Description of Services - Connecticut House Democrats

Description of Services - Connecticut House Democrats Description of Services - Connecticut House Democrats

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COMMUNITY BASED SERVICES SERVICE TYPES Currently, DCF spends over $65 million a year to purchase a wide array of community-based services for children and families. This figure does not include the cost of any residential services, foster care or crisis stabilization. The following descriptions provide the detail on services included in the assessment of resources throughout this document. FAMILY PRESERVATION SERVICES Drug and Alcohol Prevention Programs - Eighteen prevention programs serve youth ages 6 to 18 years old, through social skill training, wellness promotion, family involvement, peer interaction, and community activities. Respite - Six programs offer temporary care in the home or community to children and adolescents with emotional and/or behavioral special needs in order to provide relief to their caregivers. Respite care is intended for children involved with DCF and non-DCF children involved in the local system of care and is intended to assist these children and youth to be maintained in their homes and communities. Services are available statewide. MENTAL HEALTH INTERVENTION/TREATMENT SERVICES Care Coordination – Eleven programs statewide support services for families aimed at coordinating community-based services for children that have complex behavioral health needs. Children, ages 2-18, receive services in the home, school, and other areas within the community. These programs follow the KidCare philosophy of family-centered interventions. Emergency Mobile Services - Eleven programs statewide provide crisis intervention and assessments for children in the community including homes, schools, and other locations in the community. Services include: 24-hour phone intervention to do triage; mobile assessment 10-7 daily and 1-7 on the weekend; 6-week crisis stabilization services, including referrals to longer-term treatment if necessary; and medication evaluation. Intensive In-Home - This clinical intervention offers services within the home, using the “Promising Model” developed by Yale Child Study. Services are provided for 3-6 months for the child and their family to prevent out of home placement or support transition from a hospital or detention or a residential treatment center. Eighteen programs statewide follow one of three program models: Multidimensional Family Therapy (MDFT); Intensive In-home Child and Adolescent Psychiatric Services (IICAPS); and Family Functional Therapy (FFT). Multi-Systemic Therapy (MST) - Multi-Systemic Therapy (MST) is a home-based, evidence-based, and family focused treatment service that targets the families of juvenile males and females up to the age of 17 with substance abuse and/or conduct disorder problems. Services are provided in the community through four contracts serving all area offices statewide. Outpatient Adolescent Substance Abuse Treatment Programs - Outpatient adolescent substance abuse treatment and evaluation services are for adolescents who are at risk for substance abuse or are substance abusers, inclusive of nicotine. Services include individual counseling, group therapy, and community services. Six programs provide services to youth in all area offices statewide. Child Guidance Clinics (CGC) are the primary contractual providers for outpatient mental health services for children, youth and families. The target population is all children, youth, and families in need of outpatient mental health services. However, priority access is given to DCF involved children and families. DCF, and the child guidance clinics work together to emphasize a family, school, and 11/27/2006 8:50:00 AM Page 1 of 9

COMMUNITY BASED SERVICES<br />

SERVICE TYPES<br />

Currently, DCF spends over $65 million a year to purchase a wide array <strong>of</strong> community-based<br />

services for children and families. This figure does not include the cost <strong>of</strong> any residential<br />

services, foster care or crisis stabilization. The following descriptions provide the detail on<br />

services included in the assessment <strong>of</strong> resources throughout this document.<br />

FAMILY PRESERVATION SERVICES<br />

Drug and Alcohol Prevention Programs - Eighteen prevention programs serve youth ages 6 to 18<br />

years old, through social skill training, wellness promotion, family involvement, peer interaction, and<br />

community activities.<br />

Respite - Six programs <strong>of</strong>fer temporary care in the home or community to children and adolescents with<br />

emotional and/or behavioral special needs in order to provide relief to their caregivers. Respite care is<br />

intended for children involved with DCF and non-DCF children involved in the local system <strong>of</strong> care and is<br />

intended to assist these children and youth to be maintained in their homes and communities. <strong>Services</strong><br />

are available statewide.<br />

MENTAL HEALTH INTERVENTION/TREATMENT SERVICES<br />

Care Coordination – Eleven programs statewide support services for families aimed at coordinating<br />

community-based services for children that have complex behavioral health needs. Children, ages 2-18,<br />

receive services in the home, school, and other areas within the community. These programs follow the<br />

