department of health and human services division for ... was determined by the number of cpsws who...

State of New Hampshire Department of Health and Human Services

Division for Children, Youth & Families

Governor & Council Breakfast Meeting March 7, 2018

2


Children, Youth & Families

Governor & Council Breakfast Meeting

March 7, 2018

Agenda

• What’s changed? • Quality Assurance Review: Implementation Update • Staffing and Caseloads • Assessment Backlog • Voluntary and Prevention Services • Update on Foster Care Supports

3


What’s Changed?

4 Generating change…

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjz4Ki-nNPWAhUDzoMKHTx9B1UQjRwIBw&url=http://www.spkaa.com/blog/the-convergence-of-alm-and-plm-in-the-technology-industry/&psig=AOvVaw3gsQfe2BGKgU47tq1OVpZi&ust=1507077765119024

5 Guiding our Transformation Efforts

DCYF Quality Assurance Review

National Focus on Child Welfare

• Jurisdictions across the country in crisis

• US Commission on Eliminating Child Abuse & Neglect Fatalities Recommendations

• US DHHS Children’s Bureau Guidance on Priorities

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=2ahUKEwiGqvO_xc7ZAhUQNd8KHWCADlsQjRx6BAgAEAY&url=http://thempfa.org/us-map-graphic-for-powerpoint/us-map-graphic-for-powerpoint-0fd6866c180fb90be003c3a348176109-communication-networks-slide-design/&psig=AOvVaw2JrCFdade_gm1dMdT02YPF&ust=1520111125163278

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=2ahUKEwjt8MjkxM7ZAhUvmeAKHUECCD8QjRx6BAgAEAY&url=http://newhampshiremap.facts.co/newhampshirestatemapof/newhampshiremap.php&psig=AOvVaw0g_ImpbpHAoD-8WAZEyR0d&ust=1520110956285858

6 Organizing for Transformation Job #1 - Stabilizing the organization

Engaging and supporting staff and listening to stakeholders

Conducting a Rapid Organizational Assessment

Initiating a Culture of Safety

Determining critical program areas, i.e. foster care, prevention, service array

Moving towards an “Organizational Refresh”

RECRUITING A NEW DIRECTOR

https://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjXl__R8KLVAhVDaD4KHXcvDl0QjRwIBw&url=https://www.i-scoop.eu/business-transformation-what-butterflies-cant-do-and-we-have-to/&psig=AFQjCNFb2RyPe0bq8Jnrx-DWU_1B0DGtmw&ust=1501018588249689

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=2ahUKEwjIpc-vkNjZAhUlU98KHTi5DgsQjRx6BAgAEAY&url=http://www.aleron.org/our-services-and-expertise/transformation/&psig=AOvVaw3BImfj5RkldSYnVzhgSWhz&ust=1520383747718921

7 New Hampshire Child Welfare System Transformation

Responding Emphasis on The Report’s recommendations

Strengthening Building on positive foundational practices, staff, and partnerships

Innovating

Data driven decision-making, culture of learning and CQI Heightened focus on prevention

Constructing

Enhanced safety approaches Prevention of future trauma

8


Quality Assurance Review: Implementation Update

9 Quality Assurance Review Findings

The QAR released in December 2016 determined that “While the immediate safety of children was generally prioritized, assessed, and acted upon, the risk of future harm was often not adequately assessed or addressed. This often led to a pattern of repeat reports involving the same unresolved risk factors, e.g., parental drug abuse or underlying mental health issues.”

• QAR reviewed Assessment Practice only

• Report included Recommendations:

o 6 Related to Staffing

o 3 Related to Training

o 3 Related to Services

o 4 Related to Statutes & Policy

10 Implementation Team Model

Joint Legislative Committee for IR

Interagency Team

DCYF Executive Team

DCYF Management

Team

Core Team

Oversight Commission on Children’s Services

Office of the Child Advocate

Subject matter experts invited to participate where needed

11 Current Priorities

Support Our Staff • Appropriate Workloads and Professional Development

• Culture of Safety – Psychological Safety; Supportive Supervision; Rapid Safety Feedback

