COMMITTEE.
SCOTT WEINER I CHAIR THE
COMMITTEE WE WILL BE JOINED BY
OTHER SENATORS.
AS WE PROCEED AND I WANT TO.
WALKING ASSEMBLYMAN MARK STONE.
JOINING US HERE TODAY IS THAT A
LOT OF REALLY AMAZING WORK IN
THIS AREA AND SO I THANK YOU
FOR.
BEING HERE. TODAY.
SO TODAY WILL BE.
DISCUSSING AND EVALUATING THE
STATE'S IMPLEMENTATION OF THE
CONTINUUM OF CARE. REFORM OR CCR
RCC ARE.
HAS BEEN A REALLY SIGNIFICANT
SHIFT IN POLICY TO ENSURE THAT.
OUR STATES OF FOSTER CHILDREN
GREW UP IN HOMES INSTEAD OF
SPENDING YEARS IN GROUP HOMES.
WITH STAFF INSTEAD OF PARENTS
AND FAMILY.
THREE YEARS AGO.
THE LEGISLATURE PASSED THE
FIRST OF THREE. CC ARE BILLS TO
SUPPORT THE EFFORTS OF THE
DEPARTMENT OF SOCIAL SERVICES
AND HEALTHCARE SERVICES. ARE THE
STATUS PUSH FOR THIS REFORM
BECAUSE.
WE AS LEADERS AND OTHERS HAVE
RECOGNIZE THAT CHILDREN WHO GROW
UP IN GROUP CARE.
HAVE OUTCOMES THAT ARE NOT AS
POSITIVE AS CHILDREN WHO GROW
UP.
IN OUR HOMES WITH THE PARENTS
FAMILY. ODYSSEUS YOUR EFFORT
INCLUDES MAJOR SHIFTS IN THE WAY
WE ASSESS OUR CHILDREN FOR
PLACEMENT. THE WAY WE SELECTED
AND TRAINED FOSTER PARENTS. ARE
THE TYPE OF PLACEMENTS THAT WE
USED TO TREAT HIGH NEEDS
CHILDREN. THE WAY WE TALK ABOUT
THESE OPTIONS WITH THE CHILDREN
AND THEIR FOSTER PARENTS. I IT'S
REALLY A TOP TO BOTTOM REFORM
AND LONG OVERDUE. AT THIS
HEARING.
WE WILL BE DISCUSSING ABOUT HOW
THE STATE IS DOING.
ARE WE IN THE PLACE THAT WE
EXPECTED. WE WOULD BE. I DO WE
HAVE FOSTER FAMILIES IN THE
PIPELINE.
TO PROVIDE HOMES FOR KIDS WHO
EITHER WERE ARE IN GROUP HOMES.
I HOW DO WE MEASURE OUR
IMPLEMENTATION PROGRESS.
TODAY.
AND HOW WE EVALUATE WHETHER THE
REFORMS.
ACHIEVE THE GOALS THAT WE ALL
SHARE IN TERMS OF HELPIG THESE
KIDS ABI HEALTHY AND SUCCESSFUL.
FIND LIFE OCELOTS OVER HERE FOR
TODAY ON SOMEONE STONE DID YOU
WANT TO MAKE ANY. OPENING
REMARKS ARE TO PUT ON THE SPOT.
SO I SAY THANK YOU FOR. ALLOWING
ME TO SIT ON THE DICE THIS IS A
VERY IMPORTANT ISSUE AND I THINK
WHAT'S WHEN THINGS HAS BEEN
REMARKABLE AS WE WORK TO THE
LAST NOT BE WHERE WE ARE WITHOUT
DIRECTOR LIFE BORN WHO I KNOW
WILL. HEAR FROM A LITTLE BIT
LATER ON. AND I AM HOPING THAT
THIS IS A A REFORM THAT WILL
LIVE ON AS A. DYNAMIC.
SET OF REFORMS HAT WE CAN A MAN
FROM YEAR TO YEAR TO YEAR AS WE
LEARN FROM OUR IMPLEMENTATION
CHALLENGES. ACROSS THE STATE OF
CALIFORNIA AS A PRESET THAT'S
PROBABLY WHY A LOT OF FOLKS ARE
HERE TODAY THAT'S WHY IT'S
VALUABLE HAVING THIS HEARING. SO
THAT WE ARE ABLE TO.
INSTEAD OF JUST REFORMING A
SYSTEM AS WE ARE WHAT TO DO AND
THEN WALKING AWAY FROM IT THAT
WE ARE CONSCIOUS OF CONTINUOUS
IMPROVEMENT TO THE PROCESS. AND
IMPROVING THE OUTCOMES FOR THE
MOST VULNERABLE OF OUR CHILDREN
IN THE STATE. THANK YOU SENATOR.
THANK YOUR SOMEONE ON OKAY SO
WERE WE HAVE A FEW PANELS ARE
TODAY BEFORE WE START.
WITH THE.
WITH OUR PANELS I WANNA. BRING
UP OR TWO.
AGENCY DIRECTORS I WILL LIGHT
BURNED THE DIRECTOR OF THE
CALIFORNIA DEPARTMENT OF SOCIAL
SERVICES AND JENNIFER CAN'T THE
DIRECTOR OF THE DEPARTMENT OF
HEALTH CARE SERVICES.
WHO WILL BE I'M GIVING AN
OVERVIEW OF WHERE WE ARE?
IN IMPLEMENTING CCR AND.
THEIR SUCCESSES AND CHALLENGES
AND THEN WE'LL TAKE IT FROM
THERE SO WELCOME THANK YOU OF
SURE WINNER.
APPRECIATE DOWN BEING HERE
APPRECIATE THE WORK OF THE STAFF
PREPARING THE OTHER. MATERIALS
FOR TODAY ON.
THEY'RE A LOT OF THANK YOUS AND
I'M NOT GONNA GO THROUGH BECAUSE
IT WOULD TAKE ALL THE TIME WE
HAVE BUT THEY'VE BEEN SO MANY
PARTNERS WHO HAVE BEEN. ON IT
INTIMATELY INVOLVED IN BRINGING
US TO THIS POINT AND MANY OF
THEM ARE ON PANELS TODAY. ON.
QUICKLY TO SORT OF SET THE STAGE
FOR DISCUSSING CCR ON.
IF YOU THINK OF CHILD THE CHILD
WELFARE SYSTEM AS A WHOLE LOT OF
IT IS FOCUSED ON PREVENTION A
LOT OF IT'S FOCUSED ON RE
UNIFICATION. ON BUT THE FACT
REMAINS THAT APPROXIMATELY
THIRTY THOUSAND CHILDREN. COME
INTO CARE IN CALIFORNIA EACH
YEAR. AND CCAR'S IS A VERY
DELIBERATE CHILD CENTRIC
APPROACH THAT REALLY
FUNDAMENTALLY STARTS WITH THE
QUESTION WHERE SHOULD THIS
INDIVIDUAL CHILD LIVE.
AND WITH WHAT SERVICES ON AS
OPPOSED TO THINKING OF THE CHILD
AS AS BEING. SOUGHT SIMPLY
SOMEONE WHO NEEDS TO BE PLACED
SOMEWHERE IS WHERE SHOULD THIS
CHILD LIVE.
ON.
CHILDREN COMING INTO CARE.
ALMOST UNIVERSALLY. HAVE.
ENDEARED TRAUMA OF SOME LEVEL OR
ANOTHER CERTAINLY ARM THE MOVE.
IF NOT THE MISTREATMENT THAT
LEFT LED TO OUT OF HOME CARE
THAN THE MERE FACT REMOVAL. IS
IS IN AND OF ITSELF GOING TO
HAVE THAT IMPACT. AND WHAT WE DO
KNOW FROM EVERYTHING WE CAN
RESEARCH IS THAT THE MOST
EFFECTIVE. ON.
REMEDY THE MOST EFFECTIVE
MEDICATION FOR TRAUMA IS GOOD
PARENTING. AND THAT'S THE HEART
OF OF WHAT WE'RE WE'RE WE'RE
TRYING TO MOVE FROM THE SYSTEM.
ARM.
AND SO A SINGLE SYSTEM CHANGE
IT'S IT'S A CONTINUUM THERE IT'S
WAS WE SETTLED ON IT WE MADE THE
POINT THAT ALTHOUGH NOT
EVERYTHING CAN HAPPEN
SIMULTANEOUSLY THEY HAVE TO
HAPPEN CONCURRENTLY. BECAUSE OF
MUTUAL DEPENDENCIES.
SO THE CCR ARM HAS ENACTED ON
THEM WITH A MISTER SONGS
LEADERSHIP ON BUILDS ON THE KATY
A SETTLEMENT OF TWO THOUSAND ONE
IT BUILDS ON THE COUNTY'S COURT
PRACTICE MODEL. DEVELOPED MORE
RECENTLY IT BUILDS ON THE
QUALITY PARENTING INITIATIVE
THAT'S DESCRIBED IN THE
MATERIALS.
REQUIRES UP FRONT RESOURCES ON
IT FOR IT TO BE ACCOMPLISHED AND
WITH THE EXPECTATION THAT THOSE.
MAY ULTIMATELY BE OFFSET BY
REDUCED COSTS IN LENGTH OF STAY
ON IN IN CONGREGATE CARE. IT
REQUIRES AN INTEGRATION OF
SERVICES AT UNPRECEDENTED LEVEL
ALL. WITHIN. SYSTEMS HOME AND
WITHIN DEPARTMENTS. ON IT
REQUIRES NEW SETS OF SKILLS NEW
SYSTEMS OF MANAGEMENT IT
REQUIRES CULTURE CHANGE. IN ALL
AREAS OF THE SYSTEM THE STATE
CASE WORK SERVICE PROVIDERS CARE
GIVERS. ON REQUIRES REAL TIME IN
FLIGHT COURSE CORRECTION. AS WE
LEARNED ON.
GOOD THINGS ARE WORKING BEST AND
REQUIRES SYNCHRONIZATION BETWEEN
STATE AND COUNTY GOVERNMENT
STRUCTURES. ON CALIFORNIA'S SENT
IS SOME UNIQUE NOT ONLY IN THE
DEGREE OF OUR DE CENTRALIZATION
ON AS A STATE SUPERVISED COUNTY
OPERATED SYSTEM BUT ALSO IN THE
FISCAL RELATIONSHIPS. THROUGH
REALIGNMENT AND THOSE ARE
FACTORED IN.
THE ELEMENTS OF CCR CAN BE
DESCRIBED. SEPARATELY BUT THEY
DON'T STAND ALONE. ON.
AS YOU SAID TO MISTER CHAIR
HAVING QUALITY CARE GIVERS ON
RELATIVES AND NON RELATED
EXTENDED FAMILY AS THE FIRST
PREFERENCE. ON A NON ATTACHED ON
CARE GIVERS WHAT WE'VE
HISTORICALLY THOUGHT ALL THIS
COMMUNITY.
FOSTER PARENTS THE STRATEGIES
FOR HOME.
ENGAGING THOSE MAY BE DIFFERENT
ARM.
SECONDLY WE NEED TO KNOW THAT
THE CARE GIVERS WHO HAVE STEPPED
UP HAVE THE POTENTIAL TO BE
PERMANENT OR GOAL REMAINS
REUNIFICATION BUT WHERE THAT IS
NOT POSSIBLE WE WANT. THE STABLE
LONG TERM RELATIONSHIP.
WE NEED TO BE ABLE TO IDENTIFY A
CHILD ACTUAL NEEDS AND FOCUS ON
THE ISSUES OF CHROMA. WE NEED TO
BE ABLE TO ATTACH THE SERVICES
THAT THE CHILD NEEDS. TO THE
CARE GIVERS HOME. SO THAT THE
CHILD IS NOT BEING MOVED TO
SERVICES BUT RATHER THE SERVICES
ARE WHERE THE CHILD. NEEDS TO BE
LIVING. AND FOR EXCEPTIONAL
CIRCUMSTANCES WOULD WE HAVE TO
HAVE SPECIALIZED SETTINGS
AVAILABLE HOUSE NEEDED SHORT
TERM BUT WITH THE UNDERSTANDING
THAT THESE ARE NOT PLACEMENTS.
THESE ARE THERAPEUTIC
INTERVENTIONS WITH THE
EXPECTATION THAT A CHILD ENTER
SUCH A SERVING WITH THE PLAN
ALREADY IN PLACE TO RETURN TO.
COMMUNITY FAMILY BASED CARE.
ALL.
IT'S ESSENTIAL THAT WE ENSURE
THROUGH OUT THE CHILD'S ARM
EXPERIENCE IN CARE. THAT THEIR
VOICE THEIR PARENTS VOICES THEIR
CARE GIVERS VOICES THEIR
COMMUNITY SUPPORTERS VOICES. ARE
HEARD IN THE PROCESS OF.
HE'S PLANNING IN THE PROCESS OF
DECISIONS ABOUT PLACEMENT AND
DECISIONS ABOUT SERVICES.
AS AS THROUGH THE THE OLD LINE
ABOUT LOOKING AT THE BEAST FROM
DIFFERENT DIRECTIONS GOES
DIFFERENT PEOPLE SEE SOMETHING
DIFFERENT FIRST. ARM YOUTH WHEN
WE TALK TO THEM SEE THE CHILD
FAMILY TEAMING GOT TO THEM WHERE
THE WHERE DO THEY SEE THE MOST
IMMEDIATE. CARE GIVERS LOOK TO
THE SUPPORT SERVICES THAT. THEY
MAY NOT HAVE HISTORICALLY SEEN
AS BEING AVAILABLE. SOCIAL
WORKERS LOOKED TO THE INCREASED
WORK WITH BEHAVIORAL HEALTH IN
THOSE RESOURCES SERVICE
PROVIDERS LOOKING FOR GOOD
ASSESSMENTS. ON.
AS MR STONE SAID THIS IS A
PROCESS THAT WILL UNDOUBTEDLY
SORT OF SPAN.
NOT YOURS BUT DECADES ON A
TRANSFORMATION OF THE SCALE ON
IS A CONSTANT PROCESS OR AT THE
SAME TIME WE DO HAVE SHORT TERM.
DELIVERABLES AND GOALS AND
METRICS THAT HAVE TO BE MET.
OWN STARTING LAST YEAR ALL
FAMILIES WERE BEING ASSESSED
THROUGH THE NEW RESOURCE FAMILY
APPROVAL PROCESS. ARM.
EXISTING CARE GIVERS ARE NOT
REQUIRED TO TRANSITION UNTIL THE
END OF TWENTY NINETEEN.
WHAT DO YOU CARE GIVERS HAVE ALL
BEEN ASSESSMENT PROCESS? ON.
APPROXIMATELY TWENTY SIX HUNDRED
FAMILIES HAVE BEEN APPROVED
THROUGH MID DECEMBER ON. AND
WERE IN THE PROCESS OF ISSUING
INSTRUCTIONS TO SIMPLIFY. OF THE
CONVERSION PROCESS FOR EXISTING
CARE GIVERS.
SHELTERS ARE EXPECTED TO BE
LIMITED TO TEN DAYS OF SERVICES
BY ALL THE END OF JUNE. AND THUS
FAR NINE OF THE OF PROVIDERS WHO
SUBMITTED PROGRAM STATEMENTS
DESCRIBING HOW THEY WILL MAKE
THEIR CONVERSION. CRIME BY THE
END OF TWENTY EIGHTEEN. ALL
CONGREGATE CARE FOR CHILD
WELFARE SERVICES ON IT WOULD
JUST NOTE THAT.
IN ANOTHER CONVERSATION ANOTHER
TIME WE CAN TALK ABOUT THE IN
PROGRESSION OF PROBATION
SERVICES BUT THIS PRESENTATION
IS LARGELY AROUND CHILD WELFARE.
ON.
ALL CONGREGATE CARE BY THE END
OF THIS EAR HAS TO MEET SHORT
TERM RESIDENTIAL THERAPEUTIC
PROGRAM STANDARDS MEANING. THEY
HAVE TO BE THERAPEUTIC. THEY
HAVE TO BE PROVIDING SERVICES
WITH THE DRUMMER INFORMED LANDS
BOTH IN TERMS OF UNDERSTANDING A
CHILD'S NEEDS BUT ALSO
UNDERSTANDING A CHILD'S
BEHAVIOR.
THE CHILD WHO COMES IN
PRESENTING HAS AGGRESSIVE WAR AS
NON COOPERATIVE IS A CHILD WHO'S
COMING FROM A SERIES OF TRIALS.
AND THE BEHAVIOR IS PERFECTLY.
UNDERSTANDABLE. IN THAT CONTEXT.
ON.
THE PROGRAM IS REQUIRED TO HAVE
MEANT MENTAL HEALTH CONTRACTS.
THEY'RE REQUIRED TO BE
ACCREDITED. THEY HAVE TO HAVE
PROGRAM PLANS APPROVED BY THE
DEPARTMENT. AND THUS FAR WE HAVE
A TOTAL OF I THINK EIGHTY TWO
FACILITIES THAT HAVE BEEN
APPROVED WITH THE TOTAL CAPACITY
TO SERVE.
APPROXIMATELY THIRTEEN HUNDRED
AND THIRTY FIVE YOU.
ON TRIAL FAMILY TEAMS BEGAN LAST
YEAR AND NOW BECOMING STANDARD.
AND THE DEPARTMENT IS ISSUING A
REQUEST FOR INFORMATION TO
ENGAGE FACILITATORS WHO CAN
SUPPORT COUNTIES WHO WANT TO USE
THIRD PARTY FACILITATORS FOR
THEIR SAFETY PROCESS.
WE STARTED IN YOUR RATE
STRUCTURE IN TWENTY SEVENTEEN TO
BE FULLY PHASED IN OVER THE NEXT
STOP COUPLE OF MONTHS. AND RATE
ADVOCACY STUDY WILL BE COMPLETED
IN A COUPLE OF YEARS AND
REPORTED BACK TO THE.
LEGISLATURE.
EVALUATION AND METRICS ARE BEING
BUILT INTO THE NEW CHILD WELFARE
SYSTEM AUTOMATION SYSTEM. IN THE
MEANTIME SORT OF CREATING A WEB
BASED DASHBOARD SO THAT PEOPLE
CAN SEE THE PROGRESS THAT IS
BEING MADE. AND THERE IS A
TREMENDOUS AMOUNT OF WORK UNDER
WAY BETWEEN. ALL THE BEHAVIORAL
HEALTH AND CHILD WELFARE SYSTEMS
BOTH THE STATE AND AT THE LOCAL
LEVELS.
AND THE TWO DEPARTMENTS OF NOW I
THINK FOR THE FIRST TIME IN OUR.
KNOWN HISTORY STARTED ISSUING
JOINT INSTRUCTION TO THE FIELD
TO BOTH OF THE SERVE COUNTY ON
IMPLEMENTING SIDES OF THE
SYSTEMS. IN THE ON BEHALF OF
BOTH THE GARDENS.
CHALLENGES REMAIN ON THE.
PROCESS OF RECRUITING ARM.
CARE GIVERS IS A IS A SLOW
DIFFICULT PROCESS. AND COUNTIES
ARE LEARNING ARM.
NEW APPROACHES AS THEY AS THEY
CONTINUE. ON THE COMMITMENT TO
CORRECT IN FLIGHT CAN BE
CONFUSING TO PEOPLE IN THEIR
TIMES PEOPLE SAY YES WE
APPRECIATE THE SIMPLIFICATION
BUT WE HAVE TO LEARN THE
SIMPLIFICATION. OF. ADDING STUFF
IS A SLOWER PROCESS IN SOME
COUNTIES DATA SYSTEMS MAY NOT BE
CAPTURING ALL OF THE INFORMATION
IMPLEMENTERS WANT YET.
ARM PLACEMENTS ARM. POSTED
APPROVALS AND PAYMENTS HAVE BEEN
AN ISSUE. IN THE LAST FEW MONTHS
WITH ON SOME DELAYS LAST WEEK
THE LEGISLATURE ON ADOPTED
BUDGET TRAILER BILL AND THE
GOVERNOR SIGNED IT THIS MORNING.
TOO APPROVE A SYSTEM FOR PAYING
FOR INSURANCE PAYMENTS ARE MADE
THROUGH THE END OF THIS YEAR.
AND WILL BE WORKING WITH OUR
COUNTIES ON. ALL.
GOING TO THE FUTURE. OF. THE
THERAPEUTIC FOSTER CARE AND.
INTENSIVE SUPPORT FOSTER CARE
IMPLEMENTATION IS JUST STARTING
THE INSTRUCTIONS FOR INTENSIVE
SERVICES FOSTER CARE POSTED
TODAY ARMED AND SO. WE ARE.
FEEL GOOD ABOUT THAT AND THEN WE
ARE WORKING WITH SOME OF THE
NEWLY APPROVED. STR TEEPEES THE
THERAPEUTIC PLACEMENT SETTINGS
WHO HAVE. EITHER REJECTED OR
DEJECTED CHILDREN FOR REASONS
THAT WE THINK MAY BE
INCONSISTENT. WITH THE GOALS AND
EXPECTATIONS OF CCR AND WE'RE
PURSUING ABOUT THIRTY SUCH
INSTANCES WITH THE PROVIDERS AND
WITH THE PLACING COUNTIES. TO
INSURE THAT. ALL EXPECTATIONS
AND PREPARATION ARE PROPERLY
ALIGNED.
FROM.
THIS DOESN'T SOLVE ALL THE
ISSUES CONTROL WELFARE WE SLEEP
OR BACKGROUND PAPER NOTED. ON WE
HAVE ISSUES OF CHILDREN WHO ARE
STILL BEING PLACED OUT OF STATE
VERY HIGH HIGH NEEDS CHILDREN
WHO MAY NEED. SORT OF.
URGENT CRISIS SUPPORT SERVICES
THAT ALL MEN. WHO THE PEOPLE ARE
LOOKING INTO? AND WE HAVE ONE
ADDITIONAL. COMPLICATING FACTOR
ROLE IN SOME WAYS SIMPLIFYING
FACTOR. OF.
LAST MONTH AS PART OF THE.
FEDERAL CONTINUING BUDGET
RESOLUTION. THE CONGRESS ADOPTED
AND PRESIDENT SIGNED THE
FAMILIES FIRST PRESERVATION
SUPPORT ACT WHICH CALIFORNIA HAD
SEVERE RESERVATIONS ABOUT
BECAUSE OF SOME OF THE WAYS IN
WHICH IT WAS CRAFTED. BOUGHT
WHICH IN A SENSE.
MAKE A SIMILAR SET OF
ASSUMPTIONS ABOUT THE PHASING
OUT OF CONGREGATE CARE SO
CALIFORNIA IN THIS. IN A WAY WE
ARE.
FORTUNATE THAT WE ARE. TOO
CORNERS AHEAD OF THE AVALANCHE
ON BUT WE WILL HAVE TO DO SOME
CLOSE WORK WITH FEDERAL
AUTHORITIES TO MAKE SURE THAT
THERE ARE INCONSISTENCIES.
BETWEEN EXPECTATIONS SO I WILL
STOP THERE AND.
S. MISPRINT.
SO IMAGINE FOR KENT DIRECTOR FOR
THE DEPARTMENT HEALTHCARE
SERVICES AND I THINK I HAVE
REFERRED TO WILL IN PREVIOUS.
COMMITTEE HEARINGS AS BEING A
AND ONE OF THE MOST COLLEGIAL
REVOLUTIONARIES THAT I'VE EVER
HAD THE. PLEASURE OF WORKING
WITH.
YOU KNOW I THINK OUR ROLE AND
AS HE WILL. OUTLINED IS A CLOSE
PARTNERSHIP THAT HAS NOT.
TRADITIONALLY BEEN ONE WITH THE
TWO DEPARTMENTS AND OBVIOUSLY WE
SHARE THE SAME GOALS FOR
IMPROVING CARE AND FOR CHILDREN
THAT ARE IN THE CHILD WELFARE
SYSTEM BUT.
MORE BROADLY JUST TAKING A STEP
BACK FROM OUR DEPARTMENT'S
PERSPECTIVE WE OVERSEE SIX
DELIVERY SYSTEMS.
LARGE DELIVERY SYSTEMS IN THE
STATE TODAY WE HAVE ABOUT
THIRTEEN AND A HALF MILLION
MEDICARE BENEFICIARIES OF WHICH.
CHILDREN IN FOSTER CARE ARE WE
ARE ONE IMPORTANT POPULATION.
RECOGNIZING ALL OF THE CHANGES
THAT HAVE BEEN MADE ON THE
SOCIAL SERVICESSIDE ESPECIALLY
AROUND THE THERAPEUTIC.
ENVIRONMENT AND THE CHANGES
FROM GROUP HOMES INTO THE S.
HERE TEEPEES WE HAVE A AND A
VERY CLOSE WORKING RELATIONSHIP
WITH THE COUNTY MENTAL HEALTH
PLANS RIGHT WE OVERSEE THEM. AS
A STATE ENTITY WHERE THE SINGLE
STATE MEDICAID AGENCY CLAIMING
AND AUTHORIZATIONS AND POLICY OR
SET BY US BUT OBVIOUSLY WHEN
THIS. CHANGE CAME INTO EFFECT IT
REQUIRED NOT ONLY BETTER
COORDINATION AT THE STATE LEVEL
BUT ALSO AT THE COUNTY LEVEL
WHICH.
IN SOME CASES WAS REFERENCED BY
THE YOU KNOW THE ISSUANCE OF
JOINT. INFORMATION NOTICES.
YOU KNOW ONE EXAMPLE OF SOME OF
THE LESSONS LEARNED THAT WE HAVE
HAD TO WORK THROUGH AS A. COUPLE
OF DEPARTMENTS WAS.
TERMINOLOGY AND THAT WE DON'T
SPEAK THE SAME LANGUAGE AND
SOMETIMES AND MY FAVORITE
EXAMPLE IS WE WERE IN A
CONVERSATION ONE TIME AROUND
THERAPEUTIC FOSTER. PLACEMENTS
AND WE WERE TRYING TO WORK OUT A
STATE PLAN AMENDMENT WITH THE
FEDERAL GOVERNMENT. AND WE WERE
TALKING ABOUT PERMANENCY AND IN
WILL'S WORLD PERMANENCY IS A
GOOD THING.
