the progression of family stabilizationapps.cce.csus.edu/sites/calworks/17/speakers/uploads/6e...
TRANSCRIPT
THE PROGRESSION OF FAMILY STABILIZATION
IN LOS ANGELES COUNTY
PRESENTED BY JACKIE MIZELL-BURT, HUMAN SERVICES ADMINISTRATOR III DIRECTOR OF CALWORKS AND GAIN PROGRAM AND POLICY SECTION I
Los Angeles County Department of Public Social Services
In The Beginning....... Family Stabilization (FS) was implemented prior to OCAT – April 2014
Each GAIN office dedicated one specialized unit of six GAIN case managers and one supervisor to FS
Participants/families with destabilizing barriers were initially identified via the existing GAIN Appraisal
Created new FS activity on operating system with various session types to annotate identified barrier(s)
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In The Beginning....... •Domestic Violence •Homeless Assistance Services •Learning Disability •Mental Health •Substance Use Disorder
Existing Services
•GAIN case managers assist participants with internet search
•Unofficial referral to various community agencies
Services Outside of
DPSS Programs 3
LA County FS Forms • GN 6391, Family Stabilization Brochure
• GN 6393, FS Request/Waiver
• GN 6392, WtW/FS Plan Agreement
• FSP 2, Family Stabilization Program Denial Notice
• FSP 3, Family Stabilization Program Notice of Change in Program Status
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CalWORKs Family Stabilization Counseling for Kids
Developed in collaboration with LAC Department of Mental Health for children of participants enrolled in FS
One directly-operated treatment services provider in each of the eight Service Provider Areas
Comprehensive treatment plan includes one-on-one as well as family therapy
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Embracing Family Needs in 2014
Broadening Barrier Identification in 2015
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Introduction of OCAT •Incorporated existing screenings for Mental
Health and Substance Use Disorder needs
•Some GAIN offices utilized OCAT to screen existing Specialized Supportive Services participants
•Administered with existing participants after a self-declaration of needs/barriers
Care Coordinators • Care Coordinators (CCs) are Psychiatric Social Workers who are
employed by the Department of Mental Health
• CCs are embedded in the FS Unit
• CCs consult with FS GAIN case managers in the development of the FS/WtW Plan
• CCs collaborate and coordinate with FS GAIN case managers
• CCs assist FS participants/families to more effectively address their identified barrier(s) through Engagement, Education and Linkage to various community resources
• Provides support/education to FS GAIN case managers
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Co-Location of Professionals in 2015
Health Coordinators • Health Coordinators (HCs) are Public Health Nurses who are employed
by the Department of Public Health
• HCs are embedded in the FS Unit
• HCs consult with FS GAIN case managers in the development of the FS/WtW Plan
• HCs will help FS participants/families address health-related barrier(s) that are outside of the scope DPSS and provide a connection to community resources
• The HCs work with the FS Units in the GAIN offices to provide a team approach to FS case management 8
Addressing Health-Related Issues in 2017
CalWORKs FS Counseling for Kids Data for
August 2017
•Number of referrals for the month of August = 34
•Total number of open cases in the month of August = 97
•Number of cases that completed services successfully = 3
Care Coordinator (CC) Data for August 2017
•Number of referrals to the CCs in the month of August = 42
•Number of consultations provided in the month of August = 48
•Number of referrals made to Community Resources in the month of August = 60
•Number of mental health trainings to GAIN staff in the month of August = 3
Health Coordinator (HC) Data for June, July,
and August 2017
•Number of referrals to the HC= 25
•Number of participants and family members seen at the GAIN office by the HC = 61
•Number of families seen during a Home Visit = 35
•Number of referrals made to Community/Medical Resources = 31
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FS Specialized Programs Data
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CFSC4Kids Success Story-Amber
• 3 year-old African-American female referred to address daily behavior tantrums.
• Tantrums consisted of screaming, throwing things and hitting.
• History of early trauma and loss.
• At 18 months, Amber and her mother were separated after her mother was arrested.
• Upon her mother's return, Amber and her mother resided in shelters and transitional housing until Section 8 housing became available.
• Initially, Amber was easily triggered and had tantrums in the therapist’s office.
• She had difficulty transitioning out of sessions as she would have a tantrum at end of each office visit.
• Amber learned how to communicate appropriately and self-regulate her mood and behavior.
• Amber successfully completed treatment after one year of working with the CFSC4Kids clinician.
• She was able to express positive emotions, no longer had tantrums, and was able to verbally communicate her needs.
• At school, Amber was able to engage in positive relationships with peers and is no longer having behavioral issues.
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Care Coordinator Success Story
• 51 year-old Hispanic male disclosed that in the past 30 days he had thoughts of hurting himself and experienced recurring thoughts of suicide due to feelings of anxiety and depression.
• Onset began after becoming unemployed from a job he held for 23 years.
• This negatively impacted his ability to sleep, stay focused, or experience enjoyment in his life.
• Care Coordinator conducted a suicide risk assessment, validated the participant’s feelings, and provided psychoeducation on the symptoms of anxiety and depression.
• Care Coordinator also assisted the participant in identifying additional factors that continue to motivate him to persevere in the face of adversity.
• The participant attended a clinical assessment with a mental health provider later the same day.
• Care Coordinator provided suicide prevention, social support resources and personal steps to follow should he experience a reoccurrence of severe suicidal thoughts.
• Initially, the participant came to the appointment sad, hopeless, and tearful. By the end of the appointment, he was smiling and expressing hope and optimism about his future with mental health treatment.
• After six months of attending therapy regularly, the participant was ready to look for employment through the Los Angeles County CalWORKs Supported Employment Program offered by the mental health provider.
Linkages Participants All Linkages participants are eligible for FS
Court-mandated Parent and Anger Management classes can be accessed
FS Counseling for Kids
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FS Early Engagement Home Visitation Pilot
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Pilot Program •Collaboration with First 5 LA, the LAC Office of Child Protection and SHIELDS for Families •11/01/17 Implementation
Purpose: To Increase parent engagement/WtW participation and self-sufficiency •Strengthen CalWORKs families •Promote early childhood well-being •Prevent child abuse and neglect
Delivery •Increased access to services, supports, and resources •Combined community-based organization (CBO)/County services model; co-location of CBO at DPSS
Services •Family Stabilization •Navigation: need identification and connection to services •Parent as Teacher Home Visitation Program
QUESTIONS
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