KidCare philosophy <strong>of</strong> family-centered interventions.<br />

Emergency Mobile <strong>Services</strong> - Eleven programs statewide provide crisis intervention and assessments<br />

for children in the community including homes, schools, and other locations in the community. <strong>Services</strong><br />

include: 24-hour phone intervention to do triage; mobile assessment 10-7 daily and 1-7 on the weekend;<br />

6-week crisis stabilization services, including referrals to longer-term treatment if necessary; and<br />

medication evaluation.<br />

Intensive In-Home - This clinical intervention <strong>of</strong>fers services within the home, using the “Promising<br />

Model” developed by Yale Child Study. <strong>Services</strong> are provided for 3-6 months for the child and their family<br />

to prevent out <strong>of</strong> home placement or support transition from a hospital or detention or a residential<br />

treatment center. Eighteen programs statewide follow one <strong>of</strong> three program models: Multidimensional<br />

Family Therapy (MDFT); Intensive In-home Child and Adolescent Psychiatric <strong>Services</strong> (IICAPS); and<br />

Family Functional Therapy (FFT).<br />

Multi-Systemic Therapy (MST) - Multi-Systemic Therapy (MST) is a home-based, evidence-based, and<br />

family focused treatment service that targets the families <strong>of</strong> juvenile males and females up to the age <strong>of</strong><br />

17 with substance abuse and/or conduct disorder problems. <strong>Services</strong> are provided in the community<br />

through four contracts serving all area <strong>of</strong>fices statewide.<br />

Outpatient Adolescent Substance Abuse Treatment Programs - Outpatient adolescent substance<br />

abuse treatment and evaluation services are for adolescents who are at risk for substance abuse or are<br />

substance abusers, inclusive <strong>of</strong> nicotine. <strong>Services</strong> include individual counseling, group therapy, and<br />

community services. Six programs provide services to youth in all area <strong>of</strong>fices statewide.<br />

Child Guidance Clinics (CGC) are the primary contractual providers for outpatient mental health<br />

services for children, youth and families. The target population is all children, youth, and families in need<br />

<strong>of</strong> outpatient mental health services. However, priority access is given to DCF involved children and<br />

families. DCF, and the child guidance clinics work together to emphasize a family, school, and<br />

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community focus in the evaluation and treatment <strong>of</strong> children. There are 28 clinics statewide serving all<br />

area <strong>of</strong>fices.<br />

Extended Day Treatment Programs provide a coordinated array <strong>of</strong> comprehensive therapeutic services<br />

before and/or after school with the focus on treatment and psychosocial rehabilitation activities as<br />

appropriate. It is for children who have returned home from out-<strong>of</strong>-home care or are at imminent risk <strong>of</strong><br />

placement due to mental health issues or emotional disturbance. This service is available to foster,<br />

adoptive, and biological families and their children through nine programs serving all area <strong>of</strong>fices.<br />

Crisis Stabilization – Two contracts serving Manchester, New Britain, Hartford, New Haven, Middletown,<br />

and Meriden provide evaluation and assessment, short-term residential treatment, and a cluster <strong>of</strong><br />

services, including clinical support, medication management, and aftercare to children and youth.<br />

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Bureau <strong>of</strong> Adolescent and Transitional <strong>Services</strong><br />

( Unless otherwise noted, these programs are not accessible to children within the juvenile justice<br />

population because <strong>of</strong> the funding source. Only adolescents involved through child welfare are eligible<br />

for these services. If a child is dually committed, they are eligible.<br />

1) Mentoring: Mentoring provides youth with a contact to their community other than the<br />

Department <strong>of</strong> Children and Families (DCF) Social Worker. Mentors and youth work<br />

together on a one-to-one basis to resolve issues identified by the youth. There are currently<br />

eight federally funded, mentoring programs. The agency is in the process <strong>of</strong> centralizing all<br />

foster care mentoring services. (accessible to JJ)<br />

Mentoring is funded with State and Federal funds. For SFY 07, the Department has grants totaling<br />