BECAUSE PERMANENCY MEANS A
CHILD HAS BEEN PLACED IN A HOME
THAT IS LOVING AND SUPPORTIVE
AND THAT CHILD HAS THE
EXPECTATION THAT THEY WILL
REMAIN THERE.
PERMANENCY ON THE MEDICAL SIDE
MEANS THAT WE'RE PAYING FOR IT
PERMANENTLY I'M WHAT STRUCK FEAR
INTO OUR HEARTS AND SO WE HAD TO
WORK THROUGH WHAT PERMANENCY
IMMENSE. ON BOTH THE GOOD AND
THE BAD AND. BUT I THINK. SOME
OF THE OTHER THINGS THAT WE HAVE
BEEN WORKING REALLY CLOSELY ON
RELATED DATA.
AND DATA IS A VERY.
BOTH DRY TOPIC BUT IT ALSO IS
KIND OF THE UNDERPINNING FOR ALL
OF THE WORK AND DECISIONS THAT
WE ARE MAKING AS DEPARTMENTS.
AND THAT PEOPLE WANT TO KNOW YOU
KNOW WHERE ARE THESE CHILDREN ON
WHAT KIND OF SERVICES ARE THEY
GETTING HOW FAST ARE THEY
GETTING THOSE SERVICES ENDED
THOSE SERVICES.
LEAD TO A BETTER OUTCOME THAN
OTHERWISE WOULD HAVE HAPPENED
HAD THESE INTERVENTIONS NOT BEEN
IN PLACE. ON THE DATA BETWEEN
OUR TWO DEPARTMENTS IS STILL ON
BEING MATURED AND REFINED BUT
ONE AREA AND I THINK THAT WE ARE
COMMITTED TO IS USING AS MANY.
SIMILAR DATA GATHERING TOOLS OR
METRICS AS POSSIBLE AND SO WE AS
A DEPARTMENT.
CHOSE THE CANS.
SYSTEM.
FOUR OUTCOMES DATA ON LAST YEAR
AND THEN WORK CLOSELY WITH THE
DEPARTMENT OF SOCIAL SERVICES AS
THEY WERE MAKING SOME
EVALUATIONS AS TO WHAT KIND OF
ASSESSMENT TOOL THEY WERE GOING
TO BE USING. THROUGH THE CHILD
AND FAMILY TEAMS THEY ALSO CHOSE
CANS AND SO WHILE WE'RE USING
HANDS ON AND DON'T ASK ME WHAT
THE ACRONYM STANDS FOR BUT. IT'S
IT'S IT'S IMPORTANT WHEN I'M
SURE.
IT'S IMPORTANT FOR BOTH OF US
TO MAKE SURE THAT INFORMATION IS
SHARED BOTH AT THE STATE LEVEL
AS APPROPRIATE BUT ALSO BETWEEN
THE COUNTY BEHAVIORAL HEALTH
DEPARTMENTS AS WELL AS.
CHILD WELFARE AND ALL OF THE
CHILD AND FAMILY TEAM
PARTICIPANTS AND SO. IN CHOOSING
SIMILAR TOOLS EVEN THOUGH WE ARE
USING THEM FOR SLIGHTLY
DIFFERENT PURPOSES IT WASAN
INTENTIONAL CHOICE ON OUR PART
TO TRY TO MAKE SURE THAT WE AND
ALL PLACES POSSIBLE REDUCE THE
LIKELIHOOD. OF HAVING TO EITHER
REASSESS THE CHILD OR HAVING THE
DATA NOT BE APPROPRIATE SO THAT
WE YOU KNOW BE A SOCIAL WORKER
OR BE IN A STATE WHERE WE HAVE.
OF BEHAVIORAL HEALTH DIRECTOR
LEVEL OR AT A CHILD WELFARE
LEVEL THAT WE WERE MAKING
DECISIONS BASED ON BAD DATA OR
INCOMPLETE DATA SO WE'VE WORKED
REALLY HARD TO DO.
SOME OF THOSE CHANGES TOGETHER.
I'M MORE BROADLY TAKING A STEP
BACK.
NOT JUST ON FOSTER KIDS OF AND
KIND OF HOW THE CHANGES ARE ON
THE CHILD WELFARE SIDE WE HAVE
SOME FAIRLY LARGE SIGNIFICANT.
SEE CHANGES GOING ON WITH THE.
COUNTY MENTAL HEALTH PLANS AS
IT RELATES O THE IMPLEMENTATION
OF THE FEDERAL MANAGED CARE
RULE.
SO A COUPLE OF YEARS AGO THE
FEDERAL GOVERNMENT ISSUED
REGULATIONS THAT WERE ABOUT
TWENTY YEARS IN THE MAKING.
LAYING OUT A REALLY EXTENSIVE
LIST OF CHANGES THAT.
MANAGED CARE PLANS INCLUDING
COUNTY MENTAL HEALTH PLANS HAD
TO MAKE AND SOME OF THOSE.
SIGNIFICANT CHANGES INVOLVE
FINALLY NETWORKS ON WITH US AND
SO WE ARE GOING TO BE CERTIFYING
ALL AND
MANAGED CARE NETWORKS AS OF JULY
FIRST TO THE COUNTIES ARE HAVING
TO FOR THE FIRST TIME SUBMIT ALL
OF THEIR CONTRACTING PROVIDERS
WE ARE REQUIRING THEM TO GEO MAP
THOSE PROVIDERS WE'RE. EXPECTING
THEM TO MEET NETWORK ADEQUACY
STANDARDS WERE EXPECTING THEM TO
MEET TIME AND DISTANCE AND
TIMELY ACCESS STANDARDS THOSE
ARE. NEW AND SIGNIFICANT.
THEY WILL HAVE A POSITIVE
BENEFIT ON FOSTER CHILDREN BUT
MORE BROADLY THEY WILL HAVE A
POSITIVE BENEFIT ON OUR MEDICAL
POPULATION AS A WHOLE THAT IS
SEEKING SPECIAL TO MENTAL HEALTH
CARE SERVICES.
THERE'S A COUPLE OTHER THINGS
THAT.
CC ARE BOTH HELPED PUSH THE
STATE FORWARD ON POLICY MAKING
BUT I THINK ALSO INDICATES THE
DEPTH OF WORK THAT HAS CONTINUED
TO BE DONE BETWEEN OUR TWO
DEPARTMENTS.
I WILL BRIEFLY IN QUICKLY
MENTION ON A LOT OF THE
LEGISLATION THAT WAS ADOPTED
OVER THE. PAST FEW YEARS AROUND
ON ANTI PSYCHOTIC AND
PSYCHOTROPIC MEDICATIONS ON THE
TWO DEPARTMENTS HAVE WORKED
REALLY CLOSELY WITH EACH OTHER
TO UNDERSTAND.
WHEN ANTI PSYCHOTICS FOR BEING
PRESCRIBED NOT ONLY TO MEDIC
HOWL.
CHILDREN BUT ALSO TO CHILDREN
IN FOSTER CARE AND THEN MORE
IMPORTANTLY WHICH OF THOSE
CHILDREN RECEIVING MORE THAN ONE
YOU KNOW CONCURRENT USE OF ANTI
PSYCHOTICS AND I THINK OUR DATA.
AGAIN POINTING TO THE IMPORTANCE
OF DATA HAS SHOWN THAT WE ARE
NOW DOWN TO DOUBLE DIGIT.
CHILDREN IN THE STATE THAT ARE
RECEIVING CONCURRENT ANTI
PSYCHOTIC PRESCRIPTIONS AND BY
THAT I MEAN LESS THAN A HUNDRED.
IN VERY. VERY BOTH DRAMATIC
CHANGES IN IMPORTANT WHICH I
THINK IT'S TO THE NEXT ISSUE
THAT WE ARE IMPLEMENTING ON
WHICH IS CONSISTENT WITH
LEGISLATION THAT WAS SIGNED BY
THE GOVERNOR LAST YEAR.
BY ASSEMBLY MEMBER OR GRANULAR
AROUND TRAUMA.
SCREENINGS AND SO WE ARE
INITIATING A WORKGROUP
CONSISTENT WITH AB THREE FORTY
NEXT MONTH AROUND LOOKING AT THE
ASSESSMENTS THAT ARE DONE.
IN THE MEDICAL PROGRAM.
AROUND OF BEHAVIORAL HEALTH
SCREENINGS OR PHYSICAL HEALTH
SCREENINGS AND THEN TRYING TO
ACCOUNT AND REVIEW WHETHER OR
NOT THOSE ARE APPROPRIATE FOR
TRYING TO ASSESS OR. INDICATE TO
PROVIDERS WHETHER OR NOT THE
CHILD'S BEEN EXPOSED TO TRAUMA.
SO BEYOND ALL OF THOSE CCIR
ITEMS THAT WILL MENTIONED THERE
HAVE BEEN RIPPLE EFFECTS IN THE
SYSTEM BOTH ON THE HEALTHCARE
SIDE AS WELL AS ON THE CHILD
WELFARE SIDE THAT I. WOULD JUST
LIKE TO NOTE.
BOTH WITH PRIDE AND WITH AN
EXAMPLE IN THAT THERE'S A LOT OF
FUN SIGNIFICANT CHANGE GOING ON.
SOME OF THE CHALLENGES.
AND YOU KNOW I THINK WILL
CERTAINLY MENTIONED ONE AROUND
THE RECRUITMENT AND RETENTION
OF.
FOSTER PARENTS THAT ARE
APPROPRIATELY TRAINED AND
CAPABLE AS.
PLACEMENTS WITH CHILDREN FOR A
MORE PERMANENT BASIS.
THERE'S AN INHERENT TENSION
BETWEEN CHILD WELFARE AND THE
BEHAVIORAL HEALTH PROGRAMS THAT
WE ARE WELL AWARE OF WHEN IT
COMES TO PLACING CHILDREN.
.
WIN AND I KNOW THAT THERE WILL
BE OTHER PEOPLE THAT WE'LL TALK
ABOUT THIS FURTHER AND THE
PANELS IS IF YOU HAVE A CHILD
THAT YOU HAVE REMOVED FROM HOME.
IN THE MIDDLE OF THE NIGHT AND
YOU'RE DRIVING AROUND SAYING
WHERE DO I PUT THIS CHILD
BECAUSE I NEED THEM TO BE IN A
SAFE ENVIRONMENT.
THERE MAY BE AN S. YOUR TP THAT
HAS ABOUT AVAILABLE ON THERE MAY
BE AN INHERENT TENSION BETWEEN
THE PLACE SCENE. DECISION MAKER
MEETING THE SOCIAL WORKER THE
COUNTY CHILD WELFARE OFFICE
SAYING WE WANT THAT KID IN THAT
BED BECAUSE WE THINK THAT'S A
GOOD PLACE FOR THEM BECAUSE IT'S
SAFE.
THERE MAY BE A CLINICIAN IN
THAT FACILITY THAT SAYS THIS IS
NOT AN APPROPRIATE PLACEMENT FOR
THAT CHILD BASED ON. EITHER
THEIR BEHAVIORS OR THEIR
PRESENTATION OR THE OTHER
POPULATION THAT'S CURRENTLY AND.
IN THAT.
.
FACILITY AND SO I THINK THOSE
ARE GOING TO BE SOME OF THE ON
GOING WORK AND SO.
SOLUTIONS THAT WE'RE GONNA HAVE
TO DEVELOP WHEN WE HAVE.
EXAMPLES LIKE THAT OF COME UP.
I THINK THE AND AND WILL
CERTAINLY REFERENCE THIS THE
ADMINISTRATIVE AND FUNCTIONING
OF THE CHILD AND FAMILY TEAMS IS
GOING TO BE CRITICAL. FOR BOTH
THE CHILD AS WELL AS FOR THE
LONG TERM STABLE PLACEMENT OF
THAT CHILD. I'M NOT ANYBODY IS
ABLE TO JUST RUN A CHILD AND
FAMILY TEAM OFF THE BAT AND SO
THE TRAINING.
AND EXPERTISE THAT'S GONNA NEED
TO BE DEVELOPED SO THAT THOSE
ARE SUCCESSFUL.
MEETINGS AND PRODUCTIVE I THINK
YOU KNOW WE HEAR I'M CERTAINLY
WANTING TO MAKE SURE WE HELP
FACILITATE THAT BUT THOSE
INDIVIDUALS WILL NEED TO BE.
SPECIFICALLY TRAINED AND
EXPERIENCED IN WHAT THEY DO.
AND THEN LASTLY.
WE WOULD SAY THAT WEWILL DO AS
MUCH AS WE CAN TO HELP WITH ON
SOCIAL SERVICES AS IT COMES TO
THE RETENTION AND RECRUITMENT
OF.
THERAPEUTIC FOSTER PARENTS THAT
THESE ARE PARENTS. THAT HAVE
BEEN IDENTIFIED ON THAT WILL BE
RECEIVING.
SEPARATE AND DIFFERENTIAL RATES.
PRECISELY BECAUSE OF THE
THERAPEUTIC ENVIRONMENT THAT
THEY WILL BE PROVIDING TO THESE
CHILDREN.
AND MAYBE IN SOME CASES
UNLICENSED CLINICIANS THEMSELVES
THAT ARE CAPABLE OF PROVIDING
SOME OF THOSE SERVICES OR
THEY'RE HIGHLY SKILLED AT THE
WAY IN WHICH THEY USE SERVICES
IN THE HOME TO HELP SUPPORT THE
CHILD WITH THEIR NEEDS. SO I
THINK AGAIN ON THE PLANE IS IN
FLIGHT OF. WILL'S OUT ON A WING
AND WITH THE.
SCREWDRIVER DOING SOMETHING AND
I'M INSIDE TRYING TO LIKE YOU
KNOW PUT TOGETHER SEATS ARE SEAT
BELTS OR SOMETHING LIKE THAT AND
SO. THE PATIENTS THAT.
STAKEHOLDERS AND OTHERS HAVE
WITH BOTH OF US AS A STATE.
AS WELL AS WITH THE COUNTIES AS
WE ALL KIND OF WORK THROUGH
THESE ISSUES I THINK WE'RE HERE
TO SAY THAT WE ARE COMMITTED TO
DOING IT TOGETHER.
IT WILL BE SLOW ON IT WILL BE
SLOWER THAN WHAT PEOPLE WOULD
LIKE BUT WHAT WE BELIEVE IS IS
IT'S THE RIGHT DIRECTION AND I'M
WE'RE COMMITTED TO KIND OF
CONTINUING TO MOVE DOWN THE PATH
AS SUCCESSFULLY AS POSSIBLE.
WHAT WHAT?
WHAT DATA?
ARE YOU GOING TO REALLY BE
LOOKING AT.
.
THE PROCESS FOR FULL OF THEM.
WE TALKED ABOUT SOME OF IT BUT.
.
AM AND AND THAT DATA THAT.
WITH ACCESS TO THE CHALLENGE IS
GETTING THAT DATA TO REALLY
FIGURE OUT HOW ARE WE DOING.
I THINK ULTIMATELY THE WHAT WE
WANTED TO AS HALF A SUCCESSFUL
CHILDREN GROWING UP
SUCCESSFULLY.
THAT'S LONG TERM INFORMATION ON
OBVIOUSLY WE'RE NOT GOING TO
WAIT AND SAY. OVER TWENTY YEARS
NOW WILL MAKE SOME CONCLUSIONS
ALL IN THE SHORTER TERM WE'RE
LOOKING BOTH AT.
REDUCTION IN USE OF CONGREGATE
CARE. ON SHORTER LENGTHS OF STAY
IN.
THERAPEUTIC CARE ALL INCREASED
ARM REALIZATION OF FAMILY
RELATIVES AND NON RELATIVE
EXTENDED. OF FAMILY PLACEMENT.
ON THE.
IT'S NOT WHAT WE EXPECT TO SEE A
SERVER INCREASED CAPACITY IN
BOTH THE INTENSIVE SERVICE
FOSTER CARE. AND THE THERAPEUTIC
FOSTER CARE ALL. SERVICE SYSTEM.
AND THE.
JENNIFER WAS DESCRIBING THE CANS
TOOL WHICH WERE BOTH SORT OF A.
GONNA BE USING AND THAT WILL
ULTIMATELY BE SORT OF CAPTURING
THE HOW WAS IT HOW OUR CHILDREN
DOING IN TERMS OF. WITH THE
FREQUENCY OF CFT IS AN
ASSESSMENTS ARE THE IS PART
TRIALS.
THEIR CHILD IMMEDIATE
CIRCUMSTANCES SEEMING TO ON
STABILIZING AND IMPROVE. ON IN
TERMS OF SORT OF.
PENETRATION ISSUES THE DATA THAT
WE HAVE TO CAPTURE IT IN BOTH
DIRECTIONS IS. AWESOME REFERRALS
FOR BEHAVIORAL HEALTH SERVICES
FROM THE CHILD WELFARE SYSTEM.
AND CURRENTLY THE EXISTING.
THE DATA SYSTEM OF THE.
WHAT WE CALL CW SMS? ON THE
REFERRAL FOR MENTAL HEALTH IS
NOT A MANDATORY FIELDS OVER
CAPTURING IT IN SOME. CASES AND
NOT IN OTHERS. AND THEN THE.
DATA THAT PART OF.
HELP IS CAPTURING THROUGH THEIR
MEDICAL CLAIMS GIVE US
INFORMATION ABOUT ON SPECIALTY
MENTAL HEALTH AND FREQUENCY OF.
SERVICES IT MAY NOT GIVE US ALL
OF THE DATA THAT WE WANT YET BUT
IT WILL. ACT AND THERE IS A BIG
ISSUE OF DATA LAG BECAUSE OF THE
CLAIMS THE SYSTEM. BUT AS BOTH
THE NEW SIBLEY WES SYSTEM COMES
UP AND. IT INTEGRATES WITH ON
BEHAVIORAL HEALTH THAT WILL
IMPROVE THE OTHER THING WHICH WE
DID AS PART OF THE INSTRUCTIONS
AROUND CHILD FAMILY TEAMING.
WAS STIPULATE THAT.
INFORMATION THAT BOTH SYSTEMS
GATHER THROUGH USE OF THE CANS
TOOL.
SHALL BE SHARED BETWEEN THEM
THIS IS HISTORICALLY BEEN YOU
KNOW.
EACH SYSTEM SORT OF GUARDS ITS
OWN INFORMATION AND DOESN'T ASK
THAT YOU KNOW ASSUMES THAT THERE
ARE CONFIDENTIALITY BARRIERS AND
SHARING IT. AND WHAT WE
DETERMINED IS THAT. ON FOR
PURPOSES OF.
.
DEVELOPING CASE PLANS OF
PROVIDING SERVICES TO A CHILD.
BOTH THE CANS INFORMATION KNOWN
TO THE MENTAL HEALTH PROVIDER
AND THE CANS INFORMATION
DEVELOPED THROUGH THE CHILD
WELFARE. TROUGH AMLEE TEAM
PROCESS IS INFORMATION THAT NOT
ONLY CAN BE BUT MUST BE SHARED.
AND IN TERMS OF A.
I DON'T KNOW IF YOU CAN ANSWER
THIS BUT.
YOU KNOW IF WE WERE TO SAY OVER
THE NEXT FIVE YEARS.
WHAT PERCENTAGE REDUCTION WHAT
WHAT FOR THEM PERCENTAGE DROP OF
THESE KIDS IN?
OUR GROUP HOMES WOULD BE A
SUCCESS.
I THINK I WOULD ANSWER THIS ONE.
WITHOUT BEING ABLE TO PREDICT
WHAT THE ACUITY OF CHILDREN
COMING IN TO CARE WILL BE GOING
FORWARD THERE ISN'T A TARGET
THAT I'D BE COMFORTABLE SAYING
BECAUSE IT EACH TO ALMOST GET
THE SERVICES EACH CHILD NEEDS.
WHAT I WOULD LIKE TO BE IN A
PLACE TO ASSURE YOU IS THAT IN
FIVE YEARS?
THERE'S NO CHILD LIVING IN A
CONGREGATE CARE FACILITY WHO WAS
NOT. ASSESSED AS NEEDING
THERAPEUTIC SERVICES AND WHO
DOES NOT HAVE BOTH A. SORT OF
SHORT TERM THERAPEUTIC PLAN AND
A STEP DOWN RETURNED TO
COMMUNITY LIVING PLANTS. AND.
CURRENTLY WE HAVE APPROXIMATELY
ALL OF THESE FIFTY FIVE HUNDRED.
OUR CHILDREN LIVING AND
CONGREGATE CARE THAT'S BETWEEN
BOTH CHILD WELFARE AND
PROVISION.
WITHIN THE FIVE YEAR WINDOW I
WOULD EXPECT TO SEE THAT AT
LEAST HALF.
LEAVING WITHIN A FIVE YEAR IS.
KIDS WHO DON'T NEED TO BE IN
CONGRESS CARE FOR SOME REASON
WOULD NO LONGER BE THERE.
I'M DOING LESS THAN FIVE YEARS I
MEAN I GOT I KNOW I KNOW T'S
HARD TO PREDICT A LOT I DON'T
WANT TO PUT YOU. ON THE SPOT TO
SPECULATE WILL IT. IN THE CHILD
WELFARE SYSTEM I'M GOING TO
SUGGEST THAT BY THE END OF
CALENDAR TWENTY EIGHTEEN.
ARM THERE SHOULD NOT BE CHILDREN
PLACED IN NON TREATMENT.
HUNGATE KAREN BARNES.
THANK YOU.
I'M CULT OF.
UNDER ANY ANY QUESTIONS FOR.
GREAT THANK YOU VERY MUCH I KNOW
WE'LL HAVE YOU BACK UP AT THE
END OF THE DAY.
OKAY SO OUR NEXT PANEL WHICH IS
ENTITLED RETHINKING FOSTER CARE.
WE HAVE FOUR PANELISTS SOMEONE
INVITE THEM UP.
TRENT WERE.
WHO?
FROM FROM MY. FROM MY DISTRICT
OF THE WHO'S THE DIRECTOR OF
HUMAN SERVICES AGENCY IN SAN
FRANCISCO.
CAROL SCHROEDER WHO'S EXECUTIVE
DIRECTOR OF THE ALLIANCE FOR
CHILDREN.
AND FAMILY SERVICES AGUSTINA
PARKER FROM THE CALIFORNIA YOUTH
CONNECTION.
WHO?
WAS A FANTASTIC INTERN IN MY
OFFICE LAST YEAR SO WELCOME BACK
SOON. I LOVE IT WHEN A. INTERNS
ARE ALSO GREAT ADVOCATES.
AND THEN I KISSED HIM BARLOW
WHO'S THE DIRECTOR OF THE COUNTY
BEHAVIORAL HEALTH DIRECTORS
ASSOCIATION.
SO WE'LL START WITH.
RIGHT.
THE STORE THANK YOU SURE WINNER.
COMMITTEE MEMBER. COMMITTEE
MEMBER I'M TRENT ROAR DIRECTOR
OF THE HUMAN SERVICES AGENCY IN
SAN FRANCISCO.
THANK YOU AND APPRECIATE YOU
INVITING ME TO SPEAK TODAY ON
BEHALF OF OF MY COUNTY
COLLEAGUES WHO RUN THE CHILD
WELFARE SYSTEM ON THE STATE'S
BEHALF.
BEFORE I START I JUST WANT TO
EMPHASIZE THAT KILLED GOOD
COUNTIES WHOLE HEARTEDLY.
SUPPORT THE BOTH THE PREMISE OF
CCR AS WELL AS THE GOALS. AND
REALLY COMMEND THE LEADERSHIP OF
THE OF THE LEGISLATURE AND END.
OF FREER FOR PASSING THIS
LEGISLATION AND HAND OF COURSE
DIRECTOR LIKE BORN WHO.
WHO HAS BEEN HELPING US SHEPHERD
THIS THROUGH ON?
SINCE CC ARE BUILT BEFORE EVEN
ORDER THAT YOU KNOW WHAT ONE OF
THE. MOST IMPORTANT THINGS WE
RECOGNIZE AS WE DO THE WORK ON
HIS C. R. ISN'T JUST ONE THING.
IT'S A COLLECTION OF NO FEWER
THAN FIVE REALLY MAJOR CHILD
WELFARE REFORMS. ALL PACKAGE
TOGETHER ALL SORT OF OPERATING
IN A CONTINUUM. AND ALL BEING
IMPLEMENTED AT THE COUNTY LEVEL
AT THE SAME TIME.
ON WALL TOUCHES ON EACH OF THESE
FIVE REFORM EFFORTS IN MY
TESTIMONY AND AND REALLY SHARE
SORT OF.
HOW SO MANY LARGE REFORMS BEING
IMPLEMENTED THE SAME TIME ARE
ARE CREATING SOME SOME
CHALLENGES?
BUT SINCE CCR WAS PASSED
COUNTIES HAVE HAVE MADE
SIGNIFICANT PROGRESS IN IN MANY
AREAS BUT WE'RE STILL.
EXPERIENCING A LOT OF CHALLENGES
AS I SAID BECAUSE WE'RE JUST
TAKING ON SO MUCH AT ONCE. IT'S
TAXING OUR STAFF IT'S TAXING OUR
LOCAL RESOURCES.
IN MY CAPACITY AS DIRECTOR AND
WHERE A BAND ALMOST EIGHTEEN
YEARS NOW.
I'VE OVERSEEN IMPLEMENTATION OF
WELFARE REFORM YOU KNOW WHAT
WHICH CHANGED.
WELFARE AS WE KNEW IT HOW THE
AFFORDABLE CARE ACT WHICH
REPRESENTED THE BIGGEST SINGLE
CHANGE OUR HEALTHCARE SYSTEM IN
DECADES.
AND HERE TO SAY THAT CCR IS
EVERY BIT AS COMPLICATED. FAR
REACHING AND IMPACTFUL AS ANY
PUBLIC POLICY EFFORT. I'VE EVER
SEEN IN MY CAREER.
SO NOW INTO THE COMPONENTS OF
CCR HELPING GET GET A SENSE OF
SORT OF WHAT'S GOING ON AT THE
COUNTY LEVEL.
THE FIRST COMPONENT IS FAMILY
RECRUITMENT RETENTION AND
SUPPORT.
