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  • 1. Family Services of Metro Orlando Presenters: Gregory Kurth, Executive Director Sharon Graham, Director of Programs Stacey Dano, Director of Resource and Diversion
  • 2. Overview of Family Services of Metro Orlando
    • Changing a System of Care
    • Review of Practices and Services to divert cases from entering the system
    • Review of Practices and Services to help achieve permanency
    • Establishing a Safety Assessment
  • 3. Mission Statement Protecting Children, Strengthening Families Vision Statement A Safe Home for Every Child
    • Agency Values
    • We will pursue bold change that creates lasting results in protecting children and strengthening families.
    • We are partners with those who participate in our mission.
    • We are responsible stewards.
    • We treat everyone with respect and strive towards cultural competence.
    • We strive towards excellence and continually learn.
    • We will be community focused in governance and delivery of services.
    • We provide hope to those we serve through a holistic, child-centered and family focused approach.
    • Faith by definition is an individual's decision and pursuit. We strive to create an organization, where we can collectively make life work for kids and families thus doing God's work.
  • 4. The Beginning of CBC & FSMO
    • Transition from DCF to Community Based Care began July 1, 2004 with full transition by November 1, 2004.
  • 5. DCF and CBC
    • DCF maintains its role in Child Protective Investigations and Child Welfare Legal Services
    • Family Services of Metro Orlando is the CBC provider for protective services in Orange County.
  • 6. Design Principles
    • Community Involvement
    • Safety Focused
    • Engagement Based Practice
    • Prescription
    • System Integration
    • Responsiveness
    • Relentless Management and Quality Improvement
  • 7. What do we want for all families?
    • Supporting the federal goals of the Adoption and Safe Families (ASFA) Act:
    • Safety
    • Permanency
    • Well Being
  • 8. Who provides direct services?
    • FSMO contracted with 4 agencies in Orange County to provide case management services, these agencies are:
    • Children’s Home Society
    • Devereux
    • Kids Hope United
    • Neighbor to Family
  • 9. Array of Services provided by Case Management Organizations
    • Family Preservation
    • Case Management
    • Shelter/Placement
    • Independent Living
    • Adoption
    • Recruitment of Foster and Adoptive Parents
    • Licensing of Foster Homes
  • 10. Program Achievements
    • Licensed 116 new foster homes from 7/1/04-12/31/05;
    • Increased monthly visitations rates to 98.9%;
    • Enhanced Supervisory Review compliance;
    • Established Accredited child caseload ratios at 20:1;
    • Total number of children under supervision was reduced by 400 children;
    • Established a Diversion program serving over 1,200 children;
  • 11. Foster Care Capacity
    • Child Placement Agencies include:
    • CHS
    • Kids Hope United
    • Neighbor to Family
    • Devereux
    • Devereux Therapeutic
    • Intervention Services
    • Mentor
    • Open Door
    • UCP (United Cerebral Palsy)
  • 12. New Practices
    • Community Based Interventions/Diversion Services (Prevention)
    • Child Endangerment Safety Assessment Protocol
    • Case Assignment Unit
    • Initial Case Conferences
    • Permanency Case Reviews
    • Increase of Children Living in Family Settings
  • 13. Out of Home Care
  • 14. Prevention Services
    • FSMO Resource Specialists support the DCF protective investigators to find community resources for families so they do not enter ‘the system’.
  • 15. Assessing for Safety
    • The Child Endangerment Safety Assessment Protocol (CESAP) is a new assessment instrument introduced by FSMO to assess safety, guiding the Family Case Manager.
  • 16. CESAP
    • Safety and Risk
    • Safety Assessment Protocol
    • Safety Determination Form
    • Administered at Milestones
    • Safety Factors
    • Safety Plan
  • 17. Community Based Interventions
    • Human Services Associates provides services to divert families from having to enter the dependency system.
