Ewisacwis and levels of care
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eWiSACWIS and Levels of Care. Jónelle Brom, OHC Specialist [email protected] 608.264.6933 Jenny Weber, eWiSACWIS [email protected] 608.261.7658. CANS. Child and Adolescent Needs and Strengths. Purpose of the CANS in WI.

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eWiSACWIS and Levels of Care

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Ewisacwis and levels of care

eWiSACWISandLevels of Care

Jónelle Brom, OHC Specialist

[email protected]

608.264.6933

Jenny Weber, eWiSACWIS

[email protected]

608.261.7658


Ewisacwis and levels of care

CANS

Child and Adolescent Needs and Strengths


Purpose of the cans in wi

Purpose of the CANS in WI

  • Provide a comprehensive assessment of the needs of each child placed in Out of Home Care (OHC)

  • In turn, the identified needs will be used to determine:

    • The Level of Need (LON) of the child to inform placement decisions and Administrative costs to Child Placing Agencies, Group Homes, and Residential Care Centers

    • A Mental Health Screening of all children entering OHC;

    • The Supplemental Rate portion of the Uniform Foster Care Rate Setting


Overview of the cans

Overview of the CANS

  • WI has chosen a Comprehensive version of the CANS that provides an opportunity to assess a child’s strengths and needs across several Life Domains.

  • In addition to looking at the child, the WI version of the CANS looks at the child in comparison to the Current Caregiver and Identified Permanent Resource(s).

    • This information will be used to assist with placement decision, identification of services that may need to be put in place, or identify specific items that may need to be planned for.


Key principles of the cans

Key Principles of the CANS

  • Items were selected because they are each relevant to service/treatment planning. An item exists because it might lead you down a different pathway in terms of planning actions.

  • Each item uses a 4-level rating system. These levels are designed to translate immediately into action levels. Different action levels exist for needs and strengths.

  • Rating should describe the child, not the child in services. If an intervention is present that is masking a need but must stay in place, that is factored into the rating and would result in the ration of an ‘actionable’ need (i.e. ‘2’ or ‘3’).

  • This is a descriptive tool. It is about the ‘what’ not the ‘why.’ Only two items, Adjustment to Trauma and Social Behavior, have any cause-effect judgments.

  • A 30-day window is used for ratings in order to make sure assessments stay ‘fresh’ and relevant to the child or youth’s present circumstances. However, the action levels can be used to over-ride the 30-day rating period.


Domains in the wi child welfare cans

Domains in the WI Child Welfare CANS

  • Trauma

  • Life Functioning

  • School

  • Child/Youth & Family Acculturation

  • Child/Youth Behavioral/Emotional Needs

  • Child/Youth Risk Behaviors

  • Strengths

  • Current Caregiver

  • Identified Permanent Resource


Algorithms

Algorithms

  • The WI CANS will have 3 different Algorithms

    • Level of Need of the child

    • Mental Health screen

    • Supplemental Points

  • These algorithms are a compilation of selected items that are rated in the tool

  • Not every item rated is used for all of the algorithms

  • eWiSACWIS will do all of the calculations for the users, so they do not have to


Validity and reliability of the tool

Validity and Reliability of the Tool

  • An individual must be TRAINED and CERTIFIED to score a CANS

  • In order to be considered a valid and reliable user of the CANS tool, there are yearly re-certification requirements

  • Wisconsin policy will require certified users of the CANS tool


Training of the cans

Training of the CANS

  • Training will occur statewide this fall and into the beginning of next year for public and private agency staff

  • In addition, there will be several opportunities through conferences, listening sessions, and web casts for agency staff and foster parents to learn more

  • Dates:

    • January 3rd through January 7th

    • January 12th through January 14th


How and when is a cans completed

How and When is a CANS Completed?

  • A CANS must be completed within 30 days of a child’s placement into OHC or a new placement and every six months thereafter

  • The individual completing the CANS is required to gather pertinent information from the child’s family team

  • The CANS results shall be shared with the child’s family team


What will the cans replace

What will the CANS Replace?

  • The Current Uniform Foster Care Rate Setting Process. The Supplemental Points will already be determined for a worker.