THE OVERARCHING GOAL OF CC ARE
IS TO REDUCE THE USE OF GROUP
HOMES THE THE FIRST TASK REALLY
IS TO INCREASE THE AMOUNT OF
FAMILY BASED CARE THE COUNTY IN
THE COUNTIES. HE'S YEARS
PREMISED ON THE NOTION THAT
FOSTER YOU SHOULD BE SERVED IN
FAMILIES WITH SERVICES WRAPPED
AROUND THEM THIS MEANS WE MUST
FIND FAMILIES WERE WILLING TO
TAKE AND USE. WOULD OTHERWISE
HAVE BEEN PLACED IN GROUP HOMES
OR YOUTH WERE STEPPING DOWN FROM
GROUP CARE.
SO TO THIS OCCASIONS HE WOULD
RECEIVE STATE FUNDING KNOWN AS
AS FLIPPERS.
TO ENABLE US TO PROVIDE
SUPPORTS THAT REALLY WERE LONG
DESIRED BY IT BY RESOURCE
FAMILIES AND A LOT OF THE
SUPPORTS WERE FRAMED BY. THEIR
REQUESTS AND AND DIALOGUE WITH
THEM.
THINGS LIKE RESPITE CARE FOSTER
PARENT MENTORS AND CERTAINLY
ENHANCE TRAINING TO TO HANDLE
COMMON TO HELP CARE FOR YOU.
IN SAN FRANCISCO YOU SOME THESE
FUNDS TO PARTNER WITH A TECH
COMPANY DOM CALLED BINTI TO
DEVELOP A NEW WEB BASED PLATFORM
TO ASSIST WITH OUR RECRUITMENT
EFFORTS.
THE NEW WEBSITE CALLED SF CARES
FOR KIDS AND IF YOU WANT TO CALL
UP YOUR PHONE'S LATER YOU CAN
SEE HOW SLICK IT IS.
IT REALLYALLOWS. PEOPLE ARE
INTERESTED IN BECOMING FOSTER
PARENTS TO SIGN UP VERY EASILY
ARM AND THE BACK END OF THE OF
THE SITE PROVIDES THE TOOLS FOR
OUR CASE WORKERS. TO TRACK THE
PROGRESS OF OF THE APPLICANTS
AND THE SYSTEM THROUGH THE
PROCESS. A LOT OF WHAT WE HEARD
WAS WAS BECOMING A FOSTER IT WAS
JUST TOO COMPLICATED AND TOO
ONEROUS AND SO WE'RE TRYING TO
SIMPLIFY THAT.
THIS IS THE FULL LAUNCH OF THE
SITE THE NUMBER OF HOUSEHOLDS
HAVE CONTACTED US BECAUSE
THEY'RE INTERESTED HAS INCREASED
INTEREST IN FOSTER PARENTING.
HAS INCREASED BY THREE HUNDRED
PERCENT.
AND NOW TWENTY NINE OTHER
COUNTIES HAVE SINCE ADOPTED THIS
TECHNOLOGY.
INSURANCE IS GONE OTHER COUNTIES
WE FOCUS OUR EFFORTS ON
RECRUITING AND SUPPORTING
RELATIVES BUT BUT WE'RE
CONTINUING TO EXPERIENCE
BARRIERS IN RECRUITING FAMILIES.
AN OLDER YOUTH. A YOUTH WHO HAVE
SUFFERED SIGNIFICANT TRAUMA AN
EXHIBIT DIFFICULT BEHAVIOR
INVESTED ADDITIONAL SUPPORT AND
TREATMENT.
WE WE WE WE ARE IN PARTNERSHIP
WITH CSS WE'VE BEEN SINCE DAY
ONE NO MORE WAR PLEASE AT THEIR
WILLING TO ASSIST COUNTIES WITH
HARSH WITH THESE CHALLENGES AND
WE UNDERSTAND THAT A CONTRACT
WAS EXECUTED WITHIN THE PAST FEW
WEEKS. WITH A NATIONAL EXPERT TO
START THIS WORK AND HELP US
TACKLE THESE DIFFICULT
CHALLENGES AROUND RECRUITING.
FAMILIES FOR THESE KIDS.
THE SECOND MAJOR COMPONENTS CCR
IS.
RFA RESOURCE FAMILY APPROVAL IN
AWE AT THE SAME TIME THAT WE
NEED TO BEGIN RECRUITING A LOT A
LOT A LOT OF HOMES A LARGE
NUMBER OF HOMES. WERE ALSO
IMPLEMENTING SIGNIFICANT
OVERHAUL IN THE PROCESS FOR
APPROVING AND LICENSING THESE
HOMES CERTIFYING THESE HOMES.
TO HELP BETTER PREPARE FAMILIES
THROUGH TRAINING AND THROUGH
QUALITY FAMILY ASSESSMENTS.
IN SAN FRANCISCO.
THE AVERAGE LENGTH OF TIME TO
APPROVAL UNDER RFA IS ABOUT
SEVEN MONTHS.
THE STANDARD IS IS THREE MONTHS
SO THIS IS RESULTED BACKLOGS OF
FAMILIES WAITING FOR APPROVAL.
TO ADDRESSING THIS BACKLOG IS
NOT ONLY CONSUMED A LOT LOT OF
OUR ADMINISTRATIVE ATTENTION AND
RESOURCES CREATED A LOG JAM SORT
OF FAMILIES BACKED UP THAT
SLOWING DOWN THE OVERALL
RECRUITMENT PROCESS.
SO WE HAVE A THREE AND A PERCENT
INCREASE ON THE FRONT AND FROM
OUR WEBSITE.
COUPLED WITH THIS LENGTHY
PROCESS AND SO NATURALLY IT'S
GONNA MIX. OF EXTEND ALL THE
TIME.
WE'VE NOTICED THESE PROBLEMS US
SEVERAL MONTHS AGO MANY MANY
MONTHS AGO.
SUCH CHANGES WITH CSS TO
STREAMLINE THE PROCESS AND AND
THEY.
THE CONVERSATIONS WITH THEM
CULMINATED IN REVISED STATE
GUIDANCE WAS ISSUED IN FEBRUARY.
AND WE THINK THESE CHANGES WILL
ACTUALLY HELP TO SPEED UP THE
PROCESS OF THANKS TO THE DSS FOR
THAT.
THE THIRD MAJOR FOCUS SERVER
COUNTIES IS IS WHAT DIRECTOR
LIKE BARN AND DIRECTOR KENT
REFERRED TO THE INTENSIVE
SERVICES FOSTER CARE AND
THERAPEUTIC FOSTER CARE. IN THIS
IS REALLY TO RECRUIT SPECIALIZED
HOMES.
TO SERVICE THE ALTERNATIVE FOR
CONGREGATE CARE FOR THESE VERY
HIGH NEED USE.
I SFC NTSC AS WERE RESOURCE
PARENTS SOURCE SPECIFICALLY
TRAINED TO PROVIDE THE ONE TO
ONE CARE FOR YOUTH WITH
THERAPEUTIC SERVICES WRAPPED
AROUND THE HOME.
THE AVAILABILITY OF THESE
PROVIDERS IS REALLY. IS A
CENTRAL COMPONENT TO THE PROMISE
OF CC ARE WE CAN'T MOVE KIDS.
FROM GROUP CARE WHO HAVE EXTREME
BEHAVIOR ON THESE VERY EXTREME.
MENTAL HEALTH NEEDS.
TWO HOMES WITHOUT FAMILIES
WITHOUT PARENTS WILLING WILLING
TO DO IT. ARMED.
WE'RE FINDING IT EXTREMELY
CHALLENGING TO FIND FAMILIES TO
PROVIDE THIS TYPE OF HIGH LEVEL
CARE DESPITE OUR BEST EFFORTS TO
RECRUIT AND SUPPORT THEM.
NO I I GOTTA BE HONEST ABOUT THE
COMMITTEE YOU KNOW THAT THERE'S
A LOT OF WORK TO BE DONE. AND
AND THIS PROBABLY ABOVE ALL CCR
IS THE MOST DIFFICULT PIECE AND
AT THE SAME TIME ONE OF THE MOST
CENTRAL COMPONENTS.
A MY COLLEAGUES AND I CONTINUE
TO DISCUSS THIS INTERNALLY WE
CONTINUE TO HAVE DIALOGUE WITH
CDSS WITH WITH DH YES WITH OUR
FTA PARTNERS ON AND WITH COUNTY
MENTAL HEALTH TO ALSO PLAY A
LOT.
OF VITAL ROLE.
WE'RE NOT GIVING UP. WERE ONE
PERCENT COMMITTED TO BEING AT
THE TABLE DOING EVERYTHING WE
CAN ABOUT IT REALLY BEHOOVES ME
TO BE CLEAR THAT THIS IS A
SIGNIFICANT CHALLENGE. STATEWIDE
AND WE CURRENTLY DO NOT HAVE
MANY FAMILIES WILLING TO STEP UP
TO THIS CHALLENGE.
THE FOURTH AREA WHICH IS
REFERENCED EARLIER IS IS THE
CONVERSION OF GROUP HOMES TO S.
T. R. TEEPEES THE SHORT TERM
RESIDENTIAL TREATMENT PROGRAMS.
WE'VE BEEN WORKING VERY HARD IN
THIS CONVERSION PROCESS FORM
TEAMS OF PROBATION AND MENTAL
HEALTH REVIEW ARE THE PROGRAM
STATEMENTS OF THE. GROUP HOMES
GIVE TECHNICAL SYSTEMS TO THEM
HELP TO MEET THE NEW
REQUIREMENTS AND INTEGRATE
MENTAL HEALTH WITHIN THESE STR
TEEPEES.
SINCE TWO THOUSAND SEVENTEEN
WE'VE BEEN DOING THIS WORK.
THE LATEST DSS DATA THAT WE'VE
SEEN WE HAVE JUST. A LITTLE OVER
A THOUSAND A THOUSAND AND TWENTY
NINE SD RTP BEDS FOR USE BY
CHILD WELFARE. TV SENSE OF THE
MAGNITUDE THAT WE HAVE CURRENTLY
ABOUT THIRTY FIVE HUNDRED YOUTH
IN.
.
CONGREGATE CARE ACROSS THE STATE
RIGHT NOW SO THE GAP IT IS
CLEAR.
THERE ARE CONVERSIONS STILL IN
THE PIPELINE BUT WE WE STILL
EVEN WITH ALL THOSE WILL FALL
SHORT OF THE CURRENT NEED AND
WERE. SIMPLY NOT CLEAR IF
THERE'S CAPACITY IN DSS OR WITH
THE HDS. AND EVEN THE COUNTY
MENTAL HEALTH PLANS TO ENSURE
THAT MENTAL HEALTH SERVICES WILL
BE AVAILABLE IN THE US CHARITY
PEAS.
SOME OF THESE GROUP HOMES THAT
GOOD OR NOT.
NEED TO CONVERT WILL NOT BE ABLE
TO THEY WON'T BE ABLE TO MEET
THE REQUIREMENTS OF THE OF THE
SG RTP STANDARDS. WILL MAKE OUR
BEST EFFORT TO MOVE THESE KIDS
THESE CHILDREN.
QUICKLY AS POSSIBLE OUT OF GROUP
CARE AND INTO SUPPORTED FAMILY
CARE.
BUT I HAVE TO SAY GIVEN THE THE
CHALLENGES THAT YOU KNOW I
DISCUSS A COUPLE MINUTES AGO WE
MAY NEED TO RETAIN AT LEAST SOME
OF THESE GROUP HOME TYPE
PLACEMENT UNTIL WE CAN ADDRESS
SUBJECT RECRUITMENT CHALLENGES.
THAT WE DON'T CAN'T BE IN LIMBO
HERE WITH THE CHILDREN THAT WERE
TAKEN CARE OF.
ANOTHER CONCERN WE HAVE TO
CONTINUE TO EXPERIENCE.
IS STR TEEPEES ARE REFUSING TO
TAKE YOU. ON IN PARTICULAR THOSE
IN THE COMPLEX SIGNIFICANT
BEHAVIORAL HEALTH NEEDS AND
THOSE WITH DEVELOPMENTAL
DISABILITIES AND AND DIRECTOR I
BOARDED THEY MENTION THIS AND
WE'RE PLEASED. THAT DSS HAS HAS
RECOGNIZED THIS PROBLEM AND IS
TAKING STEPS. IN PARTNERSHIP
WITH US TO ADDRESS IT.
AND THE LAST REFORM IS IS IS NOT
JUST ABOUT TO GET TO KNOW OF
PLACES THAT THIS IS REALLY.
AN EFFORT THAT MAKES
FUNDAMENTAL NUMEROUS AND
FUNDAMENTAL CHANGES TO THE WAY
THAT WE ASSESS THE STRENGTH THE
NEEDS OF OUR CHILDREN AND
FAMILIES IN THE SORT OF GROUP
THAT WE.
LOOSELY REFERRED TO AS IN CASE
WORK IN A CESSNA REFORMS.
AND THEIR SIGNIFICANT.
THERE SEVERAL ELEMENTS ONE OF
THEM INCLUDE THE ROLLOUT OF
CHILDREN FAMILY TEAMS WHICH WAS
MENTIONED FOR ALL YOU. AND THIS
IS A OF THE EXCELLENT APPROACH
ONE THAT WE'VE WHOLEHEARTEDLY
AGREE WITH INSURERS THAT THAT.
THE APPROACH THAT WE TAKE
TOWARDS MAPPING OUT THE PLAN FOR
EACH CHILD BRINGS TOGETHER THE
CHILD HIS OR HER FAMILY. CARE
GIVER SERVICE PROVIDERS AND
INDIVIDUALS WHO ARE IMPORTANT IN
HIS OR HER LIFE.
THE USE OF THE CITY OF DIS WILL
CERTAINLY BENEFIT THE CHILD IN
THE FAMILY ENSURES THE DECISIONS
ARE MADE THERE ARE TRANSPARENT
DECISIONS THEY'RE INFORMED THEIR
UNDERSTOOD AND THAT THE RIGHT
ONES. BUT DOING THIS IN A
FACILITATED TEAM ENVIRONMENT
OBVIOUSLY TAKES MUCH MORE TIME
FOR A CASE WORKER.
AND OTHERS ARE THAN THE FORMER
PRACTICE.
OUR RATE STRUCTURE AND RELATED
ASSESSMENTS ARE ALSO CHANGING AT
THE SAME TIME WE'RE IN THE
PROCESS OF ROLLING OUT A NEW
PROVIDER RATE SETTING SYSTEM. ON
A NEWLY DEVELOPED LEVEL OF CARE
ASSESSMENT FOR EVERY CHILD WHO
COMES IN THE CARE.
LETTING THE ASSESSMENT TOOL NOW
WILL.
TARGET A A MAY FIRST ROLL OUT
FOR ALL THE WORK ALL OF OUR
CASES AND THE PILOTS STARTING
THIS MONTH.
AND LASTLY WE'RE ADDING ANOTHER
NEW ASSESSMENT TOOL IN JULY
CALLED.
CANS KNOWN AS CANCER SHOULD BE
COMPLETED WITH THE HELP OF THE
CHILD AND FAMILY TEAMS. THE BOTH
CHILD OFTEN AND COUNTY MENTAL
HEALTH REQUIRED TO USE THIS
STARTING IN JULY.
MENTAL HEALTH HAS EXPERIENCE
WITH CANS WILL SHOW OVER DOESN'T
BY AND LARGE ON THERE ARE GONNA
BE BENEFITS IN USING CANS TO A
FORMER CASE PLANNING.
WE DO EXPECT THAT THE LINK FROM
THE CFTC MEETING TIMES.
IT WILL TAKE TIME TO TRAIN
STAFF AND INTEGRATE THIS TOOL
FULLY SO IT'S IT'S EFFECTIVE AND
AND INTO THE DAILY WORK OF OUR
STAFF.
SO I GAVE YOU A LOT OF
INFORMATION.
IN A VERY SHORT PERIOD OF TIME
REGARDING THE WORK THAT WE'RE
DOING BEING BUT I'M HOPING TO
GIVE YOU AN APPRECIATION REALLY
THE BREADTH AND THE DEPTH OF OF
THESE CONCURRENT REFORMS THAT
WE'RE TRYING TO ACHIEVE AT THE
COUNTY LEVEL. AND AGAIN NOT JUST
ALONE IS SHALLOW FOR HUMAN
SERVICES BUT IMPARTIAL COUNTY
MENTAL HEALTH PARTNERSHIP WITH
OUR IF THE PHASE IN GROUP HOMES.
AND OF COURSE A PARTNERSHIP WITH
OUR FAMILIES AND OUR KIDS.
SO TO WRAP UP ALL JUST SAY AGAIN
THAT WE WE WHOLEHEARTEDLY MY
COLLEAGUES I WHOLEHEARTEDLY
SUPPORT. THE PREMISE AND THE
GOALS OF CCIR WERE. ABSOLUTELY
UNDER PERCENT COMMITTED TO
MAKING IT WORK.
AND LOOK FORWARD TO CONTINUING A
DIALOGUE WITH THE LEGISLATURE AS
WELL AS AS A STATE DEPARTMENTS.
THANKS AND OF COURSE AVAILABLE
FOR QUESTIONS THANK YOU.
WHO ARE NOW IS APPROPRIATE?
THANK THANK YOU FOR YOUR
TESTIMONY SO HOW MANY KIDS AND
AND SAN FRANCISCO ARE IN FOSTER
CARE.
WE ARE AT ABOUT SIX HUNDRED KIDS
IN FOSTER CARE NOW WHICH IS DOWN
FROM A HIGH OF ABOUT THREE
THOUSAND ABOUT EIGHT OR NINE
YEARS AGO. AND OF THOSE ABOUT
EIGHTY THREE ARE IN GROUP CARE.
EIGHTY THREE OUR GROUP HERE AND
AND THAT'S THAT WHEN YOU TALK
ABOUT THAT AND NOT ABLE TO
RECRUIT IT'S THOSE EIGHTY THREE
DAYS SPEAKING TO. THE ALLIES TO
EIGHTY WELL IT'S IT'S A SUBSET
OF THE EIGHTY THREE NOT ON ALL
THE EIGHTY THREE WOULD BE THE
LEVEL TWELVE LEVEL FOURTEEN
SUPER HIGH NEEDS CHILDREN SUMMER
MAYBE IN A THIRD LEVEL AT LEVEL
TEN.
OF THE EIGHTY THREE ABOUT SIXTY
PERCENT WOULD BE THOSE WHO
REALLY HAVE SIGNIFICANT NEEDS.
THAT WE NEED TO FIND FAMILIES
FOR WHO YOU KNOW AND TRAIN THEM
AND WRAP AROUND US IS NO HOUSE
SUPPORT RIGHT ALL VERY
CHALLENGING AND. AND WHAT DO YOU
ATTRIBUTE YOUR SUCCESS AND.
.
AND THE PLACEMENTS OF THE LAST.
NUMBER OF YEARS THAT THAT YOU
HAVE HAD.
IN IN REDUCING THE THE. YEAR I
THINK IT'S A WHOLE HOST OF
REFORMS I TERMS OF REDUCING
FOSTER CARE I MEAN MUCH BETTER
PREVENTIVE IN FRONT AND WORK
RECOGNIZING THAT THAT FAMILIES
CAN REMAIN INTACT AND RECEIVE
SERVICES AND KEEP THE CHILD SAFE
AND THRIVING.
QUICKER. MOVEMENT TO PERMANENCY
FOCUSING ON ADOPTION OF OLDER
KIDS FOCUSING ON RE UNIFICATION
IN A QUICKER TIME FRAME.
WRAPPING SUPPORTS POST
REUNIFICATION SO KIDS DON'T
REENTER CARE.
AND AND THEY REMAIN INTACT WITH
THEIR BIRTH FAMILIES.
.
I ATE LIKE I SAID IT'S A CALM
IT'S A COMBINATION OF THEM LET
GRADUATIONS ON THAT PROJECT YOU.
GET WORK.
SURE WINNER HAD.
SENDER GLAZER SIMPLY MEMBER
STONE I'M CAROL SCHROEDER AND
THE EXECUTIVE DIRECTOR THE
CALIFORNIA ALLIANCE OF CHILD AND
FAMILY SERVICES. WE'RE STATEWIDE
ASSOCIATION ABOUT A HUNDRED AND
THIRTY ACCREDITED PRIVATE
NONPROFIT CHILD AND FAMILY
SERVING ORGANIZATIONS. I'VE DONE
I'VE BEEN IN THIS FIELD FOR
ABOUT FORTY SIX YEARS. AND.
AND I'VE LEARNED A COUPLE
THINGS DURING THAT TIME. AND ONE
OF THE THINGS IS THAT WHAT WE'RE
DOING AND CC ARE IS THE RIGHT
THING TO DO.
.
IT'S THE ONLY MAJOR REDESIGN OF
FOSTER CARE IN MY PROFESSIONAL
CAREER. WE'VE SORTED TINKERED
AROUND THE EDGES AND WE'VE YOU
KNOW TRY TO LIVE WITH THIS AND
TIGHTENED A LITTLE BIT OF THAT.
BUT THIS IS THE THE FIRST HOLE
SIR WE FORM THAT WE'VE SEEN THAT
I'VE SEEN. END WITH THOSE THOSE
THOSE BECAUSE THERE'S A.
SMALLER REFORMS IN THE PAST.
THEY'VE HAD VERY LIMITED
RESULTS.
BUT WHAT I WOULD SAY ABOUT THIS
THIS EFFORT THEY WERE
UNDERTAKING RIGHT NOW IS THAT IT
IS IN IMPLEMENTATION. IF IT WAS
DIFFICULT IN PLANNING AND
IMPLEMENTATION IT IS MESSY IT IS
FRUSTRATING IT IS MADDENING IT
IS FILLED WITH FITS AND STARTS.
AND FRANKLY THAT'S EXACTLY WHAT
WE SHOULD EXPECT. BECAUSE WE
ARE.
DISASSEMBLING AND RE ASSEMBLING
AN INCREDIBLY COMPLEX AND
COMPLICATED SYSTEM.
IT WE WERE TALKING ABOUT THAT
CHANGING HELP TO STATE.
DEPARTMENTS OPERATE. HELP FIFTY
EIGHT COUNTY CHILD WELFARE FIFTY
EIGHT COUNTY PROBATION FIFTY
SEVEN COUNTY MENTAL HEALTH PLANS
OPERATE NOT JUST IN TERMS OF HOW
THE OPERATOR HOW THEY. PERFORM
RELATIVE TO THE KIDS AND
FAMILIES. BUT HOW THEY PERFORM
RELATIVE TO EACH OTHER. AND THEN
THROW IN SEVERAL HUNDRED PRIVATE
PROVIDER ORGANIZATIONS AND
PROBABLY TENS OF THOUSANDS OF
CARE GIVERS AND YOU BEGIN TO SEE
THE ENORMITY AND THE COMPLEXITY
OF THE TASK.
.
THIS IS.
IN IN THE MIDST OF ALL THIS AND
AND I I CERTAINLY UNDERSTAND
WHAT WHAT MR ROARS TALKING ABOUT
IT IT'S GOT TO BE ENORMOUSLY.
COMPLEX CHALLENGE FOR IT FOR
THAT COUNTY DEPARTMENTS I KNOW
IT IS FOR MY MEMBERS.
THIS IS NOT THE TIME TO BACK OFF
THIS IS THE TIME TO PRESS ON.
WE'RE ABOUT SIXTY PERCENT OF
THE WAY INTO THE REFORM AND BOY
WE DON'T WANT TO GET STUCK HERE.
WE DON'T WANT TO GET STUCK WITH
ANOTHER FISHING OR FOUL.
THIS IT WE ARE KIND OF SLOW IN
IMPLEMENTING A LOT OF STUFF AT
THIS POINT. I'D RATHER BE LATE
RELATIVE TO AN AGGRESSIVE
TIMELINE OF THE DRAG OUT REFORM
UNTIL IT JUST SORT OF RIGHTS ON
THE VINE.
HAVING SAID ALL THAT IS IS KIND
OF A PREFACE ONLY TOOK LOU ABOUT
STR TV'S SHORT TERM RESIDENTIAL
THERAPEUTIC PROGRAMS WHICH IS.
WHAT I'VE BEEN ASKED TO TALK
ABOUT?
OUR MODEL FOR BREAST YOUR GPS
RESIDENTIAL TREATMENT WHICH
WE'RE NOW CALLING US YOUR
TEEPEES.
IS EXACTLY HOW WE SHOULD BE
DESIGNER WELL I WAS EXACTLY IS
HOW WE SHOULD BE DESIGNING
RESIDENTIAL CARE FOR YOUTH WHO
NEED THAT LEVEL OF CARE FOR SOME
PERIOD OF TIME.
HAVING SAID THAT THERE PROBABLY
THREE MAJOR PROGRAMMATIC GAPS AT
THIS TIME THAT WE'RE GONNA NEED
TO ADDRESS AT SOME POINT. ONE IS
THERE'S NO REQUIRE REQUIREMENT
FOR FOLLOW ALONG SERVICES IN THE
COMMUNITY AFTER DISCHARGING THE
RESIDENTIAL COMPONENT IT'S
OPTIONAL.
OUR EXPERIENCE WITH
RESIDENTIALLY BASED SERVICES
REFORM.
IN THE THE LAST PROGRAMS OF
WHICH IN IN LA AND SOME OTHER
PLACES ARE JUST BEGINNING TO
WIND DOWN AS AS A SECURITY PEACE
COME ONLINE. TELLS US THAT THE
ABILITY TO HAVE THAT SAME TEAM
THAT WORK WITH THE YOUTH IN
RESIDENCE FOLLOW THAT YOUTH AND
FAMILY INTO THE COMMUNITY AND
CONTINUE TO PROVIDE SERVICES AND
SUPPORT TO YOU CAN DO A SOFT
HAND OFF. IS ABSOLUTELY CRITICAL
TO REDUCING THE LIKELIHOOD OF
CHILDREN YOUTH COMING BACK IN
THE CARE.
THERE'S NO PROVISION FOR YOUTH
TO RE ENTER.
AS TO YOUR TV FOR BRIEF
TEMPORARY PERIODS OF RESPITE.
OR FOR STABILIZATION. ANOTHER
THING THAT WE FOUND WAS REALLY
IMPORTANT TO NOT SEE AT ENTRY
INTO.
