getting ready for - tacfs · getting ready for single child’s plan of service texas child care...
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Getting Ready forSingle Child’s Plan of Service
Texas Child Care Administrators Conference
October 1, 2019
Presenters
• Carol Self, Director of Permanency, DFPS
• Cristina Guerrero, Director for Residential Contracts, DFPS
• Peggy Cope, Division Administrator for Contracts, DFPS
• Paul Busby, Permanency Program Specialist, DFPS
Single Child's Plan of Service 2
Objectives
• Reintroduce the goals and intent of the Single Child’s Plan of Service initiative, as directed in SB 11.
• Learn about the role of providers in accessing the plan of service in IMPACT through external access, and the plans for full implementation.
• Understand the cultural and philosophical shift as well as practical information related to successful implementation.
Single Child's Plan of Service 3
Road Map to Objectives
• How did we get here
• What are the accomplishments of this effort thus far and what do we hope to achieve in the future
• Next steps
• Licensing and Contracts What the Child’s Plan of Service (CPOS) looks like / demonstration
• Q & A
Single Child's Plan of Service 4
WHAT IS THE SINGLE CHILD’S PLAN OF SERVICE?
Single Child's Plan of Service 5
THE HISTORY
Single Child's Plan of Service 6
Born Out of Collaboration
Committee Members
Please Stand Up!
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Food For Thought
• How many meetings are currently held in order to develop the plan of service in our current practice?
• How many different child plans / facility plans are represented in this room? Your current case load?
• How often are parents and family members involved in service planning for their children, in your current practice?
Single Child's Plan of Service 8
Vision
• See the family as one unit
• Parents should have input on visitation
plans
• Increased transparency
• Increased communication
• Improved relationships between providers
and families
• Best interest of the children
9
Anticipated Outcomes
• Increased collaboration and involvement with parents in children's service planning
• Faster move to permanency
• Faster change to concurrent goal
• Decreased placement moves.
Overview of the SingleChild’s Plan of Service Initiative
• Single Childs Plan of Service – One child plan, for each child, that is fluid and can pass from one
provider to the next without starting from scratch.
– Uniformity amongst providers on what information is captured.
• Single Case Plan Meeting - FUTURE– One meeting, with all relevant participants, including parents and
family, at the table.
– Participants are engaged and focused on planning for the child and family.
– Understanding for each participant’s role in accomplishing the permanency and well-being goals on the Plan
• Joint Development of the Childs Plan of Service – FUTURE– External Access for providers into IMPACT to create one plan in
coordination with the CPS caseworker
Single Child's Plan of Service 11
The History
Trans-formation2014
Initial attempts identified barriers
2015
Minimum Standards changes
in the works
2016
Form 3300Single CPOS
SB 11 added Single Child Plan to Texas Family Code
2017IMPACT Modern-ization
2017-2019
Future of Single CPOS rollout
2020
Single Child's Plan of Service 12
Overcoming Barriers
• Various service plan formats
• Minimum standards, Contracts and Policy have different requirements for the plans
– Time frames
– Participants
– Planning meeting
• Technology
Single Child's Plan of Service 13
What we have accomplished so far
• Single Child’s Plan of Service ( FORM 3300)
– A uniformed plan was created in collaboration with various providers and RCCL
– Made a requirement of the residential contract
– Implemented April 1, 2017
– User Guide Created
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What We Have Accomplished So Far
• Minimum standards
– Multiple changes to accommodate the new collaborative approach
– Adopted January 1, 2017
• Contract Changes
• CPS Policy Changes
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What We Have Accomplished So Far
Single Child's Plan of Service 16
§749.1312. Can the service planning team discuss and develop a child's service plan in separate meetings?
Yes, the service planning team may meet in one meeting, two or more meetings, or in separate meetings, provided that each service planning team member is informed of the discussions and comments regarding the child's service plan that were made in each meeting.
§749.1313. When must I inform the child's parents and foster parents of an initial service plan meeting?
(a) The child's parents and foster parents must have at least two weeks advance notice of the initial service plan meeting. (b) The child's record must include documentation of the notice and any responses from the parents and foster parents.
Changes to Minimum Standards cont.
§749.1323. When must I implement a service plan?
You must implement and follow an initial service plan as soon as all of the service planning team members have reviewed and signed the plan, but no later than 15 days after the date of the scheduled service-planning meeting involving the parents, foster parents, and the child.
§749.1336. Can the child-placing agency continue to review and update a child's previous service plan without creating a new service plan?
Yes, a single service plan that continues throughout the time a child is in residential child care is acceptable, as long as you:
– (1) Complete a preliminary service plan as required by §749.1301 of this title (relating to What are the requirements for a preliminary service plan?) each time a child is admitted into your care; and
– (2) Continue to comply with the service plan review and update requirements in this Division of this Subchapter (relating to Service Plan Reviews and Updates).
Residential Contract Changes
• 24 Hour Residential Child Care Requirements 4210 Participants in Service Planning
The provider invites the CPS Caseworker to participate in service planning meetings and, and the provider must make reasonable efforts to send a Representative to participate in DFPS Permanency Planning meetings.
