san francisco csec multi-disciplinary team francisco flowchart supplemental.pdfsan francisco csec...
Post on 24-Feb-2020
4 Views
Preview:
TRANSCRIPT
San Francisco CSEC Multi-Disciplinary Team
1
DEPARTMENT POINT PERSON NAME PHONE EMAIL MDT/AVAILABILITY
FCS Hotline 800-856-
5553 24/7
Behavioral Health Child Crisis 415-970-
3800
Triage, CRR (after
hours)
Behavioral Health
Coordinator,
Community
Behavioral
Health Services
Alison
Lustbader
415-225-
7022
alison.lustbader@sfdph.or
g
Triage, CRR, Non-
Emergency MDT,
Ongoing MDT (business
hours)
SF Child Abuse
Prevention Center
Ongoing MDT
Convener To be determined Ongoing MDT
CSEC Advocate Out for professional
solicitation All MDTs, 24/7
District Attorney
Managing
Attorney, Child
Abuse/Sexual
Assault Unit
Julius
DeGuia
415-553-
1376 julius.deguia@sfgov.org Ongoing MDT
District Attorney
Victim Services
Deputy Chief of
Victim Services
Jackie
Ortiz
415-558-
2408
Jacqueline.ortiz@sfgov.or
g
Triage (during business
hours)
District Attorney
Victim Services
Chief of Victim
Services
Gena
Castro
Rodriguez
415-537-
0503
gena.castrorodriguez@sfg
ov.org
Triage (after business
hours)
District Attorney
Victim Services
Supervisor of
the Sex
Abuse/Assault
and Human
Trafficking Unit
Delia
Montiel
415-
553-9474
Delia.Montiel@sfgov.org
CRR, Non-Emergency
MDT, Ongoing MDT
Huckleberry House
Youth Program
Director/Manag
er
Mollie
Brown/Patr
ick
Buckalew
(415)
225-8115
Mbrown@huckleberryyo
uth.org Ongoing MDT
FCS ER Program
Director
Julie
Lenhardt
415- 558-2369
julie.lenhardt@sfgov.org Ongoing MDT
Legal Services for
Children
Dependency
Project Director
Eliza
Patten
415-780-
6351 eliza@lsc-sf.org Ongoing MDT
Legal Services for
Children
Youth’s
attorney
To be determined case by
case
Non-Emergency MDT
(if client), Ongoing
MDT (if client)
Education To be determined case by
case
Physical Health CASARC
Manager Janet Hines
415-206-
6722 janet.hines@sfdph.org
Triage and CRR (during
business hours), Non-
Emergency MDT,
Ongoing MDT
*when youth is under 18
Physical Health
Rape Treatment
Center (RTC)
Manager
Jessica
Dodge
415-437-
3036 jdodgesfgh@gmail.com
Triage and CRR (during
business hours), Non-
Emergency MDT,
Ongoing MDT
*When youth is 18+
Physical Health
Rape Treatment
Center (RTC)
On Call
415-437-
3000
Triage, CRR (after
hours)
San Francisco CSEC Multi-Disciplinary Team
2
Provider *After hours can take
info for any age and will
consult with CASARC
MD for under 18
Probation
On Duty
Probation
Officer
415-753-
7800 or
753-7500
7800-business hours
7500-24/7
Probation Intake
Supervisor
Derek
Hom
415 753-
7531
Derek.Hom@sfgov.org
Non-Emergency-MDT,
Ongoing MDT
Public Defender Managing
Attorney
Patricia
Lee
415-753-
7610 Patricia.Lee@sfgov.org
Triage/CRR Consult,
Ongoing MDT
SFPD (primary
contact) Officer, SVU
Lt. Michael
Dudoroff
415-553-
4900 (o)
415-716-
8838 (c)
michael.dudoroff@sfgov.
org All MDTs
SFPD (secondary
contact)
Officer in
Charge, SVU
Lt. Ed
Santos
415-553-
9826 (o)
415-802-
7059 (c)
edward.santos@sfgov.org All MDTs
San Francisco CSEC Multi-Disciplinary Team
3
San Francisco CSEC MDT Flowchart Accompanying Document
1. Triage (represented with “1”s in flowchart)
Overview All known or suspected CSEC up to age 21 must be reported to the FCS
Child Protection Hotline. This includes out-of-county CSEC and CSEC 18-
21 who are ineligible for non-minor dependent services.