$254,070 in State funding and $333,494 <strong>of</strong> Federal. In addition to this, the Department, as part <strong>of</strong> the<br />

Emily J settlement, funds Therapeutic Mentoring. This contract is for $76,125 and serves the Emily J<br />

population.<br />

In addition, the Department spent $4,915,931 in payments from LINK for SFY 06, <strong>of</strong> which<br />

approximately $77,844 was for juvenile justice youth.<br />

2) Youth Advisory Boards: Every area <strong>of</strong>fice has a Youth Advisory Board that is comprised <strong>of</strong><br />

youth in out-<strong>of</strong>-home care. The Youth Advisory Boards will address Department policies<br />

and procedures involving youth issues and the unique problems <strong>of</strong> youth transitioning from<br />

out-<strong>of</strong>-home care.<br />

3) Life Skills Program: The Department <strong>of</strong>fers community based life skills education and<br />

training programs for youth in foster care and community settings. There are thirteen<br />

contracted Life Skills Programs across <strong>Connecticut</strong>.<br />

Life Skills contacts are funded via state and federal funds. SFY 07 State grants total $234,749 and<br />

Federal grants total $273,502.<br />

4) SWET Program: The Department provides a Supportive Work, Education and Transition<br />

Program. Youth in this program, focus primarily on the development issues associated with<br />

the acquisition <strong>of</strong> independent living skills, including but not limited to: interpersonal<br />

awareness, community awareness and engagement, as well as maximization <strong>of</strong><br />

educational, vocational and pre-employment, and job placement opportunities. ( Seldom<br />

used by JJ)<br />

5) Preparing Adolescent for Self Sufficiency (PASS): Group Homes provide an environment<br />

that fosters the maximization <strong>of</strong> individual outcomes in areas <strong>of</strong> education, vocation,<br />

employability, independent living skills, health, mental health, community connections and<br />

permanent connections. (Seldom used by JJ)<br />

6) CHAP Program: The Department <strong>of</strong>fers a Community Housing Assistance Program (CHAP)<br />

that is a semi-supervised, subsidized, housing component for youth ready for less<br />

supervision and more independence. The goal <strong>of</strong> this program is to increase competence,<br />

self-reliance and self-sufficiency as youth transition into the least restricted out <strong>of</strong> home<br />

placement within the agency.<br />

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Bureau <strong>of</strong> Adolescent and Transitional <strong>Services</strong><br />

( Unless otherwise noted, these programs are not accessible to children within the juvenile justice<br />

population because <strong>of</strong> the funding source. Only adolescents involved through child welfare are eligible<br />

for these services. If a child is dually committed, they are eligible.<br />

7) Re-Entry Program: A youth who is between the ages <strong>of</strong> eighteen and twenty one and who<br />

has left the care <strong>of</strong> the Department may be eligible to re-enter the Adolescent <strong>Services</strong><br />

Program on a case-by-case basis in order to continue their education.<br />

8) CHEER Career Track: The Department <strong>of</strong>fers a Community, Housing, Educational and<br />

Enrichment Resources (CHEER) program that provides financial assistance to youth,<br />

eighteen years <strong>of</strong> age or older, who have graduated from high school or obtained a General<br />

Equivalency Diploma (GED) and demonstrated an interest in pursing post high school<br />

employment services and apprenticeship programs.<br />

9) Post Secondary Education: DCF <strong>of</strong>fers all our youth turning 18 the opportunity to continue<br />

with services on a voluntary basis. This allows for youth to participate in educational and<br />

training programs (e.g. college, vocational/trade schools, Job Corps, AmeriCorps) and<br />

receive continued support from DCF.<br />

10) Post Secondary Educational Support Program: DCF has recently hired two Pupil <strong>Services</strong><br />

Specialists to work within the Bureau to provide support to all DCF youth participating in the<br />