  • 18. Community Based Intervention/Diversion Services
    • For families with low to moderate risk
    • No safety concerns
    • Builds community resource linkage
    • Monitors Child Safety
    • Prevents families from entering the child welfare system
  • 19. Case Assignment Unit
    • The Case Assignment unit coordinates and oversees that the placement needs of children are meet.
    • They are the first contact the Child Protective Investigator has with CBC when a child is removed and needs placement.
  • 20. Case Assignment Unit Structure
    • Receives notice of all movement of children
    • Receives initial intake for placement
    • Receives initial intake for case assignment
    • Assists in identifying placement resources needed
  • 21. Case Assignment
    • Based on geographical location of family
    • Siblings to be placed together
    • Remain in the same county
    • Priority placement in foster homes
    • Special needs placements
  • 22. Placement Stabilization
    • Contract with Intervention Services for placement stabilization and behavioral interventions
    • Focus on retention of Foster Parents
  • 23. Initial Case Conference
    • The hand off from investigations to protective services
    • Family is invited by the Child Protective Investigator
    • Facilitated by the Resource Specialist
  • 24. Case Planning
    • Child Welfare Specialist facilitate case plan conferences
    • Family is engaged in the process
    • Emphasis on services and behavior change that will ensure a safe environment for children
    • Well-being addressed
    • Permanency Goal established
  • 25. Permanency Case Reviews
    • A review process to ensure the safety, well-being and permanency of the child is being achieved
    • Conducted on dependency cases
    • Review held at 10 months for out of home cases
    • For in home cases reviews are held at 6 months
  • 26. Permanency Case Reviews
    • Families invited to all reviews
    • All parties and providers invited
    • Tasks assigned at the review are to assure movement toward permanency, safety and well-being.
  • 27. Quality
    • Priority 2 Review Process
      • For child deaths, unusual incidents or other critical incidents
      • Review systemic or individual issues
      • Includes case review and interviews
      • Opportunity to identify service gaps or barriers to safety, permanency or well being
  • 28. Quality-Performance Outcomes
    • FSMO is contracted to attain the following goals:
      • % of children not abused or neglected during services will be at least 95%
      • No more than 1% of children served in out of home care shall experience maltreatment during services
      • No more than 9% of children are removed within 12 months of a prior reunification
  • 29. Performance Outcomes
    • % of children who were reunified within 12 months of lastest removal shall be at 76%
    • % of children with finalized adoptions whose adoptions were finalized within 24 months from removal shall be 32%
    • Adoption goal of 150 will be meet.
    • 100% of children will be seen monthly.
  • 30. Out of Home Care by Age
  • 31. Adoptions
    • Waiting Children
    53.00% 97 47.00% 86 % # % # ≥ 13 Years Old ≤ 12 Years Old Age Group
  • 32. Adoptions
    • The overall adoption percentages are as follows for Orange County:
    • 81% of our adopted children are by the families they currently live with.
    • Foster Parent adoptions-42%
    • Relative/Non Relative adoptions- 39%
    • Adopt Only- 19%
    • There have been a total of 36 adoptions since July 2005 in Orange County.
    • There are currently 183 children available for adoption. 53% (97 children) are over the age of 13 years.
  • 33. Improving the lives of children through partnerships
    • WFTV Channel 9 Wednesday’s Child
    • Wendy’s Wonderful Kids
    • City of Life
    • Westgate
    • Future mentoring project
  • 34. Wendy’s Wonderful Kids
    • Criteria Process
      • All medically needy or Developmentally Disabled
      • 13+ years
      • Waiting for 5 years
      • Sibling groups
  • 35. Policy Shifts
    • IV-E Waiver
    • Managed Care Medicaid
    • Training for Services and Investigations
  • 36. Challenges
    • Interface with Department of Juvenile Justice
    • Developmental Disabilities
    • Permanency for Teens
  • 37. Your input please!
    • What is working?
    • What can be improved?
    • Suggestions for future considerations.