A National Symposium to Improve Recovery, Safety and Stability Keeping Kids in the Home: Using and In Home Supervision Sharon DiPirro Beard, CA Coordinator Pamela Miller, CA Collaborative Justice Coordinator Julia Roguski, CO Director Child Protective Services The purpose of this workshop is to introduce a pre plea family drug court model., and will present the similarities and differences between the three programs. 1
Similarities between the s Referral to CPS Drug Preservation Drug (Pre Filing) CPS Emergency response completes CPS Emergency response completes SDM Assessment of SDM Assessment of family due to hot family due to hot line/hospital report. line/hospital complaint. Makes initial referral Makes initial referral to to Informal Pre Filing if SDM risk Supervision if SDM assessment yields risk assessment yields Moderate or High Risk, High or Very High but does not indicate Risk. Very High Risk. Child abuse and/or neglect referral to CPS, placement of children imminent, referral to Savio and specialty court occurs immediately. 2
Drug Target population Ages 0 5, services are also provided to siblings and parents Preservation Drug (Pre Filing) Parents (men and women) at Families with children risk of losing their children age birth to 12 years in (0 18) due to neglect as a result of substance use. which parental substance abuse is the primary presenting child welfare concern Parental Demographics 77% women 23% men 38% Hispanic 20 % Caucasian 70% women 30% men 48% Hispanic 30% Caucasian Do not keep data in this format. Do have ages of children and overall ethnicity of the family. 16% African American 22% other Drug Preservation Drug (Pre Filing) Entry to Preliminary Assessment, Treatment assessment and / Assessment followed by ASI at provider ASI, functioning assessment (NCFAS), ASQ3 for learning disabilities children 0 5. Treatment Residential and Outpatient 6 12 months Enrollment is done at assessment time to entry 1 day. Minimum 12 months may include residential if needed. Includes intensive case management, MFT home visits, random/ frequent drug testing Alumni activities required in 4 th phase and voluntary after graduation. In home assessment of risk, safety (child welfare) and substance abuse treatment assessment (ASI) Intensive in home services, substance abuse treatment, mental health, domestic violence (if indicated), parenting skills enhancement 3
Drug Attend Dependency Drug Ct. Preservation Drug (Pre Filing) Incentives & Incentives: Graduated dincentives and Graduated dincentives Sanctions Sanctions are negotiated by and Sanctions We are Recovery Stones the team utilizing the theory moving toward FISH BOWL of proximal and distal creative sanctions abilities of the client to based on the science Sanctions: comply/stay clean (High of behavior change and Verbal Reprimand Risk/High need to Low looking at matching Risk/Low need ). Each incentives and incentive and sanction is sanctions to proximal Write a paragraph Community Service geared towards the individual. Therapeutic intervention is utilized where possible. and distal goals. Differences between the s 4
Case or Petition status Drug Preservation Drug (Pre Filing) Case opened No Case/Petition filed Case opened Administrative Hearing Administrative Hearing Judicial Hearing weekly to monthly in conjunction with Post file parents. Judicial Hearing Supervision CPS, and The STARS Recovery Specialist Drug Endangered Children (DEC), and MFT Home Visitation Joint Service Management (JSM) between Child Welfare, Savio (inhome), substance abuse, courts and TANF Parenting curriculum Drug Celebrating Families and other CPS/ approved programs Preservation Drug (Pre Filing) Nurturing Families for all parents and children Safe Care (in home parenting for those with special needs) MFT In home, couples counseling, family counseling Preservation Drug Custom parenting program (12 week) In home parenting skills training and couples work as needed Betty Ford Children s program Gender Specific A few providers offer Helping Women Recover Trauma focused gender and Fth Father Time specific curriculum Substance abuse treatment t tproviders offer gender specific treatment services to men and women Trauma informed care 5
Number Pre Plea served Completion Drug Numbers served in four years 2007 20112011 Adults 797 Children 1359 Familes 740 Completion =180 consecutive days: Drug test negative at least 2 times / week Attend all treatment groups or individual sessions; all scheduled meetings with their RS; attend 3 or more supports groups and; all EIFDC appearances Preservation Drug (Pre Filing) Number served each year 2011 Data 300 parents 118 Families 750 children 188 Adults 226 Children Successfully complete all 4 phases, working or school, 180 day clean, attending alumni 75% of parents in need of treatment successful completed or remained in at discharge. 95% children at home or with kin 85% home 10% Kinship Outcomes 6
Outcome data / Recidivism Drug Petition filed Comparison group 29.6% EIFDC 13.5% Stayed in home Comparison 68.9% EIFDC 89.4% Maltreatment County 4.9% State 6.8% Federal 5.4% EIFDC 1.3% (Pre Filing) See next slide 1 year follow up 90% no founded d report of child abuse neglect, outof home placement and/or new D&N filed 5 year longitudinal studies 80% no founded report of child abuse neglect, outof home placement and/or new D&N filed RIVERSIDE COUNTY FAMILY PRESERVATION COURT (FPC) Children Affected By Methamphetamine (CAM) Child Placements PRE FILE CHILDREN POST FILE CHILDREN 254 (28.1%) Total Children 649 (71.9%) Total Children 231 (90.9%) Children Remain at Home 253 (39.0%) Children Remain at Home 23 (9.1%) Children Removed from Home 396 (61.0%) Children Removed from Home 5 (21.7%) Children Reunified 148 (37.4%) Children Reunified 0 (0.0%) Children Re-Entered Foster Care 10 (6.8%) Children Re-Entered Foster Care 7
Cost Avoidance/Analysis Cost Savings Drug Savings for out of home care, per year, EIFDC Vs. Comparison $7,176,040 Reduction in petitions $143,090 per year Preservation Drug (Pre Filing) Currently working on cost analysis. It is estimated the Treatment Drug saved the county over $3 million in the last 5 years (calculated by average foster care cost savings minus average program cost). 8
Lessons Learned What works? Each jurisdiction must do what works for them. What needs does your community have? How can the system of care work? The importance of collaboration flexibility 9