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Graduated Sanctions. Presented by Orange County Department of Social Services October 13, 2010. Orange County, New York. County Supervised Child Welfare and Juvenile Justice System. Population: 390,000
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Presented byOrange County Department of Social Services
October 13, 2010
County Supervised Child Welfare and Juvenile Justice System.
Suburban / Rural County, with three small urban areas with a population of 25,000 in each city.
Median Income: $69,913
Poverty Rate: 10.2%
19 School Districts
2002 NYS PINS Legislative Change - increased the age limit for a PINS designation from 16 to 18 years of age.
The new legislation creates major concern throughout the child welfare system regarding placement rates for children between 16 – 18.
The concern for placement rates begins to elevate the need for reform, which is taken on County by County across the State.
PINS Referrals by Source (2009):
Law Enforcement: 71
Probation Diversion: 207
Family Keys: 538
Other, no finding, etc…
When placement is ordered, the DSS assumes custody of the child for “appropriate placement”. Placements include: foster care, therapeutic foster care, group home and residential care.
Family Court has the authority to order the DSS to supervise the household for a period of 12 months.
Probation Supervision is generally ordered for a period of 12 months and includes specific requirements.
No Eject, No Reject
24 / 7 Crisis Intervention
Needs Driven Planning
Performance-Based Contracting (PBC) - is a technique for structuring all aspects of an acquisition around the purpose and outcome desired as opposed to the process by which the work is to be performed.
Performance Based Contracting is acquisition for results! Not acquisition for services!
The cost difference between residential placement and community based service is clear, in NYS the average costs of residential care exceed $110,000 annually, while the most expensive community based program costs $24,000 per year.
Achieving a reduction in out of home placements would appear to drive costs downward, allowing for investment in community based programming.
This is not always the case!
Projecting cost savings is important, but projections do not free up space in a budget, unless achieved!
We assume too often that a preventive program, well thought out and delivered will result in less expense on out of home care.
Other factors apply:
MASR (Maximum State Aide Rate) = residential per diem.
Changes in the community population and one time events.
The assumption that every child in the preventive program would end up in residential care.
That discharges from care will occur on a consistent basis.
Reimbursement is lower for community based, preventive services.
Real Cost savings are needed, which requires a two pronged approach:
Prevention of out of home placement, investment in a stronger continuum of care.
Alternatives to residential placement, focused on shorter lengths of stay, after resources and specialized intensive services for children who lack a discharge resource.
Investing in reductions in the length of stay and alternatives to residential care is the key.
Money Follows the Child: a new investment in individualizing budgeting for children as an alternative to placement begins in 2005 – 2006.
Preventive and Alternative Focus
Intensive Case Management
Family Support Program
Youth Empowerment Srvs.
Family Functional Therapy (FFT)
Community Accountability Board
Center for Hope
School Based CM
Transitional Support Services
Universal Referral Made to the DSS
The referral has a specific program
Identification on the form, i.e. FFT,
Employment. Changes may be made based on specific factors.
DSS reviews the referral, YASI and and sends the Case to contract agency, who is required to conduct a strength based needs driven assessment.
Non for profit provides preventive
service on a fee for service basis.
Based on child performance in key
areas, or based on placement rate.
The Universal Referral Form allows any community based or government agency to make a referral into the JD / PINS Service System.
Referrals are prioritized based on level of need.
Probation Officers have the ability to initiate emergency referrals based on risk of placement.
All contracts have a 24 hour provision for first contact, with 72 hour initial assessment due to the DSS.
All contracts must have a no-eject, no reject philosophy.
After Care and IL Services: Post placement
Short Term RTC: reduced length of stayplacement
Transitional Support Services: alternative to placement
Community Alternatives: reduced length of stay project
Community Connections (SWK): mentoring, ICM project
Residential Alternatives: wrap around model
Functional Family Therapy (FFT): family focused
Youth Empowerment Program: paraprofessional, mentoring project
Family Support Program: ICM case management, with family focus
ICM: focused on children with mental health issues
School Based: co-located in schools throughout the County
Center for Hope: evening reporting, focused on gang diversion
Adolescent Employment Project: supported work
PINS Parenting: required for all PINS referrals
CAB: Community Accountability Board
The Community Accountability Board (CAB) is a community based alternative sentencing program for non-violent first-time offenders.