AND RBS RESIDENTIALLY BASED
SERVICES PROGRAMMER TO NEST YOUR
TP AS A FAILURE BUT RATHER TO
SEE IT AS A AS A TOOL PERSON
NEEDED OPPORTUNITY AN OPTION A
POSSIBILITY FOR CHANGE.
AND THE THIRD IS IS FAMILY
FINDING ENGAGEMENT THERE'S
THERE'S REALLY NOT A LOT BUILT
IN THERE FOR FAMILY FINDING IN
ENGAGEMENT THE THIRD THING THAT
WE DISCOVERED WITH RBS REFORM.
WAS THAT THE GREATEST LIKELIHOOD
FOR SUCCESS WERE RUDE WHEN YOUNG
PEOPLE WERE ABLE TO LEAVE THAT
PROGRAM AND LIVED A FAMILY.
AS OPPOSED TO JUST STEPPING
DOWN.
SO WE'RE GONNA NEED TO ADDRESS
THOSE THOSE GAPS MOVING FORWARD
WE DON'T NEED TO DO IT NOW.
IF THIS INSTEAD WE NEED TO DO
IT AS SOON AS WE CAN BUT RIGHT
NOW SO FEW CHILDREN YOUTH ARE
CURRENTLY. YOUR TV SET AND
DIRECTOR LIFE OR TALK WITH
TWENTY FIVE LICENSE PROGRAMS
EIGHTY ONE FACILITIES. SIR ABOUT
THIRTEEN HUNDREDTHIRTY SIX
YEARS. OR ABOUT TWENTY SEVEN
PERCENT OF THE NUMBER OF KIDS
CURRENTLY IN GROUP HOME CARE.
AT LEAST AS OF.
OCTOBER FIRST AND I AND I'VE
HEARD SOME CRITICISM SAYING WELL
YOU KNOW THIS STR TV STUFF LOOK
AT WHAT WE'VE GOT NOW LOOKS LIKE
WHEN LIPSTICK ON A PIG.
WHAT WE'RE TRYING TO DO IS WE'RE
TRYING TO TURN THE PIG INTO A
UNICORN AND RIGHT NOW WE GOT TO
PICK WITH THE HORN? AND.
AND THE REASON FOR THAT IS
BECAUSE WE'RE AS I SAY WERE
ABOUT SIXTY PERCENT AS WE DON'T
WE REALLY DON'T HAVE ANY KIDS
AND A FULL FLEDGED. AS THE RTP
YET BECAUSE A FULL FLEDGED AS
THE RDP DOESN'T REALLY EXIST SAY
THE ONLY TWENTY FIVE LICENSE SO
FAR AND NOT ONE AS THE RTP AS
YET RECEIVED. ITS MENTAL HEALTH
PROGRAM APPROVAL THAT'S A BIG
PIECE OF THAT BECAUSE THE THE
GUIDANCE HASN'T YET COME DOWN
FROM THE STAGE.
AS A RESULT WHAT YOU GET IS THE
IS THE BIG WITH THE HORROR OF
THIS YEAR TO PIECE THEIR COUNTY
PARTNERS HAVE TO COBBLE TOGETHER
SOMETHING. UNTIL THE GUIDANCE IS
RELEASED AND THEN YOU'VE STILL
GOT. YOU KNOW.
GRUPOM PROGRAMS IS OUR SIR OF
CHUGGING ALONG.
YOU KNOW WAITING TO IT TO HERE
ABOUT WHETHER OR NOT THEY'RE
GONNA BE ACCEPTED OR APPROVED OR
NOT.
IT'S IMPORTANT I THINK ABOUT
THIS MOVIE FOR TWO AND I SAY
THIS PARENTHETICALLY THAT AS
YOUR TV'S ARE NOT MENTAL HEALTH
PROGRAMS STR TEEPEES OUR FOSTER
CARE PROGRAMS WITH AN INNER
INTEGRATED MENTAL HEALTH
COMPONENT. AND WHEN WE START
THINKING ABOUT IN TERMS OF BEING
MENTAL HEALTH PROGRAMS THAT WERE
STARTED POUND ROUND PEGS IN THE
SQUARE HOLES.
.
BUT HAVING SAID THAT WE DO NEED
TO MAKE SURE THAT YOUTH RECEIVE
THE TYPES AND AMOUNTS. OF TRAUMA
FOR MENTAL HEALTH AND SUBSTANCE
USE DISORDER SERVICES THAT MAKE
THAT CAN MAKE A DIFFERENCE IN
THEIR LIVES WITHOUT PATHOLOGY
ISING THEIR LIFE'S CHALLENGES. I
AGREE WITH THAT I ALSO WANT TO.
TO.
COMMAND BOTH APARTMENTS FOR
HAVING A CHOSEN THE CANS ID
WHICH IS THE CHILD AND
ADOLESCENT NEEDS AND STRENGTHS.
AS THE ASSESSMENT TOOL.
IN THAT THE DIFFERENCE THIS
MAKES IS INCREDIBLE FIRST WE FOR
THE FIRST TIME WE'VE GOT AN
ASSESSMENT TOOL THAT THAT IT ORG
IS GOING TO BE USED TO MAKE YOU
KNOW DECISIONS ABOUT WHAT KIDS
AND FAMILIES NEED. BUT ALSO THE
LEVEL OF CARE AND SERVICES THAT
THEY NEED. WE NEVER HAD THAT
BEFORE. THE SECOND IS THAT.
IT'S A.
IT'S A VALUABLE TOOL FOR
CONVERSATIONS AMONG MEMBERS OF
THE CHILD AND FAMILY TEAM AND
OCCUR IT CREATES A SINGLE
ASSESSMENT FOR BOTH DEPARTMENTS
WITH A SINGLE LANGUAGE OR NOT
TALKING DIFFERENT LANGUAGES.
MOVING FORWARD END OF BY WHAT I
HAVE TO SAY WE NEED TO COMPLETE
THE STR TWO P. LICENSORS TO
START AND COMPLETE MENTAL HEALTH
PROGRAM APPROVALS. WE HAVE TO
IMPLEMENT CHILD AND FAMILY TEAMS
WITH CANS INTEGRATED INTO THAT
AS SOON AS POSSIBLE. AND AND.
ECHOING WITH MISTER GORE SAID
WE HAVE TO ENSURE A READY SUPPLY
OF INTENSIVE SERVICES FOSTER
CARE AND OTHER.
REGULAR RESOURCE PARENTS TO
REDUCE THE NEED FOR STR TEEPEES
AND PROBABLY THE BIGGEST THING
IS THE CULTURE CHANGE THAT WE'RE
IN THE MIDDLE OF. IT'S IT'S IT'S
A CHANGE FROM A QUESTION OF
WHERE WE PLACE THIS YOUNG PERSON
TO HOW DO WE PULL TOGETHER. AND
WHEN I SAY PULL TOGETHER I MEAN
DEPARTMENTS AND PROVIDERS AND
FAMILY MEMBERS AND YOU'VE AND
SUPPORTS AND PEOPLE WHO
HAS SOMETHING CALLED PSEUDO
SEIZURES. AND IT WAS TREATED AS
THOUGH I HAD ACTUAL CEDARS
FULFILL THOSE FEATURES IS
BASICALLY THAT I HAD. ALL. THE
SIGNS OF HAVING A FUTURE WITHOUT
ACTUALLY HAVING THE SEIZURE SO I
WOULD TREAT IT AS THOUGH I HAD
THIS WHOLE CONDITION OF HAVING
SEIZURES BUT IT WAS ACTUALLY A
MENTAL HEALTH DISORDER. AND.
SOUL IN HIGH STRESS ENVIRONMENT
I WOULD. BEGIN TO HAVE A SEIZURE
AND NO ONE REALLY CONNECTED TO
SOME BEGINNING BECAUSE NO ONE
WAS EDUCATED MY FAMILY WASN'T
EDUCATED ON.
WHAT WAS GOING ON WITH ME
EVERYONE THOUGHT THAT IT WAS
JUST SOMETHING OF IT WAS JUST
EASIER SO I WAS TREATED AS
THOUGH I HAVE FEATURES? AND THEN
INTO THE TRANSITION OF.
FROM.
THE CARE OF MY GRANDMOTHER TO
THE CARE OF MY OWN TUNE BY
DIDN'T KNOW WELL.
I SHUT DOWN I DIDN'T SPEAK I
DIDN'T TALK AT ALL FOR WHOLE
YEAR I WAS.
TAKING TO GET TREATMENT FOR
BECAUSE THEY THOUGHT THAT I HAD
A OF SOMETHING WAS WRONG MY
SPEECH THAT.
SO IT WAS A IT WAS A.
.
I HAVE SOME TYPE OF THIS ORDER
BECAUSE I WAS PUT INTO SPECIAL
EDUCATION BECAUSE OF. THE FEUDAL
FEATURES THAT I HAD. ALTHOUGH I
DO NOT HAVE A MINT OF I DO NOT
HAVE ANY ISSUE WITH LEARNING OR
LEARNING DISABILITY I'LL PUT IN
SPECIAL EDUCATION BECAUSE OF THE
PSEUDO SEIZURES. FELLOW IF.
.
IT WAS IF I HAD THE PEOPLE IN MY
LIFE OF WHO WERE QUALIFIED AND
HAVE THAT MENTAL HEALTH
BACKGROUND TO BE ABLE TO
IDENTIFY THAT YOU KNOW ARMED
OKAY WAS THERE SOMETHING GOING
ON HERE IS NOT JUST. THIS PERSON
HAVE A SEIZURE BUT IT IS THE
MENTAL HEALTH DISORDER AS WELL
AND I WAS GIVEN THOSE RESOURCES
AT AN EARLIER AGE IT WOULD HELP
WITH MY SUCCESS NOT ONLY. AS A.
.
IN IN IN SCHOOL BUT ALL THE WAY
UP UNTIL MY DAUGHTER NOT HAVING
THE UNDERSTANDING OF THAT I DO
HAVE A MENTAL HEALTH DISORDER
THAT BECAUSE OF MY TROM ANYTHING
THAT I EXPERIENCED. AS AN
ADOLESCENT HAVE CONTRIBUTED TO
ME HAVING THESE LITTLE CAESARS
CONTRIBUTED TO ME HAVING CHRONIC
DEPRESSION HAVE CONTRIBUTED TO
ALL THESE DIFFERENT THINGS THAT
AFFECTED MY LIFE. ALL THE WAY UP
INTO ADULTHOOD.
AND. BY THE AGE OF. EIGHTEEN I
HAD OVER A HUNDRED SUICIDE
ATTEMPTS I HAVE CONSTANTLY TRIED
TO IN MY LIFE AND I FOURTEEN I
WAS ISSUED A FIFTY ONE FIFTY.
AND THAT BEING ISSUED THAT FIFTY
ONE FIFTY.
ON AFTER THE CONCLUSION OF IT
ALL WAS GIVEN A THERAPIST AND.
THE THERAPIST WAS ONLY THERE
FOR TWO DAYS AND THEN EXITED OUT
OF MY LIFE THOUGHT BEGIN TO HAVE
THIS IN MIND. OF WELL.
PEOPLE WHO ENTER INTO MY LIFE
AND TELL ME THAT I HAVE SOME
TYPE OF CONDITION I FEEL THAT
SOMETHING'S WRONG WITH ME
EVERYONE'S TELLING ME THAT HOME
YOU KNOW GIVEN THE MEDICINE OF
THE DOPING ME UP. ON MY FIELD
THAT CAN'T FUNCTION PROPERLY I
FEEL SOMETHING'S WRONG WITH ME
BEING.
GIFT ISSUED A FIFTY ONE FIFTEEN
HAVING BEEN TO BE PUT IN
HANDCUFFS AND PUT BEHIND PUT
INTO.
HOME OF A COP CAR AND DRIVEN TO
SOMEWHERE THAT I DIDN'T KNOW AND
NOT HAVING SOMEONE THERE TO TALK
TO ME ABOUT THE TRAUMAS THAT I
HAD EXPERIENCED IN HAVING A SAFE
PLACE WOULD HAVE BEEN. SO
IMPORTANT. IN MY LIFE AT THAT.
ABOUT TIME.
AND NOT SOME IT WASN'T UNTIL.
COLLEGE WITHOUT ABLE TO BE
LINKED TO PEOPLE WHO HAD THE
ABILITY TO LOOK AT ME I SAID YOU
KNOW WHAT THERE'S SOMETHING NOT
RIGHT. LIVE LET'S BEGIN TO GIVE
YOU THESE RESOURCES BEGIN TO TO
CONNECT YOU TO THESE DIFFERENT
OF THE DIFFERENT ENTITIES AND
BEGAN TO GO TO THERAPY BEGAN TO
GET DIAGNOSED. BEGAN TO TO.
THE TRANSITION OF INTO THE TO
THE PERSON I AM TODAY BECAUSE
THE SERVICES WERE PROVIDED I
BELIEVE THAT IF YOU WERE GIVEN
MENTAL HEALTH SERVICES.
IN THE BEGINNING STAGES OF
THEIR OF FOSTER CARE FROM
EXPERIENCE AND CONTINUE CONTINUE
THAT UP INTO THE TRANSITION OF.
ADULTHOOD THAT WILL BE A
SIGNIFICANT CHANGE BECAUSE THAT
YOU IS ABLE TO DEAL WITH THAT
TRAUMA IS ABLE TO COPE WITH THE
DIFFERENT.
STRESSFUL THINGS THAT HAPPENED
AND THAT IN THEIR LIFE AND
BECAUSE I WASN'T ABLE TO COPE
WITH DOESN'T END BECAUSE YOU
TURN EIGHTEEN OR BECAUSE YOU
TURN TWENTY YEARS OLD. OF IS IT
CONTINUES ON IF YOU NEVER
LEARNED THAT OKAY THERE'S
SOMETHING WRONG THIS IS THIS
YOU'RE NOT SUPPOSED TO FEEL LIKE
THERE'S NOT EVERYONE'S SUPPOSED
TO FEEL LIKE THIS. AND A LOT OF
YOUTH WHAT HAPPENS IS A LOT OF
PEOPLE IN OUR LIVES AREN'T
EDUCATED ENOUGH TO. TO TO NOTICE
THOUGH THINGS ARE EDUCATED
ENOUGH TO. HELP PROVIDE US WITH
THOSE RESOURCES SO WE GO
THROUGH.
OUR ENTIRE OF.
YEARS IN THE FOSTER CARE SYSTEM
WITHOUT HAVING THE ABILITY TO
ASSESS OURSELVES INTO TO CHECK
IN ON OURSELVES IN A LOT OF US
DO COMMIT.
.
TO COMMIT SUICIDE OR OR DO YOU
HAVE THOUGHTS OF SUICIDE OR DO
YOU HAVE SOME MENTAL HEALTH THIS
ORDER THAT IS BEING OVERLOOKED
SOUL.
.
JUST TO THIS A BACKTRACK A
LITTLE BIT HOME YOU KNOW ME
BEING PUT INTO.
SPECIAL EDUCATION OF. YOU KNOW
REALLY PREVENTED.
PREVENTED ME FROM BEING.
.
AS KNOWLEDGEABLE AS I COULD HAVE
BEEN A FALSE CONTINUE TO BE AND
IN REGULAR CLASSES. EVEN THOUGH
I GOT TO COLLEGE WAS A STRUGGLE
TO ACTUALLY GET THERE BECAUSE I
DIDN'T HAVE THE RESOURCES TO
TUNE IN TO KNOW THAT. YOU KNOW
WHAT TODAY I'M DEPRESSED I
SHOULD TALK TO SOMEONE ABOUT MY
DEPRESSION SO I'M ABLE TO DO
THIS HOMEWORK ASSIGNMENT. I
SHOULD TALK TO SOMEONE ABOUT MY
EXPERIENCES. BACKED YOU KNOW
FIVE SEVEN YEARS AGO THAT
CONTINUES TO BUILD UP AND ADD UP
AND AND AND TRAVEL WHICH ONE WAY
ONLY YOU.
SO I'M AGAIN I I FEEL THAT
HAVING MENTAL HOLD THE RESOURCES
IS IS VERY VALUABLE TO YOU. AND
NOT ONLY HAVE THE MENTAL
RESOURCES WERE HAVING QUALITY
MENTAL HEALTH RESOURCES BECAUSE
YOU CAN'T GIVE THE RESOURCES TO
THE YOUTH AND IF THEY'RE NOT
QUALITY SOUL.
.
HOME AND THEN NOT ONLY HAVING
QUALITY RESOURCES INSIDE OF THE
HOME BEST CONTINUED THROUGHOUT
THEIR CHILDHOOD AND ALSO TO THE
TRANSITION OF THEIR ADULTHOOD
BUT ALSO THE RIFF ON THINGS THAT
REFER. THE MENTAL HEALTH
SERVICES THAT ARE ALL FIVE HAVE
TO REFLECT WHAT ARE BEING DONE
IN THE INSIDE BECAUSE IF IF.
ALL THESE TOOLS ARE GIVEN TO
YOU AT ALL THESE RESOURCES ARE
PROVIDED TO THE YOUTH TO HELP
THEM TO.
.
BE SUCCESSFUL IN OBTAINING OF
THESE MENTAL HEALTH RESOURCES
BUT OF YOU BEING RE TRAUMATIZE
THROUGH THE MENTAL HEALTH
SERVICES BETTER I'LL FIGHT IN IS
COUNTERPRODUCTIVE FULL BEING.
HANDCUFF LIKE I SAID BEING PUT
INTO THE BACK OF A OF A POLICE
CAR BEING CALLED TO TO A OF A
FACILITY THAT IS AND ISN'T.
IS GOING TO GIVE YOU THE THE
SERVICE IS THAT YOU NEED A GOOD
ISN'T GOING TO EVALUATE YOU
ISN'T GOING TO GIVE YOU THOSE
THERAPEUTIC SERVICES IS ONLY
GOING TO HOLD YOU THERE
TEMPORARILY. AND THEN WHEN YOU
LEAVE YOU STILL HAVE THOSE
MENTAL HEALTH ISSUES THAT YOU
CAME IN WITH. AND.
AGAIN.
.
I CAN'T SPEAK TO THE PART OF.
GRUPOM YOU BECAUSE I WAS NOT A
GROUP HOME USE I ENTER CARED TO
KINSHIP AND HAVING THAT FAMILY
STRUCTURE WAS VERY IMPORTANT AND
VALUABLE IN MY LIFE BUT BECAUSE
THE PEOPLE THAT WAS TAKEN IN BY
WERE NOT. AS EDUCATED HAD THIS.
OF LIKE THE CULTURAL DIVIDE OF
OF KNOWLEDGE WITH MENTAL HEALTH
THINKING THAT OF.
THAT SOMETHING'S WRONG WITH YOU
THAT YOU'RE JUST HAVING A BAD
DAY THAT SHE'LL GET OVER IT OWN
THINGS OF THIS NATURE IS WHAT.
CONTINUE TO CONTRIBUTE TO YOU
KNOW MEAN FALLING THROUGH THE
CRACKS AND NOT BEING.
.
NOT BEING.
NOT BEING SEEN OR OR HAVING
THESE RESOURCES GIVEN TO ME.
I WORKED WITH I BECAME A
EDUCATION OPPORTUNITIES A MENTOR
ALL FOUR FOSTER YOUTH I BECAME A
COURT APPOINTED.
ACROSS THE COURT APPOINTED
SPECIAL ADVOCATE MENTOR.
ALSO HOPING FALL FOR YOU HOME I.
INTERNED OR CALL THE CALIFORNIA
ROCKED A LITTLE SENATOR SCOTT
WEINER I'M ON A MENTAL HEALTH NO
STIGMA NO BARRIERS BOARD AND ALL
OF THE SCREENS ALL ABLE TO
ACCOMPLISH BECAUSE. I GOT THE
RESOURCES THAT I NEEDED AND IF I
WAS YOU KNOW HERE'S DOING TODAY
NOT HAVING THOSE RESOURCES IT
WILL BE A DIFFERENT PERSON
SITTING IN FRONT OF YOU.
PROBABLY THAT IS SUPER IMPORTANT
TO HAVE THESE MENTAL HEALTH
SERVICES GIVEN TO YOU AT AN
EARLIER AGE SO THEY'RE ABLE TO
COPE WITH THE TRAUMA AND THINGS
THAT ARE GOING ON BUT NOT TO
STOP IT. TO CONTINUE IT ON TO
THEIR ADULTHOOD AND I THINK YOU
FOR YOUR TIME. THANK YOU THAT
WAS LAID OFF POWERFUL AGONISTIC.
TRUMPETER SO IN TERMS OF. HOW
WILL I SEE SEE ARE YOU THINK
MAYBE AND PROVE THE SITUATION IN
TERMS OF?
FOSTER YOUTH WHO ARE
EXPERIENCING ODD MENTAL HEALTH
CHALLENGES IN TERMS OF
RECOGNIZING IT DIAGNOSING AT
TREATING AL SERVICES IN A
BROADER CONTEXT THEN THE KIDS
ARE.
.
YOU KNOW BECAUSE TEENAGERS IN
PARTICULAR I SOMETIMES ACT AND A
LOT OF DIFFERENT WAYS I THINK IT
DOESN'T GET DIAGNOSED IT GETS
WRITTEN OFF AS. THIS KID IS JUST
YOU KNOW WILL DIFFICULT OR A
LITTLE BIT OUT OF CONTROL AS
OPPOSED TO HAVING A MENTAL
HEALTH PROBLEM.
AND HOW I SO WE NEED TO DO MUCH
BETTER AS A SOCIETY IN GENERAL
BECAUSE WE KNOW THAT.
IF YOU CAN REALLY GET IN RIGHT
AWAY AND AND TREAT THAT KID KIDS
GONNA HAVE A GOOD CHANCE OF
SUCCESS IF YOU LET IT FESTER FOR
THREE FOUR FIVE SIX YEARS. IT
BECOMES ARDER SO. HOW DO YOU
THINK THIS YEAR IT'S GOING TO
HELP YET? THANKS FOR THE
QUESTION CENTER ON. IT I THINK
IN SEVERAL WAYS.
BUT. IF THINGS ARE DONE RIGHT
AND THE BARRIERS THAT WE'RE
CURRENTLY FACING ARE DRESSED
OBVIOUSLY THAT'S A GIVEN ON I
THINK THE USE OF THE CANS WILL
BE A BIG HELP YOU TALKED ABOUT
SORT OF EARLY IDENTIFICATION AND
YOU SAID THAT ASSESSMENT TOOL.
TO IDENTIFY. REAL MENTAL HEALTH
NEEDS AND NOT HAVE MISSED
DIAGNOSES AND NOT HAVE SOMEONE
GOING DOWN THE WRONG PATH FOR.
FOR TOO LONG AND.
BEING ON WRONG MEDICATION AND
NOT HAVING UNDERLYING TRAUMA
ADDRESSED I THINK WILL GO A LONG
WAY. NO I I I I DO THINK AND. I
THINK MY COLLEAGUE MY LEFT WILL
HELP OUT WITH THIS AS WELL I
THINK THAT THE THE.
MENTAL HEALTH CONTRACTS WITH OUR
PROVIDERS AND AND.
HAVING THOSE SERVICES LAID OUT
SPECIFICALLY FOR THEM AND HAVING
THAT ACCESS THERE.
AS AN INTEGRAL PIECE OF CC ARE
HAS TO HAPPEN AND. IN MANY
COUNTIES THE PARTNERSHIP OF WERE
FORTUNES HAVE RESISTED OUR
PARTNERSHIP IS VERY ROBUST IN
AND IT HAS BEEN FOR YEARS. FROM
THOSE THAT PARTNERSHIP IS NOT
YET THERE AND AND SO THERE ARE
GAPS. FOR A NUMBER OF REASONS.
.
IN PROVISION OF OF MENTAL HEALTH
SERVICES FOR FOR KIDS AND. ARE.
HAS TO BE IMPLEMENTED A WAY THAT
ADDRESSES THOSE GAPS AND
INSURERS THE COUNTY MENTAL
HEALTH SERVICES ARE DELIVERED.
TO FOSTER KIDS AND THAT THE
RECESSED APPROPRIATELY WHETHER
ESPECIALLY MENTAL HEALTH OR NOT
ON THAT. ALL TOO OFTEN WE HAVE
KIDS TO.
CLEARLY HAVE NEEDS. ARM AND
THEIR SERVICES AREN'T AREN'T AND
THE NEEDS ARE NOT BEING MET BY
THE SERVICES THAT ARE IN. PLACE.
THANK YOU.
YEAH THIRD LASER.
THANK YOU DEAR WINNER I JUST
WANTED TO SAY TO A.
CHRISTINA THAT THANK YOU FOR
YOUR POWERFUL TESTIMONY AND.
.
I. ENDED DIFFICULT IT'S AMAZING
THAT THE DIFFICULTIES THAT YOU.
HAD IN YOUR LIFE AT.
THAT HAS BROUGHT YOU TO SUCH A
PLACE OF WISDOM AND.
.
I ENLIGHTENMENT AND UP.
REALLY PERSUASIVENESS ABOUT WHAT
WE CAN DO BETTER MINUTES VERY
PORTENTS AND I SO APPRECIATE YOU
BEING HERE AND BEING SUCH A
GREAT ADVOCATE.
AND.
.
IT'S A IT'S IT'S IT'S REALLY
ADDED TO. MY KNOWLEDGE AND I'M
SURE OUR OUR WORK AHEAD SO THANK
YOU SO MUCH.
HE.
BACK TO FOLLOW. THING GOING
GRADUATION. I'M I'M KRISTIN
BARLOWE AND EXECUTIVE DIRECTOR
OF THE COUNTY BECAME REAL HEALTH
DIRECTORS ASSOCIATION SO A
COUNTERPART TO SEE WTA BUT
REPRESENTING THE COUNTY
BEHAVIORAL HEALTH AND SYSTEMS
THROUGHOUT CALIFORNIA AND THANK
YOU FOR THE OPPORTUNITY TO
SHARE.
OUR VANTAGE POINT ON WHAT THE
CHALLENGES HAVE BEEN TO DATE OF
CCR IMPLEMENTATION I WOULD ECHO
THE COMMENTS OF OUR COLLEAGUES
ABOUT.