If the Hotline Worker determines that the CSEC is 18-21 and ineligible for
non-minor dependent services, the Hotline refers the youth to the CSEC
Advocate on the Community-based Services track (#5). If the Hotline Worker
determines the youth is under 18 or is 18-21 and eligible for non-minor
dependent services, the Hotline follows FCS internal protocol, including the
Structured Decision Making Tool (SDM)*, to determine whether there is an
immediate safety threat. If there is an immediate safety threat, the Hotline
Worker assigns an Emergency Response Worker (ER) who initiates the
Coordinated Rapid Response (CRR) MDT, dispatching the 2-Hour Crisis
Response (#2a) and beginning the coordination of the members of the 72-
Hour Stabilization phase (#2b) of the MDT. If there is not an immediate
safety threat, the Hotline Worker determines whether more information is
needed before assigning an Emergency Response Worker to initiate an MDT
(#3a-b OR #4a-b).
Note that if a known CSEC already under the jurisdiction of FCS presents
with a new allegation of CSEC, the case-carrying worker will follow existing
protocol and a new report to the hotline is not necessarily required.
Purpose Determine the safety threat to the suspected or identified CSEC, which will
dictate the speed of the response and the parties required to respond.
Parties and
Responsibilities
The following agencies must:
1. FCS Hotline Worker:
a. Field hotline calls
b. Determine the age of the child
i. If the child is under 18:
1. Determine whether the child is currently under
Child Welfare or Probation jurisdiction
ii. If the child is over 18:
1. Determine whether the child is eligible for
extended foster care.
a. If yes, proceed to 1(c) (“Determine
whether child is out-of-county”) next
step.
b. If not, refer to community-based
services track (#5).
c. Determine whether child is out-of-county:
i. If yes, follow Bay Area inter-county protocol and
report child to child welfare in county-of-origin, and
continue with courtesy MDT response if there is an
*SDM is statewide set of assessment tools used by Child Welfare to assess safety, risk and protective capacity. The SDM tools are currently under revision, and will include CSEC factors beginning in Nov. 2015. FCS will bring the revised SDM tools to the CSEC Steering Committee for review.
San Francisco CSEC Multi-Disciplinary Team
4
immediate safety threat.
d. Determine whether there is an immediate safety threat
i. If yes, assign ER worker, utilizing the SDM and in
consultation with other partners
ii. If no, determine whether more information is
necessary, which will dictate whether to follow the
Non-Emergency MDT track
e. Cross-report to law enforcement pursuant to the law
enforcement protocol
f. Determine the necessity of SFPD’s presence pursuant to law
enforcement protocol, and, if needed, contact SFPD for
dispatch with ER Worker
2. FCS Emergency Response Worker:
a. Contact CSEC Advocate and provide the child’s location
b. Respond to child’s location within 2 hours
c. Coordinate appropriate response including contacting parties
and sharing pertinent information (e.g., child’s location, safety
threat, etc.)
3. San Francisco Police Department
Provide for safety needs of youth and staff
4. Other partners (including, Probation, Physical Health, Behavioral
Health, SVU, and DA Victim Services):
a. Provide phone consultation to Hotline Worker as needed
Timeline Follow internal FCS protocol; timing for other MDTs begins with assignment
of FCS Worker (2 hours).
Next Step If there is an immediate safety threat CRR (#2a)
If there is not an immediate safety threat move to “Is more info
needed?”
o Yes Initial Contact phase of Non-Emergency MDT (#3a)
o No Non-Emergency MDT (#4a)
2a. Coordinated Rapid Response (CRR) MDT: 2-Hour Crisis Response
Overview The 2-Hour Crisis Response, the first of two phases of the CRR MDT, is
initiated when the FCS Hotline worker identifies an immediate safety threat.
The Hotline assigns an ER Worker and provides the ER Worker information
about the child’s location. The Hotline Worker will cross-report the allegation
of sexual exploitation to law enforcement pursuant to the law enforcement
protocol. The ER Worker contacts the CSEC Advocate and together they meet
the child at the location provided by the Hotline Worker. Other parties will be
consulted by phone, as needed. After meeting the child’s immediate safety
needs and initiating a child abuse investigation, the ER Worker and CSEC
Advocate will identify the needs the child has and which additional parties
need to respond to those needs - either immediately or during the 72-Hour
Stabilization period (#2b).
