Final Report - RI Department of Children, Youth & Families

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CHAPTER 3: STRENGTHENING DCYF DCYF has made significant inroads over the past five years into moving the agency structure and the service delivery methods to a more family-centered, regionally-based structure. Each of the four family service regions have physically relocated to offices within their respective service areas (see Appendix F). The Local Coordinating Councils’ for Children’s Behavioral Health (LCC’s) have shown significant success in helping families to receive and agencies to provide family-centered, community-based services for many years. 10 The Review Team process for children with high-intensity service needs is being moved into the regions with full community partnership in the design of the Care Management Team (CMT). DCYF has merged individual program contracts with the eight Community Mental Health Centers (CMHC’s) into one master contract for each CMHC. A pilot Care Network was implemented for 60 youth in need of residential placement and early results are promising. Placement Solutions, a collaboration between the Providence Center and Communities for People, is providing much needed utilization review capacity for children and youth in out-of-state and in-state placements. Working in conjunction with DCYF’s Child By Child Project, the immediate goal of this effort is to move these children and youth back to their home communities with necessary supports as soon as it is clinically appropriate. Finally, Project Hope is working with RI Training School staff, families and their communities to reintegrate children from the Training School directly back into their neighborhoods. STRENGTHENING DCYF AS A FAMILY CENTERED, REGIONALLY-BASED AGENCY RECOMMENDATIONS Even with this progress, deeper structural and process changes must be made. To accomplish this, DCYF must be supported by state leaders, advocates, providers, family members and other key stakeholders in their efforts to further uphold an agency that is family centered and regionally-based. To this end, the following recommendations are made: 1. DCYF must continue to move toward a structure which supports a family centered, community-based, culturally competent, gender-specific and schoollinked approach. To effectively manage this structure, DCYF must provide regional directors and juvenile corrections administrators with greater authority to manage staff and resources, including fiscal and program resources. A. $ Regional Directors and the Training School Superintendent will be provided with concrete regional budgets and the concomitant responsibility and authority for managing these budgets; B. $ DCYF should expand the use of the Care Network Model (see Appendices G and H) to ensure that the majority of services to the targeted population groups 11 are provided by regionally-based Comprehensive Care Networks that are contracted through specified lead agencies; 10 See Kaufman, J.S., Tebes, J.K., Ross, E. & Grabarek, C. (2000) Project REACH Rhode Island Final Evaluation Report. New Haven, CT: The Consultation Center, Department of Psychiatry, Yale University School of Medicine, the Connecticut Mental Health Center and The Community Consultation Board, Inc. 11 Dependent, neglected or abused children and youth requiring state intervention to ensure safety; children System of Care Task Force Report (January 2003) 30
CHAPTER 3: STRENGTHENING DCYF C. Regional Directors and their staff will be expected to work with Comprehensive Care Network lead agencies, lead agency subcontractors, and other key community stakeholders to ensure that services provided by Regional Staff are family-centered, community-based, culturally competent, gender-specific and linguistically appropriate. Best practice standards across all three population domains served by DCYF call for social caseworkers, probation counselors, behavioral health practitioners, and other state agency staff to develop linkages and more effective collaborations with families and key stakeholders in the communities they serve. DCYF has developed or assisted communities in developing several initiatives aimed at increasing these linkages and levels of collaboration. These include the Child and Adolescent Service System Program(CASSP) for Children’s Behavioral Health which functions through the LCC’s, the Project Hope program focused on enhancing transition and aftercare services for youth identified as seriously emotionally disturbed who are transitioning from the Training School, the Youth New Futures program which provides services to high-risk youth on probation through an interagency collaborative of providers 12 , and the Safe Streets 13 program. Strengthening and providing increased supports to the four DCYF Family Service Regions and juvenile corrections administrators will enhance the ability of these locations to work more effectively and collaboratively in the communities they serve. 2. DCYF must continue to develop a family centered practice model and to ensure that older youth without clearly identified families are provided the supports and services they need to succeed. DCYF has made significant strides in moving the agency to a service delivery model based on the principles of family-centered practice (see Appendix B). DCYF is strongly encouraged to continue these efforts internally and with external stakeholders. The Department has also made significant strides over the past few years in enhancing efforts aimed at preparing older youth for independence and self-sufficiency. Through the Chafee Foster Care and Independence Program, youth who are age 16 or older receive life skills training and preparation for their transition out of care. Additionally, through our legislative initiative, older DCYF involved youth are afforded opportunities for higher education through the Community College of Rhode Island, Rhode Island College and the University of Rhode Island. The Department’s policies and youth who meet clearly defined criteria for Serious Emotional Disturbance or Developmental Disability and who require publicly supported care and services; and youth who are adjudicated as delinquent and who require probationary supervision or incarceration. 12 Youth New Futures, funded through DCYF, is a collaboration of Tides Family Services, the John Hope Settlement House and DAWN for Children. This program currently provides services only to youth from Providence and Pawtucket. 13 Safe Streets currently operates only in the city of Providence and is a collaborative effort between DCYF’s Division of Juvenile Corrections’ Juvenile Probation Units, the Department of Corrections’ Adult Probation Office and the Providence Police Department. Juvenile and Adult Probation Counselors, working under the joint supervision of the two state agencies, join with Providence Police officers to provide intensive supervision services to very high-risk young adult offenders ages 16-24. Average caseloads are 15:1. System of Care Task Force Report (January 2003) 31
Page 1: TOWARD AN ORGANIZED SYSTEM OF CARE
Page 5 and 6: TABLE OF CONTENTS TRANSMITTAL LETTE
Page 7 and 8: TRANSMITTAL LETTER Hon. Donald L. C
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Page 13 and 14: EXECUTIVE SUMMARY This plan for an
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System of Care Task Force Report (J
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Final Report - RI Department of Children, Youth & Families

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