an overview georgia program improvement plan - Department of ...

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The CPRS has been enhanced to capture data reported from the Multi-Disciplinary Team Meeting. Approved FP/BP assessment providers access the CPRS system and enter the MDT date and service recommendations for the child and family. The reporting functionality has not been realized. Item 23 Mental Health of Child: A work group was established that included representation from the Division of Mental Health, Mental Retardation and Substance Abuse (MHDDAD), the Office of the Child Advocate, the Douglas County Juvenile Court, the Devereux Treatment Network, DFCS Evaluation and Reporting Section, DFCS Information Technology Section, and the DFCS Social Services Section. The QCR rated this indicator a strength in 90% of the applicable records. Item O is composed of three goals. Of the twelve action steps, eleven are achieved. The first goal, Identify or develop a uniform process to ensure that children have access to a statewide mental health assessment that is timely and comprehensive, consists of five action steps. All five steps were achieved. The accomplishments for each action step are as follows: 1. The use of the First Placement Best Placement (FPBP) Assessment was expanded to include the gathering and tracking of information on mental health assessments. 2. Fields were added to the Case Plan Reporting System (CPRS) to track dates of mental health assessments. The Qualitative Case Review (QCR) process added an additional level of oversight to tracking the completion of mental health assessments. 3. A multi-agency work sub-group (Mental Health, Physical Health, and DFCS) was established and selected appropriate assessment instruments. 4. The development and implementation of a protocol to share mental health information. Health Insurance Portability and Accountability Act (HIPAA) regulations were developed and disseminated to the field. 5. Supervisory tool in CPRS was developed and made available on line to assist in ensuring that mental health assessment findings are followed. The second goal, Case managers have the capacity to work closely with children and families in order to ensure sustained access to needed treatment resources, consists of one action step. This step was achieved. 1. Both the case manager’s and the supervisor’s Performance Management Plan (PMP) were revised to include focus on the mental health needs of the child and family as noted in the FPBP assessment. This Performance Management Plan (PMP) is in effect for State FY 2005, 7/04 – 6/05. The third goal, Development of a statewide vision for coordinated service delivery system to children and families, consists of six action steps. Five action steps have been achieved. 2. Resource lists and web sites for services across the state have been identified. 3. CPRS has been amended to allow provider and juvenile court web entry of assessment information. Pilot sites for this function have been selected and trained. Information is being entered beginning in 8/04. Safe Futures – A Plan for Program Improvement Georgia Department of Human Resources November, 2004 Quarter 8 – Table of Contents Page xviii
4. In addition to the information being gathered from the LOC system regarding both service gaps and geographical needs, efforts are underway in several other arenas to concentrate on the identification of service gaps. The Office of the Child Advocate has completed a study on counties “most in need”. MHDDAD has completed a services mapping project regarding services for children/adolescents and families. A vendor is being selected to complete a services gap analysis from this information. DFCS is collecting data on the use of wraparound and family preservation services. CPRS has been mandated; training is complete. 1. Required field of “date of last psychological assessment” has been added to the CPRS. 2. Level of Care (LOC) system has been implemented. Overall summary of accomplishments for Item 23: 1. CPRS is in place with multiple enhancements to assist in ensuring that mental health services are tracked. 2. Additional tracking of the quality of mental health services is provided through the QCR process. 3. Case managers and supervisors PMP include responsibilities regarding mental health services to children and families. 4. LOC system implemented across the state. Items 35 – 37 State has in place an array of services that assess the strengths and needs of children and families and determine other service needs, address the needs of families in addition to individual children in order to create a safe environment, enable children to remain safely with their parents when reasonable, and help children in foster and adoptive placements achieve permanency. In order to effect such an array and to improve the collaboration with providers, stakeholders and consumers, we took the following actions: The Division conducted a web-based survey to explore a preliminary assessment of existing state and federally supported services provided by or outsourced through the following Departmental Agencies and Divisions (DHR): • DHR Division of Mental Health, Developmental Disabilities and Addictive Diseases (MHDDAD) - State funded services are delivered through eight regional hospitals, 26 community service agencies and a network of private providers. • DHR-DFCS Domestic Violence Program - Domestic Violence shelters funded by the state include 41 certified family violence programs, operated by private, non-profit organizations. They provide 24-hour crisis lines, legal and social service Safe Futures – A Plan for Program Improvement Georgia Department of Human Resources November, 2004 Quarter 8 – Table of Contents Page xix
Page 1 and 2: AN OVERVIEW GEORGIA PROGRAM IMPROVE
Page 3 and 4: Georgia: Georgia’s Program Improv
Page 5 and 6: The AFCARS data for this indicator
Page 7 and 8: Developed standards of measurement
Page 9 and 10: These action steps were included as
Page 11 and 12: Used the results obtained from the
Page 13 and 14: Established more flexible hours and
Page 15 and 16: policy require that the case manage
Page 17: Training initiative for DFCS and DP
Page 21 and 22: Stakeholder Input in the Analysis o
Page 23 and 24: The stakeholder interviews held dur
Page 25 and 26: Work Plan Detail A -- Item 2, Repea
Page 27 and 28: What needs to be accomplished: Writ
Page 29 and 30: Neglect was determined to be the mo
Page 31 and 32: 1 st Quarter Federal Response: (PLE
Page 33 and 34: Safe Futures - A Plan for Program I
Page 35 and 36: ACCOMPLISHMENTS: Data from these co
Page 37 and 38: • 79% of respondents agreed commu
Page 39 and 40: Federal HIPAA requirements limit wh
Page 41 and 42: 6 th Quarter Report: Funding for th
Page 43 and 44: Work Plan Detail C -- Item 6, Stabi
Page 45 and 46: START COMPLETION RESPONSIBLE MEASUR
Page 47 and 48: 3 rd Quarter Report Georgia's Reply
Page 49 and 50: COSTAR children were selected from
Page 51 and 52: Quarter 4 # of Differences 31 134 1
Page 53 and 54: DATE DATE PERSON(S) BENCHMARKS July
Page 55 and 56: C16 ACTION STEPS: Analyze a sample
