DCYF Prevention Program: Family Care Community

Partnerships2016 review

October 2017

1

The FCCPs are the primary providers of prevention services for DCYF

Goal of the FCCPs:• Identify families with children who are at risk of abuse and neglect• Strengthen families and reduce risk to prevent the incidence of abuse, neglect and dependency

Target population:Families are referred to the FCCPs both from DCYF and directly from the community

Eligible families are:• Families with children at risk of abuse, neglect or dependency• Families with children who have SED• Families with children who are existing the RITS or on probation

2

The FCCPs implement Wraparound with families

Wraparound is intensive care coordination that aims to build on families’ strengths and meet their needs by building a team of professionals and natural supports that work together to prioritize and work on goals. The team connects families with community resources and natural supports that can help them meet their needs.

It is important that FCCPs have strong networks in the community so that they can identify at risk families and make sure families access and receive needed resources.

Wraparound values:• Child centered, youth-guided and family driven• Individualized and strength-based• Cultural and linguistic competence• Trauma-informed• Community-based• Collaborative• Accountability

3

Northern RICommunity Care Alliance

273 families referred in 2016

South CountySouth County Community

Action

220 families referred in 2016

East BayChild & Family of Newport

137 families referred in 2016

Urban CoreFamily Service of Rhode Island

513 families referred in 2016

There are four lead regional FCCP agencies. In 2016, 1,143 families were referred to FCCP services

4

FCCPs receive referrals from both DCYF and directly from the community. Over the last two years the number of referrals from the community has grown.

Source: RIFIS, QA Report 1/1/2016 – 9/1/2017

Community Referrals

DCYF Referrals

0

10

20

30

40

50

60

70

# DCYF and Community Referrals

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DCYF investigators and intake or monitoring workers can make referrals to FCCP

DCYF refers families to FCCP when…

• The case is unfounded but likely to become indicated without supportive services in place

• The family need support accessing services and/or with basic needs (including housing), but not more intensive support

• Parents have few natural supports

• The family is having trouble with their children’s behavior

• A child has a special need

• The family is a good match for FCCP and likely to engage

Hotline call

Investigation

Straight petition / Removal

Indicated, no legal status

Refer to FCCP

Unfounded

Refer to FCCP

IR

Refer to FCCP

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FCCPs receive self-referrals and referrals from schools, early childhood programs, hospitals and healthcare providers, mental health providers and social service agencies.

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

WB

UC

NRI

EB

Proportion of community referrals from each referral source (2016)

Self Referral

Courts, Cedar and Other

School System

Early childhood

Hospital/ Medical

Mental Health

Social Service Agencies

Source: RIFIS, QA Report 1/1/2016 – 12/31/2016Note: referrals from other FCCPs are not shown

Mental Health

Mental Health

Mental Health

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The goal of the FCCP program is to support the family and manage risk so they do not require DCYF intervention. In 2016 90% of all families referred to the FCCPs remained out of DCYF involvement.

Source: RIFIS, QA Report 1/1/2016 – 9/1/2017

90%

10%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Of families that were referred to FCCP in 2016,

outcomes in the 6 months following closure

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No DCYF involvement in 6 months following FCCP services

DCYF involvement at or in 6 months following FCCP services

0%

2%

4%

6%

8%

10%

12%

14%

16%

Of cases that close to FCCP, % that become involved with DCYF at closure and in the 6 months following (3 month average)

% Cases that opened to DCYF at the time of their closure to FCCP

% Cases that opened to DCYF at or in the 6 months following closure to FCCP

(1018)

(125)

FCCPs implement the Wraparound model with families. The target for the number of cases closing with all, most or partial Wrap goals met is 75%.