Keep Kids Safe at Home • Voluntary Services quickly impact children in CPS out-of-home placement

• Primary & Secondary Prevention Services in the Community

Build Continuum of Care • Strengthen Foster Care

• Complete Adequacy Assessment per HB517

• Integration of services to wrap around children and families

12


Staffing and Caseloads

13 Assessments

Data Source: DCYF Assessment Data Book

Accepted Assessment for Each Year

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Coun

t of N

ew A

sses

smen

ts

State Fiscal Years (July through June)

14

0

200

400

600

800

1,000

1,200

1,400Ja

nuar

y

Febr

uary

Mar

ch

April

May

June July

Augu

st

Sept

embe

r

Oct

ober

Nov

embe

r

Dece

mbe

r

Coun

t of A

sses

smen

ts A

ccep

ted

2013

2014

2015

2016

2017

2018

Data Source: Assessment Supervisory Reports and NH Bridges- SACWIS

New Assessments Accepted Each Month from 2013 to 2018

Assessments

15 Assessment CPSWs

Data Source: Workforce Capacity Report Trend

Average Assessments Assigned Per CPSW 2016-2018 (last day of the month)

0

10

20

30

40

50

60

70

80

90

100Ja

n-16

Feb-

16

Mar

-16

Apr-

16

May

-16

Jun-

16

Jul-1

6

Aug-

16

Sep-

16

Oct

-16

Nov

-16

Dec-

16

Jan-

17

Feb-

17M

ar-1

7

Apr-

17

May

-17

Jun-

17

Jul-1

7

Aug-

17

Sep-

17

Oct

-17

Nov

-17

Dec-

17

Jan-

18

16 Family Service CPSWs

Average Numbers of Cases and Children per CPSW (last day of the month)

0

5

10

15

20

25

30

35

Jan-

16

Feb-

16

Mar

-16

Apr-

16

May

-16

Jun-

16

Jul-1

6

Aug-

16

Sep-

16

Oct

-16

Nov

-16

Dec-

16

Jan-

17

Feb-

17

Mar

-17

Apr-

17

May

-17

Jun-

17

Jul-1

7

Aug-

17

Sep-

17

Oct

-17

Nov

-17

Dec-

17

Jan-

18

Cases

Children involved in cases

17

Data Source: Workforce Capacity Reports and 170 Fiscal database

Turnover was determined by the number of CPSWs who left the position of CPSW divided by the average number of filled assessment positions over the FFY.

Family Service & Assessment CPSWs

18


Update on the Backlog of

Assessments and Foster Care Growth

19

Data Source: Assessment Supervisory Reports, point in time

Overdue Assessments from 2013 to 2018

Assessments

0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000Ja

n-13

Apr-

13

Jul-1

3

Oct

-13

Jan-

14

Apr-

14

Jul-1

4

Oct

-14

Jan-

15

Apr-

15

Jul-1

5

Oct

-15

Jan-

16

Apr-

16

Jul-1

6

Oct

-16

Jan-

17

Apr-

17

Jul-1

7

Oct

-17

Jan-

18

Coun

t of A

sses

smen

ts

20

643 553 567

663 648 622

765

964

1,246

2010 2011 2012 2013 2014 2015 2016 2017 2018

Coun

t of Y

outh

Data Source: Results Oriented Management, Placement Counts extracted on 1/5/2018

CPS Placement Count by Year Children in care at the start of the report period

Child Protective Services Placements

21

Data Source: Results Oriented Management, Placement Counts extracted on 1/5/2018

CPS Placement Entries and Exits by Month - Jan. 2017 - Jan. 2018 Entries and Exits anytime during the report period

Child Protective Services Placements

46 47

61

70 73

69

52

41

56 57 56

44 40

38

19

38 35 37 37

48

19

32

22

41 41

21

33 40

0

10

20

30

40

50

60

70

80

Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17 Jan-18 Feb-18

Coun

t of Y

outh

Month

Entered Placement

Exited Placement

22


Children, Youth & Families

Questions & Answers

Governor & Council Breakfast Meeting March 7, 2018

department of health and human services division for ... was determined by the number of cpsws who...

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