Los angeles county proposed rbs demonstration project
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Los Angeles County Proposed RBS Demonstration Project. RBS Forum Sacramento, CA. September 4/5, 2008. Mission, Vision, Collaboration. Mission

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Los Angeles County Proposed RBS Demonstration Project

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Los angeles county proposed rbs demonstration project

Los Angeles CountyProposed RBS Demonstration Project

RBS Forum

Sacramento, CA

September 4/5, 2008


Mission vision collaboration

Mission, Vision, Collaboration

Mission

The Los Angeles RBS Demonstration will transform intensive mental health services within the child welfare system to empower families and achieve permanency for youth.

Vision

The creation of a strength-based, family-centered, needs-driven system of care that transforms group homes from long-term placements to short-term interventions, which are not place-based, which provide for seamless transitions to continuing care, and which support the safety and permanency needs of youth and their families

LA RBS Collaborative

In November of 2007, the RBS Collaborative design group was formed and is composed of county, provider and community stakeholders.

Sept., 4/5, 2008

Los Angeles County RBS Demonstration

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Lac group home trend data

LAC Group Home Trend Data


Target population

Target Population

  • Children in or approved for RCL 12 or 14 placements

    • CANS will be the assessment tool

  • Approximately 200 DCFS children will be served

    • Over 24 mos

    • Using up to 64 RCL 12 or 14 beds and 192 Wrap slots

  • Average age – 15.8 years

Sept., 4/5, 2008

Los Angeles County RBS Demonstration

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Baseline data rcl 12 children

Baseline Data: RCL-12 Children

All RCL 12 FY 2006-07 Exit Cohort Data

50%

80%

90%

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Los angeles county proposed rbs demonstration project

Baseline Data Continued(collaborative profile applied)


Los data analysis

LOS Data Analysis

Notes:

For RCL 12, 24 mo. analysis captures ~90% of population

For ‘Collaborative Profile’ - 24 mo. analysis captures ~80% of population

Page - 7


Proposed outcomes

Proposed Outcomes

SAFETY

Safety in placement

Safety in home-based settings

PERMANENCY

Shortened timelines to permanency for youth

Limited, shortened length of stay in RCL 12 and 14 placements

Stability in home-based settings

WELL BEING

Family and youth satisfaction with RBS services

Family identification and connection for disconnected youth

Culturally and linguistically sensitive family involvement (visitation, participation in and ratification of planning process, agency contact, connectedness)

Educational improvement (attendance, stability, GPA)

Socio-behavioral improvement (evidenced by CANS)

COST

Cost neutrality

Sept., 4/5, 2008

Los Angeles County RBS Demonstration

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Wraparound and group home enrollment fy 2003 2007

Wraparound and Group Home Enrollment (FY 2003 – 2007)


Cornerstone innovations

Cornerstone Innovations

Wraparound-based Child and Family Teams during residential tx.

Family finding, engagement, preparation and support during residential tx.

Residential therapeutic milieu influenced by Wraparound principles

Shared risk/benefit between County and providers

Sept., 4/5, 2008

Los Angeles County RBS Demonstration

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System design

System Design

Sept., 4/5, 2008

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Proposed funding model

Proposed Funding Model

  • Augmented residential rate for facility based services

    • RCL-12 = $5,891+ $2,300 RBS rate

    • RCL-14 = $6,694 + $2,300 RBS rate

    • Modeled at 9 months

  • RBS Rate covers

    • Family finding, engagement, preparation and support

    • Child and Family Team

    • Flex funds

  • LAC Wrap rate for community based services ($4,184 excluding placement costs)

  • Risk pool

    • Could possibly be used for

      • Extended LOS

      • Respite

      • Unanticipated costs

      • Placement costs during Wraparound

    • $1,000 set aside per month per child for 1st 12 months of care

  • Cost reconciliation

    • Either annually or semi-annually

    • Share risk and benefit

Sept., 4/5, 2008

Los Angeles County RBS Demonstration

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Potential waiver requests

Potential Waiver Requests

RCL and related point systems

No new placement agreement for respite

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Los Angeles County RBS Demonstration

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Current status

Current Status

Request for interest letter to be issued mid-Sept.

Provider selection by end of Sept.

Contract negotiations to follow

Sept., 4/5, 2008

Los Angeles County RBS Demonstration

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Concerns issues requests for help

Concerns/Issues/Requests for Help

Cost neutrality calculation

Interaction with Title IV-E Waiver

Administration and claiming processes

CCL implications

Sept., 4/5, 2008

Los Angeles County RBS Demonstration

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