HOW REALLY ON BOARD THE COUNTY
MENTAL HEALTH SYSTEM IS TO BE A
PART OF? A REALLY GETTING KIDS
INTO THE RIGHT PLACE.
TO ENSURE THAT THEIR STABILITY
IS REALLY BEING DEALT WITH AND
WHETHER MENTAL HEALTH CARE UM
SERVICES ARE PART OF MAKING THAT
WORK WERE DEFINITELY COMMITTED
AND AGREE WITH THAT THE GOALS OF
CCR WHICH IS TO MAKE SURE KIDS.
DON'T HAVE TO LEAVE A PLACE
THEY'RE LIVING IN IN ORDER TO
ACCESS THE RIGHT KIND OF CARE
AND SERVICES THAT THEY NEED.
I THINK YOU KNOW WE WERE REALLY
ASKED TO TRY TO HIGHLIGHT FOR
YOU ALL THE CHALLENGES BUT WOULD
WANT TO MENTION A COUPLE OF
THINGS THAT WE DO THINK ARE
REALLY GOING WELL. AND I THINK
THAT WE'RE CERTAINLY IN A SEA
CHANGE AROUND THE ISSUE OF
MENTAL HEALTH CARE GENERALLY
SPEAKING IN OUR COUNTRY WELL WE
DO HAVE THESE BUMPS IN THE ROAD
ON A NATIONAL STAGE
UNFORTUNATELY TAKE PLACE AROUND.
TRAGIC EVENTS I THINK THERE'S
DEFINITELY A BROADENING
RECOGNITION OF THE IMPORTANCE OF
TAKING CARE OF THE EMOTIONAL
LIFE OF ALL PEOPLE IN OUR
COUNTRY AND HOW. THE LACK OF
RESOURCES THAT WE HAVE DEDICATED
TO THAT DO THE STIGMA AND OTHER
ISSUES HAS GOTTEN US IN THE
SITUATION THAT WE HAVE IN LARGE
PART.
WITH A LOT OF VULNERABLE
POPULATIONS I THINK THE OTHER
THING JUST TO KIND OF PIGGY BACK
ON THE ISSUES THAT WERE BEING
RAISED I'M GLAD YOU MENTIONED
THAT THE EXPERIENCES THAT YOU
HAD WERE IN KINSHIP CARE BECAUSE
SO MUCH OF WHAT WE'RE TALKING
ABOUT CC ARE FOR KIDS AND.
CONGREGATE SETTINGS THAT THERE'S
CLEARLY MORE WE COULD ALL BE
DOING SUPPORT AND THE YOUTH ARE
GETTING THE YOUTH THE SUPPORT
THEY NEED SOME GLAD YOU RAISED
THAT. THAT WE DON'T JUST FOCUS
ON WHAT. THE PARENTS.
WHO SIGN UP TO BE THERAPEUTIC
FOSTER PARENTS ARREST YOUR TV
PROVIDER'S?
END UP NEEDING.
I DO THINK AS WELL THAT IN TERMS
OF ACCESS TO MENTAL HEALTH FOR
THE FOSTER CARE POPULATION. OF
ONE OF THE THE BIGGEST
CHALLENGES THAT CCR WILL NOT BE
ADDRESSING AT THIS POINT BUT WE
WE DO NEED TO FACE IN THAT
COUNTY BE REAL HEALTH DIRECTORS
ARE REALLY TRYING TO ANALYZE IS.
HOW SHOULD WE BE STRUCTURING
WHAT WE DELIVER IN TERMS OF
MENTAL HEALTH CARE TO KIDS IN
FOSTER CARE? I'M AS YOU PROBABLY
KNOW THEY'RE ONE OF THE FEW
POPULATIONS OF MEDICARE I'LL
ELIGIBLES THAT ARE NOT REQUIRED
TO GET SIGNED UP WITH A MANAGED
WHAT THAT MEANS IS IF THEY
HAVEN'T GOTTEN ILL ENOUGH I'M
DUE TO A MENTAL HEALTH DISORDER
THE COUNTY MENTAL HEALTH PLANS
RESOURCES ARE RESTRICTED IN
TERMS OF BEING ABLE TO REALLY
PROVIDE A WHOLE ARRAY OF INTENSE
SERVICES IN THE COMMUNITY AND IN
THE HOME. LEAVING THE FOSTER
PARENT AND OTHER CARE GIVERS TO
FIND CARE EITHER THROUGH HEALTH
PLAN OR THROUGH A FEE FOR
SERVICE PROVIDER IN THE PHONE
BOOK AND. AND YOU KNOW I THINK
WE'RE TRYING TO EVALUATE THAT.
EFFECTIVENESS OF THAT WHEN WE'VE
GOT MULTIPLE PLACES THAT WERE
SENDING CARE GIVERS AND FAMILIES
TO TRY TO ACCESS CARE AND TRYING
TO HELP.
AND HAVING THEM TRY TO ASSESS
WELL HOW ILL ARE YOU ARE YOU
WILL ENOUGH YET TO CALL THIS
NUMBER OR THAT NUMBER AND REALLY
THAT'S THAT'S DOING A
DISSERVICE.
TO THE SENT THE KIDS AND THEIR
CARE GIVERS IN TERMS OF
EXPEDIENT ACCESS TO MENTAL
HEALTH CARE SO WE ARE AS AN
ASSOCIATION LOOKING AT THE ROLE
THAT COUNTIES MIGHT PLAY. ON TO
TRY TO COVER MORE OF THOSE GAPS
AND.
NOT HAVE THERE BE THIS
BIFURCATED OR TRY FOR KATE AND
SET OF PLACES THAT YOU GO.
IF YOU NEED MENTAL HEALTH CARE
AND HAVE MET A CAL AS A FOSTER
CHILD. ON BUT AS TO CC ARE JUST
A COUPLE OF SPECIFIC THINGS TO
MENTION THAT HAVE BEEN.
BUMPS IN THE ROAD OR THINGS
THAT WE ARE STILL ANTICIPATING
AND THE PARTICIPATION OF COUNTY
MENTAL HEALTH STAFF IN THE CHILD
AND FAMILY TEAMS IS OCCURRING.
IT'S BEEN REQUIRED FOR A NUMBER
OF MONTHS AND IT'S OCCURRING AT
THE LOCAL LEVEL HOWEVER COUNTIES
DO NOT HAVE INSTRUCTIONS FROM
THE STATE ON HOW TO CLAIM FOR
THAT TIME. SO THEY THEY ARE
LIKELY CLAIMING IT FOR SOMETHING
OTHER THAN CFT SERVICES SO WE
WILL BE A BIT.
.
I'M CHALLENGED AT THE POINT
WHERE IF LET'S SAY A YEAR FROM
NOW YOU WILL WANT TO HEAR ABOUT
IMPLEMENTATION OF CC ARE WE WILL
HAVE A NUMBER OF MONTHS WHERE WE
DON'T HAVE DATA TO PROVE THAT WE
WERE DOING SOME OF WHAT WE'RE
DOING AND BECAUSE IT WON'T HAVE.
BEEN CAPTURED UNTIL WE GET THOSE
CLAIMING INSTRUCTIONS.
ANOTHER EXAMPLE OF THE CLEANING
INSTRUCTIONS THAT WE KNOW THE
DEPARTMENT IS WORKING TO
FINALIZE IS. THE MENTAL HEALTH
ASSESSMENTS THAT COUNTY MENTAL
HEALTH MUST PROVIDE TO YOUTH
PRIOR TO THEM BEING PLACED IN AN
S. T. RTP. AND THAT'S ONE OF THE
NEW COMPONENTS OF CCR TO ENSURE
THAT ONLY CHILDREN WITH THE
HIGHEST OF NEED WOULD BE SEEN AS
INAPPROPRIATE.
YOUTH TO BE PLACED NEXT YEAR TP
AND SEIZE YOUR REQUIRES THE
COUNTY MENTAL HEALTH SYSTEM TO
ENSURE THOSE ASSESSMENTS OCCUR
SO AGAIN TO THE EXTENT THOSE ARE
HAPPENING. THEY'RE NOT BEING
CLAIMED FOR SO THERE WILL BE A
DATA GAP OR DATA BACK FROM THAT.
I AM I THINK THE OTHER PIECES IS
THAT THE.
WE HAVE THESE MULTIPLE SYSTEMS
WHICH IS A REAL ASSET.
BUT ALSO PROVIDES CHALLENGES
AND ONE OF THOSE IS THAT I THINK
AS MISTER SCHROEDER SAID.
SHORT TERM RESIDENTIAL
TREATMENT PROGRAMS AUSTERITY
PEAS AS WELL AS THERAPEUTIC
FOSTER PARENTS OR TEA AT
THERAPEUTIC.
FOSTER CARE CFCS.
THEY ARE PLACES FOR CHILDREN TO
LIVE BUT WITH THOSE COME A
VARIETY OF INTENSIVE MENTAL
HEALTH SUPPORTS SO THE QUANDARY
THAT SOME OF THE COUNTY MENTAL
HEALTH DEPARTMENTS ARE IN RIGHT
NOW IS TRYING TO PLAN FOR BUDGET
AND EVEN ANTICIPATE THE VOLUME
OF THE MENTAL HEALTH CARE
THEY'LL NEED. TO PROVIDE WE.
AS THE MENTAL HEALTH SYSTEM ARE
NOT RESPONSIBLE OR AND ASKED BY
CCR TO RECRUIT OR TO.
AM LICENSE THOSE FOLKS AND YET
ONCE THEY ARE ON BOARD WE WILL
BE PROVIDING THE MENTAL HEALTH
CARE WITHIN THEM WE ALSO ARE NOT
THE THE AGENCY TO PLACE CHILDREN
SO IT'S DIFFICULT TO ASSESS. HOW
MANY KIDS ARE GOING TO WIND UP
ONCE THESE PLACEMENTS EXIST IN
THAT CARE BUT NEEDING TO BE
PREPARED?
TO PROVIDE THE MENTAL HEALTH
SERVICES THAT WE KNOW KIDS WHO
ARE PLACED THERE WILL NEED SO
THAT'S AN AREA WHERE.
ACROSS CROSS SYSTEM DISCUSSIONS
ARE IMPORTANT AND LOOKING AT
DATA TOGETHER AND TRYING TO BE
ABLE TO BUDGET AND PLAN AND MAKE
SURE YOU HAVE THE CAPACITY IN
ADVANCE. ON AS A CHALLENGE.
I THINK.
TO THE QUESTIONS THAT I KNOW
AND SOME OF YOU HAVE ASKED OTHER
SPEAKERS AROUND WHEN WILL WE
KNOW WE'VE SUCCEEDED.
AND FROM A MENTAL HEALTH
BANDAGE POINT I'M KNOWING WHAT
TO MEASURE AND HOW TO MEASURE IT
I THINK WILL BE SMETHING THAT
WE NEED TO FOCUS ON SOME MORON
NOW THAT WE'RE GETTING. INTO THE
YOU SAID ABOUT SIXTY PERCENT
THERE HON IMPLEMENTATION.
BUT WHAT WILL WE NEED TO WATCH
OVER TIME IN TERMS OF THE ROLE
OF MENTAL HEALTH IN SERVING KIDS
AMBER SHOULD WE JUST SIMPLY LOOK
AT WHETHER THEY GOT SERVED IN
THE COUNTY MENTAL HEALTH SYSTEM
OR NOT OR SHOULD WE LOOK AT
OTHER PLACES WHERE THEY MIGHT
HAVE RECEIVED. MENTAL HEALTH
CARE IN ADDITION TO THE COUNTY
MENTAL HEALTH SYSTEM.
DO WE WANT TO KNOW OF COURSE
HOW TIMELY THE SERVICES WERE AND
AS WAS REFERENCED BY DIRECTOR
KENT EARLIER THE COUNTY MENTAL
HEALTH PLAN SYSTEM IS GOING TO
BE REQUIRED TO.
OVER THIS NEXT YEAR AND MORE TO
BECOME MORE AND MORE MANAGED
CARE PLAN LIKE COMPLIANT IN
TERMS OF NETWORK HAVING AN
ADEQUATE NETWORK OF PROVIDERS
ENSURING THAT YOU'RE ABLE TO
ENSURE. THAT ACCESS IS AVAILABLE
PARTICULAR AMOUNTS OF SAID THAT.
CLIENTS WOULD HAVE TO TRAVEL A
CERTAIN AMOUNT OF TIME AWAY FROM
THEIR HOME OR I'M DISTANCE AWAY
FROM THEIR HOME IN ORDER TO
PROVE TO ACCESS CARE.
SHOULD WE MEASURE WHETHER OR
NOT KIDS ARE IN A STABLE
PLACEMENT CAN WE KNOW FOR SURE
THAT IT WAS THE MENTAL HEALTH
CARE THEY GOT THAT WAS ABLE TO
TO. ACHIEVE THAT BUT I DO AGREE
THAT THE ABILITY TO LOOK AT
THINGS LIKE A CANS TOOL AND
OTHER ASSESSMENT TOOLS THAT
COUNTY MENTAL HEALTH PLANS. ARE
GOING TO BE IMPLEMENTING IN
ADDITION TO CANS.
WILL START TO GIVE US DATA THAT
WE REALLY NEVER HAD IN
CALIFORNIA'S MENTAL HEALTH
SYSTEM WHICH IS MORE IMPORTANT I
THINK THAN COUNTING UP SERVICES
AND KIDS WILL BE WHETHER THEY
GOT BETTER. AND WHETHER THERE
NEEDS IN FACT ARE BEING
ADDRESSED.
AND IF WE SEE TRENDS OVER TIME
THAT WE IN FACT ARE MOVING IN
THE RIGHT DIRECTION AND
ADDRESSING THEIR MENTAL HEALTH
CARE NEEDS NOT SIMPLY. ON THESE
OTHER MORE OBVIOUS SYMPTOMS LIKE
BEING AN OUT OF HOME PLACEMENT
OR BEING HOSPITALIZED BUT
LOOKING AT THEIR WELLNESS.
I AM I THINK THE ONLY OTHER
THING I MIGHT MENTION THAT HAS
BEEN A STRUGGLE AND. IT'S A VERY
FAIRLY TECHNICAL PIECES IN THE
STANDING UP OF THE.
SPECIAL. STR TP PROGRAMS
THEY'RE REALLY FOR THERE MIGHT
BE A PROVIDER IN A
COUNTY THAT FOR SOME REASON THE
COUNTY IS NOT COMFORTABLE.
CERTIFYING PERHAPS BECAUSE THEY
DON'T ACTUALLY PLACED CHILDREN
AND THAT.
PLACEMENT IN FACT THE KIDS
MIGHT BE COMING FROM OTHER
PLACES.
OR BECAUSE OF SOME HISTORICAL
ARTIFACT OF A PARTICULAR
PROVIDER CONCERNED ABOUT THEIR
CAPACITY.
AND WHAT ROLE CAN THE
DEPARTMENT PLAY TO ENSURE FROM A
STATEWIDE BASIS ARE FROM A
STATEWIDE PERSPECTIVE THAT WE
ARE WE ARE PUTTING IN PLACE.
THIS PLACEMENT OPTION EVEN IF
FOR SOME REASON I COUNTY IS NOT
CERTIFYING THAT KILLER PROVIDER
FAIRLY TECHNICAL PIECE BUT IT IS
SOMETHING THAT'S BEING DISCUSSED
ON QUITE A BIT BETWEEN.
ALL OF US RIGHT NOW BUT THAT
I'M HAPPY TO TAKE QUESTIONS
THANK YOU.
RIGHT ANY QUESTIONS WITH SOMEONE
SO.
THANK YOU. I APPRECIATE VERY
MUCH THE.
CONVERSATION WHETHER THE
REPORTING ON THIS AND.
AS WE'VE BEEN WORKING THROUGH
THIS OF THE LAST NUMBER OF YEARS
MOST EVERYBODY WERE SMILES AND
SAID WE REALLY SUPPORT CECE ARE.
SOMETIMES THEY'RE SAYING THAT
THROUGH CLENCHED TEETH BECAUSE
OF THE THE THE STRUGGLES AND THE
FRUSTRATIONS.
BUT IT'S GOOD THAT WERE STAYING
ON ON TRACK AND I I DO THINK WE
NEED TO KEEP THE.
THE PEDAL DOWN AS WE MOVE
FORWARD BUT STILL RECOGNIZE THE
CHALLENGES THAT A LOT OF THIS
REPRESENTS A LOT ON THE MENTAL
HEALTH PEACE AND AM VERY GLAD TO
SEE. COUNTY MENTAL HEALTH AND
AND CARRY.
SOCIAL SERVICES REPRESENTED IS
ONE OF THE CHANGES THAT THIS IS
REALLY DRIVING IS EXACTLY WHAT
YOU'RE TALKING ABOUT THAT.
THAT QUESTION ABOUT.
SORT OF WHAT THE DIAGNOSIS IS IT
ACUTE ENOUGH TO DRAW DOWN OF
PAYMENT AND WE HAVE GOT TO
FIGURE OUT A WAY OF NOT DOING
THAT ANYMORE. ESPECIALLY FOR
THESE THIS POPULATION EACH OF
THESE KIDS COMES IN BY
DEFINITION WITH TRAUMA BY
DEFINITION NEEDING SOME LEVEL OF
SERVICES.
AND IF WE WAIT UNTIL IT BECOMES
SOMETHING THAT WE CAN CATEGORIZE
BEFORE IT'S PAYABLE THEN WE'RE
LOSING A REAL OPPORTUNITY TO
ADDRESS. AN ISSUE WHEN IT'S
TIMELY TO ADDRESS SO WE HAVE GOT
TO MEET THE KIDS WHERE THEY ARE.
AS THEY COME INTO THE SYSTEM.
AND SO I'M I'M TAKING SOME OF
WHAT YOU'RE SAYING WITH WITH
THAT WAS THAT SOME OF THOSE
CHALLENGES OF NOT KNOWING HOW TO
CATEGORIZE.
WHERE TO DESCEND THE BILLING AND
FROM OUR STANDPOINT?
KNOWING THAT WE MAY NOT BE
COLLECTING DATA BECAUSE WE DON'T
KNOW HOW TO COLLECT DATA OR HOW.
TO INDICATE A SERVICE THAT'S
BEING DONE IT IS GOING TO BE
FRUSTRATING IN. FIGURE OUT HOW
WE ASSESS WHERE WE ARE. IN AND
WHAT NEEDS TO BE CHANGED SO HOW
CAN WE DO THAT BETTER WELL I
THINK ON SOME GOOD NEWS IS THAT
THE FEDERAL GOVERNMENT HAS TAKEN
CARE OF OUR CONCERN WHEN THEY
PASSED AND THE PST T.
ENTITLEMENT AS PART OF OUR
SOCIAL SECURITY ACT IN MEDICAID
BENEFITS SO. REALLY THE
ENTITLEMENT TO EVEN THE LOWEST
OF LEVEL SCREENING AND
PREVENTION.
OF HEALTH CARE NEEDS ISSUES FOR
ALL KIDS UNDER TWENTY ONE IN
MEDICAID EXISTS AND ALL OF THOSE
THINGS THAT WE WOULD NEED TO DO.
ARE FEDERALLY ELIGIBLE UNDER
FEDERAL MEDICAID LAW ALREADY
THAT THE ISSUE IS THAT WE HAVE.
DISTRIBUTED THE RESPONSIBILITY
FOR THAT AS IT RELATES TO MENTAL
HEALTH AMONG THE VARIETY OF
PROVIDERS.
SO THE COUNTY MENTAL HEALTH
SYSTEM HAS A PEACE AND A LARGE
AND IMPORTANT PIECE BUT THE WAY
THAT WE'VE SORT OF NARROWLY
CONSTRUCTED WHO CAN GET IN OUR
DOOR.
IS TO ENSURE THAT WE'VE WAITED
LONG ENOUGH. TO BE WILLING TO
PAY FOR THE CARE THEY NEED AND
SO THEREFORE THE THE SORT OF
PREVENTION AND SCREENING AND
EARLY INTERVENTION TYPES OF
SERVICES REALLY LAND ON THE LAP
OF OUR MEDICARE MANAGED CARE
PLANS. FOR ALL KIDS.
BUT WE DO AUGMENT.
.
WHAT WE KNOW THEY ARE OR AREN'T
PROVIDING LOCALLY WITH A LOT OF
TIMES WITH PROPOSITION SIXTY
THREE FUNDED RESOURCES WHERE
WE'RE DOING PREVENTION AND EARLY
IDENTIFICATION AND BRINGING?
PROGRAMS AND SERVICES INTO
SCHOOLS BUT I THINK THERE'S A
LOT OF UNTAPPED OPPORTUNITY.
IN THE FACT THAT THE FEDERAL
LAW IS ON OUR SIDE AS IT RELATES
TO WHAT'S BILLABLE IT'S MORE A
MATTER I THINK OF WHO WERE
TASKING WITH THE JOB AND
PERHAPS.
ALIGNING IT AND TO BE A LITTLE
BIT LESS DISINTEGRATED ACROSS
DIFFERENT HEALTHCARE SYSTEMS.
HOW REFRESHING TO HEAR THAT THE
FEDERAL LAWS ON HER SIDE?
AND ONE OF THE THE ONE OF MY
HOPES AND IN TRYING TO ADDRESS
THIS AS WE BUILT THAT. THE
PROGRAM FOR THE MENTAL HEALTH
SERVICES WAS TO LEARN BETTER HOW
WE PROVIDE SERVICES FOR MENTAL
HEALTH SERVICES FOR INDIVIDUALS.
AS THEY NEEDED AS OPPOSED TO
WAITING FOR PARTICULAR
MILESTONES BEFORE BECOMES
BILLABLE.
AND I'M ALWAYS HOPING THAT
DEALING WITH THIS LIMITED
POPULATION WE CAN FIGURE SOME OF
THAT OUT. AND JUST CISCO
DESCRIBING.
THE MOB OF HIM YOU HAVE TO.
DIFFERENTIAL RESPONSE KIND OF A
PROGRAM. AND THE COUNTIES THAT
I'VE SEEN HAVE REALLY SEEN A
NUMBER OF THE THE NUMBER OF KIDS
IN CARE DROP BECAUSE THE
DIFFERENTIAL RESPONSE AND AND
THIS IS SORT OF HOW I LOOK AT IT
AS AS I WAS IN SANTA CRUZ COUNTY
AS WE DEVELOP THAT PROGRAM ARE
IMPLEMENTED THAT. PROGRAM.
AND BEING ABLE THAT THAT'S
REALLY MEDIA FAMILY WHERE THEIR
NEEDS ARE. AND INSTEAD OF
WAITING UNTIL BECOMES SUCH A
PROBLEM THAT THAT YOU NOW NEED
TO REMOVE A CHILD.
THAT'S WHAT HEALTHY FOR THE
COMMUNITY LIKE HEALTHY FOR THE
FAMILY IT'S CERTAINLY A LOT
HEALTHIER FOR THE CHILD.
AND IF WE CAN BE APPROACHING
MENTAL HEALTH SERVICES THAT WAY.
OF GIVING.
LEVERAGING ALL OF THOSE
COMPONENTS IN A WAY THAT THAT
TIMING WISE WE CAN PROVIDE THE
HELP THAT'S NEEDED AS IT'S
NEEDED INSTEAD OF. THAN HAVING A
MUCH MORE EXPENSIVE MUCH MORE
DIFFICULT COMPLICATED.
PROCESS TO SOLVE A LITTLE BIT
LATER ON.
IS.
WE'RE HOPING WE CAN ULTIMATELY
GET AS WE STOOD FOR THE SCANNER
AND I KNOW IT'S COMPLICATED
BECAUSE OF FEDERAL RULES THE
STATE RULES.
BUT WE AT LEAST HAVE SOME
CONTROL OVER. OVER STATE RULES
AND SO IF IF WE NEED TO REDESIGN
CHILDREN'S MENTAL HEALTH HOW IT
TO BE EFFECTIVE AS WE LEARN
THROUGH THIS WE SHOULD WE SHOULD
BE HAVING THIS CONVERSATION.
SIR YOU LOOK LIKE YOU HAD A.
I WOULD JUST SAY THAT WE'RE
WE'RE REALLY FORTUNE THAT THE EP
STT BENEFIT. SETS A RELATIVELY
LOW BAR IN TERMS OF OF WIND
ESPECIALLY NO HEALTH SERVICES
GIVING CAN BE PROVIDED AND PAY
FOR IT SAYS. IF THERE'S A
DIAGNOSIS OF THE YOU KNOW
AFFABLE DIAGNOSIS IF THAT
DIAGNOSIS IS OF ABOUT A MENTAL
HEALTH CONDITION THAT IMPACTS
THAT CHILD'S FUNCTIONING IN
VIRTUALLY ANY WAY. THEN THAT
CHILD ELIGIBLE OR TREATMENT
UNDER BEEN ESPECIALLY MENTAL
HEALTH SERVICES IS A RELATIVELY
LOW PART AND.
IT AND IS IT WELL IT CERTAINLY
DOESN'T ACCOUNT FOR PREVENTION
SERVICES AND EARLY
IDENTIFICATION SERVICES AND SO
ON. IN TERMS OF TREATMENT IT
REALLY OF HAVING SAID THAT IT IS
YOU KNOW EDS THE TEA IS YOU KNOW
EARLY PREVENTION RATHER THAN A
TREATMENT FOR AND YET ALL THIS.
I JUST STARTED TO FORGET THEIR
YES YEAH TODAY.
AND.
IT AND SO I THINK WE'RE REALLY
FORTUNE THAT RECORD. AND AND YOU
KNOW IN MANY WAYS THE THE THE
THE THE KIND OF HEALTH PLAN
REALLY IS THE DOOR.
YOU KNOW THAT'S WHERE YOU GO TO
ACCESS THAT'S WHERE YOU GO TO
GET THE SCREENING. YOU CAN GET
SCREENED FOR YOUR YOU KNOW THREE
OR PRIVATIZATION BUT THAT'S
WHERE YOU GET THE SCREENING FOR
SCREENING SAYS YES THERE'S A
POTENTIAL FOR REAL. MILL HEALTH
NEED HERE THAT'S WHERE YOU GET
THE ASSESSMENT AND SO ON
SUFFERED FOR FOSTER YOUTH IT'S
ACTUALLY.
