SVS Supportive Visitation Services

Bidders Conference REQUEST FOR PROPOSAL Pilot of Supportive Visitation Services (SVS) in Atlantic County December 20, 2017 Bidders Conference Welcome/Introductions Purpose Background Services to be Funded County Placement Data Questions and Answers

2 Purpose Goal: Increase availability of high quality supportive visitation services Expand SVS Pilot into Atlantic County (One provider) Note: Providers with existing contracts to provide visitation services to CP&P in Atlantic County MUST apply and be selected for this opportunity in order to continue providing visitation services. 3 DCFs Operating Areas New Jersey Department of Children & Families Childrens System of Care

Child Protection & Permanency Clinical Services Adolescent Services 4 Family & Community Partnerships Division on Women How CP&P Serves Children and Families

Internal Case Practice Model External Purchased Services 5 CP&P External Purchased Services New Jersey Department of Children & Families Childrens System of Care Child Protection & Permanency Clinical

Services Adolescent Services Family & Community Partnerships Office of Strategic Development 6 Division on Women Federal and State Convergence Field and funding is moving towards the integration of evidence-based models DCF Strategic Plan Priority - continue to transition service array to research and evidence-supported service models

using an implementation science framework approach DCFs Office of Strategic Development is charged with modernizing the service array by applying the best available evidence and developing solutions to address the needs of children, youth and families. 7 CP&P External Purchased Services 864 providers in the community that we purchase services from Core Services Purchased: Supportive Visitation Services Family Preservation Services

Mental Health Treatment Assessment and Evaluation Supportive Housing Substance Use Disorder Treatment 8 What does DCF contract for? Types of CP&P Visitation Providers Therapeutic Visitation Supervised Visitation An intensive program which Contact between parents and their children in out-of-home care while in the presence of a specially trained professional who is actively involved in promoting change in parent/child relationships.

combines family therapy and parent training within a consultative model of service delivery that is both educationally and therapeutically based. Includes parenting instructing pre- and post-visitation (Anne Henley, Director, Family Solutions, VA) 9 Why look at visitation? CP&P core service Challenges Opportunity to move towards evidence What does the literature, policy and practice say? 10

Literature Review Why is family time important? Child Welfare Outcomes: Increase the likelihood for reunification Reduce placement lengths of stay Decrease chance of re-entry Child Well-Being Outcomes: Lower levels of anxiety & depression Exhibit fewer behavioral problems High well-being ratings & adjust well to placement The visit environment plays a crucial role in supporting positive family interactions. Home-like and other supportive settings are preferable. 11 Weekly visits are the target. But bonding is still challenging even if targets are achieved. Comparison of time with parent & without if target 1 hour per week

Total hours per week = 168 Once a week is standard practice in most places. % of time with parent with 1 hour weekly visit; 2; 1.19% But its difficult to bond in only one hour a week. % of time not with parent; 166; 98.81% 12 CP&P Policy: Visitation - NJAC 10:122D-1.1 (a) each childshall have the opportunity to visit with parents, siblings and interested

relatives. (b) Visits that are frequent and of long duration are beneficial and facilitate movement toward achievingpermanency. the goal is to hold a visit every week for a period as long in duration as possible. 13 Policy meets Practice Recommendations for visitation from area/local CP&P. Safety Documentation/ Communication Transportation

Cancellation/ Rescheduling Policy Program Hours Case Goal Restrictions 14 What we learned from the literature and existing practice. Family time is critical No off-the-shelf evidence-based or evidencesupported visitation model available CP&P contracts separately for therapeutic and supervised visitation Type of visitation a family receives is based on CP&P and court order or service availability How can we make it better?