Purpose Address the immediate safety needs, make a temporary placement decision,
San Francisco CSEC Multi-Disciplinary Team
5
and develop a safety plan, which will include the support and services the
youth will need during the period starting with the 2-Hour Crisis Response and
through the first 72 hours. This will include:
Responding to the child’s location within 2 hours
Collaborating with multiple child-serving agencies
Engaging with youth and family/caregiver(s), if appropriate
Ensuring basic needs are met such as food, shelter, and clothing
Assessing and addressing immediate and long-term needs
Advising on appropriate placement
Conducting a safety plan once at the placement with the
parent/guardian/caregiver
Meaningfully involving youth in planning and decision-making, should
the youth choose to participate
Parties and
responsibilities
1. FCS Emergency Response Worker:
a. Respond to child’s location within 2 hours
b. Begin to conduct a child abuse investigation, including
involving parents and caregivers.
c. Address the child’s safety needs
d. Address the child’s placement needs, including identifying an
emergency placement, if necessary
e. Collaborate with CSEC Advocate to determine whether to
request a phone consultation or in-person support from other
parties
2. CSEC Advocate:
a. Respond to child’s location within 2 hours
b. Address youth’s immediate needs
c. Provide a humanitarian bag
d. Develop rapport with the youth
e. Prepare safety plan along with ER Worker and other partners
f. Help transition from a crisis to a stabilization response
g. Collaborate with ER Worker to determine whether to request a
phone consultation or in-person support from other parties
3. San Francisco Police Department
Provide for safety needs of youth and staff
4. Other partners (including, Probation, Physical Health, Behavioral
Health, SVU, and DA Victim Services):
Provide phone consultation and/or in-person assistance
5. Youth:
Engage in planning process, if the youth agrees to participate
Timeline Must interface with the youth within 2 hours, although the placement, safety
planning, etc. may last for several hours.
Next Step CCR (#2b) and engage other necessary partners to ensure youth’s needs are
met throughout the first 72 hours.
San Francisco CSEC Multi-Disciplinary Team
6
2b. Coordinated Rapid Response (CRR) MDT: 72-Hour Stabilization
Overview The 72-Hour Stabilization is a continuation of #2a and the second phase of the
CRR MDT. Once identified, CSEC need intensive support and supervision to
stabilize. The first 72 hours is a critical period to address safety concerns and
medical needs. Services and supports will vary depending on the youth’s needs
and may include a comprehensive medical evaluation, intensive support and
supervision by the CSEC Advocate, and/or a mental health evaluation.
Purpose Stabilize the youth and provide intensive supervision, support and services.
Parties and
responsibilities
The parties listed below may not need to be involved in every case, but will be
required to be available for telephonic consult and in-person support when
necessary.
1. FCS Emergency Response Worker:
a. Continue conducting a child abuse investigation, including
engagement with the family/caregivers.
b. Provide additional input on placement decision
c. Collaborate with CSEC Advocate to determine whether to
request a phone consultation or in-person support from other
agencies
d. Contact and coordinate with additional agencies, e.g. schedule
appointment with physician
e. Refer child to CASARC (<18) or RTC (+18) for sexual assault
examination, if needed
f. Request other parties’ input on the child’s preparedness for a
CAPC forensic/regular interview, if relevant, and schedule
when appropriate
2. CSEC Advocate:
a. Engage and support youth throughout the 72-hour period, this
may include regular interactions with the youth throughout the
day.
b. Transport youth to appointment(s), if needed
c. Collaborate with FCS ER Worker to determine whether to
request a phone consultation or in-person support from other
parties
d. Contact other team members that need to be involved
e. Refer case to Ongoing MDT
3. On-Duty Probation Officer (if under jurisdiction):
a. Engage youth
b. Provide support on placement decisions
c. Respond to a warrant
4. CASARC Manager (youth <18 during business hours) OR Rape
Treatment Center (RTC) Manager (youth +18 during business hours)
OR RTC On Call Provider (all youth, after hours):
a. Schedule an expedited appointment
b. Provide comprehensive medical evaluation
c. Coordinate appropriate responses and services
San Francisco CSEC Multi-Disciplinary Team
7
d. Provide information, services and medication related to
reproductive and sexual health, including access to
contraceptives, HIV prophylaxis, and treatment for STIs/STDs.
