Is Change Really Needed in Florida’s Child Welfare System?

A child in FL is twice as likely to have an open child abuse investigation

Our focus is very incident driven Our assessment process is not comprehensive Child safety is very subjective across the state Our response to unsafe children is inconsistent Florida accepts 8 out of every 10 calls made to

the Hotline, creating a CPI investigation 80% of the time◦ Only Alabama, Texas, and Washington DC have higher

percentages

Nubia Barahona’s death in 2011

oA thorough case review revealed: Inconsistent, inefficient, and redundant practices

throughout the state High recurrence, recidivism, re-investigation rates Technology and system inefficiencies Staff turnover and ineffective training

o This case spearheaded the need for “change” in FL

Florida Safety Decision Making Methodology (FSDMM)

Professionalism Technology Compliance Communication and Change Management

FSDMM: Florida Safety Decision Making Methodology

◦ Major practice reform from Hotline to On-going Services New methodology is considered “Cutting Edge” or a

best practice approach for child welfare services A similar safety methodology is used by 20 other

states across the country◦ Improving the quality of our work with families ◦ Standardized agency performance metrics

Professionalism:◦ Base salary increases for investigators◦ Career opportunities◦ Development of and compliance with FSDMM◦ Appropriate use of authority

Technology:◦ Command Center Transformation at the Hotline◦ Florida Safe Families Network (FSFN) Updates◦ Statewide Automated Child Welfare Information

System (SACWIS) Compliance◦ Creating a better system to allow Child Welfare

Professionals to be in the field with families and not restricted by timeframes, paperwork, and/or computer work

Compliance:◦ Chapter 39 Revisions◦ Administrative Code (65 C) Revisions◦ Operating Procedure Updates

**Laws and Rules will all be aligned with the Florida Safety Decision Making Methodology (FSDMM)

Communication and Change Management:◦ Ensure delivery of core concepts and project

messages to ALL stakeholders including YOU!

Multi-year project designed to address identified concerns with Florida’s Child Protection System◦ Started over 2 years ago with the CPI Initiative◦ Dependency Judges have been a positive voice for

this project◦ Developed from years of research and other

states across the country effectively using safety models in their child welfare systems

To work more effectively with families and children toward achieving child safety

Florida families deserve to work with highly skilled, trained, knowledgeable professionals to keep children safe, keep families together when possible, with focus on protective capacities and family engagement

To help families achieve child safety and self sufficiency even when intervention is necessary

Introducing a consistently applied safety decision making methodology

Professionalizing our Workforce Enhancing our Technology

Improved and permanently changed business practice and consistent safety decision making

Reduce re-investigations and re-victimization Systems integration and technology

improvements for efficiency Professionalized and stabilized workforce Higher quality casework and better outcomes

for children and families Serving the RIGHT families for the RIGHT

reasons

Florida Department of Children and Families

Copyright 2013 Florida Department of Children &

Families

Hotline-Currently, a very high screen in rate◦ Process now is VERY intrusive

CPI-High recidivism Case Management-High case loads Community Partners-Mandatory reporting

Copyright 2013 Florida Department of Children &

Families

SAFE…children are considered safe when there are no present or impending danger threats, or the caregivers’ protective capacities control existing threats

UNSAFE… children are vulnerable to present or impending danger threats, and caregivers have insufficient protective capacity to control existing threats.

Immediate Significant Clearly Observable Severe harm Present tense---right now Requires immediate

response

Impending Danger ….not happening at this moment……but a “state of danger”

Child is in a position of continual danger

SafSaf

e?e?

Yes

No

Information Domains give us the information we need on child vulnerability…..AgePhysical abilityCognitive abilityDevelopmental statusEmotional securityFamily loyalty

Protective Capacity….how a parent thinks, feels, acts…..

Cognitive protective capacity Intellectual knowledge, understanding and

perceptions Contribute to protective vigilance

• reality oriented• accurate perception of a child• recognition of a child’s needs• ability to accurately process and interpret

various stimuli• understanding of protective role• intellectually able• understanding and recognizing threats

Behavioral Protective Capacity Specific action, activity, performance that

results in protective vigilance

• physical capacity and energy• ability to set aside own needs • adaptive, assertive and responsive• takes action • impulse control• history of being protective

Emotional protective capacity: Feelings, attitudes and identification with

the child that results in protective vigilance

• emotional bond with the child• positive attachment with the child• love, sensitivity and empathy for the child• resiliency• stability• effectively meets own emotional • needs emotional control • realizes the child cannot produce

gratification and self-esteem for the parent

Safety plan: actions and services that will temporarily substitute for the lacking parental protective capacity to control the danger threats

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An unsafe child does not automatically require placement outside the home

Safety plans range from entirely in-home to exclusively out-of-home care

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Intrusiveness

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Safe Children: •provides a measure for identifying families for prevention services. Unsafe children: •case management services

Are danger threats being managed? How can existing protective capacities –

STRENGTHS – be built upon to make changes? What is the relationship between danger

threats and the diminished caregiver protective capacities—What Must Change?

What are the parents’ perspective or awareness of their caregiver protective capacities?

What are the child’s needs and how are the parents meeting or not meeting those needs?

What are the parents ready and willing to work on in the case plan?

What are the areas of disagreement in what needs to change?

What change strategy (case plan) will be used to assist in enhancing diminished care giver protective capacities?

Safety Decision Making Methodology impacts everything: policy, automated system, legal system, quality assurance, staff development.

Agency partners – focus on safety services and safety management; includes substance abuse, mental health, domestic violence

Legal stakeholders – new constructs, new decision making criteria, new expectations

Stages of Implementation

It’s a journey…to high fidelity!

Exploration Installation Initial Implementation Full Operation Innovation Sustainability

February 2011 Project Kick-off

We are here!

July 2013Begin to Practice!

Our destination!

• Statewide Implementation Team• SunCoast Region Training Plans• Circuit 6 Training Plans for roll out

• Capacity Building• Super Safety Practice Experts – 42• Safety Practice Experts – 200 • Trainer Proficiency Evaluation Process

Questions and Discussion?Questions and Discussion?