IT'S IT'S A IT'S A.
IT'S IT'S LESS COMPLICATED THAN
IF YOU'RE NOT A FOSTER YOUTH.
JUST IF I COULD ON THESE. I
REALLY APPRECIATE YOUR.
.
COMMENT AROUND THE IMMEDIACY AND
THE IMMEDIATE NEED AND NOT
WAITING FOR.
DIAGNOSIS OR NOT WAITING UNTIL
SOMETHING WORSE HAPPENS WE WE
KNOW.
S. ONCE THEY KNOW MAKE ONLINE.
EVERY KID EVERY CHILD WHO COMES
INTO OUR SYSTEM.
HAS SUFFERED TRAUMA.
SIMPLY THE TWICE.
BEING A BEING ABUSED OR
NEGLECTED TO THE EXTENT TO THE
SEVERITY WHERE THEY HAVE TO BE
REMOVED FROM THEIR BIRTH
PARENTS.
AND THE BEING REMOVED.
SO JUST IN AND OF ITSELF WE KNOW
THAT WE NEED. IMMEDIATELY TO
INTERVENE WITH WITH THAT CHILD
SO HE OR SHE CAN HAVE.
THEIR NEEDS MET.
THROUGH AND WE HAVE THE TOOLS
THREE PST T. TO PROVIDE THAT
THAT EARLY INTERVENTION AND TOO
OFTEN. THAT DELAY DOES OCCUR IN
OUR COUNTY SYSTEMS AND AND WE.
WERE COGNIZANT OF IT.
WERE PUSHING ON IT THERE'S YOU
KNOW THE LEGISLATURE IS
RECOGNIZED AS WELL THROUGH THEIR
INTERACTIONS LAST YEAR. AS ONE A
PLAN HOW CRITICAL THAT IS TO
MEET THE NEEDS OF OF THE
CHILDREN WE BRING IN A CARE AND
ALSO FOR OF COURSE THE SUCCESS
OF OF CCR.
YES AND AND ALL THE MYSTERY YOU
MENTIONED THAT IT'S EASIER FOR
DEALING WITH A FOSTER.
CHILD AS A PERSON NOT FOSTER
CHILD THAT IS ALSO A GAP THAT
THAT WE HAVE TO CLOSE HERE THEY
KNOW WE'RE TALKING ABOUT THE
CHILD WELFARE SYSTEM BUT WHO'S
NOT HERE. ARE THE PROBATION
SHE'S
BECAUSE THIS IS.
THEY HAVE A STAKE IN THE C. R.
AS WELL AS SECURITY PEAS AND AND
ALL OF THESE PROGRAMS.
WHETHER CHILD IS REMOVE FROM
HOME OR NOT WERE ELIGIBLE TO
MOVE FROM HOME OR NOT IF THEY'RE
INVOLVED THE JUSTICE SYSTEM IF
THEY'VE BEEN SEXUALLY TRAFFIC.
IF THEY'RE HOMELESS.
WE SHOULD HAVE AN EASY PATH TO
ADDRESS THEIR ISSUES.
THROUGH ALL OF THIS SYSTEM AND
UNFORTUNATELY WE WE TEND TO
STOVE PIPE.
ALL OF THESE SYSTEMS TOGETHER
AND AND THAT'S HISTORICALLY
WHERE WE SPEND BUT IF WE CAN
FIGURE OUT OF A BETTER WAY TO
STITCH ALL THESE PROGRAMS
TOGETHER. TO GET THE MENTAL
HEALTH SERVICES WHERE THEY NEED.
TO DO THAT DIFFERENTIAL RESPONSE
TO YOU IF YOU WILL THAT THE
LOWER LEVEL TOUCH AS IS
NECESSARY TO HELP THAT FAMILY SO
THE WE DON'T. GET INTO A
SITUATION OF REMOVING THEM WE
DON'T HAVE A SITUATION WHERE
THEY'RE HEADED OFF INTO JUSTICE
TROUBLE.
SO THAT NOW THEY'RE PART OF THE
THE PROBATION SYSTEM.
A COLLECTIVE SYSTEM THAT DEALS
WITH. AT RISK YOUTH IN THE
COMMUNITIES WHERE THEY ARE WOULD
BE MUCH BETTER THIS IS WHERE I'M
ALSO HOPING WE LEARN FROM A LOT
OF THESE PROCESSES AND THEN BE
ABLE TO EXPAND THAT OUT. TO
YOUTH IN A BROADER SENSE THAT
OUR COMMUNITIES AND IN
UNDERSTAND HOW TO DEAL WITH THEM
BEFORE WE WE GET TO SUCH.
SERIOUS ISSUES AND SO THAT SORT
OF LEADS ME TO THE PROBATION
QUESTION BECAUSE I KNOW HEY'RE
THEY'RE NOT ON THE PANEL HERE
BUT THAT'S A REAL. IMPORTANT
PART OF HOW ALL THIS GOES
TOGETHER SO FROM THE COUNTY
FOLKS.
IN YOUR EXPERIENCE AND HOW
YOU'RE WORKING TYING IN WITH A
PROBATION SIDE FOR THE JUSTICE
INVOLVED YOU HOW IS THAT. HOW
DOES THAT FIT INTO THIS
DISCUSSION?
LOCKSTEP ARM OR ARE ARE GIVEN A
PROBATION CHIEF IN AND.
MYSELF AND OUR AND OUR PARTNERS
ARE PROBABLY AT EVERY MEETING
TOGETHER AND AND WE SEE THE
SYSTEM AS ONE. AND WE WE NEED TO
BE ABLE TO DO ALL THE SUPPORTS
IN THE COMMUNITY FOR WHETHER
THEY'RE A PROBATION A CHILD OR A
BUG.
CHILD WHO'S IN THE THE CELLO FOR
SYSTEM FOSTER CARE SO.
IT'S IT'S A DEFINITIONAL
DIFFERENCE ONLY AND THE. THE
CRITICAL IMPORTANCE OF MENTAL
HEALTH SERVICES ON BOTH SIDES
ARE BEING MET IN SAN FRANCISCO
AND AND.
WE'RE UNIQUE IN THAT WE WE PUT
IN A LOT OF COUNTY GENERAL FUND
ON TOP OF. IN OUR STATE AND
FEDERAL DOLLARS WE HAVE THE
LUXURY TO DO SO WE HAVE THE
POLITICAL WILL TO DO SO.
IT'S NOT THE SAME ACROSS THE
STATE AND SO WE I TALKED ABOUT
OUR OUR PARTNERSHIP WITH MENTAL
HEALTH THAT'S BEEN YEARS IN THE
MAKING AND IS A VERY STRONG
PARTNERSHIP A LOT OF IT IS.
BECAUSE WE CAN USE COUNTY
GENERAL FUNDS TO FILL THESE GAPS
SO WE ELIMINATE A TIMELESS
PROBLEM OR WE AUGMENTS SERVICES
EARLY ON. EVEN IF THAT.
THE USER DIFFERENTIAL SPONSOR
EXAMPLE EVEN IF A FAMILY MAY
NOT.
QUALIFY UNDER ANY SORT OF FATE
THE STATE OR FEDERAL FUNDING
STREAM WILL JUST USE COUNTY
DOLLARS TO FILL THAT GAP.
BUT WE'RE NOW WE HAVE THAT
LUXURY IN IN IN MOST OF THE
OTHER COUNTIES THAT DON'T.
AND THAT'S THE IMAGE IN THE
POLITICAL WILL AND AND ALL THAT
YES YOU HAVE SOME OF THE
RESOURCES ONE OF THE CHALLENGES
THAT WE'RE FACING IS. BECAUSE
REALIGNMENT BEFORE WE DID THIS
LEVEL OF REFORM WHICH I THINK
ADD SOME. COMPLEXITIES TO WHAT
WE'RE TRYING TO ACCOMPLISH AND
AS WE STARTED DOWN THIS PATH.
WEATHER WAS PROBATION WAR THAT
SOCIAL WORKER SIDE OUT KEPT
HEARING WHAT OUR KIDS ARE
DIFFERENT.
WELL THEY'RE NOT AND AND THE
PARTNERSHIP YOU HAVE WITH
PROBATION AND SAY IN TERMS AS
KOKANEE REALLY SHOWS THAT. WE
NEED TO.
WHEN YOU FIGURE OUT HOW TO MAKE
THAT THE PERVASIVE ATTITUDE IF
WE'RE REALLY GOING TO BE ABLE TO
DRESS CODES ARRESTS. SO ANYWAY
THANK YOU. GREAT I THINK WE'RE
GONNA HAVE TO. GO ON THE NEXT
PANEL THINKING THE THANK YOU
ALL.
OUR NEXT. PANEL.
IF T HAD ON PROVING CARE GIVER
RECRUITMENT AND SUPPORT OUR
PANELISTS ARE JENNIFER
RODRIGUEZ.
FROM THE EXECUTIVE DIRECTOR OF
YOUTH LAW CENTER. RETIRED JUDGE
MICHAEL NASH FROM THE LA OFFICE
OF TELL PROTECTION. ANGIE
SCHWARTZ POLICY DIRECTOR OF THE
ALLIANCE FOR CHILDREN'S RIGHTS.
JEANNIE AND ELLY OWE IT CHIEF
OPERATING OFFICER OF US HERE AND
THAT AND JENNIFER PERRY THE CO
FOUNDER OF FOSTER MORE.
.
I WAS AS IF IF WE COULD.
TRY TO KEEP COMMENTS AS.
AS CRISP AS POSSIBLE BECAUSE.
WE'RE. GOING TO GET INTO THE
LATE AFTERNOON AT SOME POINT
AND.
I WANT TO MAKE SURE PEOPLE ARE
ABLE TO. TO STAY AROUND SO.
UNTIL YOUR OWN FROM WHICHEVER
ORDER WHEN WE. START TO SCOTLAND
MY LEFT TO RIGHT.
THANK YOU GOOD AFTERNOON THANKS
SO MUCH FOR HAVING US HERE
TODAY.
I'M I'M JENNIFER AUDREY GUESS
I'M EXECUTIVE DIRECTOR OF THE
FIVE CENTER AND BEER AND
NATIONAL AND ADVOCACY
ORGANIZATION FOCUSED ON
TRANSFORMING FOSTER CARE IN
JUVENILE JUSTICE SYSTEMS.
SO THAT YOUNG PEOPLE CAN THRIVE
I'M AND THIS EFFORT AROUND CAN
TEAM OF CARE REFORM AS ONE AND
THAT IS CRITICAL TO US. I'M AND
I JUST WANT TO EMPHASIZE THAT
THE PREVIOUS PANELS HAVE SAD IS
THAT THIS IS PROBABLY. THE MOST
MAJOR REFORM AND I REALLY THINK
ABOUT THIS REFORM TWO WAYS I
THINK IT'S BOTH ABOUT.
WEIRDLY ENOUGH DEVELOPMENTAL
FINANCING NEUROBIOLOGY AND IT'S
ABOUT SOCIAL POLICY AND WE'VE
HAD THE EVIDENCE NOW FOR ABOUT
THE PAST TEN YEARS THAT. WE KNOW
THAT LOVE AND RELATIONSHIPS AND
FAMILIES AND PARENTING. ARE THE
SOLE INTERVENTION.
THAT'S FOUNDATIONAL FOR OUR
YOUNG PEOPLE IN BOTH THE JUSTICE
SYSTEM AND THE CHILD WELFARE
SYSTEM TO HILL AND DRIVE AND OUR
POLICY HAS CONTINUED TO ACT AS
DEATH. FAMILIES IN OUR SYSTEMS
WERE MERELY THE BAD.
RATHER THAN THE INTERVENTIONS
I'M AND SO WHAT I REALLY SEE SEE
SEE OUR ALLIES AS AN EFFORT TO
BRING SORT OF INTO COHESION. OUR
SOCIAL POLICY AND TO SAY OF OUR
FAMILIES ARE THE INTERVENTION
AND THEN THAT'S WHERE ALL OF OUR
CHILDREN NEED TO BE.
AND SO OVERALL THAT IS A HUGE
UNDERTAKING AND WE'VE HAD A
CHILD WELFARE SYSTEM THAT FOR
ALMOST A HUNDRED YEARS HAS BEEN
BASED. AROUND INSTITUTIONAL CARE
OR BAD.
BUT WE HAVE NOT HAD FAMILIES
WHETHER BIRTH FAMILIES FOSTER
FAMILIES RELATIVE FAMILIES WE
HAVE NOT HAD FAMILIES AT THE
TABLE.
OVER THE PAST HUNDRED YEARS
BEING TREATED AS IF THEY ARE THE
FOUNDATIONAL INTERVENTION FOR
OUR SYSTEM. SO IN ORDER TO GET
TO A PLACE NOW WHERE CPR IS THAT
FAITHFUL AND WHERE WE HAVE A
DIFFERENT SYSTEM WE'RE NOT JUST
TALKING ABOUT. A THIRD OF ALL OF
THE THINGS THAT WE HAVE
TYPICALLY THOUGHT ABOUT WHEN WE
THOUGHT ABOUT BEDS HOW DO WE GET
MORE OF WHAT DO WE PAY THEM HOW
DO WE LICENSE THEM HOW DO WE
TRAIN THEM. WE'RE REALLY TALKING
ABOUT A CULTURE SHIFT THAT HAS
TO HAPPEN IN OUR CHILD WELFARE
AGENCIES TO BE THINKING ABOUT
YOU'RE NO LONGER A BAD YOU ARE
THE INTERVENTION AND YOU ARE THE
BEST THING THAT MAKES OUR CHILD
WELFARE SYSTEM WORK. SO HOW DO
YOU PLAY A CENTRAL ROLE IN
DECISION MAKING HOW TO RE RE
ORIENT THE SYSTEM SO THAT EVERY
SINGLE STEP OF THE WAY FROM. AM
YOU HEARD EARLIER ABOUT BEEN T.
AND AND YOU KNOW SOME EFFORTS TO
MAKE THE SYSTEM MORE CUSTOMER
SERVICE FRIENDLY. THAN THE FIRST
MESSAGE THAT YOU HEAR IS THAT
YOU'RE GOING TO COME IN AND BE A
PARTNER IT'S REALLY EASY FOR YOU
TO BECOME.
APPROVED AND BECOME A RESOURCE
FAMILY AND THAT PEOPLE TREAT YOU
WITH RESPECT AND AS AN EQUAL AND
A VALUED PARTNER AND THAT NONE
OF OUR OWN SORT OF ANTIQUE.
POLICIES AND PROCEDURES AROUND
INVESTIGATIONS ARE NORMALCY OR.
YOU KNOW THE WAY THAT WE
DISCOURAGE PEOPLE FROM BEING IN
COURT GET IN THE WAY OF THAT
MESSAGE THAT PEOPLE ARE THE KEY
INTERVENTION. THAT'S NOT SMALL
THAT'S MAJOR.
CULTURE POLICY PRACTICE CHANGE
AND I WAS TALKING TO STAFF
AWHILE AGO AND I WAS TALKING
ABOUT WHAT CHANGE REALLY MEANS
AND. YOU KNOW I THINK CHANGES
REALLY HARD YOU HEARD THAT
EARLIER I WILL TELL YOU WHAT IS
HARDER THOUGH.
WHAT IS HARDER IT IS TO HAVE
BEEN A CHILD THAT HAS GROWN UP
IN THE SYSTEM? AND I'LL NEVER
FORGET ONE OF THE AND A FORMER
DIRECTOR OF THE CHILD WELFARE
AGENCY IN THE BAY AREA WITH
TELLING MATT. I'M PRACTICE WHICH
IS NOW
HOW'S THAT AS SENATE GOT THEY
CAME IN THEY SAID GIVE US YOUR
LONELY AS CHILDREN THE CHILDREN
WHO HAVE THE HIGHEST BEHAVE REAL
NEED TO HAVE BEEN IN GROUP CARE
FOR THE LONGEST PERIOD OF TIME.
AND WHO DO YOU THINK HAVE NO
FAMILY.
BECAUSE WE CAN ALMOST GUARANTEE
WE FIND AN AVERAGE OF FORTY
FAMILY MEMBERS FOR EVERY SINGLE
ONE OF THESE YOUNG PEOPLE. THE
MOST COMPREHENSIVE SEARCHES
TWENTY FIVE DOLLARS PER CHILD
THE BASICS SEARCHES WAY BACK
THEN TEN BUCKS PER CHILD HE SAID
FOR THIS CHILD WHO HAD SPENT
OVER A DECADE. LIVING IN AN
INSTITUTION THEY RAN A THIRTEEN
IN FIVE MINUTES FOUND OUT HE HAD
DOZENS OF FAMILY MEMBERS WHO
WERE ALL LIVING IN SOUTHERN
CALIFORNIA SO. JUST SAME STATE.
AND WHO THEY DECIDE TO THROW AT
SIXTEENTH BIRTHDAY PARTY FOR
HIM.
THE THOUGHT CAME TO THE BIRTHDAY
PARTY.
IT TURNS OUT ONE OF HIS UNCLES
WITH A BLACK COWBOY. YOUNG
PERSON LIVE TO ADD A HORSE
GRUPOM A RANCH THAT UNCLE SAID I
WILL TAKE HIM HOME WITH ME
TODAY.
FOR THIS YET FOR THIS YEAR HE
SUDDENLY IN THE COURSE OF A DAY
HAD FAMILY AND SOMETHING THAT HE
HAD NEVER HAD IMPLEMENT GROWN
AT.
BEING TOLD THAT HE.
WOULDN'T HAVE.
EVERYBODY WAS VERY EXCITED AND I
WISH I COULD TELL YOU THAT THIS
WAS A HAPPY ENDING BUT WITH
STUCK WITH THIS CHILD WELFARE
DIRECTOR WAS THAT WHEN THEY
OFFERED THIS YOUTH THE OPTION TO
GO HOME WITH HIS UNCLE HE SAID
HE COULD.
HE NEVER BEEN IN A FAMILY.
HE WAS KIND USED TO GROWING UP
IN THAT INSTITUTION.
AND SO HE STAYED.
AND HE AGED OUT OF THAT
INSTITUTION. AND WHEN I THINK
ABOUT WHY. IT'S THAT THIS IS A
YOUNG PERSON WHO HONESTLY HE
COULD BE MY CHILD.
IN TERMS OF AGE.
I GREW UP IN THE SAME SYSTEM
THAT WAS MY STORY TO ALL OF
THESE YOUNG PEOPLE WHO HAVE BEEN
WAITING WHILE WE HAVE THE
TECHNOLOGY THE TOOLS WE HAVE
ACTUALLY THE BEST PRACTICES. IN
PLACE THEY ARE NOT A MYSTERY
YOU'RE GOING TO HEAR ABOUT A
COUPLE OF THEM ON THIS PANEL WE
KNOW HOW TO DO FAMILY FINDING AN
ENGAGEMENT OUR EARLIEST PILOT
HERE IN CALIFORNIA WAS IN TWO
THOUSAND AND TWO AND SACRAMENTO
COUNTY.
THIRTY YOUNG PEOPLE WHO WERE IN
RESIDENTIAL CARE AND GROUP CARE
WHO WERE THE HARDEST TO PLACE
CHILDREN MOST BEHAVIORAL AND
MENTAL HEALTH NEEDS THEY DID
FAMILY FINDING ENGAGEMENT.
FOUNDED BIRTH FAMILY WERE ABLE
TO MOVE ALL THIRTY OF THEM OUT
EITHER BACK TO THEIR BIRTH
PARENTS OR TO OTHER FAMILY
MEMBERS ORCOMMUNITY MEMBERS WHO
ARE CLOSE. SIMILAR RESULTS IN
SANTA CLARA COUNTY JUST A COUPLE
YEARS LATER PILOTS ALL ACROSS
THE STATE WE HAVE A VERY SHORT
INSTITUTIONAL MEMORY WHEN
THEY'RE SOMETHING THAT'S
WONDERFUL AND IT'S SOMETHING
THAT'S TERRIBLE WE REMEMBER IT.
FOR DECADES BUT WHEN SOMETHING
THAT CAN LITERALLY CHANGE OUR
WHOLE SYSTEM HAPPENS WE OFTEN
TEND TO FORGET.
SO I DO THINK IT IS DIFFICULT
BUT I THINK IT'S VERY DURABLE
I'M IN UP TO THIS POINT OUR
CHILDREN HAVE BORNE THE BRUNT OF
THE DIFFICULTY AND NOW IT'S TIME
FOR ALL OF US PROFESSIONALS WHO
ARE AROUND THE TABLE FOR US TO
BEAR. ON THE BRUNT OF THAT
DIFFICULTY YOU KNOW CHANGE AT
TH.
IT SEEMS IMPOSSIBLE IN THE
BEGINNING AND IT'S MESSY IN THE
MIDDLE AND THEN IT'S BEAUTIFUL
AND AND AND SO I THINK WE ALL
HAVE TO STAY FOCUSED ON THAT
BEAUTIFUL NEST AND THAT VISION.
FOR OUR YOUNG PEOPLE.
IJUST I WANTED TO TELL YOU
QUICKLY ABOUT WORK THAT WE'VE
BEEN DOING THAT I THINK IS
INFORMATIVE TO THIS AND TWENTY
SIX COUNTIES ACROSS THE STATE
THROUGH OUR QUALITY PARENTING
INITIATIVE.
AND SAID THIS IS WORK THAT WE
STARTED ABOUT NINE YEARS AGO
HERE IN CALIFORNIA WITH THE GOAL
OF RE ORIENTING CHILD WELFARE
CULTURE PRACTICE AND POLICY.
AROUND EXCELLENT PARENTING AS
THE KEY INTERVENTION.
AND WE STARTED THIS WORK IN
PARTNERSHIP WITH THE CALIFORNIA
DEPARTMENT SOCIAL SERVICES AND
CW DA WITH THE IDEA THAT IF
PEOPLE COULD ONLY THINK ABOUT
WHAT IT IS LIKE TO WALK THROUGH
THE SYSTEM AS A CHILD. WALKED
THROUGH THE SYSTEM AS A FAMILY
THEY WOULD IMMEDIATELY SEE ALL
THE PLACES IN OUR SYSTEM WHERE
THERE IS A DISCONNECT. BETWEEN
HOW THAT'S EASY HOW THAT'S HARD
AND I MENTIONED SOME OF THOSE
EXAMPLES BEFORE I'LL TELL YOU
WHY AND CONCRETE EXAMPLE FROM AN
ATTORNEY BEFORE I CONCLUDE. I'M
ONE OF OUR QUALITY PARENTING
INITIATIVE COUNTIES VENTURA
COUNTY.
WHAT THEY DID WAS HIRED USE
THEIR FLIPPERS MONEY THAT YOU
HEARD ABOUTIN AN EARLIER PANEL
AND HIRED TO FOSTER PARENT OR
RESOURCE FAMILY?
EDUCATOR SAID THESE WERE HIGHLY
EXPEL EXPERIENCE GUILD.
BOTH FOSTER FAMILIES AND
KINSHIP CARE PROVIDERS THEY WERE
ASSIGNED TO WORK WITH YOUNG
PEOPLE GET TO KNOW THEM WHO WERE
IN GROUP CARE.
AND ALSO GET TO KNOW ALL THE
FAMILIES SIMPLY BY GOING OUT AND
HAVING RELATIONSHIPS THEY WERE
ABLE TO REDUCE THEIR POPULATION
DOWN SIGNIFICANTLY.
OF THOSE YOUNG PEOPLE NO
ADDITIONAL BEHAVIORAL HEALTH
SERVICE SAYS NO ADDITIONAL
SPECIAL INTERVENTIONS JUST
SOMEBODY GETTING TO KNOW THAT
YOUNG PERSON. AND SOMEBODY
GETTING TO KNOW THAT FAMILY AND
CONNECTING THOSE TWO THEY ALSO
SIMULTANEOUSLY RE ORIENTED THEIR
TRAINING TO BE EXTREMELY YES
THIS IS VERY ERY DIFFICULT
IT IS A HUGE TRANSFORMATION
THERE IS NOTHING THAT IS MORE
WORTH IT.
AND THAT WE KNOW HOW TO DO WHAT
NEEDS TO BE DONE THAT THE
CHALLENGES REALLY SCALING UP.
I'M PIGGYBACK ON WHAT MIKE GOOD
FRIEND HERE JUST SAID TO SAY.
HI MY NAME IS.
MIKE NASH I'M A RETIRED JUDGE
JUVENILE COURT JUDGE.
FROM LOS ANGELES AND I NOW
SERVE AS THE EXECUTIVE DIRECTOR
OF OUR COUNTIES OFFICER JOB
PROTECTION. COMMONLY KNOWN AS
THE OCP AND HERE TO TALK ABOUT
ONE OF THE AREAS OF BEEN ASK TO
TALK ABOUT ONE A YEAR IS OUR
OFFICE IS INVOLVED WITH THE WITH
THE. A DCFS IN LA AND THAT'S
KIDDING HERE.
NOW WHEN I STARTED AS YOSSI P.
DIRECTOR IN TWO THOUSAND SIXTEEN
EVERYONE WAS TALKING ABOUT THE
SHORTAGE OF FOSTER HOMES.
THROUGHOUT THE STATE ACTUALLY
THROUGHOUT THE COUNTRY AND GUESS
WHAT TODAY EVERYBODY STILL
TALKING ABOUT THAT. ON WELL WELL
I AGREE WITH THE ONGOING NEED TO
RECRUIT AND RETAIN FOSTER
PARENTS I'VE ALWAYS MAINTAINED
THAT THE REAL AND THE BEST
SOLUTION THAT IS BESIDES KEEPING
CHILDREN SAFELY AT HOME WITH
APPROPRIATE SUPPORTS. IS TO
INCREASE PLACEMENTS WITH KIDS
AND THEIR NUMBER REASONS WHY
THAT SO AND I AND I WILL. BE
BRIEF HERE OF FIRST WE KNOW THAT
THERE ARE NUMEROUS STUDIES OUT
THERE THAT SHOW THAT CAN HEAR AS
OPPOSED TO FOSTER CARE RESULTS
IN BETTER OUTCOMES FOR CHILDREN
AND I WON'T GO THROUGH THE LIST.
BOMB BUT I THINK IT'S A GIVEN
SECONDLY IF WE LOOK AT AT THE
NATION AS A WHOLE.