As a Family Court Diversion, offenders report to a group of local community leaders and they negotiate an appropriate sentence for the offense.
Very often is required to participate in community service and make some sort of academic achievement as part of his sentence.
Meaningful dialogue with offenders, victims, and members of the community;
Lead the discussion about the activities that brought an offender to the Board and repairing damage to victims and reweaving the fabric of our community;
Develop a Reparative Accountability Agreement with Offenders;
Provide recommendations and information to all parties engaged in the process; and
Report to the Coordinator.
Respite services are required under the 2008 PINS Reform Law.
Respite options include:
Shelter Based – respite shelter also serves as the runaway, homeless youth shelter for the County.
Preventive Respite – provided through a team of foster homes who have been trained to provide temporary respite services.
Community Based – offers para-professionals for a period of 30 days that provide social and recreational activities outside of the home during specific hours of the day.
Operates as a psycho-educational group offering parents of adolescents, specific skill building.
Parent support groups are facilitated by the workshop coordinator following completion of the parenting workshop.
Required for parent filed PINS petitions.
Operated in three locations throughout the County with day care services provided in the early evening.
Employment Projects provide program funds to support the employment of an at-risk child in local businesses located throughout the County.
Supported Work Agreement: all employers sign a supported work agreement, which serves as an employment contract, providing reimbursement for wages and payroll taxes.
Employment sites must agree to assign a mentor the at-risk youth who provides on the job mentoring and community mentoring.
Orange County has a stand alone Employment Project, which allows fifty at-risk youth to be employed for a period of six months.
Focused on providing step down / after care services for at-risk children in the City of Newburgh. Also serves as an Evening Reporting Center.
During and following completion of enrollment in any one of the PINS / JD prevention services, children are enrolled in programming offered through the Center for Hope.
Programming focuses on: cultural activities, social activities, athletics, life skills, parenting supports, after-school and early evening activities.
The Center for Hope focuses on Gang Intervention and Prevention. Life Coaches from the Center for Hope are engaged to provide outreach services across Newburgh as a means of encouraging at-risk off the streets, into the program.
Life Coaches are often former gang members or at-risk children from the neighborhood.
The Center for Hope develops and strengthens protective factors against gang involvement and other problem behaviors.
Even though most programs are community based (home visiting) access to transportation resources is an essential component of the continuum.
Fixed Routing Systems, provides transportation throughout the County through a fixed route bus system.
All agencies funded for preventive services are permitted to access the transportation loops. Agencies are required to register with our transportation division and book trips on a six month reoccurring basis.
Sharing resources across program areas: transportation services also include Welfare to Work, Day Care Subsidy, Medicaid, Foster Care and Preventive services.
The shared resources draw down Federal and State Dollars, which strengthen the transportation network.
Orange County has 61,000 Medicaid recipients, 2,100 TANF recipients and 800 day care cases, when shared we managed 7,800 trips per month.
Sample Transportation Schedule
Transitional Support Services
Family Functional Therapy
Youth Empowerment Program
Adolescent Employment Project
Family Support Program
Center for Hope
Located in eight school districts and two community based locations, School Based Programs are designed to serve children with truancy issues.
Case Management based model of services delivery, focused on short term intervention and clinical services offered through the district.
Co-Location is the key factor, allowing for a partnerships to be developed with district across the County.
Mental Health Model of intensive case management services, highlighted by caseload ratios of 1:7.
PINS and JD behavior can be symptoms of mental health disorders among adolescents. If the assessment indicates high needs in life domain of mental health, ICM is generally assigned to provide community based clinical services.
Essential in this process is the linkages that are built to the mental health system to support the child’s long term treatment needs.
Short term, solution focused model that focuses on parent / child relationship and communication.
