ICCA Form: Recommend ways to make it more accurate, strengths-based and serving its purpose
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ICCA Form: Recommend ways to make it more accurate, strengths-based and serving its purpose
- 1. ICCA Form: Challenges and Opportunities Recommendations from Ohio Foster Youth
- 2. We exist to be the knowledgeable statewide voice that influences policies and practices that impact youth who have or will experience out of home care. OHIO YAB Mission
- 3. Purpose of the ICCA Form • “An Individual Child Care Agreement must be completed by the case worker any time a child enters a new substitute care setting to communicate the child's needs to the new caregiver.” • “Each ICCA is signed by all parties and a copy is provided to all parties Prior to a child’s placement in a substitute care setting (initial or subsequent); Within 7 days of emergency placement; and Within 7 days of any change in the child’s information.”
- 4. Not a Living Document Challenges Amendments must be filed to change the form If things aren’t “end-dated,” they keep coming up (clubfoot, bedwetting, prior Level) Tiered foster care will not succeed with an outdated and incorrect ICCA form
- 5. Make the ICCA a Living Document Opportunities Begin to review and update this form at regular intervals. Schedule this on an ongoing basis (every 6 months, during SARS, during 90-day reviews) During this time, the Person Profiles that are associated with the ICCA can be updated as well.
- 6. Not Strengths-Based Challenges Reference to “youth issues” and “behaviors” rather than “youth needs” Records the diagnoses and date, but no context or details about progress/treatment This can give a warped view to a potential foster parent and discourage placement
- 7. Address the Negative Bias Opportunities Emergencies are not the best time to fill this out – the wording might reflect stress or fatigue. Schedule this on a regular basis and also prioritize making time-sensitive updates. During this time, the Person Profiles that are associated with the ICCA can be updated as well.
- 8. Not Serving Its Purpose Challenges ”If I believed everything I read in that form, I would have never taken you in.” No context regarding the environment in which behaviors might have happened. No information about the young person’s progress, healing, helpful strategies or growth.
- 9. Include Context and Growth Opportunities Invite and incorporate youth input: What do you want your next placement to know? What helps you when… What coping skills have you developed… What makes you feel safe? At least one section dedicated to Coping Skills and updated regularly. Adding a place on the form for youth to review and sign.
- 10. Inaccurate Information Challenges Listing siblings a child or teen doesn’t have. Getting their name wrong. Listing bipolar on a teen’s ICCA because their mother had it.
- 11. Solutions Mentioned Earlier Opportunities Make the form a living document that is reviewed and updated regularly. Don’t just fill out this form in a hurry during emergency placements. Add a place on the form for youth to review and sign.
Editor's Notes
- Lisa facilitate; youth weigh in
- What is the goal and intent of the ICCA form? To communicate child’s needs to a new caregiver. The current method seems liability-driven, based on things that the agency must disclose to caregivers rather than a focus on how this new caregiver might best serve a child’s needs There is often no conversation with youth about the collecting of information for the ICCA.
- The ICCA form is not a living document. Amendments must be filed and if characteristic information is not end-dated, they keep coming up in future documents. We must consider how likely caseworkers are to complete an amendment based on the cumbersome nature of creating another document that must be completed, saved, and re-signed by all parties. For example, a foster youth may have wet the bed when they were seven years old, and it will still on their ICCA form when they turn 13, despite not having any problems with bedwetting for years. This can also mean that levels are not updated – which will have a detrimental effect on the effectiveness of tiered foster care. How can an agency find the right fit for a child or teen’s therapeutic needs if the information on the ICCA form and the person profiles is out of date?
- Opportunity: - For the ICCA to be a “living document” that is updated and revised at regularly scheduled intervals, just as the concurrent planning form is going to be - For the form to be reviewed and updated on a regular basis (i.e. every 6 months, during SARS, during 90 day reviews) - During this time, the Person Profiles can be updated as well
- Raven Not strengths-based: - Instead of youth needs, the form says youth "issues" - “Behaviors” is coded language and implies negativity through the document - Caseworkers are not qualified to diagnose via DSM, yet characteristics are included to be checked without verification documentation - ICCA records diagnoses and date but no context, and nothing about how treatment went and what worked vs. what didn’t - This can give a warped view to the foster parent about this young person
- Raven In an emergency, when it’s rushed; this is not the best time to fill this out. The wording might reflect foster caregiver fatigue or caseworker fatigue
- Raven is back-up This doesn’t serve the needs of the foster parents, caseworker or the agency. - Discourages foster parents from taking in young people, especially teens. - Foster parents may be unsure what is true or false information based on the overall negative view of youth in the ICCA. This document could better serve foster parents needs in terms of knowing how to help youth. It doesn’t include which strategies have worked vs. which didn’t to help a child or teen heal from trauma. Youth voice isn’t included when it comes to: “What helps you cope with this trigger?” No room for growth when it comes to many of the sections Nothing about trying to address behavior Has the youth grown in this area? This could be added to the form Coping skills developed by youth Ways those former placements have helped make a young person feel physically and emotionally safe
- Not just: “What are your strengths, hobbies or extra-curricular activities?" For there to be specific questions for the caseworker to ask youth, such as, “What helps you when…. What coping skills have you developed… What would you like you next foster placement to know?” Including youth has great value; how we involve youth can inform us They can tell us what makes them feel physically and emotionally safe (i.e. a container of food by the bed as a reassurance that food will be provided) Potentially requiring PCSAs to solicit information from youth for sections Adding a place on the form for youth to sign Adding youth input and additional context would help the young people and the placement understand each other and succeed.
- Inaccurate information: Listing siblings that a child or teen doesn’t have Getting their name wrong Listing bipolar on a teen’s ICCA because their mother had it Likely a function of inaccurate person profile information There is no set time or recommended time for when this information gets updated.