Coordinating Services for Parents and Children Barbara Dude

Coordinating Services for Parents and Children Barbara Dude Family Services Administrator Lexy Gallant Family Preservation Coordinator Agenda Overview of Tlingit & Haida services and In-Home Case Management Model Demonstration of Structured Decision Making for family prevention services Discuss the successes and challenges of collaboration and service delivery Questions Southeast Traditional

Tribal Values Endorsed by our Elders Reflects basic human needs Restoring the balance of tribal peoples Tlingit & Haida Family Services Tlingit & Haida offers many family related services to support our tribal families. Easy access to professional, respectful services is our commitment. Our goal is a community of healthy families invested in the future of their Tribe. We Offer: Tribal Child Welfare Child Care Elderly Services Employment & Training Wellness (Suicide Prevention, DV support)

Financial Assistance -Cultural Camps -Totem Pole Raising -Girls on the Run -Language -Aunties House -Potlatch -Cultural Practices -Elders -Songs -Memorials -Subsistence -Dance -Beading -Stories Haa Kusteeyix Sitee

-Burial Assistance -Housing -Food banks -TANF -Love, Inc. -WIC -St. Vincents -Churches -Food Distribution -Section 8 -Commodity -Energy Asst. -SSI/SSDI -Child Care TFYS Involvement in a Child Welfare Case Prevention/ Early

Intervention CPS Investigation In-Home Services Removal Permanency Guiding Principles

Tlingit & Haida child welfare services are committed to Alaska Native families TFYS staff collaborate with other Tlingit & Haida tribal programs and with non-tribal community agencies Out-of-home placement is prevented whenever possible Careful planning for out-of-home care Parents can learn effective parenting techniques and strategies TFYS staff recognizes historical trauma Structured Decision Making Prevention Services Model Why Prevention Services for TANF Families? TANF applicants are at high risk for future child maltreatment (estimates between 20-60%) Providing additional supports and services can strengthen families before problems become severe Prevention services are limited and need to be targeted to families at greatest risk

SDM Prevention Services Assessments Use research to inform assessment process Provide workers with reliable, valid, equitable and useful assessment tools Provide managers with data to improve planning, evaluation and resource allocation SDM Assessments Likelihood of future harm Open prevention services case or traditional TANF

At initial in-person contact Screening Assessment Family/Child Strengths and Needs Assessment Identify family/child strengths and needs Prioritize services in prevention service plan At the family team meeting Likelihood of future harm

Continue with services or close the prevention services component Every 90 days Screening Reassessment Screening Assessment What is the likelihood of future harm? Components Child Neglect Risk Factors

Child Abuse Index Scored Risk Level Overrides Should prevention services be provided? What intensity of service is required? Components Family/Child Strengths and Needs Assessment What are the priority needs that

should be addressed in prevention service plan? Caregiver domains Child domain Prioritizatiom What existing strengths can be used to address needs? Components Screening Reassessment

What is the likelihood of future harm? Static risk factors Current conditions Progress toward case plan Should prevention services be closed or extended? If extended, what

intensity of service is required? Web-based System Data Report Totals Result Count % Substance Abuse/ Use 9 12% Household Relationships

8 11% Social Support System 11 15% Parenting Skills 13 18% Mental Health/ Coping

27 38% Resource Management/ Basic Needs 26 36% Cultural I dentity 3 4% Physical Health 3

4% Child Characteristics 27 38% Other Need Area 4 6% No Needs I dentified 11

15% Total Assessments 72 Successes and Challenges to Service Delivery Assessment tools easy to use and help guide workers in building plans Provides Structure Families access services when they are in crisis Trust and relationship with their caseworkers Family identifies their strengths and help build case plans Strength based and client driven

Wrap around services provided to the family Collaboration with TANF staff, the family and other service providers Successes and Challenges to Service Delivery TANF turnover and buy in to the program Difficulty getting referrals Attendance to joint training is low Families dont keep appointments with caseworkers

Causes delays in timeline requirements Only seek caseworker assistance in times of crisis, not day to day SDM Prevention Services Model Summary Screen families who are applying for TANF services Offer prevention services to those who will benefit the most (high or very high risk families) Assess strengths and needs of families to identify appropriate services With family, develop a prevention services case plan to address priority needs

For More Information: Tribal Model: Lexy Gallant [email protected] SDM Tools: Kate Beier, NCCD- Childrens Research Center [email protected]