e. Conduct forensic exam, if needed
f. Refer youth for additional services, if necessary
5. Community Behavioral Health Services Coordinator (business hours)
or Child Crisis (after hours):
a. Provide crisis stabilization
b. Complete comprehensive mental health evaluation
c. Refer youth to appropriate mental health provider, if necessary
6. Special Victims Unit (SVU) Officer:
a. Consult regarding safety
b. Provide in-person support as necessary (pursuant to law
enforcement protocol
7. Youth:
a. Engage in decision-making process, if the youth agrees to
participate
Timeline After the 2-Hour Crisis Response and within 72 hours
Next Step Youth continues to receive coordinated services and case referred to Ongoing
MDT (#6)
3a. Non-Emergency MDT: Initial Contact (more information is needed)
Overview When the Hotline worker determines:
(1) there is no immediate safety threat AND
(2) more information is needed before convening a full MDT,
the ER OR the case-carrying worker (when there is a new allegation on an
open case with a history of CSE) and the CSEC Advocate will make initial
contact with the youth within 10 days. The FCS Worker (either ER or Case-
Carrying) and the CSEC Advocate will gather more information and determine
the necessity of an MDT and whether additional FCS or community services
are needed.
Purpose Make initial contact with the youth and gather additional information to
determine whether a full Non-Emergency MDT should be held.
Parties and
responsibilities
The following agencies must:
1. FCS case-carrying/ER Worker:
a. Make initial contact with the youth
b. Assess the youth’s safety
c. Gather information for child abuse investigation
d. Determine whether there is an immediate safety threat
i. If yes, follow procedure related to the Coordinated
Rapid Response (2a and 2b)
ii. If no, proceed to next step
e. Assess whether to convene a full Non-Emergency MDT
f. Collaborate with CSEC Advocate to determine whether to
request a phone consultation or in-person support from other
San Francisco CSEC Multi-Disciplinary Team
8
parties
g. Refer child to CASARC (<18) or RTC (+18) for sexual assault
examination, if needed
2. CSEC Advocate:
a. Address immediate needs
b. Engage with the youth to build relationship
c. Assess whether to convene a full Non-Emergency MDT
d. Collaborate with FCS ER Worker to determine whether to
request a phone consultation or in-person support from other
parties
e. Provide the youth a humanitarian bag
3. Other partners (including, Probation, Physical Health, Behavioral
Health, SFPD/SVU, and DA Victim Services):
a. Provide phone consultation and/or in-person assistance
Timeline Within 10 days of the call to the hotline
Next Step If additional FCS and/or community services are needed hold Non-
Emergency MDT (#3b) within 72 hours
If no additional FCS and/or community services are needed close
and do NOT refer to Non-Emergency MDT (#3b) or Ongoing MDT
(#6)
Note: If an immediate safety threat is identified during initial contact, the ER
Worker convenes the CRR MDT (#2a-b) instead of the Non-Emergency MDT
(3b)
3b. Non-Emergency MDT: MDT (more information is needed)
Overview If FCS and the CSEC Advocate determine that a Non-Emergency MDT is
needed, convene the MDT telephonically within 72 hours. Other parties will
be involved as needed. Members develop a case plan, coordinate services, and
assign responsibilities among the agencies. The youth does not directly
participate in the MDT, though their perspective may be represented by CSEC
Advocate.
Purpose Non-Emergency MDT coordinates and plans how to address the needs of an
identified or suspected CSEC within 72 hours following Initial Contact (#3a),
including but not limited to:
Collaborating with multiple child-serving agencies
Assessing and addressing immediate and long-term needs1
Coordinating service plans to achieve desired outcomes for the youth
Advising on appropriate placement
Designing a safety plan that will be discussed with the youth
Assigning responsibilities to each agency
Parties and
responsibilities
The FCS Worker and the CSEC Advocate will identify which other agencies,
such as DA Victim services will also participate in the MDT. In addition to the
1 See CAL. CHILD WELF. COUNCIL, CSEC ACTION TEAM, HOLISTIC NEEDS OF COMMERCIALLY SEXUALLY EXPLOITED CHILDREN
(2015) available at http://youthlaw.org/wp-content/uploads/2015/05/Holistic-Needs-of-CSEC.pdf.