Post Secondary Educational Program outlined in item 9. Positions will support our youth<br />

and assist in maximizing their outcomes toward becoming successful adults.<br />

11) Driver Education Program: DCF youth must successfully complete a certified driver’s<br />

education program in order to obtain a driver’s permit or license. The Department will pay<br />

fifty percent <strong>of</strong> the cost <strong>of</strong> the driver’s education program.<br />

12) Jim Casey Initiative: This initiative is designed to insure that youth aging out <strong>of</strong> foster care<br />

have increased opportunities for a successful transition to adulthood in the following areas:<br />

youth leadership, youth engagement, employment, housing and physical and mental health.<br />

The following programs are part <strong>of</strong> the initiative:<br />

• Our Piece <strong>of</strong> the Pie (OPP) Program: OPP is a comprehensive work/learn model that helps youth to access<br />

and attain a mix <strong>of</strong> educational, employment and personal development opportunities that lead to their<br />

success.<br />

• Family <strong>Services</strong> <strong>of</strong> Woodfield: Youth work along with technical experts and role models in a youth-centered<br />

small business. They develop transferable skills, identify goals and reinforce the personal skills needed for<br />

successful employment.<br />

• New Haven Work/Learn: RFP to be issued early summer 2006 for new program in New Haven, consisting <strong>of</strong><br />

approximately 62 slots, to be opened by November 1, 2006. All program youth will be enrolled in the Jim<br />

Casey initiative, taking part in financial literacy, life skills, educational, vocational, and employment<br />

programming. This program involves unprecedented collaboration with multiple state and local agencies.<br />

The program will incorporate physical and mental health, community engagement, and permanent personal<br />

connections as goals into individual service planning. The program will be funded by DCF in conjunction<br />

with the Workforce Alliance (DOL) in New Haven.<br />

13) Department <strong>of</strong> Labor: The Department works in collaboration with the <strong>of</strong>fice <strong>of</strong> Workforce<br />

Competitiveness and the Workforce Investment Boards, which assist youth and community<br />

stakeholders in the planning and creating <strong>of</strong> employment opportunities for youth across<br />

<strong>Connecticut</strong>. DCF Adolescent <strong>Services</strong> has recently become a strong partner with the<br />

Department <strong>of</strong> Labor. (sometimes used by JJ)<br />

14) Parenthood Program: The Department is developing an initiative to work<br />

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Bureau <strong>of</strong> Adolescent and Transitional <strong>Services</strong><br />

( Unless otherwise noted, these programs are not accessible to children within the juvenile justice<br />

population because <strong>of</strong> the funding source. Only adolescents involved through child welfare are eligible<br />

for these services. If a child is dually committed, they are eligible.<br />

with young mothers and fathers to improve the well being <strong>of</strong> their children by increasing<br />

the proportion <strong>of</strong> children growing up with involved, responsible and committed mothers and<br />

fathers. Focus groups are the primary driving force behind identifying and addressing gaps<br />

in services. This information will later serve as a blue print for developing a comprehensive<br />

service system for youth parents including: independent living skills, academic and<br />

vocational interventions, service system, resources and support to increase parenting skills.<br />

a. Fatherhood Program: The Department is developing an initiative to work with<br />

young fathers to improve the well being <strong>of</strong> their children by increasing the<br />

proportion <strong>of</strong> children growing up with involved, responsible and committed<br />

fathers.<br />

.<br />

15) Black Greek Alliance: BGA is a group <strong>of</strong> DCF employees who are members <strong>of</strong> Black<br />

fraternities and sororities. The employees seek to enhance youth engagement practices<br />

and to provide advocacy towards educational achievement, job readiness/vocational skills<br />

and social stability. This work targets youth <strong>of</strong> African American heritage in an attempt to<br />

impact culturally relevant services including the disproportionate number <strong>of</strong> African<br />

American youth in the child welfare system.<br />

16) Wilderness School: The Wilderness School <strong>of</strong>fers high impact wilderness programs in order<br />

to foster positive youth development. The school is designed as a journey experience,<br />

which is based on experiential and therapeutic learning models. (Sometimes used by JJ)<br />

17) Safe Harbor Program: A collaboration between the Department and True Colors, Inc. The<br />

program was created to provide culturally competent, affirming service training for foster<br />

parents, adoptive parents and providers on issues regarding Lesbian, Gay, Bi-Sexual,<br />

