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

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

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Page 1: The New York City Experience: Working Toward Better Family Outcomes NCSACW Annual Conference July 14-15, 2004 Lisa Lite-Rottmann, Regional Coordinator,

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

Page 2: The New York City Experience: Working Toward Better Family Outcomes NCSACW Annual Conference July 14-15, 2004 Lisa Lite-Rottmann, Regional Coordinator,

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

Page 3: The New York City Experience: Working Toward Better Family Outcomes NCSACW Annual Conference July 14-15, 2004 Lisa Lite-Rottmann, Regional Coordinator,

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

Page 4: The New York City Experience: Working Toward Better Family Outcomes NCSACW Annual Conference July 14-15, 2004 Lisa Lite-Rottmann, Regional Coordinator,

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

Page 5: The New York City Experience: Working Toward Better Family Outcomes NCSACW Annual Conference July 14-15, 2004 Lisa Lite-Rottmann, Regional Coordinator,

The Collaboration ProcessThe Collaboration Process

Development

– Phase I

• Defining the players

• Power and control

– Phase II

• Building relationships

• Building consensus

Page 6: The New York City Experience: Working Toward Better Family Outcomes NCSACW Annual Conference July 14-15, 2004 Lisa Lite-Rottmann, Regional Coordinator,

The Collaboration ProcessThe Collaboration Process

Implementation

– Operational Protocol Dissemination

– Cross-Systems Training

– Market Research

Page 7: The New York City Experience: Working Toward Better Family Outcomes NCSACW Annual Conference July 14-15, 2004 Lisa Lite-Rottmann, Regional Coordinator,

Collaboration OutcomesCollaboration Outcomes

Collaboration Documents

- Principles of Collaboration

- Partnership Pledge

- Protocol

- Confidentiality Form

- Referral Forms

- Change of Case Status Form

Page 8: The New York City Experience: Working Toward Better Family Outcomes NCSACW Annual Conference July 14-15, 2004 Lisa Lite-Rottmann, Regional Coordinator,

Collaboration Outcomes Con’tCollaboration Outcomes Con’t

Ongoing Cross-Systems Training

Improved Relationships

Improved Practices

Evaluation

Page 9: The New York City Experience: Working Toward Better Family Outcomes NCSACW Annual Conference July 14-15, 2004 Lisa Lite-Rottmann, Regional Coordinator,

Where We AreWhere We Are

Policy and Practice Initiative

Clinical Consultation Initiative

Adolescent Services

Collaborative Partnerships

Evaluation-Protocol Implementation

Ongoing Training & Joint TA

Page 10: The New York City Experience: Working Toward Better Family Outcomes NCSACW Annual Conference July 14-15, 2004 Lisa Lite-Rottmann, Regional Coordinator,

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

Page 11: The New York City Experience: Working Toward Better Family Outcomes NCSACW Annual Conference July 14-15, 2004 Lisa Lite-Rottmann, Regional Coordinator,

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

Page 12: The New York City Experience: Working Toward Better Family Outcomes NCSACW Annual Conference July 14-15, 2004 Lisa Lite-Rottmann, Regional Coordinator,

Lessons Learned Con’tLessons Learned Con’t

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

Page 13: The New York City Experience: Working Toward Better Family Outcomes NCSACW Annual Conference July 14-15, 2004 Lisa Lite-Rottmann, Regional Coordinator,

Understanding the Protocol Understanding the Protocol

Section I: Referral Process

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