San Francisco CSEC Multi-Disciplinary Team
9
above responsibilities, the agencies must:
1. FCS Worker:
a. Convene the MDT (e.g., coordinate scheduling with partners,
handle relevant administrative tasks, follow up with partners)
b. Continue to investigate the child abuse allegation
c. Collaborate with CSEC Advocate to determine other parties to
include
d. Provide input regarding placement
2. CSEC Advocate:
a. Participate in Non-Emergency MDT
b. Identify CSEC-specific resources and services
c. Collaborate with FCS ER Worker to determine other parties to
include
d. Refer case to Ongoing MDT
3. Intake Supervisor (for youth under Probation jurisdiction):
a. Participate in Non-Emergency MDT within 72 hours from
initial contact
b. Provide input regarding placement
4. CASARC Manager (Youth <18) OR RTC Manager (youth 18+):
a. Participate in Non-Emergency MDT within 72 hours from
initial contact
b. Provide input on potential physical health needs
c. Provide any necessary referrals to medical services
5. Community Behavioral Health Services Coordinator:
a. Participate in Non-Emergency MDT within 72 hours from
initial contact
b. Provide input on potential mental health needs
c. Provide any necessary referrals to mental health services
6. Law Enforcement:
a. Participate in Non-Emergency MDT within 72 hours from
initial contact
b. Provide input on the safety needs of the youth and family
c. Provide update during MDT about any potential case against an
exploiter
Timeline Within 72 hours following Initial Contact (#3a)
Note: the full MDT process can extend past 10 days total
Next Step Youth continues to receive coordinated services; moves to Ongoing MDT (#6)
4a. Non-Emergency MDT: MDT (no additional information is needed)
Overview When the Hotline determines there is:
(1) no immediate safety threat AND
(2) there is sufficient information,
a Non-Emergency MDT is convened telephonically within 72 hours. This is an
agency-only MDT. The MDT may recommend earlier contact by CSEC
advocate in order to provide support and services. The youth does not directly
San Francisco CSEC Multi-Disciplinary Team
10
participate in the discussion.
Note: FCS and the Advocate may not have had contact with the child prior to
this convening. Following the Non-Emergency MDT, FCS will make initial
contact with the youth (#4b) as required by the FCS 10-day response.
Purpose See #3b
Parties and
responsibilities
See #3b
Timeline Within 72 hours so that there is time after the MDT to engage youth within 10
days
Next Step Initial Contact (#4b) within 10 days
4b. Non-Emergency MDT: Initial Contact (no additional information is needed)
Overview Following #4a, and within 10 days of the call to the Child Protection Hotline,
FCS and the CSEC Advocate will make contact with the child.
Purpose Make initial contact with the youth, conduct a child abuse investigation, and
initiate plan developed by the Non-Emergency MDT (#4a).
Parties and
responsibilities
The following agencies must:
1. FCS Worker:
a. Meet with youth within 10 days of call to the Child Protection
Hotline (following existing protocols)
b. Determine whether there is an immediate safety threat to the
child
i. If yes, follow procedure related to the Coordinated
Rapid Response MDT (2a and 2b)
ii. If no, proceed with Non-Emergency MDT
c. Conduct child abuse investigation
d. Gather information
e. Discuss the safety plan developed by the Non-Emergency MDT
and further develop it with the youth and the CSEC Advocate
f. Collaborate with CSEC Advocate to determine whether to
request a phone consultation or in-person support from other
parties
2. CSEC Advocate:
a. Address immediate needs
b. Engage with the youth to build relationship
c. Discuss the safety plan developed by the Non-Emergency MDT
and further develop it with the youth and the CSEC Advocate
d. Provide the youth a humanitarian bag
e. Explain to the youth how the MDT process works
f. Collaborate with FCS ER Worker to determine whether to
request a phone consultation or in-person support from other
parties
g. Refer case to Ongoing MDT
3. Other partners as determined by #4a (including, Probation, Physical
Health, Behavioral Health, SFPD/SVU, and DA Victim Services):
San Francisco CSEC Multi-Disciplinary Team
11
a. Provide phone consultation and/or in-person assistance
Timeline Within 10 days of call to the Hotline
Next Step Youth continues to receive coordinated services and case referred to Ongoing
MDT (#6)
Note: If an immediate safety threat is identified during initial contact, the ER
Worker convenes the CRR MDT (#2a-b).
