the new york city experience: working toward better family outcomes ncsacw annual conference july...

The New York City Experience: The New York City Experience: Working Toward Better Family Working Toward Better Family

OutcomesOutcomesNCSACW Annual Conference

July 14-15, 2004

Lisa Lite-Rottmann, Regional Coordinator, NYS OASAS

Lureen McNeil, Program Manager & Liaison to ACS, NYS OASAS

Monette Sachs, Ph.D., Substance Abuse Policy Researcher, NYC ACS

SA System Capacity 2003SA System Capacity 2003

455/1174 treatment providers in NYS

165/480 treatment providers in NYC

428,860/206,003 persons served

153,593 males - 52,410 females

56,295 report no children

89,372 report 1 or more children

116,247 not LWC

29,420 LWC

CW System Capacity in NYC 2003CW System Capacity in NYC 2003

79 Preventive Agencies 47 Foster Care Agencies 32 Family Rehabilitation Programs 6 Direct Foster Care

15,580 families received preventive services 14,508 received foster care services

How We Got Here From ThereHow We Got Here From There1999-20041999-2004

Driving Forces

– Adoption and Safe Families Act – New

York

– Impact of Substance Abuse on Child

Welfare

– Substance Abuse Clients’ Unmet Needs

The Collaboration ProcessThe Collaboration Process

Development

– Phase I

• Defining the players

• Power and control

– Phase II

• Building relationships

• Building consensus

The Collaboration ProcessThe Collaboration Process

Implementation

– Operational Protocol Dissemination

– Cross-Systems Training

– Market Research

Collaboration OutcomesCollaboration Outcomes

Collaboration Documents

- Principles of Collaboration

- Partnership Pledge

- Protocol

- Confidentiality Form

- Referral Forms

- Change of Case Status Form

Collaboration Outcomes Con’tCollaboration Outcomes Con’t

Ongoing Cross-Systems Training

Improved Relationships

Improved Practices

Evaluation

Where We AreWhere We Are

Policy and Practice Initiative

Clinical Consultation Initiative

Adolescent Services

Collaborative Partnerships

Evaluation-Protocol Implementation

Ongoing Training & Joint TA

Lessons LearnedLessons Learned Development & Implementation Development & Implementation

Why are we here – shared goalsBuy-in meetingsCommitment to the “process”Get to know one anotherEstablish needs and expectationsDevelop framework for collaboration

Lessons Learned Con’tLessons Learned Con’t

Trust, respect and commonalitiesInternalize blended perspectiveQuality improvementOutreach to existing coalitionsAwareness of local politicsNeeds assessment surveysFocus groups with professionals

Lessons Learned Con’tLessons Learned Con’t

Local expert advisory committeeFlexibility is keyKnow your stakeholdersDedicated, strong leadershipListen to stakeholdersDon’t assume!

Understanding the Protocol Understanding the Protocol

Section I: Referral Process

Section II: Communication among Child Welfare Case Manager, Case Planner and Substance Abuse Provider