Region 5 OBSD Model

Region 5 CFSA Responsibility

Work with lead agency to enhance capacity to focus on the achievement of outcomes as the central driver for both case work practice and allocation of resources

Responsibility of the Lead Agency

Through engagement with family, community and CFSA to;

collaborate in assessment activity participate in conference activity and

shared decision making on outcomes develop, implement and manage plan

to achieve outcomes provide outcome measurement and

evaluation

Region 5 Phase In Site

Outcomes

OBSD Agency Video ConferenceOctober 22, 2009

Outcomes Based Service Delivery

Building on the philosophy of the Casework Practice Model of assessment, collaboration and engagement, the Outcomes Based Service Delivery initiative will support the system wide evolution of our services from thorough assessment to how the case plan and services will achieve desired child and family outcomes.

The initiative is intended to result in a service delivery system that has the capacity to measure and focus on the achievement of agreed upon outcomes as the central driver for practice, policy and management decisions.

National Outcome Measures Framework

National Outcome Measures Framework

Using the National Child Welfare Outcomes Indicator Matrix (NOM’S) as the foundation, the outcomes measurement framework attempts to expand upon the core indicators in the four domains. A collaborative relationship with contracted agencies provides the system a unique opportunity to expand upon indicators that have been historically challenging to measure. The information gathered and reported on will be used to: Inform and guide practice towards

improving outcomes for children, youth and families that we serve– using outcomes data for ongoing quality improvement

Consistently measure agency and authority performance over time

Compare agency and authority achievement of outcomes to highlight best practices and areas for attention and improvement

Safety

DOMAIN Ministry Agency

SAFETY Return to Service:Definition: This measure is intended to report on the proportion of children who return for further CI services within 12 months of having ended receiving CI services.

Recurrence of Abuse Definition: need to establish a measure here – maybe able to use critical incidentreports to document and report.

Well Being

DOMAIN Ministry Agency

WELL BEING School Performance:Definition: The measure looks at what proportion of children with an open Child Intervention file are at an age appropriate school grade level.

Child Development:Definition: The measure looks at the percentage of children whose development improved during the course of interventions from theagency.

Adolescent Development [Transition to Adulthood]

Definition: The percentage of adolescent who improved and/or have the characteristics to be successful in transitioning toindependence and are autonomous.

Permanence

DOMAIN Ministry Agency

PERMANENCE Children Remaining at Home:Definition: The measure looks at what proportion of childrenwho received ongoing childintervention services, during thereporting period, remained atwith family for up to one year ofreceiving services.

Children Returning Home:Definition: The measure looks at what proportion of childrenwho were in-care under a temporary legal authority who returned to their home

Children Remaining at Home:Definition: The measure looks at what proportion of children who received ongoing child intervention services, during the reporting period, remained at home.

Children Returning Home:Definition: The measure looks atwhat percentage of children whowere in-care under a temporarylegal authority who returned to theirfamily.

Permanence

DOMAIN Ministry Agency

PERMANENCE Children Achieving Permanency:Definition: The measure looks at the number of children with an in-care status who had an adoption or private guardianship order granted.

Moves in Care:Definition: The measure looks at the number of placement moves occur for a child in care. The measure excludes initial placements in care, return home, placements shorter than 72 hours, respite and placement in youth justice.

Children Achieving Permanency:Definition: The measure looks at the percentage of children with a permanent care status who were placed in an adoptive placement (i.e. Permanency Placement Adoption start) or private guardianship order granted.

Moves in Care: Planned and Unplanned Moves in Care: NEED AGENCY INVOLVEMENT TO CAPTURE ‘PLANNED AND UNPLANNED MOVES’

Permanence

DOMAIN Ministry Agency

PERMANENCE Time in Temporary Care:Definition: The measure looks at the average length of time a child remains in temporary care before returning to parental care.

Duration of ServiceDefinition: The length of time a specific child was provided services by the agency. Services are defined as at home and out of home. Out of home services are further defined as kinship, foster care, group care, residential treatment care and independent living.

Duration of ServiceDefinition: The length of time a specific child was provided services by the agency. Services are defined as at home and out of home. Out of home services are further defined as kinship, foster care, group care, residential treatment care and independent living.

Family and Community Support

DOMAIN Ministry Agency

FAMILY ANDCOMMUNITYSUPPORT

Community Placements:Definition: The measure looksat the proportion of aboriginalchildren, who come into care,that are placed in their ownethno-cultural community.