  • Reports will be generated on a case-by-case basis and across programs in the next release

  • Incremental phasing into eWiSACWIS… future planning possibilities include, but are not limited to:

    • Performance Based Contracting

    • Part A and B to Physical Custodians

    • Part of the Integrated Case Plan

    • Placement Resource Mapping and Sharing


Learn more about the cans

Learn More about the CANS

  • Visit the Praed Foundation at:

    www.praedfoundation.org


Levels of care description

Levels of Care Description

Level 5

Exceptional Foster Care

Level 4

Specialized Foster Care

Level 3

Moderate Foster Care

Level 2

Basic Foster Care

Level 1

Child-Specific Foster Care

Foster Care Licensing Standard

1-Background Checks

2-Physical Plant Checks

3-Assessment Process

4-Designated Non-Safety Related Regulations for Exceptions for Licensed Relatives


Placement complexity matrix

Placement Complexity Matrix


Placement and child level of need

Placement and Child Level of Need

A child can be served at a level lower than his or her assessed level of need if an exception has been granted by the placing agency, and the agency can show that services and supports are provided to address the assessed needs.


Identified permanent resource ipr

Identified Permanent Resource (IPR)

  • Defined as the person(s) identified in the Permanency Plan as the child’s permanent resource

  • There are four options, the first two should be consistent with those named in the child’s Permanency Plan, if applicable:

    • Primary

    • Concurrent

    • Considered (prior to or when considering additional permanent resources not named in the child’s Permanency Plan)

    • Not applicable – no identified caregiver

  • Only one primary and concurrent resource can be identified, however you can have multiple considered

  • There cannot be a concurrent IPR without a primary IPR


Wi cans

In Home

“Current Caregiver” is who the child lives with

No “Identified Permanent Resource”

Does not calculate Supplemental Points

OHC

“Current Caregiver” is who the child lives with

“Identified Permanent Resources” are the named or considered permanency options for the child, if applicable

Calculation of the child’s Level of Need, Supplemental Points, and LOC/LON Differential

WI CANS


Creating a cans

Creating a CANS


Creating a cans1

Creating a CANS


Cans child youth needs

CANS - Child/Youth Needs


Cans child youth needs1

CANS - Child/Youth Needs


Cans child youth needs2

CANS - Child/Youth Needs


Cans child youth strengths

CANS - Child/Youth Strengths


Cans current caregiver

CANS - Current Caregiver


Cans current caregiver in home

CANS - Current Caregiver (In Home)


Cans identified permanent resource

CANS - Identified Permanent Resource


Cans identified permanent resource1

CANS - Identified Permanent Resource


Cans actionable items

CANS - Actionable Items


Cans actionable items1

CANS - Actionable Items


Cans actionable items2

CANS - Actionable Items


Cans results

CANS - Results


Cans results1

CANS - Results


Cans information

CANS Information

  • CANS requires supervisor approval

  • Workers will be able to leave the CANS pending

  • CANS will appear under the Planning icon

  • If the child is in an Out of Home Placement (OHP), the CANS will appear under the Placements icon as well

  • Workers will be able to copy the most recent CANS for a child

  • When an OHP is ‘made in error,’ the associated CANS will become ‘made in error’ as well

  • Workers will also be able to ‘make in error’ an incorrect CANS


Desktop view

Desktop View


Additional cans information

Additional CANS Information

  • E-mail notification when the child’s LON exceeds the provider’s LOC

  • There will be a template available that will include information from all of the tabs

    • CANS template

  • There will be two CANS ticklers


Cans tickler

CANS Tickler

  • The Primary Worker will receive a tickler to complete the CANS within 30 days of each new Out of Home Placement

  • The Primary worker will receive a tickler every 6 months when the child’s Out of Home Placement does not change

  • Supervisors cannot delete these ticklers

  • Case closure will be prevented if a CANS is not documented


Other changes

Other Changes

  • Addition of Certification Levels 3, 4, and 5 to the Foster Home License for Home Providers

  • Removal of the Treatment Foster Home template

  • Administrative Code changes reflective for denials and exceptions/waivers

  • Service types

    • Home Provider

    • Private Provider

  • Rate Setting page

  • Out of Home Placement page


Licensing page

Licensing Page


Edit licensed services page

Edit Licensed Services Page


Loc monitoring report

LOC Monitoring Report

  • PM04A100 - Level of Care Monitoring

  • 7 tabs:

    • LOC Read Me

    • LOC Summary

    • LOC Overdue Next 30 Days

    • LOC Due Beyond 30 Days

    • LOC Completed Process

    • LOC Newly Licensed Providers

    • LOC Detail


Loc read me

LOC Read Me


Loc summary

LOC Summary


Loc overdue next 30 days

LOC Overdue Next 30 Days


Withdrawn applications

Withdrawn Applications


Withdrawal reasons

Withdrawal Reasons


Withdrawn application

Withdrawn Application


Loc completed process

LOC Completed Process


Completed applications

Completed Applications


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