family first prevention services act€¦ · key messages on ffpsa for today reduces some current...
TRANSCRIPT
Family First Prevention Services Act
February 12, 2019
Key messages on FFPSA for today
Reduces some current
placement revenue
Provides some new prevention
services revenue
Supports work across
family- serving systems
FFPSA is budget-neutral, not new funding
System
Services
Finances
Regulation
MOE from 2014
Rigorous research HHS approved
Risk assessments State plan
Prevention
System
• Hosted Federal Administration on Children Youth & Families (ACYF) and Casey Family Programs
• Presented to MACSSA & MACSSA/AMC work group
• Facilitated drafting of FFPSA principles for MACSSA/AMC work group
• Leading a break-out session at the AMC Conference
Current Title IV-E
Foster care assistance is about half of our costs for eligible children: • Family met Aid to Families with
Dependent Children (1996) income eligibility in the month of placement
• Placement circumstances met criteria
51%
Dakota County’s IV-E revenue
0102030405060708090100
$-
$20,000
$40,000
$60,000
$80,000
$100,000
$120,000
$140,000
$160,000
$180,000
3/1/
2012
6/1/
2012
9/1/
2012
12/1
/201
2
3/1/
2013
6/1/
2013
9/1/
2013
12/1
/201
3
3/1/
2014
6/1/
2014
9/1/
2014
12/1
/201
4
3/1/
2015
6/1/
2015
9/1/
2015
12/1
/201
5
3/1/
2016
6/1/
2016
9/1/
2016
12/1
/201
6
3/1/
2017
6/1/
2017
9/1/
2017
12/1
/201
7
3/1/
2018
6/1/
2018
9/1/
2018
12/1
/201
8
IV-E Revenues Eligible Children
Changes to placement reimbursement
Congregate care settings only reimbursed for 14 days with a few exceptions.
Revenue possibly at risk (2016 final)
Minnesota: $6,926,844 Dakota County: $28,926
Reallocation to Prevention
Three categories of services allowed
Mental health services
Substance use disorder prevention
and treatment
In-home parenting skill-based
services
Removes income eligibility requirement
Title IV-E for prevention
Assistance will reimburse about half of our costs for approved prevention services: • As a payer of last resort • If child is at risk of placement • In a case plan prior to services • Up to a twelve-month episode,
multiple episodes allowed
51%
Support for System Change
Currently approved services
• Parent-Child Interaction Therapy • Trauma Focused-Cognitive
Behavioral Therapy • Multisystemic Therapy • Functional Family Therapy • Motivational Interviewing • Families Facing the Future • Methadone Maintenance Therapy
• Nurse-Family Partnership • Healthy Families America • Parents as Teachers • Children’s Home Society of New
Jersey Kinship Navigator Model • Children’s Home Inc. Kinship
Interdisciplinary Navigation Technologically-Advanced Model (KIN-Tech)
Minnesota context
• Child protection task force and subsequent increases in child protection assessments
• Increased assessments and placements easily outstripped funds returned to child welfare
• Prevalence of neglect, including high substance abuse levels, are opportunities for prevention
Jerry Milner’s Congressional testimony
… FFPSA provides a tremendous opportunity to make substantial improvements in the outcomes of children and families in the child welfare system. Such improvements, as FFPSA seeks to create, require shifts in long-held mindsets, a new vision of serving children and families, and a commitment to a different way of working with communities and the broader child welfare system. …
Questions?