Family Intervention Services Present:

1. Family Intervention ServicesPresent: A Successful Approach to Family Care and Collaboration Patricia “Shannen” Davis, MSW, CAP (SPI) Silvia Quintana, LMHC (DCF) Islem Pardinas, MSW (Our Kids) Larry Allen, LCSW, MBA(SFBHN)

2. Purpose • To prevent and divert children from entering the Dependency System. • To assess family needs in an effort to promote wellness. • To engage families in accepting community services.

3. Our Collaborators Referral Sources Providers • Child Protective Services • Family Intervention Specialist • Our Kids Intake • Substance Abuse Treatment Providers • Mental Health Treatment Providers • Co-occurring Treatment providers • Dependency Full case management agencies • Domestic Violence providers • Infant Mental Health Provider • Safe at Home/Parents as Partners/ Family Empowerment Program

4. Location of Services • The following services are co-located at the DCF Service Centers: 100 OpaLocka Blvd. Miami, FL 401 NW 2nd Ave. Miami, FL 12195 Quail Roost Drive, Miami, FL • Child Protective Investigation (CPI) • Family Intervention Specialist (FIS) • Our Kids Intake (OK)

5. Family Intervention Specialist Program • On August 1, 2008, The Family Intervention (FIS) Program operated by Spectrum was embedded within each of the CPI locations North, Central and South as was intended by the legislators when the positions were authorized. • The FIS program also adopted the best practice model approved by SAMHSA called Screening Brief Intervention Referral and Treatment (SBIRT) that incorporates Motivational Interviewing as part of the engagement techniques.

6. protocol Family intervention specialist (FIS)

7. Referrals Received from CPI by FIS FY July 10-June 11 • Total individuals assessed: 5,525 • Parents: 3126 • Kids: 2399 • Families Assessed: 1,512 • 24% of Parents assessed received a positive drug screen • 24% of Parents referred needed Services

8. Parents who received services n=748 Average LOS: 38 days **Note: This data reflects only those individuals who received services through SFBHN funding. If other services were received through any other funding source, this data is not reflected here.

9. Protocol • If based on GAIN, drug/alcohol test, and client interview no services are needed FIS reports findings to CPI. • If Services are needed: • FIS continues to assess, engage, and link the family to services • FIS reports weekly to CPI on status of family and referrals • FIS provides results on ongoing engagement to CPI at the end of 21 days including recommended services and linkage status to providers.

10. Protocol • FIS, Child Protective Investigator, Child Protective Investigator Supervisor, Our Kids, Children Legal Services will staff case as needed. • FIS and Our Kids full case management agency if warranted will continue to engage and transition family into case management and other SAMH provider services.

11. Best Practices • Spectrum Program is the FIS provider. They have been trained and use: • Screening, Brief Intervention Referral and Treatment Model (SBIRT) • Motivational Interviewing • Solution Focused Case Management • Global Assessment of Individual Needs (GAIN) Quick • Family Centered Practices being used by CPI, FIS and OK are: Structured Decision Making and Trauma Informed Care

12. SERVICE ARRAY • Mental Health Services • Substance Abuse Services • Domestic Violence- Victim or Perpetrator • Children’s Mental Health • Full Case Management • Crisis Intervention • Intensive in-home services • Other Community Services

13. Quality Improvement • Quarterly staffing focuses on persons who have dropped out of treatment, appropriate levels of care, appropriateness of referral and is really an in depth qualitative review from hotline to termination of supervision. • Quarterly meetings at the hubs focus on system issues as well as provide updated educational information.

14. Data Collection • South Florida Behavioral Health Network, SAMH, Our Kids, DCF/CPI units, will be responsible for Data tracking. • Data collected includes: Referral, linking, treatment completion, drop out from treatment, recidivism rate, referrals to dependency court.

15. Managing Entity • The Southern Region’s Substance Abuse and Mental Health (SAMH) Program Office entered into a contract with South Florida Behavioral Health Network on October 1, 2010 to oversee the Substance Abuse and Mental Health System of Care.

16. Managing Entity Functions • System of Care development and management • Utilization Management • Network Management and sub contractual relations • Continuous Quality Improvement • Technical Assistance and Training • Data Collection Reporting and Analysis • Planning

17. Behavioral Health Services Available in the network

18. Our Kids of Miami Dade and Monroe • Lead CBC for Miami Dade and Monroe County • System of Care development and management • Utilization Management and Continuous Quality Improvement • Network Management and sub contractual relations • Technical Assistance and Training • Planning

19. SERVICES AVAILABLE • Dependency Full Case Management service for all case through 6 Community Providers • Intake • Foster Care Placement and Licensing • Shelter and Residential Group Care • Level of care assessments • Nurse Case management • Adoptions • Independent Living services • Intensive in-home family preservation services through two program Safe at Home and Parents as Partners for High Risk Families where there are safety threats • Case Management through Family Empowerment Program for moderate to low risk families • Since 2009 Our Kids is using Children’s Research Center’s Evidence Based structured Decision Making Tool to guide all service decision.

20. OK Intakes Fiscal Year 2010 -2011(Total Number of Children N=4,835) For purposes of this analysis, cases from other states and counties (ICPC and OTI) were excluded. 7/27/2011

21. Types of Scenarios • Prevention Services • Diversion Services • Dependency

22. Prevention Services • If a family is at risk of becoming involved with the Dependency System and could benefit from services based on assessment and recommendations, referrals will be made to SAMH providers and other community providers as needed.

23. Diversion Services • If a family is found to need SAMH/CW services and CPI finds that there are some risk factors, staffing will be held between Our Kids intake, CPI, CPIS, CLS and FIS. • Service recommendations will be made in an effort to divert the family from the Dependency System.

24. Dependency • If a family is found to be at risk and diversion is not an option the CPI,CPIS, FIS, Our Kids Intake, CLS will staff the case and make appropriate treatment and services recommendation based on assessment as the case is moved to the Dependency System.

25. PROCESS MAPPING OF CPI, FIS, OK

26. Next steps • Narrowing front door • Revision of protocol • Developing a plan to mine data from FSFN, Medicaid, SFBHN, and Our Kids databases for Adults and Children

27. questions