Page 57 and 58: October 2004 Purpose and Design The
Page 59 and 60: The researcher first analyzed chara
Page 61 and 62: Characteristic Percent Percent Perc
Page 63 and 64: • Mr. and Mrs. Marshall (pseudony
Page 65 and 66: 3 rd Quarter Report Georgia's Reply
Page 67 and 68: ACCOMPLISHMENTS: 1 st and 2 nd Quar
Page 69 and 70:
8 th Quarter DOCUMENTATION: (1) Soc
Page 71 and 72:
5 th Quarter DOCUMENTATION: PIP Res
Page 73 and 74:
D6 ACTION STEPS: START DATE Mar. 20
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Georgia Juvenile Court Judges) is a
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addition, 70 court-hearing observat
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(2) Key Performance Indicators and
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DOCUMENTATION PROVIDED 3 RD Quarter
Page 83 and 84:
adoptive families, there was an inc
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8 th Quarter Report: Achieved 5 th
Page 87 and 88:
6 th Quarter Federal Response: E4:
Page 89 and 90:
5 th Quarter DCOUMENTATION: Reporti
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statewide. Both panel and court rev
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child, because the worker was not a
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Question 1. Are you seeing the adop
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6 th Quarter Federal Response: 6 th
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for the barrier identified. These r
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eports. The AFCARS reporting and ma
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8 th Quarter Report: Prior to the b
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BARRIERS TO ACHIEVEMENT: E27 ACTION
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Work Plan Detail F -- Item 10, Perm
Page 109 and 110:
Safe Futures - A Plan for Program I
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DOCUMENTATION: Please see attachmen
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together. Relative Care Subsidy (RC
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START DATE COMPLETION DATE RESPONSI
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continue to assess our data sources
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Length of time as a foster parent #
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Table 4 Disruptions and use of resp
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2. More respite care providers 3. E
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Work Plan Detail H -- Item 13, Visi
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Please refer to the following attac
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(See attached copy of Memorandum fr
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July 2002 ACCOMPLISHMENTS: Dec. 200
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A pilot is being conducted in Dekal
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5 th Quarter Report: At least 100 c
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2004. ACCOMPLISHMENTS: 1 st Quarter
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8 th Quarter Report: Partially Achi
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state office on the number of asses
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the Division. The review should be
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The report referred to in the Bench
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of that evaluation has been dissemi
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ACCOMPLISHMENTS: 1 st and 2nd Quart
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understanding of this content on a
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Course Module Content of question A
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
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4 th Quarter Report: A survey asses
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April 2002 Aug. 2002 5th Quarter: P
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equested an extension to July 2004
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where the cases are no longer activ
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7 th Quarter Report: In response to
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7 th Quarter DOCUMENTATION: (Same a
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Safe Future - A Plan for Program Im
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Safe Futures - A Plan for Program I
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Work Plan Detail N -- Item 22, Phys
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Held within 30 - 60 days of a child
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ACCOMPLISHMENTS: enhancements of th
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6 th Quarter Report: The introducti
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Placement/Best Placement Providers
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this benchmark with county supervis
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BARRIERS TO ACHIEVEMENT: N7 ACTION
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eports were discontinued. The Georg
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to initiate the reviews. 5th Quarte
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March 2004 QCR 16 county offices (t
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A cumulative Qualitative Case Revie
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5 th Quarter Report: Since, the QCR
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6 th Quarter Report: A review of th
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There has been a steady increase in
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1 st Quarter Report: The Case Plan
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To date CPRS reports that 10,274 ca
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2 nd Quarter Report: Accomplishing
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5 th Quarter Report: HIPPA issues h
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Goal: Case managers have the capaci
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8 th Quarter Report: Achieved. The
Page 219 and 220:
esources as well as increased capac
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Review instruments address document
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A comprehensive effort to clean up
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Work Plan Detail Q -- Items 35-37,
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Funding and Resource Allocation to
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1 st Quarter Response: In May of 20
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conduct of the Comprehensive Child
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Seventy-five new workers were train
Page 235 and 236:
Work Plan Detail R -- Item 42, The
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