Transgender, Questioning and Inter-Sex youth. This program also provides continued<br />

support to foster homes that provide care for LGBTQI youth. (used by JJ)<br />

State funding <strong>of</strong> $23,296 is provided for this program.<br />

18) Job Corps Program: A no cost educational and vocational training program, administered<br />

by the U.S. Department <strong>of</strong> Labor that helps youth ages sixteen through twenty-three by<br />

providing comprehensive job training and job placement. The Department presently has<br />

twenty-five slots between the two <strong>Connecticut</strong> sites for DCF involved youth. There are other<br />

locations in the New England area that can be accessed for youth who are interested in<br />

training not <strong>of</strong>fered at the <strong>Connecticut</strong> sites. (used by JJ)<br />

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Bureau <strong>of</strong> Adolescent and Transitional <strong>Services</strong> Programs<br />

Capacity<br />

Community Programming:<br />

Mentoring: One-on-One mentor matches – 265 (87 contracted slots open)<br />

Work to Learn: New Haven (Under Development)-62 (All Casey)<br />

Bridgeport -<br />

100 (30 Casey)<br />

Hartford -<br />

120 (45 Casey)<br />

Life Skills:<br />

Youth being served in CLS programs – 238<br />

Youth Conferences<br />

True Colors Conference:<br />

Youth participating in yearly conference – 66<br />

Escheuchonos Conference:<br />

Youth participating in yearly conference - 80<br />

African American Conference:<br />

Youth participating in yearly conference - 90<br />

Living Responsibly Conference:<br />

Youth participating in yearly conference – 150<br />

Education<br />

480 (Approximately) youth in Post secondary Education, including Tech School, 2 Year<br />

colleges, 4 year colleges and Graduate school<br />

Housing<br />

CHAP: 122<br />

Youth receiving Per Diem CHAP services – 119<br />

Youth receiving Non-Pier Diem CHAP services – 3<br />

TLAP:<br />

Youth placed in TLAP programs – 27<br />

SWET (Under Development) – 32<br />

Preparing Adolescents for Self-Sufficiency - 11 PASS Group Homes<br />

2 Maternity Group Homes<br />

Youth Advisory Boards throughout the State <strong>of</strong> <strong>Connecticut</strong><br />

Jim Casey Initiative<br />

• Our Piece <strong>of</strong> the Pie – 120 slots<br />

• Family <strong>Services</strong> <strong>of</strong> Woodfield – 100 slots<br />

