Training Agenda

• Continuous Quality Improvement Section

• Federal CFSR

• Oklahoma CFSR

• Oklahoma Program Improvement Plan (PIP)

• CFSR/Case Review Instrument

Continuous Quality Improvement (CQI) Section

• Amy White - Programs Administrator • Cindy Miner - Programs Manager II

– Supervises Contract Performance Review (CPR) Team• Mark Nitta – Programs Manager I

– Supervises Practice Model Implementation (PMI) Team

• Cheryl Coponiti – Programs Manager I– Supervises Children and Family Services Review

(CFSR) Team – Area III CFSR Support

CQI Teams• CPR Team

– Brad Montgomery, PFR– Lisa Sosbee, PFR– Jean Wood, PFR

• PMI Team– Justine Dowell, PFR– Stacey Mayle, PFR– Lisa Cary, PFR

• CFSR Team– Tina Frazer, PFR – Area I Support– Robby Hadden, PFR – Area II Support– Angela Ivey, PFR – Area IV Support– Jeff Sanders, PFR – Area V Support– Linda Jones, PFR – Area VI Support

Child and Family Services Review(CFSR)

Department of Health and Human ServicesAdministration for Children and Families (ACF)

Purpose of CFSR

To assess state conformance with specific title IV-B and IV-E state plan requirements such that:

• The state is achieving desired outcomes for children and families

• The state system is functioning at a level that promotes achievement of the identified outcomes

Process to assess outcomes and systemic factors

Statewide Assessment: • Prepared by a team of

state agency personnel and external partners

On-Site Review:• 3 sites including

largest metro• 65 cases• By team of federal and

state agency personnel and state external partners

DOMAIN: Safety• Outcome: Children are, first and foremost, protected from abuse and neglect

• Outcome: Children are safely maintained in their own homes whenever

possible and appropriate DOMAIN: Permanency

• Outcome: Children have permanency and stability in their living situations

• Outcome: The continuity of family relationships and connections is preserved for children

DOMAIN: Child and Family Well-Being• Outcome: Families have enhanced capacity to provide for their children’s

needs

• Outcome: Children receive appropriate services to meet their educational needs

• Outcome: Children receive adequate services to meet their physical and

mental health needs

Outcomes

Systemic Factors

• Information System Capacity*• Case Review System• Training*• Service Array• Agency Responsiveness to Community*• Quality Assurance System*• Foster and Adoptive Parent Licensing,

Recruitment, and Retention*

*Achieved for 2007 Federal Review

Data Composites

• 2 Safety Measures (NCANDS)– Absence of Maltreatment Recurrence

– Absence of Maltreatment in Substitute Care

• 4 Permanency Composites (AFCARS)– Timeliness to reunification

– Timeliness to adoption

– Permanency for children in foster care long periods

– Placement stability

For more detailed information on the federal CFSR:

http://www.acf.hhs.gov/programs/ccb/

Oklahoma Child and Family Services Reviews

(CFSRs)Children and Family Services Division

in conjunction with

Field Operations Division

Purpose of Oklahoma CFSRs• Promote joint planning, technical

assistance and program improvement processes among County, Area and State offices and external stakeholders;

• Provide timely and specific feedback that is directly related to program performance and outcomes; and

• Assemble data that will inform state policy and procedure as well as Federal reporting requirements.

Oklahoma CFSRs designed to replicate essential features of

Federal CFSR

• Collaborative effort (CFSD and Area staff)

• Assess outcomes and system functioning

On-Site Reviews• One review in each DHS admin. Area each quarter• Each review will include multiple (2-4) sites• A review will usually begin on Monday and last through

Thursday• Each site (i.e., County Director) will be included 1x/year

(in Oklahoma & Tulsa Counties, combinations of supervisory groups comprise site)

• Cases selected randomly for review at each site• Review teams include Area staff, CFSD staff and

external stakeholders

Client Selection (x Site)• Universe = records of clients who: (1) are children;

(2) were subject of a referral at some time; and (3) received services anytime during preceding 3 months

• On-Site Over-Sample = 30 records including: 10 prevention and 20 permanency

• Client reviews per site = 6 assessments/ investigations, 2 in-home and 4 out-of-home (in-home cases are defined as a case where no child has in the family has been in substitute care during the 12 month period under review)

Review Teams• Team of 4 at each site, including 1 CFSD-

CQI staff acting as site team leader and 3 Area members and/or CFSD program staff

• Area members of each site team include CWS staff (not case involved), CDs and CWFLs

• At least one of the Area members of site teams during any review is an external stakeholder

External Stakeholders

Foster Parents

Juvenile Court Judges

District Attorneys

Tribal ICW

Local Providers (incl. CHBS)

GALs / CASAs / Attorneys

PARB Members

On-Site Process

• Client-Specific Outcomes (all reviewers)

– Record Review– Interviews

• PRFC• Child• Child Welfare Specialist• Substitute Care Provider• Service Provider(s)• CASA / GAL• ICW• Other(s) as needed

• Systemic Factors (CQI Area Support-Separate from CFSR)

– Individual Interviews• County Director• Judge• District Attorney• Tribal Representatives• Representatives of

Resources (CASA, PARB, CHBS, etc.)

– Focus Groups• CW Specialists• Foster Parents

Results(Individual Site and Area Levels)

• Outcomes– x Measure

– x Indicator

– x Outcome

• Systemic Factors– Composite report

Flow of CFSR• Opening meeting

• Record review

• Child-specific interviews (all reviewers)

• Briefings (as needed)

• Input of information from instruments

• County Exit meeting

• Area Exit Meeting

Materials available on Outlook

Schedule

Handbook

Instruments

Navigation

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