Community Placements: Definition: The measure looks at the percentage of children,who come into care, that areplaced in their own ethno-cultural community. This measure will report on aboriginal children and non-aboriginal childrenseparately.

Parenting:Definition: The percentage of parents whose ‘parentingcapacity’ has improved during the course of their involvement in child Intervention.

Other

DOMAIN Ministry Agency

OTHER Placement Structure:Definition: The measure looks at the average length of time a child is placed in morestructured placements, in this case, residential and group care

Client Engagement:Definition: The percentage of children, youth and families who express they feel engaged withthe agency.

In closing… The above framework is not intended to be exclusive or the

whole of performance measurement/management and does not replace accreditation and practice standards which tend to measure processes that support quality service delivery. Ideally, over time, accreditation and practice standards can evolve into those that are most strongly correlated to improved outcomes.

Principles The framework needs to build upon the contract agency’s

significant existing capacity to measure outcomes data The information needs to be relatively simple to gather and

build upon existing reporting processes and data collection systems

The Ministry, regions and agencies need to be supported by structured opportunities and processes to review outcomes data

This framework was taken from Outcomes Measurement Overview Draft Working Document September 30, 2009 and is currently still a DRAFT document.

Case Work Practice ModelCWPM

Agency PresentationOctober 2009

Learning Objectives

Enhancing your understanding of: the importance of the CWPM in

continuous improvement of outcomes for children and families;

the benefits of engagement and collaboration during case planning;

the core principles of the CWPM

Purpose The Casework Practice Model defines practice

under the Child, Youth and Family Enhancement Act for all Child Intervention Services staff and their supervisors.

The model, a result of collaborative activities, supports consistency of casework practice across the province.

The model places an increased emphasis on the assessment process; engagement with the family; and collaboration with the family and resources in their community.

Why the CWPM The CWPM was developed to support the intent of the legislation:

Shortened timeframes for children in care under a non-permanent order;

Focus on earlier permanency for children through concurrent planning processes;

Increased expectations by the Ministry and the Court system to engage parents in assessment and case planning;

The use of a differential response in screening reports for possible intervention services and subsequent service delivery;

The definition and provisions of effective supports for youth transitions

Will bring consistency to casework practice across the province and aligns practice with the Enhancement Act

Supports what front line workers have indicated they want in terms of best practice application through collaboration, assessment, and engagement activities.

Intended Outcomes Children will experience shorter time in care

(better more thorough assessment leads to more informed decision making

Shorter timeframes for involvement with the Director

Families will access community supports sooner

Supports provided will align with families needs

Reduce recidivism with our system (i.e. less often coming back to us)

Intake

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Safety Phase

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Detailed Phase

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Ca

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Family Enhancement Services

Protective Services

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Assessment

Max 5 working days Max 10 working days Max 30 working days

Every 3 monthsor as required by legal authority

or case plan

Decisions that require supervisory consultation and approval

Decision Does the report suggest intervention is required?Action taken: Recommend assessment or investigation Safety Phase – Assessment Safety Phase – InvestigationDocumentation: Complete Screening form and show recommended action

Decision 2: Is the child in need of intervention?Action taken: Close Close with referral Detailed assessment Protective services (e .g . apprehension)Documentation: Complete Safety Assessment Record

Decision 3: Is the child in need of intervention?Action taken: Close Close with referral Family Enhancement Services Protective Services (if preceded by Investigation)Documentation: Complete Detailed Assessment Record

Decision 4: Is the child still in need of intervention?Action taken: Family Enhancement Services continued Protective Services continued Close Close with referralDocumentation: Review and update Assessment Record Revised case plan if case remains open

Decision 5: Does the child or family want a Resource Information Record?Action taken: Close Close with referral Close file with a Resource Information RecordDocumentation: Document reason for closure

Closure

Model Diagram: Overview of the Casework Practice Model March 2008

1:

Safety Phase Assessment Safety phase includes investigation and assessment as

related to Section 6 of the Child Youth and Family Enhancement Act. Policy has been developed to direct which approach workers will take in this phase of assessment activity. Policy for safety phase is highlighted in 3.4 and 3.5.

This phase is about assessing the child’s safety

There are three domains assessed during this phase (child development; parenting capacity and environmental/family factors

Determine also whether the “child is in need of intervention”

The Assessment RecordThe Assessment Record

ChildSafeguarding

and promotingwellbeingC

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Parenting C

apacity

Family and Environmental Factors

Detailed Phase Assessment Detailed phase is 30 days and now includes a

mandatory case conference/case transfer activity that must be completed.