The provider must offer Children, youth, families, and supportive adults an opportunity to participate in the service planning meeting to help identify needed services and contribute to development of the service plan. Including extended and supportive network members, such as teachers, coaches, scout leaders, etc. in service planning can contribute to a Child’s permanency and well-being.
Single Child's Plan of Service 18
RCC Contract Changes cont.
4230 Documentation of the Service Plan The provider must use Single Child's Plan of Service (Form 3300) to document the Child’s Single Plan of Service.
The provider sends a copy of the service plan to CPS within 10 days of completing it, documenting the date the plan was sent.
501 – Service Plans
B501.01 A service plan must be developed within 45 calendar days of the child’s admission, unless the child’s current placement resulted from a Subsequent Move and there is an unexpired Service Plan from the previous Facility.
Single Child's Plan of Service 19
CPS Policy Changes
6241.23 Facility’s Meetings to Plan Services
The caseworker participates in any meetings that a licensed facility, such as a child placing agency or residential treatment center, conducts for planning the child’s services. The caseworker also facilitates the parent’s participation in these meetings.
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The Future
What’s next for the Single Case Plan?
Expected roll-out statewide in 2020
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Technology
External Access Portal (EAP)
• Started a bulk-load IT process to get Contractor’s information and individuals needing access entered into IMPACT and ABCS.
• So far we have received 106 completed Data Gathering Forms from 3 Rounds of outreach to Contractors. This is out of 304 total identified contractors.
Single Child's Plan of Service 22
Technology cont.
• Projected re-start of bulk load process in mid-January, beginning with a round to have Contractors who submitted Data Gathering Forms review and update their subject list.
• Followed by 2 additional rounds to obtain forms from the remaining Contractors.
• When the EAP goes live, transition to a manual process that will resemble requesting Health Passport access.
Single Child's Plan of Service 23
Single Case Plan Meeting
How does it happen?
The initial Single Case Plan Meeting combines the:
• Permanency conference
• Family Group Conference
• Child service plan meeting
Into one meeting
FGDM staff are responsible for coordination and facilitation
• DFPS staff sends out appropriate notices per policy and Minimum Standards
– CPS Handbook 6251.3
– 26 TAC §749.1313; §749.1337
Single Child's Plan of Service 24
Single Case Plan Meeting
Who is involved?
• Parents
• Relatives and family supports
• CPA Licensed Administrator
• CPA case manager
• Caregivers
• Youth (as appropriate)
• Youth supports (for youth 14 & older)
26 TAC §749.1311
26 TAC §748.1339
CPS Handbook 6241.3
• Parent’s attorney
• Attorney ad litem
• CASA / guardian ad litem
• Local permanency specialist
• Kinship worker
• DFPS caseworker
• DFPS supervisor
• Subject matter experts (as needed, such as Education Specialist)
• Service providers (as needed)
Single Child's Plan of Service 25
Single Case Plan Meeting Coordination
Removal
FGDM staff meet with family and
set the meeting
PC Coordinators
invite all other
participants
Single Case Plan Meeting
heldProviders schedule
and coordinate subsequent child service
plan meetings
FGDM = Family Group Decision Making
PC = permanency conference
Single Child's Plan of Service 26
IMPACT
So lets see some examples of how the child’s plan of service looks in
IMPACT!!!!
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RCCP Workload Page
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RCCP Child Service Plan List
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CPOS in IMPACT
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Demo: Placement Information
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Demo: Intellectual and Developmental
INTELLECTUAL AND DEVELOPMENTAL MS 749.1309 (b)(1)(A)(iii and iv) MS 748.1337(b)(1)(A)(iii,iv)
Intellectual functioning (include any testing and plans for recommended follow up. For children under 3 include any ECI assessments):
Developmental strengths and needs (address any developmental delays and plans to improve or remediate developmental functioning):
Strategies to address:
List any Goals Below: (additional rows can be added as needed) N/A
Goal#1:
Target Date:
Criteria for Achievement:
Planned Interventions:
Frequency:
Responsible Party:
Progress Summary:
Single Child's Plan of Service 32
Demo: Goals
Single Child's Plan of Service 33
Demo: Emotional/Therapeutic
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Demo: Plans for Transitioning
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Demo: Plans for Transitioning (14)
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Demo: Plans for Transitioning (16)
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Demo: Treatment Services
Single Child's Plan of Service 38
Q & A
Panel GuestsRandy Spencer, Presbyterian Children’s Home and Services
Kristi Duck, Helping Hand Home for Children
Megan Zellner, The Settlement Home for Children
Amber Krause, Residential Child Care Licensing
Single Child's Plan of Service 39
Contact Information
Thank you!• Carol Self, Director of Permanency
[email protected] 512-438-3589
• Cristina Guerrero, Director for Residential Contracts, [email protected] 512-438-5123
• Peggy Cope, Division Administrator for Contracts, [email protected] 512-438-4584
• Paul Busby, Permanency Program Specialist, [email protected] 512-438-4216
Single Child's Plan of Service 40