face contact with all children under DCS care and supervision who are at imminent risk of placement. This includes children and their families participating in an IA. Visitation will occur in the home. When the child or family is in crisis, visitation must be made within 24 hours of receiving knowledge that a crisis has occurred. The Family Case Manager (FCM) will monitor and evaluate the situation, as well as convene the CFT, to assess whether the situation warrants additional services or supports to the family. DCS will initiate an emergency removal if the child is in immediate danger. Page 9 of 37

10 Slide Minimum Contact DCS will maintain contact with the non-custodial parent (mother/father) and will ensure that the parent is afforded the opportunity to visit with the child and maintain involvement in the child s life, unless the court has ruled that this is not in the child s best interest. The FCM will develop a visitation plan to ensure that sibling contact is maintained and strengthened, if applicable. Page 10 of 37

11 Slide Parental Interaction and Involvement We will now discuss Chapter 7, Section 4, Parental Interaction and Involvement. This section discusses the importance of regular monthly contact and interaction with the parent, guardian, or custodian, the child or children and service providers to monitor the family s compliance with the IA or CHINS. Page 11 of 37

12 Slide Parental Interaction and Involvement DCS will assess through a partnership with the CFT, the interactions of the parent, guardian, or custodian and the child or children who have been identified as candidates at imminent risk of placement, to determine whether they are accomplishing the goals and objectives outlined in the current Case Plan or activities or actions in the IA. On-going assessment of safety, risk, strengths and needs by DCS will be completed throughout the life of the case. Page 12 of 37

13 Slide Parental Interaction and Involvement Through the regular monthly contact with the parent, guardian or custodian, the child or children and service providers, DCS will track and make any necessary adjustments to the current Case Plan such as incorporating new information and circumstances into the Case Plan, documenting progress made and identifying barriers encountered by the family. It is important to update the Case Plan and engage the CFT anytime there is a significant change. Examples of significant changes are the family s identified needs, parent's failure to participate in services, household composition changes, etc. Page 13 of 37

14 Slide Meaningful Visits Next, we will cover, Chapter 7, Section 5, Meaningful Visits. This section provides a framework for DCS to follow when completing monthly visitation with the child and the child s family who is receiving in-home services. Over time, ideally, the parent, guardian or custodian s functional strengths should increase with the inclusion of identified services and their underlying needs should decrease. Each individual case should be evaluated independently based upon its own unique conditions. Page 14 of 37

15 Slide Meaningful Visits DCS will address safety, stability, well-being and permanency with the parent, guardian, or custodian and the child or children who are identified as candidates at imminent risk of placement during all visits. See Practice Guidance in the policy for suggested questions that address each area. DCS will provide on-going assessment of safety and risk and will identify the parent, guardian or custodian s functional strengths and underlying needs. DCS will monitor and reassess to assure that the current Case Plan goals or identified activities or actions in the IA are meeting the underlying needs of the family. Page 15 of 37

16 Slide Meaningful Visits The FCM is strongly encouraged to utilize the Family Functional Assessment (FFA) Field Guide for suggested questions to assist in gathering the parent, guardian or custodian s functional strengths and underlying needs. DCS will utilize the family s functional strengths to assist in the identification of informal and formal support systems that may decrease the possibility of future risk of abuse and or neglect. Over time, ideally, the parent, guardian or custodian s functional strengths should increase with the inclusion of identified services and their underlying needs should decrease. Each individual case should be evaluated independently based upon its own unique conditions. Page 16 of 37

17 Slide Educational Services Next, Chapter 7, Section 6, Educational Services discusses the importance of ensuring that children who are identified as receiving in-home services have their educational needs met. If a child is expelled from his or her school, DCS will assist the parent, guardian or custodian in finding an alternate education plan. This will ideally be accomplished by partnering with the CFT, the parent, guardian, or custodian, and the educational system. Page 17 of 37

18 Slide Educational Services DCS will utilize the CFT meeting to review and discuss the educational needs of children receiving in-home services and to ensure that the child s educational needs are met. DCS will encourage the child s parent, guardian or custodian to invite the child s teacher, school social worker and any other identified educational supports to participate as a member of the CFT. Page 18 of 37

19 Slide Educational Services DCS will partner with the Department of Education and the parent, guardian or custodian to ensure that all children receiving in-home services receive educational services to meet their individual needs. DCS will ensure that all children that have identified special education needs and have a developed Individualized Education Plan or IEP on file are receiving the services outlined in the IEP. DCS will ensure that all children who have not been identified as requiring special education services and do not receive special education services through an IEP are referred for appropriate services if a problem or a disability is suspected. DCS must confer with the school in preparing the Case Plan and reference the contact in the Predispositional Report, for all children who have an IEP. Page 19 of 37

20 Slide Health Care Services We will now cover Chapter 7, section 7 Health Care Services. This section discusses the different health areas of the child who is receiving in-home services. Through a partnership that is formed between DCS, the parent, guardian, or custodian, and the CFT, effective communication may be achieved to assure the child s needs are being met. Page 20 of 37

21 Slide Health Care Services DCS will partner with the child s parent, guardian or custodian and the CFT by assisting, empowering and advocating for health care services necessary to meet the child s needs. Examples of these needs may include physical, mental, dental, visual, auditory and developmental. DCS will ensure that every child receiving in-home services receives a mental health screening within 5 days of opening the case. Page 21 of 37

