Final Report - RI Department of Children, Youth & Families

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TRANSMITTAL LETTER organized plan) to developing a structure for a new system of care that is family-centered, community-based and in which programs and services are measured against agreed upon outcomes. The reports and the recommendations of the two planning committees are included as appendices to this document. The vision and structure outlined in the body of the Task Force report is based on the recommendations of the Ideal System of Care Committee. Our vision recognizes that the resource needs identified in the other two committee reports can be effectively addressed only through a true “paradigm shift” which ensures that we move to structures and processes which emphasize community-based prevention, strengthen families and communities and more clearly define the parameters used to determine when a child or youth is placed out-of-home. These details must be used to inform the work of those who are tasked with planning and improving Rhode Island’s new System of Care. As the leaders of the Task Force, we believe it important to point out two critical partners for moving ahead – the judiciary and the provider and advocacy communities. Rhode Island enjoys a very active and involved Family Court bench which unquestionably seeks to ensure that children and their families are provided with the highest quality of services and supports available. The reality, however, is that the authority for expenditures and the control of those expenditures is extremely diffuse. As long as this diffusion continues, the State will have difficulty focusing on priorities, achieving the best possible outcomes and controlling expenditures. The challenge before us is to more clearly define roles within our system and thereby achieve greater quality, greater accountability and a more cost effective approach to delivering services and supports to children and their families. Likewise, Rhode Island’s provider and advocacy communities are aggressive in providing input and feedback, especially in regard to the functions and practices of DCYF. Two-thirds of DCYF’s expenditures flow to private providers. We must continue to include these voices at the table while recognizing that some perspectives represent narrow interests and arriving at consensus for significant and critical improvements can be elusive. Finally, the Task Force strongly endorsed the Children’s Cabinet as the principle body to oversee the implementation of these recommendations. The Cabinet has become a truly effective vehicle for interagency collaboration and systems reform. We encourage you to use the Cabinet as the steering authority for the System of Care Implementation Committee modeled after the successful Welfare Reform and Starting RIght Committees. As described in this report, we see the Department of Children, Youth and Families (DCYF) as the lead agency staffing this committee with additional staffing commitments from each of the other executive departments that have the authority and responsibility for the delivery of health, human and educational services to our children, youth and families. System of Care Task Force Report (January 2003) 8
TRANSMITTAL LETTER With strong state-level leadership, we know that the recommendations in this report will be used as a blueprint and catalyst for developing an organized system of care for Rhode Island’s children, youth and their families. We seek your support and leadership. We look forward to discussing this with you in further detail. Sincerely, Thomas J. Izzo Senator Thomas J. Izzo Steven M. Costantino Representative Steven M. Costantino Robert L. Carl, Jr. Robert L. Carl, Jr., Ph.D., Director Department of Administration System of Care Task Force Report (January 2003) 9
Page 1: TOWARD AN ORGANIZED SYSTEM OF CARE
Page 5 and 6: TABLE OF CONTENTS TRANSMITTAL LETTE
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Page 11 and 12: PREFACE The Rhode Island System of
Page 13 and 14: EXECUTIVE SUMMARY This plan for an
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APPENDICES 61
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APPENDIX A: RHODE ISLAND SYSTEM OF
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APPENDIX D: VALUES AND PRINCIPLES F
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RHODE ISLAND SYSTEM OF CARE TASK FO
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Introduction The Current Reality Su
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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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