PROVIDENCE SERVICE CORPORATION OF

TEXASSingle Source Continuum

ContractorFor

Foster Care Redesign

Mission

We deliver exceptional value by creating healthy communities through exceptional people working side by side.

“Human Services Without Walls”

Providence Service Corporation

Established in 1996 to develop community-based services for children and youth, as an alternative to institutional care.

Providence Service Corporation (PSC) of Texas

PSC of Texas started services in 1998 Wholly owned subsidiary of Providence

Service Corporation Contracts with North Star, Juvenile

Probation, STAR Health / Cenpatico, and DFPS

Services include Intensive Home-Based Services, Functional Family Therapy, child and family counseling services, psychiatric care, Foster and Adoption Services

Single Source Continuum of Care (SSCC)

Core Values

Community-based care and multi-systemic services

Identifying and building on client strengths

Local viability with national support Respectful organizational climate Best practice models Cultural diversity

Principles of Service Delivery

Child Safety

Urgency of Action

Common Sense

Transparency and Accountability

Responsiveness to the Community

Principles Continued

Efficiency

Ethical

Family-Centered Focus

Culturally Competent and Respectful Practice

Service Integration

Evidence Based Practices

DFPS Regions 2 and 9

SSCC Outcomes

Children will be safe in their placements. Children will be placed in their home

communities. Children will be served in least restrictive

environments that support minimal moves.

Connections to family and others important to the child will be maintained.

Children will be placed with siblings.

Outcomes Continued

Services will respect the child’s culture. To be fully prepared for successful

adulthood, children and youth will be provided opportunities, experiences, and activities similar to those experienced by their non-foster care peers.

Children and youth will be provided opportunities to participate in decisions that impact their lives.

Timeline

February 1 – August 2013 Contract Start-up and Development Phase

August 27: Emergency Referrals and Placement Changes / Implementation of Services to Children

October – April, 2014: Legacy Transitions

Start-Up Phase / System Development

Collaborative Partnerships with DFPS

Credentialing and contracting with providers

Provider Council

Provider and SSCC Operations Manual

Community Advisory Council

System Development Cont’d

Collaboration with Courts, CASA’s and Schools

Coordination with STAR Health / Cenpatico

Cooperative efforts with Advisory Committee on Promoting Adoption of Minority Children and Faith-Based Initiatives

Strategic Foster Home Recruitment

SSCC Model

Intake and Assessment CoBRIS Matching System CAFAS and JIFF Wraparound and Behavioral Health

Services Trauma Informed Care Quality Assurance Plan Utilization Management Performance Based Contracting

Intake and Assessment

Centralized intake and referral process (24/7)

Community Based Resource Information System (CoBRIS) by Five Points Technology

Child Locator with Foster Home Matching (GPS overlay re: child removal data and foster home locations, preferences, capacity, etc.)

Linkage with Texas CLASS and bed vacancy database by Provider Network

Daily import / update of IMPACT information

Child and Adolescent Functional Assessment Scales (CAFAS)

Automated, empirically-based assessments for tracking outcomes, with over 20 years of reliability and validity research

Real-time data; interpretive assessment results with recommended treatment plans.

Drop-down menus of Provider specialties Features comprehensive dashboards,

case and aggregated data User-friendly guides for client and clinical

data entry

Wraparound and Behavioral Health Services

Strong Partnership with STAR Health / Cenpatico

Clinical assessments to support case planning, track developmental, clinical, and social improvements

Encouragement of Provider Network to develop Medicaid eligible services

Development of community-based alternatives to support basic and therapeutic foster homes

Trauma Informed Care

Partnerships with National Child Traumatic Stress Network, the National Council of Behavioral Health, and Cenpatico

Use of Corporate University of Providence online training tools for Provider Network staff and foster parents re: Trauma Informed Care

Involvement with DFPS Trauma Informed Care Workgroup

Engagement of universities in Texas with trauma informed care expertise

Quality Assurance Plan

Data-Driven Decision Making The CoBRIS service management

software will track child and family demographics, child assessments and service encounters, clinical interface with Provider systems

Adherence to Residential Child Care Licensing requirements and COA standards

Risk Management tracking, incident reporting, restraint documentation, etc.

Quality Continued

Performance Measurement and Outcomes Management

Provider Council review of service trends and quality reports

Peer Reviews Disruption Mitigation Committees Root-Cause Analyses Service Benchmarking Stakeholder interviews and engagement

Utilization Management

Focus on efficiency and effectiveness of service quality, duration, and intensity

Maintenance of directories of community resources

Matching appropriate services that fit unique strengths and service needs of children and families

Costs of care reporting; outlier and trend analyses

Coordinated, timely reviews of authorized services

Transition Challenges

Scarcity of Foster Care Resources Higher Levels of Care and Emergency

Shelter Placements Disruptions in Care Distances in Regions 2 / 9 Out of Region Placements Shifts in Roles / Responsibilities Multiple Systems of Care

Child Welfare System Web

Projections for Near-Term Future

Expansion of Placement Resources Expansion of Wrap-Around Services Community Engagement and

Support New Rates Structure for Providers Culture Change in System

Transformation Next Stages of Implementation

Evaluation and Outcomes

http://www.dfps.state.tx.us/documents/about/pdf/Legislative/2014-02-27_Rider29.pdf

University of Texas-Austin (UT) Institute for Organizational Excellence, and the Child and Family Research Institute

University of Chicago Chapin Hall

Information on Providence

www.ProvidenceKids.net (Texas) www.ProvCorp.com (US and

Canada)

Robert Hartman Providence of Texas, Executive Director Single Source Continuum of Care, Texas

rhartman@provcorp.com Cell (713) 208-5435 Office (325)232-8530