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How To Create Behavior-Based, Safety-Focused Case Plans

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Page 1: How To Create Behavior-Based, Safety-Focused Case Plans · How To Create Behavior-Based, Safety-Focused Case Plans . Riverside County Department of Public Social Services Children’s

How To Create Behavior-Based, Safety-Focused Case Plans

Page 2: How To Create Behavior-Based, Safety-Focused Case Plans · How To Create Behavior-Based, Safety-Focused Case Plans . Riverside County Department of Public Social Services Children’s

Riverside County Department of Public Social Services

Children’s Services Division

Crystal Shackleford, Assistant Regional Manager

Sylvia King, Assistant Regional Manager

Noelia Sanchez, Children’s Social Services Supervisor

Jennifer Costello, Children’s Social Services Supervisor

Page 3: How To Create Behavior-Based, Safety-Focused Case Plans · How To Create Behavior-Based, Safety-Focused Case Plans . Riverside County Department of Public Social Services Children’s

Family Tool Purpose: To engage families in the

creation of a meaningful case plan directly related

to building safety in the home in order to increase

likelihood of safe and timely reunification

o Divided into sections that align with the Safety Threats/Dangers

Child and Youth Tool Purpose: To engage youth in building

case plans that are relevant and meaningful to ensure that

their safety, well-being, and permanency needs are met

o Divided into sections that align with the SDM Child Strengths and

Needs Assessment

Page 4: How To Create Behavior-Based, Safety-Focused Case Plans · How To Create Behavior-Based, Safety-Focused Case Plans . Riverside County Department of Public Social Services Children’s

Our hope to achieve:

o Increased client engagement

o Increased timely reunification

o Decreased re-entry

o Increased social worker satisfaction, happiness, fulfillment

Page 5: How To Create Behavior-Based, Safety-Focused Case Plans · How To Create Behavior-Based, Safety-Focused Case Plans . Riverside County Department of Public Social Services Children’s

Caregiver Substance Abuse

Solution Focused Questions

o What are we worried about?

• If your children were here right now and were able to speak about this, what

would they say worries them about your drug use?

o What is working well?

• What have you done in the past to keep your children safe when you were using?

o What needs to happen?

• Imagine that it is six months from now and you have found a way to parent your

children without using any drugs or alcohol. What would that be like for you?

• How do you imagine you would have accomplished this? What would have been

the very first step?

Page 6: How To Create Behavior-Based, Safety-Focused Case Plans · How To Create Behavior-Based, Safety-Focused Case Plans . Riverside County Department of Public Social Services Children’s

Possible Safety Actions

o Child Safety

• Your child and members of your child’s safety network report that you have

stopped using drugs/pills/drinking alcohol around your child

o Safety Network Support

• (Network member) will make a “code word” with the child so that if the child uses

that word it will signal that he/she is worried about something.

Suggested Services to Achieve Safety Objectives

o Narcotics Anonymous and/or Alcoholics Anonymous meetings, including

getting a sponsor and working through the 12 steps.

Page 7: How To Create Behavior-Based, Safety-Focused Case Plans · How To Create Behavior-Based, Safety-Focused Case Plans . Riverside County Department of Public Social Services Children’s

The County

Families

Social Workers

Page 8: How To Create Behavior-Based, Safety-Focused Case Plans · How To Create Behavior-Based, Safety-Focused Case Plans . Riverside County Department of Public Social Services Children’s

Case Plan Field Tool Region Workgroup

o Focus

o Goals

o Structure

o Learning

Page 9: How To Create Behavior-Based, Safety-Focused Case Plans · How To Create Behavior-Based, Safety-Focused Case Plans . Riverside County Department of Public Social Services Children’s

Trauma Informed Practice

Therapeutic Alliance

Assessment with Families

Safety is not Services

Page 10: How To Create Behavior-Based, Safety-Focused Case Plans · How To Create Behavior-Based, Safety-Focused Case Plans . Riverside County Department of Public Social Services Children’s

Continuing the work outside the workgroup…

o Understanding behavior driven case plans

o Benefit of service vs. completion of services

o Utilizing the case plan as our guide

Page 11: How To Create Behavior-Based, Safety-Focused Case Plans · How To Create Behavior-Based, Safety-Focused Case Plans . Riverside County Department of Public Social Services Children’s

Pre-Implementation

SDM Safety Assessments completed for 85%, FSNAs for 95% of cases

62.5% of case plans had objectives aligned with reducing threats

0% of case plans included actions related to reducing all threats

15% of case plans included caregiver names

25% of case plans included child names

2% of case plans provided evidence of a safety network

Post-Implementation

SDM Safety Assessments and FSNAs completed for 96.7% of cases

81% of case plans had objectives aligned with reducing threats

41% of case plans included actions related to reducing all threats

70% of case plans included caregiver names

43% of case plans included child names

43% of case plans provided evidence of a safety network

Page 12: How To Create Behavior-Based, Safety-Focused Case Plans · How To Create Behavior-Based, Safety-Focused Case Plans . Riverside County Department of Public Social Services Children’s

Case Plan Field Tool being used as designed to

incorporate safety-focused approach

Case plan quality has improved

Increased:

o identification of safety objectives aligned with safety threats

o identification of safety actions to reduce child safety threats

o use of caregiver and child names as an indicator of

engagement

o documentation of safety networks

Page 13: How To Create Behavior-Based, Safety-Focused Case Plans · How To Create Behavior-Based, Safety-Focused Case Plans . Riverside County Department of Public Social Services Children’s

Pre-Implementation

85% of the cases had one or more subsequent referrals

17/20 cases with referrals

Range of 1-10 subsequent referrals o 8 cases with 1 referral

o 2 cases with 2 referrals

o 1 case with 3 referrals

o 2 cases with 4 referrals

o 4 cases with 6-10 referrals

Post-Implementation

43% of the cases had one or more subsequent referrals

13/30 cases with referrals

Range of 1-4 subsequent referrals

o 4 cases with 1 referral

o 5 cases with 2 referrals

o 4 cases with 4 referrals

Challenges included study design and data collection/interpretation

Page 14: How To Create Behavior-Based, Safety-Focused Case Plans · How To Create Behavior-Based, Safety-Focused Case Plans . Riverside County Department of Public Social Services Children’s

Multiple regional champions emerged

Work satisfaction increased

Clearer role and work direction for social workers

Expectation of behaviorally driven case plans solidified

Page 15: How To Create Behavior-Based, Safety-Focused Case Plans · How To Create Behavior-Based, Safety-Focused Case Plans . Riverside County Department of Public Social Services Children’s
Page 16: How To Create Behavior-Based, Safety-Focused Case Plans · How To Create Behavior-Based, Safety-Focused Case Plans . Riverside County Department of Public Social Services Children’s
Page 17: How To Create Behavior-Based, Safety-Focused Case Plans · How To Create Behavior-Based, Safety-Focused Case Plans . Riverside County Department of Public Social Services Children’s

Crystal Shackleford, MSW

951-509-8111

[email protected]

Children’s Research Center

Peggy Cordero

[email protected]