5a. Community-based Services Track (18-21 who are ineligible for non-minor dependency):
CSEC Advocate Contact
Overview When the Hotline determines that the youth is 18-21 and ineligible for non-
minor dependent services, the Hotline refers the youth to the CSEC Advocate
on the Community-based Services track (#5). The CSEC Advocate will then
connect the youth to appropriate community-based services within same time
periods as under 18.
Purpose CSEC Advocate will make initial contact with the child and identify needed
services.
Parties and
responsibilities
The following party is responsible for:
1. The CSEC Advocate:
a. Engage and support youth
b. Identify and connect youth to resources and services, including
TAY-specific services
c. Transport youth to appointment(s), if needed
Timeline Same timelines as with youth under 18
Next Step Youth continues to receive community services and the case is referred to the
Ongoing MDT (#6)
5b. Community-based Services Track: Community-based Services
Overview After the Hotline connects the 18-21 year old, non-dependent youth with the
CSEC Advocate, the CSEC Advocate will help the youth identify and secure
appropriate community-based services.
Purpose Ensure the youth receives appropriate community-based services and support
from the CSEC Advocate.
Parties and
responsibilities
The following party is responsible for:
1. The CSEC Advocate:
a. Check in on youth
b. Connect the youth with additional services, if needed
c. Refer case to Ongoing MDT
Timeline Within 10 days
Next Step Youth continues to receive community services and the case is referred to the
Ongoing MDT (#6)
San Francisco CSEC Multi-Disciplinary Team
12
6. Ongoing MDT
Overview The Ongoing MDT meets on a monthly basis to review all new CSEC cases up
to age 21, as well as cases that pose challenges requiring the additional
attention of partners (e.g. preparation to testify against an exploiter, etc.) The
Ongoing MDT will revisit the cases of all CSE minors regularly
Criteria for which cases to be reviewed at Ongoing MDTs will be developed.
Purpose Meets monthly at San Francisco Child Abuse Prevention Center (SFCAPC) to
review cases and address coordination of services for identified and suspected
CSEC to ensure their ongoing needs are met.
The Ongoing MDT is designed to accomplish the following:
Gathering information from each agency regarding cases for case
planning
Providing feedback on case planning and troubleshooting individual
children’s cases
Assigning responsibilities of each of the parties’ designees
Preparing a report-out to the MDT for each individual child’s case
Collecting data on the identified CSEC cases, as process for data
collection is developed.
Providing analysis on trends and policy recommendations to the
Steering Committee
Reviewing the efficacy of the Ongoing MDT’s organizational structure
Parties and
responsibilities As Ongoing MDT convener, SFCAPC has the following responsibilities:
a. Coordinate, facilitate, and host Ongoing MDT meetings
b. Serve as liaison to the Steering Committee
The following parties agree to participate in monthly case review and
discussion of service coordination. All parties agree to share information for
case planning purposes with SFCAPC, in compliance with all State, local and
federal laws regarding confidentiality and information sharing.
1. FCS Emergency Response/Case-carrying Worker
2. FCS ER Program Director or designee
3. Intake Supervisor (Probation)
4. CASARC Medical Director (Physical Health)
5. Rape Treatment Center (RTC) Director (Physical Health)
6. Community Behavioral Health Services Coordinator(Mental Health)
7. Designee, Legal Services for Children
8. Managing Attorney (Public Defender)
9. Managing Attorney, Child Abuse/Sexual Assault Unit (District
Attorney)
10. Supervisor of the Sex Abuse/Assault and Human Trafficking Unit
(District Attorney Victim Services)
11. Officer in Charge, SVU
12. Education designee
San Francisco CSEC Multi-Disciplinary Team
13
13. CSEC Advocate(s)
Timeline Ongoing meetings held monthly
Next Step Ongoing MDT Convener shares trends and relevant information with the
Steering Committee
top related