.
THE AVERAGE IS ABOUT THIRTY
PERCENT OF CHILDREN IN OUT OF
HOME CARE PLACE WITH WITH WITH
RELATIVES IN CALIFORNIA IT'S
SOMEWHERE AROUND THIRTY SEVEN
THIRTY SEVEN AND A HALF PERCENT.
LA DOES A LITTLE BIT BETTER
WHERE IN THE FORTY TO FIFTY
PERCENT RANGE DEPENDING ON HOW
WE LOOK AT THE NUMBERS BUT IN LA
WE'VE BEEN STUCK. OUR NOSE
NUMBERS FOR A LONG TIME.
BUT THINK ABOUT THIS ON IT. I I
LIKE TO SAY IT LOOK IF YOU STAND
ON A CORNER IN AN ALMOST ANY
CITY OR TOWN AND YELL. DCFS IS
COMING OR CPS IS COMING YOU KOW
WHAT'S GOING TO HAPPEN PEOPLE
ARE GOING TO SCATTER EVERY WHICH
WAY AND THAT'S BECAUSE THERE'S A
NEGATIVE PERCEPTION OF THE
SYSTEM THE PERCEPTION IS THAT
THEY'RE COMING TO TAKE AWAY YOUR
KIDS ARE COMING TO BREAK AWAY.
BREAK UP YOUR FAMILY KNOW THERE
MAY BE OTHER REASONS FOR THE
NEGATIVE PERCEPTION BUT
CERTAINLY THAT IS A CONTRIBUTING
FACTOR WHEN YOU LOOK AT THE
NUMBERS. OF THE RATIO OF KIDS
WITH FAMILY AS OPPOSED TO KIDS
WITH STRANGERS.
IT'S NO WONDER THAT THAT YOU
HAVE THIS NEGATIVE PERCEPTION
PERCEPTION.
THE THIRD THING AND I I THINK
IT'S IT'S NOT A MINOR DETAIL BUT
THE BOTTOM LINE IS.
YOU KNOW IT'S THE LAW FROM BOTH
THE FEDERAL LEVEL DOWN TO THE
STATE LEVEL THAT THAT FATE THAT
WE SHOULD BE PRIORITIZING
PLACEMENTS WITH RELATIVES. AND
SO YOU HAVE TO ASK YOURSELF WHY
AREN'T WE DOING BETTER THAN
THAT.
SO I WANT TO TALK ABOUT
SOMETHING THAT WE'VE BEEN DOING
AND IN LOS ANGELES WITH RESPECT
TO THIS. ON MY WEB BACKGROUND
JUST THINK OF THE NUMBERS WITH
LOS ANGELES POPULATION BETWEEN
TEN AND ELEVEN MILLION PEOPLE OR
DEPARTMENT OF CHILDREN AND
FAMILY SERVICES HAS. TWENTY
OFFICES SO YOU'LL FIGURE IT OUT
EACH OFFICE IT PROBABLY SERVES A
POPULATION OF A GOOD SIZE CITY.
BOB THEY'VE GOT NINE THOUSAND
PLUS EMPLOYEES INCLUDING FOUR
THOUSAND OR SO SOCIAL WORKERS WE
HAVE TWENTY SEVEN I THINK TWENTY
SEVEN DEPENDENCY COURTS WITH
ABOUT THIRTY THOUSAND CHILDREN
YOUTH UNDER THE JURISDICTION OF
OUR DEPENDENCY COURTS AND
PROBABLY BETWEEN. EIGHTEEN AND
TWENTY OF THOSE THOUSAND OF
THOSE KIDS ROUTE HOME CARE.
IN TWO THOUSAND SIXTEEN OUR
BOARD OF SUPERVISORS ASKED OUR
OFFICE TO WORK WITH DCFS TO
DEVELOP A PLAN TO INCREASE
RELATIVE PLACEMENTS AND ENHANCE
THE FURTHER ENGAGEMENT OF FAMILY
MEMBERS. AND NON RELATED
EXTENDED FAMILY MEMBERS IN THE
PROCESS SO WE BEGAN THIS PROCESS
IN IN TWO OF OUR TWENTY DCFS
OFFICES AND THEY'RE ACTUALLY
BOTH PRETTY GOOD OFFICES THAT
HAD SOMEWHERE AROUND FIFTY
PERCENT. CAN CURE RATE ALREADY.
THERE ARE THREE ELEMENTS OF WHAT
WE HAVE DONE IN THESE TWO
OFFICES THE FIRST OF COURSE IS
JUST TO EMPHASIZE. PLACING. OF
MORE CHILDREN WITH CAN AND WHEN
I TALK ABOUT CAN I'M TALKING
ABOUT THREE DIFFERENT THINGS I'M
TALKING ABOUT OUR OUR OUR.
GENERALS. DEFINITION OF
RELATIVES BOOK OR WHAT WE
COMMONLY KNOW AS RELATIVES
SECONDLY I'M TALKING ABOUT THOSE
NON RELATED EXTENDED FAMILY
MEMBERS AND I'M ALSO TALKING
ABOUT NON OFFENDING NON
CUSTODIAL PARENTS. WHO ARE OFTEN
YOU KNOW THE FATHERS THE
FORGOTTEN PEOPLE?
IT IN OUR SYSTEM SO WE DID WE
STARTED OUT BY DOING FRONT AND
TRAINING OF OF THE SOCIAL
WORKERS ON THE IMPORTANCE AND
THE NECESSITY OF FINDING AND
ASSESSING RELATIVES. AND IN
ADDITION TO DAILY SUPERVISION BY
COMMITTED SUPERVISORS WE HAVE
WITHHELD REGULAR MEETINGS ARE
THROUGHOUT THIS PROCESS. AT
LEAST MONTHLY TO GO OVER THE
PROJECT RESULTS TO DISCUSS THE
REAL AND PERCEIVED BARRIERS THAT
THEY FACED WITH RESPECT TO
RELATIVE PLACEMENTS AND HOW TO
OVERCOME THAT. AND ALSO TO
ASSIST THE SOCIAL WORKERS THERE
IS THIS FAMILY FINDING
TECHNOLOGY THAT JENNIFER
REFERRED TO I WAS AROUND IN TWO
THOUSAND TWO WHEN IT STARTED
I'VE BEEN. A STRONG BELIEVER IN
IN IN IN IN THIS THE USE OF THIS
TECHNOLOGY. PRIOR TO THIS
PROJECT IN LOS ANGELES THOSE
RESOURCES HAD PRIMARILY BEEN
USED AT THE BACK END OF OUR OUR
PROCESS AND THE HOPES OF FINDING
RELATIVES WERE IMPORTANT
PERSONS.
OF FOR YOUTH IN DANGER OF AGING
OUT OF THE SYSTEM WITHOUT THAT
AS A SUPPORTER OF REAL ADULT IN
THEIR LIVES. WHEN WE BROUGHT
THIS PROCESS TO THE FRONT END IN
THIS PROJECT. A AND WE'VE. BEEN
USING IT IN THOSE CASES WERE
SOCIAL AND NON RELATED EXTENDED
FAMILY
MEMBERS AS THEY CAN TO DETERMINE
IF THOSE INDIVIDUALS WILLING TO
PARTICIPATE IN DEVELOPING THE
FAMILY'S REUNIFICATION PLAN AND
SUPPORTED IN ANY NUMBER OF WAYS.
SUCH AS THROUGH VISITATION
ASSISTANCE TRANSPORTATION
ASSISTANCE CHILDCARE BABY
SITTING UP FINANCIAL SUPPORT AND
MORE THE IDEA HERE IS TO EMPOWER
THE FAMILY TO HELP EACH OTHER.
THE THIRD ELEMENT IN THIS
PROCESS IS AGENCY SUPPORT WHAT
CAN THE AGENCY DO TO SUPPORT
THESE PLACEMENTS AND THE FAMILY.
OUR DEPARTMENT AS YOU MAY BE
AWARE CURRENTLY PROVIDES A FOUR
HUNDRED DOLLAR PER MONTH PER
CHILD STIPEND FOR THE FIRST
THREE MONTHS OF THE PLACE AND
PLACEMENT USING THAT DIPPERS
MONEY. THAT YOU'VE HEARD ABOUT
WHY THE RELATIVE CARE GIVER GOES
THROUGH THE THE THE STATE
APPROVAL PROCESS THAT ALLOWS
THEM TO ULTIMATELY RECEIVE THE
PREVAILING FOSTER CARE RATE.
COMMUNITY BASED ORGANIZATIONS.
HAVE BEEN ENLISTED BY DCFS TO
ASSIST THE FAMILIES THROUGH THE
PROCESS AS WELL AS WITH OTHER
NEEDS OF THE FAMILY MAY HAVE.
ANOTHER SO ONCE THEY'VE GOTTEN
THROUGH THE PROCESS THEY HAVE
ANOTHER SOCIAL WORKER AN
ADDITIONAL SOCIAL WORKER WHO IS
ASSIGNED TO THE FAMILY TO HELP
MAINTAIN THE PLACEMENT AND OF
COURSE WE JUST TELL EACH SOCIAL
WORKER THAT.
YOU HAVE TO THINK ABOUT WHAT YOU
CAN DO INDIVIDUALLY TO SUPPORT
THE FAMILY THROUGH THIS
PLACEMENT. AND I'M TELLING YOU
FOLKS THAT.
IF YOU PUT THESE THREE ELEMENTS
TOGETHER AND YOU DO IT WELL IT
WILL CHANGE THE FACE OF CHILD
WELFARE AS FAR AS I'M CONCERNED
IT WILL BE PERCEIVED AND IN FACT
WILL BE A MUCH MORE FAMILY
FRIENDLY SYSTEM. AND I FURTHER
BELIEVE THAT THIS CHANGE WILL
ULTIMATELY SPILL OVER TO THE
FOSTER FAMILY RECRUITMENT AND
RETENTION ISSUE IT REDUCED THE
NEED OF FOR FOR.
FOSTER PARENTS AND IT WILL
ALLOW THE AGENCY TO BE MORE
SUPPORT A SELECTIVE IN WHOM IT
CHOOSES. AND WITH A MORE USER
FAMILY IN SUPPORT OF SYSTEM
RECRUITING AND RETAINING FOSTER
PARENTS WILL ALSO BECOME EASIER.
SO THE QUESTION IS HOW IS THIS
PROJECT DOING SO WHEN THE TWO
OFFICES SELECTED THE RATE OF
PLACEMENT RATES WITH CANNED OVER
THIS OVER THE FIRST FOURTEEN
MONTHS OF THIS PROJECT THROUGH
THE END OF THE YEAR. BOMB HAVE
BEEN ABOUT EIGHTY PERCENT OF THE
NEW CHILDREN COMING INTO THE
SYSTEM THAT MEANS ABOUT TWENTY
PERCENT OF THE KIDS COMING INTO
THE SYSTEM HAVE ENDED UP IN IN
FOSTER CARE. SO IF THAT DOESN'T
SEND A A A MESSAGE ABOUT THE
FAMILY OF FRIENDLY NATURE THE
SYSTEM I REALLY DON'T KNOW WHAT
DOES IN FACT I MET WITH. ONE OF
THE ORIGINAL OFFICES THE OTHER
DAY AND. IN THE FIRST TWO MONTHS
OF THIS YEAR.
THERE FOSTER CARE RATE IS BEEN
LESS THAN TEN PERCENT.
OVER NINETY PERCENT OF THE KIDS
ARE PLACED WITH CANNED OVER
EIGHTY PERCENT OF THOSE KIDS
PLACE WITH RELATIVES AND NON
RELATED EXTENDED FAMILY AT THAT
TIME FOR THE KIDS WHO ARE GOING
INTO FOSTER CARE IN TERMS OF. AT
A GOING WITH WITH FOSTER PARENTS
VERSES.
GROUP HOME WERE HELD WITHOUT
BREAKING DOWN IT'S IT'S A IT'S
ACTUALLY SOME OF BOTH OKAY
BOMBED THE GREAT THING IS IT DID
THAT. IT'S REALLY ALMOST A
CULTURAL SHIFT AND SO WHEN WE
GET TOGETHER AND WE TALK ABOUT
YOU KNOW THE RESULTS OF THE LAST
MONTH. YOU KNOW. WE TALKED ABOUT
THOSE CASES WHERE THE CHILDREN
WERE PLACED WITH KEN WHAT WAS
THE SITUATION THERE AND ALMOST
EVERY SINGLE CASE. YOU KNOW
THERE THERE REALLY WASN'T
SOMEBODY AVAILABLE FOR THOSE
CHILDREN OR THERE WERE SOME
REALLY SPECIAL CIRCUMSTANCES
THERE AND THE SOCIAL WORKERS
ACTUALLY FEELING GUILTY ABOUT
THAT EVEN THOUGH WE SAY LOOK
YOU'RE DOING GREAT. PALM AND YOU
KNOW IT'S GOOD IT'S HARD YOU
KNOW TO DO TO A PLACE A HUNDRED
PERCENT ON THE KIDS WITH KEN
ALTHOUGH I'VE SEEN A COUPLE OF
MONTHS. SINCE THIS BEGAN WHERE A
HUNDRED PERCENT OF THE KIDS IN A
PARTICULAR OFFICE WERE ACTUALLY
PLACE WITH CANNED.
THE OTHER THING IS ON WE ARE
TRACKING RELATIVE ENGAGEMENT AND
WE NOW HAVE SOME EMERGING DATA
ABOUT THE WILLINGNESS OF OTHER
RELATIVE TO PARTICIPATE IN THE
PROCESS. WE EXPANDED THIS
PROJECT IT TO OTHER OFFICES IN
JANUARY AND HOPEFULLY AT LEAST
THE FIRST THE FIRST MONTH OR TWO
IT'S BEEN PRETTY POSITIVE AND
HOPEFULLY WE'RE GONNA SPEND
EXPAND THIS OVER THE NEXT YEAR
PLUS. ALL TWENTY OF OF THE DCFS
OFFICE ISRAELI COUNTY.
SO HERE MY TAKE AWAY FROM WHAT
I'M TALKING ABOUT HERE TODAY.
NUMBER ONE AS A STATE I THINK
WE.
WE WE NEED TO DO BETTER WHEN IT
COMES TO PLACING CHILDREN WITH
KIDS. AND SECONDLY I BELIEVE
THAT WE CAN DO BETTER AND
CERTAINLY THE GREAT WORK THAT
THE SOCIAL WORKERS AND IN LOS
ANGELES ARE DOING ARE PROVING
THAT.
BUT.
IN ORDER TO MAINTAIN THIS
MOMENTUM YOUR TWO THINGS THAT WE
NEED WE NEED TO HAVE A A A A. A
USER FRIENDLY PROCESS AND THEIR
FOLKS HERE TO TALK ABOUT THAT
AND SECONDLY WE MUST ENSURE THAT
THEIR PROPER SUPPORTS. BOTH
FINANCIAL AND OTHERWISE FOR
RELATIVES SO THAT WE CAN
MAINTAIN THESE PLACEMENTS.
GOOD AFTERNOON THANK YOU FOR
ALLOWING ME TO BE HERE MY NAME'S
ANGIE SHORT SOME THE POLICY
DIRECTOR AT THE ALLIANCE FOR
CHILDREN'S RIGHTS. AND IN OUR
TWENTY FIVE YEAR HISTORY THE
ALLIANCE HAS REPRESENTED MORE
THAN A HUNDRED AND FIFTY
THOUSAND. CALIFORNIA KIDS AND
FAMILIES AND OUR CORE MISSION
AND THAT REPRESENTATION IT'S
CONNECTING THOSE CHILDREN WITH
FAMILIES AND ENSURING THEY HAVE
THE SUPPORTS TO THRIVE. WHICH IS
WHY WE BELIEVE WHOLEHEARTEDLY IN
THE VISION OF CCR AND APPLAUD
THE LEADERSHIP OF THE CALIFORNIA
DEPARTMENT OF SOCIAL SERVICES
AND THE LEGISLATURE. IN CRAFTING
CCR. BUT WITH ALL REFORMS THE
SUCCESS HINGES ON THE DETAILS OF
IMPLEMENTATION AND THIS YEAR OUR
ORGANIZATION AND OUR PARTNER
ORGANIZATIONS. ARE FOCUSED ON
THREE KEY ASPECTS OF CCIR THAT
WE BELIEVE ESSENTIAL TO ITS
SUCCESS IN EACH OF THEM HAS TO
DO WITH THE FAMILIES BECAUSE WE
COULDN'T AGREE WITH JUDGE
NASCENT JENNIFER MORE THAT THIS
ARE JENNIFER MORE THAT ALL OF
THIS. HINGES ON OUR FAMILIES WHO
ARE THE HEART OF THE SEA ARE.
THE FIRST THING IS RESOURCE
FAMILY APPROVAL WHICH IS THE NEW
PROCESS BY WHICH WERE PROVING.
OUR FAMILIES AND SOME FOLKS HAVE
ALREADY SPOKEN TO THAT IT'S A
UNIFIED PROCESS IT APPLIES TO
ALL OF OUR FAMILIES THAT
STREAMLINES PERMANENCY. AND WE
DO YOU BELIEVE IT BELIEVE IN THE
VISION OF THE NEW APPROACH
CRIPPLE PROCESS BUT UP UNTIL
NOW.
RFA HAS INADVERTENTLY BEEN
CAUSING MANY OF OUR FAMILIES
PARTICULARLY THE RELATIVES AND
EXTENDED FAMILY MEMBERS TO GO
MONTHS. WITHOUT ANY SUPPORT
WHATSOEVER AFTER CHILDREN ARE
PLACED IN THEIR HOMES BECAUSE
THEY ARE THE FAMILIES THAT WE
LOOK TO FIRST AND THEY STEP UP
IN A MOMENT OF CRISIS AND THEY
ACCEPT EMERGENCY PLACEMENTS.
PRIOR TO APPROVAL AND AS A
RESULT OF THE DELAYS AN RFA THAT
OTHERS HAVE SPOKEN TO IN TWO
THOUSAND AND SEVENTEEN WE MET
COUNTLESS FAMILIES WHO TAKEN
THOSE CHILDREN IN THAT MOMENT OF
CRISIS. AND OPENED UP THEIR
HOMES WHILE ATTEMPTING TO AND
NAVIGATE THE NEW APPROVAL
PROCESS AND FACE FINANCIAL
HARDSHIP INCLUDING AFFECTIONS
MAXING OUT THEIR CREDIT CARDS.
AND IN TERRIBLE CIRCUMSTANCES
HAVING TO ACTUALLY MAKE THAT
HORRIBLE DECISION TO RELINQUISH
CHILDREN BECAUSE THEY COULD NO
LONGER FINANCIALLY SUPPORT THEM.
IT HAS BEEN NOTHING SHORT OF A
CRISIS.
BUT TO THE CREDIT OF EVERY
PERSON IN THIS ROOM AND A WHOLE
BUNCH OF PEOPLE THAT AREN'T IN
THIS ROOM TODAY THAT CRISIS HAS
BEEN ACKNOWLEDGED AND I'M VERY
PLEASED TO SAY. THAT BECAUSE OF
HOURS OF HARD WORK. MONTHS OF
HARD WORK. HELP IS ON THE WAY AS
OF TODAY.
LEGISLATION HAS BEEN SIGNED.
THAT WILL ALLOW OUR FAMILIES
WHO ARE STUCK IN THIS LIMBO OF
PLACEMENT PRIOR TO APPROVAL TO
START RECEIVING FINANCIAL
SUPPORT EQUAL TO A FOSTER CARE
PAYMENT. THROUGH THE REST OF
THIS FISCAL YEAR IT'S A SHORT
TERM FIX BUT I KNOW THAT THERE
IS FURTHER COMMITMENT AMONG ALL
OF THE STAKEHOLDERS. TO ENSURE
THAT A LONG TERM SOLUTION IS
DEVELOPED AND WHAT I WOULD URGE
IS THAT IN DEVELOPMENT IN
DEVELOPING THAT LONG TERM
SOLUTION WE ENSURE THAT SUPPORT
IS UNINTERRUPTED SO THAT
FAMILIES THAT ARE STILL. WITHOUT
APPROVAL AS OF JUNE THIRTIETH
WHEN THIS FISCAL YEAR COMES TO
AN END THEY DON'T FALL OFF THE
CLIFF AND THERE'S NO GAP IN
THEIR FUNDING.
AND I WOULD BE REMISS IF I
DIDN'T ALSO MENTION THE
LEGISLATION THAT WE'RE WORKING
ON TO ADDRESS OTHER ASPECTS OF
RESOURCE FAMILY APPROVAL WE'RE
PLEASED TO CO SPONSOR.
WE'RE PLEASED TO CO SPONSOR
SENATOR MITCHELL SENATE BILL TEN
EIGHTY THRE AND ASSEMBLY MEMBER
RUBY AS ASSEMBLY BILL TWENTY ONE
IN ORDER TO CREATE LONG TERM
PASSED TO FUNDING AT THE TIME A
PLACEMENT REDUCE BARRIERS TO
APPROVAL AND ENSURE THAT YOU CAN
TIME WE EXIT TO PERMANENCE.
THE SECOND THING THAT WE'RE
FOCUSEDON THIS YEAR IS OUR NEW
STATEWIDE RATE SYSTEM KNOWN AS
THE LEVEL OF CARE.
OVER THE LAST SEVERAL YEARS THE
LEGISLATURE AND THE
ADMINISTRATION HAVE TAKING
CRITICAL STEPS TO ADDRESS OUR
RATE SYSTEM FIRST WE INSURE THAT
OUR RELATIVES RECEIVE EQUAL
FUNDING TO OUR NON RELATIVES.
AND SECOND THE LEGISLATURE
APPROVED THE CREATION OF A NEW
TIERED RATE SYSTEM TO ENSURE
THAT THE FUNDING WE PROVIDE
CHILDREN IS BASED ON THEIR
NEEDS.
TO BE VERY CLEAR WE FULLY
SUPPORT THE CREATION OF THE
TIERED RATESYSTEM THAT'S TIED
TO THE CHILD'S NEEDS. BUT WE
BELIEVE THE SUCCESS OF THAT
TIERED SYSTEM DEPENDS ON THREE
CRITICAL ELEMENTS FIRST WE
BELIEVE IT SHOULD BE PART OF AN
OVERALL ASSESSMENT OF THE
CHILD'S NEEDS. AND THAT WE AVOID
MULTIPLE OVERLAPPING DUPLICATIVE
ASSESSMENTS OF CHILDREN. SECOND
WE THINK IT NEEDS TO BE A
RELIABLE TOOL BOTH AMONG THE
PEOPLE THAT ADMINISTER IT SO
THAT THEY GET THE SAME RESULT
WHEN. AT THE MINISTRY IT FOR THE
SAME CHILD AND IN DETERMINING
THE CHILD'S ACTUAL LEVEL OF
CARE.
AND THIRD WE BELIEVE IN THE RAID
ITSELF MUST BE SUFFICIENT TO
SERVE OUR FAMILY STATEWIDE
WITHOUT CONTINUING TO HAVE TO
OPERATE A DISJOINTED. AND
INEQUITABLE SPECIALIZED CARE
SYSTEM AT THE COUNTY LEVEL.
THE PROTOCOL THAT IT'S CURRENTLY
IN DEVELOPMENT AND THEN A
SLOTTED TO BE IMPLEMENTED
STATEWIDE ON MAY FIRST. DOES NOT
ACCOMPLISH ANY OF THESE THREE
OBJECTIVES IF IMPLEMENTED
WITHOUT ADDRESSING THESE ISSUES
WE BELIEVE THE NEW RATE SYSTEM
IS GOING TO ADD COMPLEXITY.
INEFFICIENCY AND CONFUSION TO AN
ALREADY BURDENED SOME SYSTEM OF
SUPPORT FOR CONTENT FOSTER CARE.
SO WE REALLY URGE THAT THESE
ISSUES BE ADDRESSED BEFORE WE
ROLL IT OUT STATEWIDE WE KNOW A
STUDY IS PENDING RIGHT NOW. TO
ASSESS THE INTER RATER
RELIABILITY TO MAKE SURE THAT
IT'S RELIABLE AMONG DIFFERENT
USERS.
BUT THOSE STUDY RESULTS ARE NOT
DUE UNTIL THE END OF MAY AND
THEN IT WILL TAKE TIME TO
ACTUALLY MODIFY THE PROTOCOL.
AND THEN TRAIN COUNTIES ON THOSE
MODIFICATIONS AND IT DOESN'T
ASSESS THE ACCURACY OF THE TOOL
AND WE'RE ALSO AWAITING FURTHER
STATE GUIDANCE. ON HOW THE
COUNTIES ARE SUPPOSED TO MODIFY
THEIR SPECIALIZED CARE SYSTEMS
TO COMPORT WITH THE NEW RATE
SYSTEM AND THEY NEED TIME TO
ADJUST THEIR POLICIES ONCE THAT
GUIDANCE COMES OUT.
OUR FAMILIES CARE FOR REAL
CHILDREN IN REAL TIME EVERY DAY
AND THEY HAVE TO BE ABLE TO RELY
ON THE STATE'S RIGHTS TO DO SO.
WHICH BAGS FOR THE HIGHEST LEVEL
OF READINESS BEFORE WE FULLY
IMPLEMENT ANY RATE SYSTEM.
THE LAST THING I WANT TO MENTION
THAT OUR FOSTER PARENT
RECRUITMENT AND RETENTION
PROGRAM WHICH HAS BEEN VERY
CRITICAL IN MEETING THE NEEDS OF
OUR CHILDREN. WE HOPE IT
CONTINUES AT CURRENT LEVELS FOR
AT LEAST ANOTHER YEAR. BUT THAT
IT BE AMENDED SO THAT THERE WE
ACTUALLY REQUIRING THE CARE
GIVERS BE DIRECTLY CONSULTED
ABOUT HOW THOSEFUNDS SHOULD BE
USED TO THEY HAVE A SAY IN
MAKING SURE THOSE FUNDS ARE
REALLY DIRECTED AT MEETING THEIR
INDIVIDUAL NEEDS.
SO I JUST WANT TO CLOSE WITH
THAT AND THANK YOU ALL FOR THE
OPPORTUNITY TO BE HERE TODAY AND
FOR ALL OF YOUR VISION I'M IN
IMPLEMENTING THESE REALLY
IMPORTANT REFORMS.