Based on the “Homebuilders Model”. Intensive in home program, focused on a 30 to 90 day period of time.
Intervention is hands-on in design, deployed during non traditional hours, includes a strong parenting skills component through in-home modeling.
Mentor model of service delivery, with professional case management support.
Mentors are para-professionals who are hired to match the unique needs of the child. Mentor hours average 5 – 10 hours per week and include a modified employment program.
Mentors are from the community / neighborhood of the child and family.
Parent Advocates are often used as well, allowing parents with experience to provide one on one parenting assistance.
FFT is a family intervention for at-risk youth ages 10 to 18 whose problems range from acting out to conduct disorders to alcohol and/or substance abuse.
Clinical model of service delivery, focused on children with multiple needs ranging from behavioral, mental health and substance abuse.
Provided through the Orange County Department of Mental Health, required license for clinical practice.
High end, strength based, wrap around model of planning, followed by intensive case management, one on one mentors.
“one foot in the door” children, designed for high risk children with strong probability of placement as determined by assessment.
Intensive service delivery model, generally includes a minimum of 15 – 20 hours of para-professional mentor contact on a weekly basis, with back end clinical support through case management team.
Merges community based model with day treatment program.
Community model deploys case managers, skill builders into the community to work hands-on in a family’s home.
Concurrent services are offered through a day treatment program focusing on educational, psycho-social and social programming at an office based location.
Supports cultural, educational recreational activities.
Provides an alternative to placement through a highly clinical intervention, “one foot in the door” target population.
Intensive case management model, with ancillary services, i.e. employment, transportation, tutoring, home maker (in-home parenting skill training).
Money follows the child design, allowing for individualized budgeting based on the needs of the child and family.
Budget is developed during assessment and submitted for DSS approval.
Individualized budgeting allows for highly flexible programming. Sometimes referred to as a residential without walls.
Ancillary funds / flexible funds are an important component, as the flexibility in funding allows for the development of individualized service plans.
Clinical Support provided through subcontract with 24/7 Mobil Mental Health Program located within the same agency.
Money follows the child design for children in residential placement.
Allows for the development of an individualized plan and budget which would result in the discharge of the child from residential care.
Flexible program design, with para-professional staff, high end clinical support and independent living skill development.
Ancillary funds and flexible funds are essential in developing the plan for discharge.
For older children, merges TANF, SSI with independent living skills. TSS has built supportive apartment programs, by merging TANF, Food Stamps, Medicaid and Child Welfare Funding. Complex funding streams, allows for the development of multifaceted individualized plan.
Employment is a mandatory component of the program, all children must be employed or engaged in community service.
24/7 Clinical Support subcontracted through the Mobil Mental Health Team.
Detention is provided on both a residential and community based level.
Residential Non Secure Detention: short term residential program pending disposition.
Community based: provided under one contract, allows for the use of community based detention, including case management supervision on a daily basis, GPS monitoring and curfew checks.
Detention is the number one predictor of future residential placement. All efforts are made to avoid detention, as treatment recommendations are generally favorable of placement.
Provides community based and residential services at the same time, by engaging the family throughout the residential stay.
Community based program provides assessment and manages the intake application process for residential treatment.
Upon placement, a community based team begins working with the family in the community in an effort to address the familial issues that may have played a role in the placement of the child.
The community based team works with the clinical team at the residential to support return to the community.
Home visits are supported by the community based team.
Educational plans are merged with the local school district, with the community based team serving as educational advocates when needed.
Home visits are not based on behavioral points and cannot be used for reward / punishment.
Discharge date is non negotiable, and is included in the court order for placement.
Independent Living Programs
Case Management based.
Housing Based: Supervised Independent Living Programs and Transitional Housing services.
After Care Services: feed back into the continuum of care. Children discharged from custody are assessed again and re-entered into the program that would best meet their needs.
After Care includes OCFS placements (secure placements) into the continuum of care.
Performance Standard is 90% of children will remain in the community
Performance Standard: 75% of children will experience
improved academic achievement
A Closer Look: PINS and JD Placements