22 Slide Health Care Services DCS will assure that every child receiving in-home services receives ongoing assessments and follow-up care when: Recommended by the child s current physician, dentist, a qualified mental health provider, health care worker or social worker; or The child s parent, guardian or custodian indicates there are noticeable changes or the child is exhibiting symptoms that indicate a need for follow-up care or assessment outside of normally scheduled or recommended follow-up medical or mental health appointments. Page 22 of 37

23 Slide Respite Care We will now discuss Chapter 7, Section 8, Respite Care. DCS defines respite care services as a transfer of caregiving responsibilities with the specific intent of providing relief to the family in stressful or emergency situations. Specifically for children receiving in-home services, respite care may be anywhere from twenty-four hours to five days. DCS does not consider field trips and sleepovers to be respite care. Page 23 of 37

24 Slide Respite Care DCS will encourage families who are receiving in-home services to use informal supports identified either by the family or through the CFT. If informal supports cannot be identified by the family, the FCM will assist the parent, guardian, or custodian in finding respite care if it is a part of the Case Plan or recommended by the CFT. However, DCS will not pay for the cost of respite care. Page 24 of 37

25 Slide Respite Care All respite care must be preapproved by the FCM assigned to the child, unless emergency circumstances exist. If respite care is secured by the parent, guardian or custodian, the FCM must complete a Child Protection Services (CPS) check and a limited criminal history check on the identified respite care provider. It is equally important to note that if emergency circumstances exist, the parent, guardian, or custodian must call the supervisor of the assigned FCM, or call the 24-hour contact number for the DCS local office and inform the intake worker of the emergency and the location of the child and for how long. Page 25 of 37

26 Slide Respite Care For all children under the care and supervision of DCS, it is a requirement that the respite care provider be a licensed foster family home or licensed child caring institution unless the recommendation was made by the CFT or waived by the DCS Local Office Director. The DCS Local Office Director or a designee may grant exceptions to this in writing. DCS will not count children in respite care towards the licensed capacity of the care provider. Page 26 of 37

27 Slide Respite Care If identified as a necessary support service through the CFT Meeting or Case Conference, DCS will collaborate with the family to develop a respite care plan. A respite care plan can be utilized during DCS involvement and after the family has reached sustainable safe case closure. Page 27 of 37

28 Slide Travel, Outings and Overnight Stays We will now look at Chapter 7, Section 9, Travel, Outings and Overnight Stays. This section will provide you with an overview of the policies surrounding In-State Travel, Activities or Events; Out-of-State Travel; and Out-of-the-Country Travel. This section provides specific policies surrounding children who are identified as In-Home CHINS and those being serviced through an Informal Adjustment. Page 28 of 37

29 Slide Travel, Outings and Overnight Stays For IA s, the FCM assigned to the child will engage the parent, guardian or custodian during their monthly visits to identify any upcoming activities that the child may be involved in that would require the following: In-state travel, activities or events; Out-of-state travel; or Out-of-the country travel Page 29 of 37

30 Slide Travel, Outings and Overnight Stays For In-Home CHINS, any in-state activities or events that require overnight stays the parent, guardian or custodian should notify the child s FCM during their monthly scheduled visits, or via phone or . Voice mail messages are acceptable. For overnight stays over forty-eight hours, the parent, guardian or custodian should notify the FCM unless this is a reoccurring visit with the non-custodial parent. Page 30 of 37

31 Slide Travel, Outings and Overnight Stays An In-Home CHINS requires a court order prior to any out-of-state travel. The parent, guardian or custodian should notify the FCM as early as possible in order to allow sufficient time to obtain permission from the court for out-of-state travel. Page 31 of 37

32 Slide Travel, Outings and Overnight Stays When a parent, guardian or custodian requests out-of-the-country travel and they are involved in an in-home CHINS with DCS, written authorization must be obtained from the DCS Regional Manager. The FCM must also obtain a court order authorizing the out-of-the-country travel. Out-of-the-country travel must be requested at least one month in advance. Page 32 of 37

33 Slide Transition to Out-of-Home Care Lastly, we will review, Chapter 7, Section 10, Transition to Out-of-Home Care. This section discusses circumstances in which DCS may recommend to the court that a child who is receiving in-home services be placed into an out-of-home placement. Page 33 of 37

34 Slide Transition to Out-of-Home Care DCS may recommend to the Court that a child receiving in-home services be placed in out-of-home care if: There are new allegations of child abuse and or neglect by the parent, guardian or custodian or another person living in the home; or The parent, guardian or custodian does not comply with the terms of the IA or the best interests of the child requires additional services for which court intervention is needed and cannot be alleviated through an in-home CHINS; or There is a pattern of non-compliance with the objectives of the Case Plan and reasonable efforts have been made or could not be made due to the emergency nature of the situation to secure the safety of the child or the community. Page 34 of 37

35 Slide Transition to Out-of-Home Care If the safety of the child cannot be reasonably assured in the current placement, DCS will remove the child immediately. DCS will partner with the family through the CFT process to identify non-negotiables involving child safety and well-being and the best placement option for the child, unless an immediate placement decision must be made due to an emergency removal. Page 35 of 37

36 Slide Transition to Out-of-Home Care DCS will not place a child into a residential care facility prior to receiving court approval of the DCS recommendation. An exception to this specific policy would be if a child needed to be placed into a residential care facility on an emergency basis prior to court approval, if a Qualified Mental Health Professional determines that: Placement is needed because the child s safety and well-being is in imminent danger due to a medical or mental health condition; and A less restrictive placement will not mitigate the danger. Page 36 of 37

37 Slide 37 Congratulations! Congratulations! You have completed the Chapter 7 In-home Services Computer Assisted Training. Page 37 of 37