Only ~3% of families that close with all, most or partial goals met have a

subsequent indicated investigation or removal

0%

10%

20%

30%

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70%

80%

90%

100%

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Ap

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6

May

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Jun

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Jul-

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6

Sep

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No

v-1

6

Dec

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Jan

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Ap

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7

May

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Cases closed with all, most or partial Wrap goals met(3 month average)

9Source: RIFIS, QA Report 1/1/2015 – 9/1/2017Denominator includes only cases that closed at a stage of the Wrap process, or closed because they opened to DCYF

Families that met all or most Wrap goals were the least likely to subsequently experience a removal or indicated investigation

Source: RIFIS, QA Report 1/1/2015 - 12/31/2016, Matched with DCYF Report 675Sample: Cases that closed to FCCP in 2015 and 2016, excluding: cases that closed because they opened to FCCP immediately, cases that closed because the primary child changed or the FCCP changed

10/120 8/106 7/95 23/31513/191

14/231 19/360 17/653

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8.3%

7.5% 7.4% 7.3%6.8%

6.1%

5.3%

2.6%

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

8.0%

9.0%

Other Triaged andreferred out

Family movedout of area

Unable tocontact

Familydeclinedservice

No goals Partial goals All/mostgoals

Of families that closed to FCCP in 2015 and 2016, proportion that experienced an indicated investigation or removal in the 6 months following case close, by close reason

In 2016 families referred to FCCP were most likely to need support with Social / Community life, Parental Capabilities, Family Interactions and Family Safety

Source: RIFIS, NCFAS 1/1/2016 - 12/31/2016In 2016 there were 1,525 cases in total; 1058 were open long enough to require a NCFAS baseline; 698 had a NCFAS baseline completed

11

See slide 14 for details about each domain

348 333 331 318 311 309 305

199

0

50

100

150

200

250

300

350

400

Need at intake

FCCPs are best at meeting families’ needs in parental capability and family safety. Self-sufficiency, family health and child-wellbeing are harder to solve.

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59%51% 49% 46% 46% 45% 39% 37%

41%49% 51% 54% 54% 55% 61% 63%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Proportion of families with the need at baseline whose need was met at transition

Source: RIFIS, NCFAS 1/1/2016 - 12/31/2016Sample: families with a need at intake who had a transitional assessment more than 3 months after the baseline assessment

Need met

Continued need

Over the last year DCYF contract management has included a focus improving assessment completion rates so that we can assess families’ strengths and needs, and progress with FCCP

Source: RIFIS, QA Report 1/1/2015 - 12/31/2015 and 1/1/2016 – 9/1/2017

0%

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40%

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80%

90%

100%

Jan

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Feb

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Mar

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Ap

r-1

6

May

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Jun

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Jul-

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Au

g-1

6

Sep

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Oct

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No

v-1

6

Dec

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Jan

-17

Feb

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Mar

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Ap

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7

May

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Jun

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NCFAS Baseline and Transitional Assessments(3 month average)

0%

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90%

100%

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Ap

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6

May

-16

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16

Au

g-1

6

Sep

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No

v-1

6

Dec

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7

May

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% OHIO baseline and transitional(3 month average)

13

NCFAS domains and sub-questions

A. EnvironmentHousing StabilitySafety in the CommunityEnvironmental RisksHabitability of HousingPersonal HygieneLearning Environment

B. Parental CapabilitiesSupervision of ChildrenDisciplinary PracticesProvision of Developmental/ Enrichment OpportunitiesUse of Drugs / Alcohol interferes with ParentingPromotes Children’s educationControls Access to Media / Reading MaterialParent/Caregiver’s literacy

C. Family InteractionsBonding with ChildrenCommunication with ChildrenExpectations of ChildrenMutual Support Within the FamilyRelationship Between Parents/CaregiversFamily Routines/RitualsFamily Recreation and Play Activities

D. Family SafetyDomestic Violence Between Parents / CaregiversOther Family ConflictPhysical Abuse of ChildrenEmotional Abuse of ChildrenSexual Abuse of ChildrenNeglect of ChildrenAccess to Weapons

E. Child Well-BeingChildren’s BehaviorSchool PerformanceRelationship with Parent / CaregiverRelationship with Sibling(s)Relationship with PeersCooperation / Motivation to Maintain the Family

F. Social / Community LifeSocial RelationshipsRelationships with Child Care, Schools & Extracurricular ServicesConnection to Neighborhood, Cultural CommunityConnection to Spiritual / Religious CommunityInitiative and Acceptance of Available Help / Support

G. Self-SufficiencyCaregiver EmploymentFamily IncomeFinancial ManagementFood and NutritionTransportation

H. Family HealthParent/Caregiver Physical HealthParent/Caregiver DisabilityParent/Caregiver Mental HealthChild Physical HealthChild DisabilityChild Mental HealthFamily Access to Health / Mental Health Care

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