Assessment continues to build on the three domains

Collaborative practice is emphasized through the mandatory case conference and case plans

Consultation with the supervisor is critical to strengthen analysis and the recommended direction for intervention

Detailed phase cont’d Collects additional information from the child, family,

collaterals and others as needed

Explores the families strengths (protective factors) and risk factors

The child’s developmental progress

Parental capacity

Environmental factors affecting the child’s need for intervention and the type of service required.

The detailed assessment phase builds on information gained at intake and during the safety phase to provide a sound basis for determining a child’s intervention needs and case planning

Intervention Phase

Continued assessment and analysis are required for ongoing intervention

Case plan outcomes are an important source of assessment information

Case conferencing is not mandatory in this phase of assessment but it is strongly recommended

Assessment information gathered during this phase of the Model is added to assessment information gathered during safety and detailed assessment phases.

If the child is in care then use the “In-care Assessment Record” (make note to review this as this is being recommended for change)

Review during intervention is to occur every three months

Closure Phase The Closure Phase provides the opportunity to review the

family’s progress through the case plan in light of child in need of intervention concerns

Here you assess the continued need for intervention services and supports that could be provided within the community

Document the final analysis as related to need for intervention and supported reasons for closure

Closure can occur at any of the following four phases of the Model Intake Safety Phase Detailed Phase Intervention Phase

CWPM Fundamentals

Collaboration Engagement

Assessment

Child-Focused Family-Centred

CriticalThinking

CWPM Fundamental

The CWPM is based on six core fundamentals as follows: Engagement Collaboration Assessment

The other three fundamentals are well known to workers as well and really focus on practice frameworks and are often seen in the way a worker approaches the child, family and their casework supervision. These are: Child Focused Family Centered Critical Thinking

Engagement

Engagement sows the seed for future collaborations.

It is not a separate or distinct activity but part of a three part process that includes assessment and collaboration.

Collaboration Numerous formal and informal partners working

together, explicit about what each is getting from their temporary alliance with others;

Flexibility in how resources are shared, when sharing is possible;

Honest efforts to represent the less powerful views of those with whom we work ;

Understanding that resistance to rules and procedures can be useful;

Encouragement of others to seek solutions that promote social justice (e.g., challenging funding formulas, promoting kinship adoptions, developing culturally appropriate case plans).

Assessment

Assessment = Information Gathering x Analysis

Assessment is a process to obtaining and analyzing information through interviewing, observation and interpreting primary data sources.

Analysis is a process to search for understanding, by taking things apart and studying the parts.

Four Principles of Assessment

Principle Three: Assess all those involved The scope of our assessment determines who will

assume responsibility for change; Assessment is an opportunity to engage others in

analysis of problems and discussion of preferred solutions;

Families and individuals, schools, our agency and funders should all be assessed in order to explore what resources are realistically available and accessible;

What we can achieve depends on the structures around us (e.g., our agency’s mandate to respond, flexibility in program design, funding for alternatives).

Child Focused

The Child is always the focus of the assessment.

Child or youth’s perspective is always taken into consideration

Direct contact with the child is a must!

The safety of the child must be ensured.

Family Centered

FamilyCentredService

CollaborationFull Disclosure

Empathy

CommunityPartnerships

TransparentDecision - Making

Strengths - Based

Respect

Individualized ServiceFocusing on:ResourcesOptionsPossibilitiesExceptionsSolutions

Helping to “connect the dots”Open, participatorydecision-making

Jointly reviewing optionsSeeking mutuallysatisfactory solutions

Listening to the family'swishes and prioritiesAccepting cultural diversitySensitive to the family'scoping style

Building communitysupports andassisting in servicecoordination

Explaining programbenefits in commonunderstandable termsOutlining what canand cannot be done

Vicariously experiencingfamily’s feelings,motivation, or ideas

Developing serviceplans that detail:• Needs • Outcomes• Criteria• Procedures• Timelines

Mandatory Case Conference

Requires a level of engagement with the family

Ensures collaboration with agencies and family

One plan for all involved to know their role (support or tasks)

Child focused

Improved Outcomes for Children and Youth and Families Supporting vulnerable children to live successfully in community Children in Temporary Care will be re-united quickly with family Children in Permanent Care will be placed in permanent homes more quickly Youth transitioned to Adulthood successfully Aboriginal children will live in culturally appropriate home