15 A Visitation CONTINUUM Includes assessment that drives visitation level(s) to meet family needs. Supervised Visitation: Relatives/Community Partners Supervised Visitation: Contracted Providers/ CP&P Child is Reunified/ Discharged from Placement No Visitation/ Unsafe

Unsupervised Visitation Therapeutic Visitation: Clinical 16 DCFs Vision for Original Pilot (2015) Restructured Supportive Visitation Services Collaborative Assessment, Planning and Reassessment Processes Visitation Continuum & Post-Reunification Supports Under One Program In-Home/In-Community Visits Flexible hours (evenings, weekends and holidays) Transportation NJS Documentation 17 Restructured Supportive Visitation Services Implementation - Phase 1

Original SVS Pilot - 2015/2016 Two Catchment Areas: Morris and Sussex Counties Passaic County One grantee for both areas Principles of Active Implementation 18 Active Implementation Formula for Success Effective Practices Effective Implementation Enabling Context

Phase 1 Logic Model Teams Practice Profile 19 Improved Outcomes Enabling Context SVS Pilot Teaming Structure Visitation Implementation Team Visitation Model Design

Team Develops visitation practice model Identifies and secures supports for the model Visitation Operations/ Systems Team Communication and feedback loops between CP&P and implementing agency Define referral and billing processes 20

Visitation Evaluation Team Provides input on process and outcome evaluation Develops reporting structure Effective Practices SVS Pilot Program Model Components Visitation Planning Process Initial Intake Assessment Visitation Planning Meeting

Supportive Visitation Services along Continuum Ongoing Family Reassessments Post-Reunification Services (Aftercare) Systems Collaboration and Coordination 21 Effective Practices SVS Pilot Practice Profile Components Guiding Principles Essential Functions

Collaborative Supportive Flexible Family-driven Community-based, least restrictive Promotes well being Trauma-informed

22 Engaging Assessing Active listening Teaming Therapeutic intervening Coaching Active Implementation Moving into the Next Phase Effective Practices Effective Implementation Enabling Context Phase 2

Competency Drivers Data 23 Improved Outcomes Effective Implementation SVS Pilot Implementation Supports Enabling Context Capacity to implement SVS program model: Staffing Model

Training Plan Coaching/Supervision Evaluation, Data Collection and Reporting Quality Improvement Practices 24 Enabling Context SVS Pilot Funding Fee-for-service model $146.10 for each hour in-person time Includes initial intake assessment, visit planning meetings, supportive visitation services, pre-visit meetings and post-visit debriefs, and aftercare services. Paid via K-100 5% of program director and senior leader salary for agency staff to actively participate in teaming

activities Advance funds to cover gradual startup of services/initial billing delays 25 CP&P Placement Data Atlantic County Children in OOH Placement, By Local Office Source: DCF 2017 250 229 200 150 123 100 50 0

Atlantic East LO Atlantic West LO 26 CP&P Placement Demographics Atlantic County Age of Children in OOH Placement in Atlantic County Source: DCF 2017 200 180 160 140 120 100 80 60 40 20

0 179 95 49 29 0 to 5 Years 6 to 10 Years 27 11 to 13 Years 14+ Years CP&P Placement Demographics Atlantic County Race/Ethnicity for Children in OOH Placement in Atlantic County Source: DCF 2017

Note: Other includes Asian or Native Hawaiian/Other Pacific Islander. 200 180 160 140 120 100 80 60 40 20 0 181 165 90 4 Black

White Hispanic 28 Other CP&P Placement Data Atlantic County Case Goal for Children in OOH Placement in Atlantic County Source: DCF 2017 180 160 140 120 100 80 60 40

20 0 168 163 21 Adoption Reunification Unknown 29 16 14 Independence

KLG 3 Long-Term Care CP&P Placement Data Atlantic County Case Goal for Children in OOH Placement in Atlantic East LO Case Goal for Children in OOH Placement in Atlantic West LO Source: DCF 2017 Source: DCF 2017 Adoption 1 Long-Term Care 1 Long-Term Care 2 KLG 2 Unknown 8 Independence 5

Independence 11 Unknown KLG 12 Reunification Reunification 103 Adoption 30 13 60 167

SVS Atlantic RFP Questions and Answers 1st Answer submitted questions 2nd Answer questions from attendees Have technical inquires about forms and other documents? Email [email protected] anytime. 31 Proposal Deadline Reminder Bids are due on January 17, 2018 at 12:00 P.M. 32

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