• Marrakech – 63 slots<br />

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Service Total<br />

Type Slots<br />

Intensive<br />

In-Home<br />

Functional<br />

Family<br />

Therapy<br />

(FFT) 128<br />

Intensive<br />

In-Home<br />

Family<br />

Support<br />

Team (FST) 224<br />

JJ Slots<br />

Intensive In Home <strong>Services</strong><br />

Annual<br />

Capacity<br />

Intensive<br />

In-Home<br />

Multi-<br />

Dimensional<br />

Family<br />

Therapy -<br />

(MDFT) 120 60 265<br />

Intensive<br />

In-Home<br />

Multi-<br />

Systemic<br />

Therapy<br />

(MST) 174 160 384<br />

Hartford<br />

Youth<br />

Annualized<br />

Funding<br />

jj-eligible;<br />

40<br />

dedicated<br />

slots 300 $1,535,000.00<br />

DCF-jj<br />

eligible 400 $7,293,000.00<br />

JJeligible<br />

500<br />

<strong>Services</strong>=$1,465,808<br />

QA=$236,150<br />

<strong>Services</strong>=$3,488,443<br />

+ QA=$463,886<br />

(includes PSB)<br />

Program<br />

Locations<br />

Median<br />

Number<br />

<strong>of</strong> Days<br />

Wait for<br />

Service<br />

16 YOs<br />

Median<br />

Number<br />

<strong>of</strong> Days<br />

Wait for<br />

Service<br />

17 YOs<br />

New London,<br />

New Haven,<br />

Manchester,<br />

Waterbury 21 22<br />

Manchester,<br />

Hartford,<br />

Bridgeport,<br />

Danbury,<br />

Norwich,<br />

New Britain,<br />

New Haven 21 22<br />

Stamford,<br />

Plainville,<br />

Enfield,<br />

Waterbury,<br />

New Haven &<br />

Hartford 21 22<br />

Bloomfield,<br />

New Haven,<br />

Norwalk,<br />

Oakdale,<br />

Hartford,<br />

Waterbury,<br />

Bridgeport &<br />

Plainville 21 22<br />

Project 60 36 100 <strong>Services</strong>=$650,000 Hartford 2 2<br />

Milford,<br />

Bridgeport,<br />

Hartford,<br />

Intensive<br />

New London,<br />

Essex,<br />

In-home<br />

Waterbury,<br />

Child and<br />

Manchester,<br />

Adolescent<br />

Norwalk,<br />

Danbury,<br />

Psychiatric<br />

Middletown,<br />

Service<br />

4,575,000 (includes New Britain,<br />

(IICAPS) 250<br />

transfer to DSS) New Haven 21 22<br />

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Service<br />

Type<br />

Total<br />

Slots JJ Slots<br />

Annual<br />

Capacity<br />

Intensive<br />

In-home<br />

Family<br />

Based<br />

Recovery<br />

(FBR) 60 0 60<br />

Intensive<br />

In-home<br />

Building<br />

Stronger<br />

Families<br />

(BSF) 12 0 20<br />

Intensive In Home <strong>Services</strong><br />

Annualized<br />

Funding<br />

Annualized services<br />

for 5 teams + QA =<br />

$1,605,000<br />

Program<br />

Locations<br />

Median<br />

Number<br />

<strong>of</strong> Days<br />

Wait for<br />

Service<br />

16 YOs<br />

Median<br />

Number<br />

<strong>of</strong> Days<br />

Wait for<br />

Service<br />

17 YOs<br />

Norwich,<br />

Bridgeport,<br />

New Haven,<br />

Waterbury &<br />

New Britain NA NA<br />

<strong>Services</strong>=$355,250<br />

+ QA=$74,927 Plainville NA NA<br />

Respite 180 $120,000.00 89 87<br />

Outpatient<br />

Clinics for<br />

Children<br />

(OPCC) NA NA 13,000 $11,000,000.00<br />

KidCare<br />

EMPS & CC are<br />

Care<br />

blended into one<br />

Coordination 696 0 1392 contract - 13.5 Mil.<br />

KidCare<br />

Extended<br />

Day<br />

Treatment<br />

(EDT) 432 0 864 $7,000,000.00<br />

KidCare<br />

Family<br />

Advocacy 120 240<br />

KidCare<br />

Emergency<br />

Mobile<br />

Psychiatric<br />

Service<br />

(EMPS) NA 6000<br />

Kid Care<br />

Crisis<br />

Stabilization. 72 72 $1,800,000.00<br />

Statewide 25<br />

clinics 25 22<br />

Statewide 25<br />

collaboratives 28 18<br />

Statewide in<br />

16 programs 20 59<br />

Statewide -<br />

limited<br />

capacity 9 10<br />

EMPS & CC are<br />

blended into one<br />

contract - $13.5 Mil. Statewide NA NA<br />

Farmington &<br />

Hamden NA NA<br />

Outpatient NA 50% est. 681 <strong>Services</strong>=$1,282,974 Willimantic, 18 12<br />

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Intensive In Home <strong>Services</strong><br />

Service<br />

Type<br />

Substance<br />

Abuse<br />

Total<br />

Slots<br />

JJ Slots<br />

Annual<br />

Capacity<br />

Annualized<br />

Funding<br />

Program<br />

Locations<br />

Middletown,<br />

Meriden,<br />

Waterbury,<br />

Hamden,<br />

Bridgeport,<br />

Norwich &<br />

Hartford<br />

Median<br />

Number<br />

<strong>of</strong> Days<br />

Wait for<br />

Service<br />

16 YOs<br />

Median<br />

Number<br />

<strong>of</strong> Days<br />

Wait for<br />

Service<br />

17 YOs<br />

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