Philosophical Framework

Entrenching Our Goals in Legislation

Providing the Framework and Tools

Outcome Based Services (O.B.S.)§ Performance Measurement§ Collaborative Approach to Service Delivery§ Evidence-based Management

Agency &

CommunityPractice

ACYS

Practice

Shared

Practice

§ Safety§ Permanency§ Child well-being§ Family & community

connections

PRACTICE

Child, Youth and Family Enhancement Act

§ Differential Response§ Strengthen family & community

involvement§ Strengthening Aboriginal Involvement§ Strengthening Permanency

Casework Practice Model (CWPM)

§ Assessment§ Collaboration§ Engagement

Alberta Response Model

§ Community Engagement§ Differential Response§ Permanency Planning§ Outcomes Evaluation

Improved Outcomes for Children and Youth Flowchart

Version 5 - February 25, 2009

Region 5 East Central Alberta

Child and Family Services

Outcome Based ContractingRequest For Proposal Overview

What is Outcomes Based Contracting?

This is performance based contracting and can be generally defined as:

A model that focuses on outputs, quality, and outcomes of service provision and may tie at least a portion of a contractor's payment, as well as contract extension or renewal, to their achievement

CFSA Organization/Agency will continue to hold a contractual business relationship but the CFSA case worker/Agency staff worker relationship will be collaborative

Predominant Benefit to Agencies

Flexible funding mechanisms Potential for longer term funding

commitments Ability to internally measure performance Engagement with the broader system as a

partner Ability to reinvest committed dollars into

programming Increased communication between agency

and CFSA Case Workers

Overview of Request For Proposal

The RFP has a very formalized format with a prescriptive process. There are many pieces to this process and as you can see below it is very detailed. I want to give you a brief overview of each piece, as once the RFP is posted on the Alberta Purchasing Connection you will be able to download all the related documents needed to complete this process.

General This would be a an overview of the process

Legislated Requirements Proponents must know and abide by all relevant

federal, provincial and municipal laws.

RFP Overview cont’d

Project/Service Information Introduction Background Project/Service Objectives Description of Deliverables Reporting Requirements Project/Service Duration Project/Service Scope Budget

RFP Overview cont’d

Tender Process and Submission Guide RFP Information Session Proposal Format Proposal Submission Requirements Evaluation Criteria

Evaluation Evaluation Criteria Evaluation Process Interviews

RFP Overview cont’d

Additional RFP Administration Terms and Conditions Additional Stipulations The Contract Subcontracting Insurance Copyright Contract Information

There will also be several appendix that will part of the RFP process and will be available through the Alberta Purchasing Connection (APC) once the RFP has been posted

Accessing RFP

Request For Proposal information can be accessed through Alberta Purchasing Connection (APC) @ www.purchasingconnection.ca

Next Steps

General Information and Key dates

Posting of RFP on the Alberta Purchasing Connection on November 16, 2009

Mandatory public meeting for all interested proponent scheduled for November 23, 2009

RFP closing on December 14, 2009 at 12 noon Public Opening of Proposals –Wainwright CRC

Boardroom at 1:30pm on Dec 14, 2009 Successful proponent announced and posted on

Alberta Purchasing Connection on December 18, 2009

Start up date January 1, 2010

Improved Outcomes for Children and Youth and Families Supporting vulnerable children to live successfully in community Children in Temporary Care will be re-united quickly with family Children in Permanent Care will be placed in permanent homes more quickly Youth transitioned to Adulthood successfully Aboriginal children will live in culturally appropriate home

Philosophical Framework

Entrenching Our Goals in Legislation

Providing the Framework and Tools

Outcome Based Services (O.B.S.)§ Performance Measurement§ Collaborative Approach to Service Delivery§ Evidence-based Management

Agency &

CommunityPractice

ACYS

Practice

Shared

Practice

§ Safety§ Permanency§ Child well-being§ Family & community

connections

PRACTICE

Child, Youth and Family Enhancement Act

§ Differential Response§ Strengthen family & community

involvement§ Strengthening Aboriginal Involvement§ Strengthening Permanency

Casework Practice Model (CWPM)

§ Assessment§ Collaboration§ Engagement

Alberta Response Model

§ Community Engagement§ Differential Response§ Permanency Planning§ Outcomes Evaluation

Improved Outcomes for Children and Youth Flowchart

Version 5 - February 25, 2009