GOOD AFTERNOON.
MY NAME IS GINNY EMILIO AND I'M
A CHIEF OPERATING OFFICER FOR A
SPEAR AND THAT THE SPIRIT THAT
IS A. LIE LARGE PRIVATE
NONPROFIT PROVIDING FOSTER CARE
ADOPTION TRANSITION AGE YOUTH
SERVICES NOW S. T. R. T. P.
BEHAVIORAL HEALTH. INTENSIVE
HOME BASED SERVICES AND
PREVENTION SERVICES WE OPERATE
OFFICES OUT OF FOURTEEN COUNTIES
IN FORTY DIFFERENT LOCATIONS AND
SERVE PROBABLY SIXTY TO SEVENTY
FIVE PERCENT OF THE COUNTIES AT
VARYING TIMES OF THE YEAR.
I BECAME INVOLVED WITH FOSTER
CARE THIRTY YEARS AGO AS A
SOCIAL WORKER WITH THE CASELOAD
I WORKED IN RECRUITMENT TRAINING
ADMINISTRATION AND WORK WITH MY
AGENCY IN DEVELOPING INTENSIVE
TREATMENT FOSTER CARE TRANSITION
AGE YOUTH SERVICES AND WRAP
AROUND SERVICES.
A SPEAR NECK CAME TO THE TABLE
EARLY ON IN THE IMPLEMENTATION
OF CC ARE OR THE DEVELOPMENT OF
CC ARE BECAUSE WE WHOLEHEARTEDLY
BELIEVED.
AND THE OPPORTUNITY TO SUPPORT
CHILDREN LIVING IN A PERMANENT
COMMITTED FAMILY SETTING. WE
ALSO TRULY BELIEVE AN EMBRACE
TIMELY SUPPORTIVE SERVICES THAT
ARE INDIVIDUALIZED THE UNIQUE
NEEDS OF A CHILD AND THE FAMILY.
A SPEAR NET AND WAS AN EARLY R.
FAA PILOT ORGANIZATION. WE ALSO
RECEIVED OUR S. T. R. T. P..
APPROVAL FROM COMMUNITY CARE
LICENSING AND WE WERE ONE OF THE
FIRST FOSTER FAMILY AGENCIES TO
MAKE THE TRANSITION TO A
RESOURCE FAMILY AGENCY.
WE AT THIS TIME ARE PROVIDING
TWELVE CONTRACTS ACROSS THE
COUNTY TO SUPPORT THE RFA
APPROVAL PROCESS FOR THOSE
FAMILIES WHO HAVE BEEN WAITING.
FOR THE COMPLETION AND HAVE PUT
MUCH EFFORT INTO REALLY LOOKING
AT THAT PROCESS TO REDUCE
REDUNDANCY LOOK AT SYSTEM
IMPROVEMENT MAKING CERTAIN THAT
OUR STAFF ARE ADEQUATELY TRAINED
SO THAT WE CAN COMPLETE THAT
PROCESS IN A TIMELY FASHION.
ALL OF CCR IS DEPENDENT ON
FAMILIES WHETHER THEY'RE.
FOSTER FAMILIES ADOPTIVE
FAMILIES ARE RELATIVE FAMILIES
AND THAT'S WHY WE CALL THEM
RESOURCE FAMILIES.
I'M HERE TODAY TO TALK ABOUT
FOSTER FAMILIES AND INTENSIVE
SERVICES FOSTER FAMILIES.
AS AN AGENCY WE HAVE ONE POINT
FOUR CHILDREN PER FAMILY.
EVERY CHILD NEEDS MORE THAN ONE
POTENTIAL FAMILY FOR A MATCH.
WHAT YOU LOOK AT WHEN YOU'RE
SUPPORTING IN RECRUITING
FAMILIES?
IS THE FAMILY SYSTEM IS THAT
FAMILY SYSTEM READY. HOW ARE
THEY BEING IMPACTED BY THE
TRAUMA THE LOSS OF CHILDREN
COMING IN IN THERE AND OUT OF
THEIR HOME ARE THEY TAKING
SUFFICIENT BREAKS? ARE THEY ABLE
TO REALLY MATCH THE NEEDS OF THE
CHILDREN BEING REFERRED.
AND ALL OF THIS IS A FAST OVER
AND OVER AGAIN AS FAMILY STAY IN
THE FOSTER CARE SYSTEM. THEIR
STAY IN THE FOSTER CARE SYSTEM
IS FOSTER FAMILIES IS MUCH
SHORTER THAN IT WAS YEARS AGO.
AND THIS IS BECAUSE MANY FOSTER
FAMILIES ARE TAKING THE STEPS
NECESSARY TO CREATE PERMANENCY
FOR CHILDREN WHETHER THAT'S
GUARDIANSHIP. OR ADOPTION.
SO WHAT WE DON'T HAVE ANY LONGER
ARE LOTS OF EXPERIENCE FAMILIES
WHO WERE REALLY OPEN AND READY
TO TAKE CHILDREN A VARIABLE
NEEDS WE HAVE FAMILIES WHO ARE
ENTERING THE SYSTEM BECAUSE THEY
WANT TO DO. THIS TYPE OF WORK
WORKING HARD TO LEARN ALL THAT
IS NEEDED TO BE A SUCCESSFUL
FOSTER PARENT.
THESE RESOURCES LIKE I SAID HAVE
BEEN SHRINKING AND YOU KNOW WE
WORK REALLY HARD EACH YEAR TO
RECRUIT NEW FAMILIES. AND AS WE
LOOK BACK EVERY YEAR WE SLIP A
LITTLE WHILE WE CONTINUE TO
RECRUIT OUR OVERALL NUMBERS ARE
DECREASING.
THE GREATEST NEED THAT WE HAVE
IS FOR AN INCREASE IN INTENSIVE
SERVICES FOSTER CARE. THE
DEPENDENCY ON REDUCING THE
CHILDREN IN RESIDENTIAL CARE IS
GREATLY IMPACTED BY THE
AVAILABLE NUMBER OF INTENSIVE
SERVICES FOSTER CARE PARENTS
THAT ARE AVAILABLE. AS AN AENCY
WE BELIEVE THAT THESE FAMILIES
NEED TO GROW AS FOSTER PARENTS
TO BE DEVELOPED INTO INTENSIVE
SERVICES FOSTER PARENTS. AND
THEY NEED THAT TIME ATTENTION AN
OPPORTUNITY TO LEARN THE SKILLS
THAT ARE NECESSARY.
THERE IS ANOTHER GROUP OF
FAMILIES THAT'S AVAILABLE AND
THOSE ARE PROFESSIONALS ARE
INDIVIDUALS IN THE COMMUNITY WHO
HAVE EXPERIENCE PARENTING. THIS
IS A FAR FEWER NUMBER. AND IT
TAKES A MUCH GREATER EFFORT TO
RECRUIT.
IN STANISLAUS COUNTY WE WE HAVE
BEEN FORTUNATE ENOUGH TO RECEIVE
FAVORS DOLLARS TO RECRUIT
SPECIFICALLY FOR CHILDREN ON
PROBATION. THIS IS BEEN A YEAR
LONG EFFORT AND AT THIS TIME WE
HAVE SEVEN FAMILIES INTERESTED
FOR HAVE STARTED THE PROCESS AND
WE HAVE A GOAL OF COMPLETING THE
CERTIFICATION OR THE APPROVAL OF
FOUR FAMILIES.
I THINK IT'S IMPORTANT TO TALK
ABOUT PROBATION CHILDREN THEY
ARE A SIGNIFICANT COMPONENT OF
THIS MIX AND I APPRECIATE
STANISLAUS COUNTY EFFORTS. I
WILL SAY THAT THIS IS BEEN A
TREMENDOUS AMOUNT OF WORK AND
FOR FOR FAMILIES AND SO IT'S
SOMETHING THAT WE HOPE TO
REPLICATE MORE OVER TIME. BUT
IT'S JUST A DEMONSTRATION OF HOW
DIFFICULT THIS CHALLENGE CAN BE.
INTENSIVE SERVICES FOSTER
PARENTS NEED TO BE FLEXIBLE THEY
NEED TO HAVE A STABLE FAMILY
SYSTEM THEY NEED TO BE TRAUMA
INFORMED THEY NEED TO BE
RESILIENT.
THEY NEED TO UNDERSTAND THE
GRIEF AND LOSS NEED TO BE OPEN
TO SYSTEMS MULTIPLE SYSTEMS
COMING INTO THEIR HOME
SUPPORTING WHAT THEY'RE DOING
SCRUTINIZING WHAT THEY'RE DOING
AT TIMES AND SUPPORTING THEM.
I HAVE A COUPLE STORIES THAT I'D
LIKE TO SHARE JUST REAL QUICK OF
WHAT THESE FAMILIES LOOK LIKE WE
HAVE ONE FAMILY A TWO PARENT
FAMILY ONE WITH A MEDICAL
BACKGROUND THEY CARED FOR A
YOUNG CHILD WITH SIGNIFICANT.
MEDICAL NEEDS THEY REUNIFY THIS
CHILD WITH ALL THE HOPES THAT
THIS CHILD WOULD BE ABLE TO STAY
WITH HIS. FAMILY MEMBERS.
A YEAR INTO THE PROCESS IT WAS
NECESSARY FOR THE CHILD TO
RETURN THIS FOSTER FAMILY WHO
WAS READY AVAILABLE TO SERVE
INTENSIVE SERVICE FOSTER
CHILDREN WAITED THAT ENTIRE YEAR
JUST IN CASE THIS CHILD WE NEED
TO RETURN TO THEIR CARE. AND IT
IS THEIR HOPE THAT THEY CAN
SUPPOT THIS CHILD AND RETURNING
HOME.
THERE'S SIBLING SETS THAT WE
DON'T TALK ABOUT ENOUGH AND
OFTEN YOU'LL HAVE ONE IDENTIFY
CHILD IN THE SIBLINGS THAT THAT
IS IN NEED OF A HIGHER LEVEL OF
SUPPORT. INTENSIVE SERVICES
FOSTER CARE HAS BEEN
SUCCESSFULLY UTILIZED TO SUPPORT
THAT ONE CHILD SO THAT THE
SIBLINGS THAT IT'S NOT DIVIDED
UP. AND OFTEN THOSE CHILDREN CAN
BE ADOPTED RIGHT ALONG WITH THE
OTHER SIBLING MEMBERS.
PROVIDERS HAVE BEEN FOCUSED ON
RECRUITMENT WITHOUT THE SUCCESS
THAT WE'D LIKE TO SEE. WE'VE
BEEN WORKING ON ADOPTING THE NEW
COURT PRACTICE MODEL AND
EMBRACED WE'VE BEEN ASKED TO DO.
WE'VE BEEN DOING ALL THIS WHY
CONTENT WHILE CONTINUING TO
SERVE CHILDREN AND WAITING FOR
FURTHER DIRECTION AROUND
INTENSIVE SERVICES FOSTER CARE.
THE CURRENT OBSTACLES ARE CLEAR.
FAMILY RECRUITMENT.
AND THAT INCLUDES RELATIVES AND
HELPING RELATIVES BETTER
UNDERSTAND UP FRONT AND HOW THEY
CAN BE AVAILABLE TO SUPPORT
CHILDREN AND HOW WE CAN SUPPORT
THEM. FOSTER FAMILIES AND
ADOPTIVE FAMILIES.
TIMELY ACCESS TO SUPPORTIVE
SERVICES FAMILIES AND CHILDREN
CANNOT WAIT FOR US TO ORGANIZE
THE SERVICES THEY NEED THEM
IMMEDIATELY UPON PLACEMENT.
THE FINAL PIECES INTO AN UP
FRONT MATCHING.
BEING ABLE TO PAUSE THE SYSTEM
REALLY DO THE APPROPRIATE CHILD
AND FAMILY TEAM MEETINGS. THE
ASSESSMENTS AND SCREENINGS SO
THAT YOU CAN REACH OUT AND FIND
THE MOST APPROPRIATE MATCH FOR
THAT PARTICULAR CHILD.
WHAT IS HELPFUL? I THINK IN THE
WORK THAT WE'VE ALL DONE AND
THERE'S A TREMENDOUS LEVEL OF
COMMITMENT IN THIS ROOM AND IN
THE FIELD TO MAKE THIS WORK.
COUNTY STATE PROVIDERS HAVE BEEN
COMING TOGETHER.
INCONVENIENCE THAT WE HAVE NEVER
HAD THE OPPORTUNITY TO DO
BEFORE.
WE ALSO HAVE RESOURCES THROUGH
FOSTER PARENT COLLEGE QUALITY
PARENTING INITIATIVE AND STATE
APPROVED TRAINING TO HELP OUR
FAMILIES GAIN THE SKILL SETS
THAT THEY NEED.
WE HAD ADVOCACY EFFORTS IN PLACE
SUCH AS SP ONE NOTE AROUND EIGHT
THREE AND TWENTY ONE EIGHTY
THREE TO IMPROVE THE PROCESS
FLOW FOR TIMELY APPROVAL FOR
FAMILIES. AND TIMELY
REIMBURSEMENTS.
AND WE ALSO HAVE A SERVICES ONLY
RATE THAT IS PENDING AND WILL BE
THERE TO HELP THOSE FAMILIES
EARLY ON IN THE PROCESS TO GET
THE NEEDS THAT THEY. NEED TO GET
THEIR NEEDS MET.
THANK YOU.
THE VERY MUCH.
GOOD AFTERNOON I'M JENNIFER AND
I'M A CO FOUNDER OF FOSTER MORE
AND ALSO EXECUTIVE DIRECTOR OF
CHILDREN'S ACTION NETWORK OR
PHOSPHORUS KIND OF HOUSE. AND
I'M HERE ON BEHALF OF MY CO
FOUNDER DAVID AMBROSE AND MY
DAILY WHO'S IN THE AUDIENCE.
WHO HAS DONE? A TREMENDOUS JOB
ON THE EFFORT I'M ABOUT TO TALK
TO YOU ABOUT.
BALTIMORE IS A COALITION OF
PEOPLE I'M IN THE CHILD WELFARE
SYSTEM THE ENTERTAINMENT
INDUSTRY AND FOUNDATIONS WORKING
TO CHANGE THE CONVERSATION ABOUT
YOUTH IN FOSTER CARE TO CHANGE
IT FROM ONE OF.
WHILE YOU'RE IN FOSTER CARE TO
ALL MY GOD YOU'RE IN FOSTER CARE
YOU MUST HAVE EXTRAORDINARILY
POTENTIAL AND RESILIENCY TO HAVE
EVEN GOTTEN THIS FAR HOW CAN WE
HELP YOU DOWN THAT ROAD TO
REALIZE WITH THAT POTENTIAL IS.
I DO A LOT OF THINGS OF WATER
MORE THAN NOT GOING TO GET INTO
IN THE INTEREST OF TIME.
BECAUSE.
I'M HERE TO TALK TO YOU ABOUT
ONE SPECIFIC PIECE WOULD BE
WORKING OUT IN LA THAT
BUTTRESSES OUR OVERALL EFFORTS
TO CREATE A ROBUST PUBLIC
SERVICE CAMPAIGN. A SOCIAL MEDIA
PRESENCE ON A WEBSITE THERE'S A
GO TO FOR PEOPLE WANTING TO
LEARN ABOUT FOSTER CARE.
SOMETHING THAT HAS HERE TOO FOR.
NOT BEEN AN EASY PLACE TO GET
BASIC INFORMATION ABOUT THIS
ISSUE. OF WHEN. WE THINK WE ARE
IN LA.
AND WE HAVE A STRONG
ENTERTAINMENT INDUSTRY PRESENCE.
WE LOOKED AT BOTH THE PRESSING
NEED FOR FOSTER PARENTS IN OUT
IN LA THAT HAS BEEN ARTICULATED
AND ACROSS THE STATE. AND OUR
ABILITY TO TAP INTO MEDIA
RESOURCES AND CREATE MEDIA TOOLS
THAT MAY NOT BE AVAILABLE AT
THIS JUNCTURE TWO OTHER ENTITIES
IN THE CHILD WELFARE SYSTEM. AND
WE SAID WHAT CAN WE DO.
AS FOSTER MORE TO SAY TO LOOK
AT THIS PROBLEM AND USE THOSE
TOOLS AT OUR KNOWLEDGE TO
POTENTIALLY CREATE A NEW MODEL
FOR RECRUITING FOSTER PARENTS.
I'M KEEP IN MIND THIS IS A BROAD
BASED MODEL RECOGNIZING THE
PARTICULARITIES THAT THIS PANEL
TALKED ABOUT AND OTHERS THAT WE
NEED TO FOCUS ON RELATIVES AND
THERAPEUTIC CARE. THIS IS A
BROAD BASED MODEL LOOKING AT HOW
DO WE GENERATE MORE THESE GET
MORE PEOPLE INTO THE PIPELINE SO
THE PEOPLE OF THE TABLE AND
OTHERS CAN GET THEM THROUGH THE
DOOR WHICH IS WHEN ONE OF THE
HARDEST PARTS IN A SYSTEM THAT I
THINK PEOPLE ARE AFRAID. OF AND
LOOK AT AS CLOSE SO WE ARE
HELPING GET THEM THROUGH THE
DOOR AND THEN WE'RE WORKING
HANDING THEM TO THE OTHER
AGENCIES AND AFTER FACE AND
OTHER ENTITIES. THAT CAN THEN
WORK WITH THEM. AND BRING THEM
ALONG.
SO WHAT DO WE DO FIRST TO CREATE
THIS CAMPAIGN WE DID RESEARCH.
WE FELT THAT THE PERCEPTIONS OF
YOUTH IN FOSTER CARE WERE.
TERRIBLE AT BEST.
AND WE DID A SERIES OF OFF OF
OF FOCUS GROUPS AND
UNFORTUNATELY THOSE THOSE BORIS
OUT THE PEOPLE ARE AFRAID OF
YOUTH IN FOSTER CARE THEY DON'T
SEE THEIR POTENTIAL. SO. YOU
REALIZE YOU HAVE TO THEN WE
REALIZE FROM THOSE FOCUS GROUPS
WE HAVE TO EMPHASIZE THE
POSITIVE NATURE OF FOSTER YOUTH
AND ALSO PEOPLE'S ABILITY TO
PLACE HIMSELF WITHIN THE
NARRATIVE. HOW CAN A PERSON BE
MOVED TO TAKE ON THAT CHALLENGE?
AND THEY CAN DO THAT BY PLACING
THEMSELVES WITHIN THE NARRATIVE
BY UNDERSTANDING HOW THEY CAN
MAKE A DIFFERENCE.
SO WE DEVELOPED A SERIES OF A
PUBLIC SERVICE ANNOUNCEMENTS
THAT ADDRESS THIS ISSUE.
SEVERAL OF WHOM AT WHICH HAVE
WON AWARDS AND WE THEN WENT AND
DID SOMETHING WHICH IS
RELATIVELY NEW TO TELL WELFARE.
WE WORK TO DEVELOP A PREDICTIVE
MODEL OF WHO MIGHT BE INTERESTED
IN BECOMING A FOSTER PARENT BY.
LOOKING AT EMAILS AND BIG DATA
WHICH ACTUALLY CAN BE USED ON
FOR GOOD AND WE CREATED A
TARGETED FACED BY ON FACEBOOK
AND GOOGLE ADS. AND WE KNEW WHAT
KIND OF PEOPLE WE'RE REACHING
OUT TO WE TARGETED THE BY. AND.
WE SPENT THANKS TO A NUMBER OF
FOUNDATIONS IN LA.
TWENTY SIX SIX THOUSAND DOLLARS
OF A COUPLE OF MONTHS AND WE
GENERATED EIGHTEEN HUNDREDS THE.
AND THESE WERE LEADS THAT
WITHIN REFERRED TO OUR PARTNER
AGENCY IN LOS ANGELES RAISE A
CHILD SO THAT THEY COULD COME TO
ORIENTATIONS AND WO HUNDRED AND
SIXTY PEOPLE DEAD AND SO THAT
RAISE A CHILD COULD THEN. BE THE
CROSSHAIRS ON THE PROCESS AND
BRING THEM FURTHER INTO THE
PROCESS HOPEFULLY.
BRING THEM ALONG AND WORK ON
THE OTHER ISSUES OF ACTUALLY
GETTING PEOPLE DIRECTLY ENGAGE
WITH THE SYSTEM.
.
ONE OF.
THE.
THE THE ANCILLARY EFFECT OF THIS
CAMPAIGN IS ALSO BEEN AT EIGHT
HUNDRED EIGHTY THOUSAND PEOPLE
SAW A POSITIVE MESSAGE ABOUT
FOSTER CARE HOME AS PART OF THE
SPACE WALK BY. WE WERE WE HAD SO
MANY MORE WAYS THAN WE HAD
ANTICIPATED THAT WE STOP THE BY.
BRIEFLY AND WE'LL RESUME IT IN
MAY.
WE WANTED TO MAKE SURE THAT
RAISES HELD OUR OTHER PARTNERS
HAD THE TIME TO REALLY FULLY
WORK WITH THE LEADS PROVIDE THEM
THE SERVICES PROVIDED IN THE
CONTEXT IN THE CONTEXT THAT
WOULD ACTUALLY MAKE THESE LEADS
GENERATE AND BECOME. FOSTER
PARENTS.
ONE OF THE THINGS WE'RE DOING AS
WE MOVE TO EXPAND THIS CAMPAIGN.
BECAUSE WE'VE BEEN VERY PLEASED
WITH THE SIX ITS SUCCESS IS
THANKS TO THE WALTER AS JOHNSON
FOUNDATION. WERE EXPANDING INTO
FOR NORTHERN CALIFORNIA COUNTIES
TO LOOK AT HOW THE MODEL.
CAN BE APPLIED AND WE BASICALLY.
CREATED A TURN KEY MODEL WHICH
SAYS. USE OUR RESOURCES FOR FREE
WHICH ARE THE ADS.
WE WILL HELP YOU WITH THIS
PARTICULAR TYPE OF FACEBOOK BY
AND THEN PARTNER WITH LOCAL
AGENCY WILL FOLLOW UP ON LEADS
AND THAT'S THE WAY THE MODEL
WORKS SO. WE'RE DOING THAT IN
FOUR NORTHERN CALIFORNIA
COUNTIES WERE ALSO LOOKING AT
SAN DIEGO AND SEVERAL OTHER
STATES.
.
ALSO LOOKING AT.
IT WAS MENTIONED EARLIER BINTI.
LA COUNTY IS ONE THAT HAS
ADOPTED BINTI HOW WE CAN WORK
WITH NT AND LA COUNTY.
TOO UP USE THEIR MODEL TO DRIVE
PEOPLE TO THEIR MODEL WHICH
MAKES THE WHOLE PROCESS OF
BECOMING A FOSTER PARENT MORE
USER FRIENDLY. WE'VE ALSO WORK
IN CONCERT WITH YOUR EFFORTS
HAS.
HOPEFULLY AND ENHANCEMENT TO
THE GOOD WORK THAT'S BEING DONE
IN LA COUNTY ON THIS ISSUE THE
COUNTY'S COGNIZANT OF OUR
EFFORTS WE WORK WITH THEM.
AND OUR HOPE IS WE ARE
CERTAINLY WERE NOT THE BE ALL
END ALL.
BUT OUR HOPE IS WE WERE
BRINGING SOMETHING NEW TO THE
TABLE SOMETHING THOUGH ACTUALLY
DR FOSTER PARENTS IN THE SYSTEM
AND USES SOME OF THE NEW TOOLS
THAT ARE AVAILABLE TO US IN THIS
DAY AND AGE TO. ADDRESS THIS
PROBLEM THAT EXISTS AND HAS BEEN
MADE MORE PROFOUND.
BY CCR SO. I HOPE I WAS FAST
ENOUGH BUT I WANTED TO GIVE YOU
A FLAVOR FOR THIS AND WE DO
HAVE.
HANDOUTS THAT WILL PROBABLY
BETTER ARTICULATED WHAT I JUST
SAID IT AND AGAIN THANK YOU FOR
THE OPPORTUNITY AND EVERYONE IN
THIS ROOM FOR THAT. THE GOOD
WORK THAT'S BEING DONE RIGHT
THANK YOU AND THANK YOU FOR YOUR
WORK.
OKAY SO.
SALOON YOU HAVE ANY.
ANY QUESTIONS.
NO JUST A COVER ONE OF THE
THINGS I'M REALLY HAPPY HERE.
THIS CHANGE FROM FOSTER FAMILY
CAN GO TO TO THAT RESOURCE
FAMILY IS AS IT'S BEEN TALKED
ABOUT. RECOGNIZE THE IMPORTANCE
OF RELATIVE CARE GIVERS THAN
THIS AND GIVING THEM. THE
SUPPORT THEY NEED FOR SUCCESS IS
A VERY IMPORTANT PART OF THIS
COLLECTIVE CHANGE. SO IT. IT WAS
VERY THERE THE PROGRESSION HE
WAS ACTUALLY VERY INTERESTING
ABOUT. SETTING UP THE RESOURCES
AND THAT CONVERSATION AND I
CERTAINLY HOPE THAT WE CAN DO
MORE AND.
THANK YOU FOR. THAT WORK IN LOS
ANGELES COUNTY AND THEN BRING
THAT TO NORTHERN CALIFORNIA
COUNTIES AND AND CHANGING THE
MESSAGE BACK TO THE DAYS WHEN.
WE WERE WORKING ON THIS AND IN
THE COUNTY WOULD OUT WHERE I WAS
A CASE SUPERVISOR I WAS VERY
FRUSTRATED WITH THE MESSAGE. I
THOUGHT IT WAS THE. THE WAY THEY
WERE APPROACHING IT WAS WRONG AS
IS.
THE WAY TO ATTRACT PEOPLE INTO
THE MESSAGING NEEDS TO BE VERY
CLEAR. AND PROVIDE A REAL
CHALLENGE FOR FOLKS TO STEP UP
TO IT AND HOPEFULLY THAT. HAS
BEEN MORE SUCCESSFUL SO THANK
YOU FOR FOR DOING WHAT YOU DO
AND FOR SHARING WITH OTHER PARTS
THE COUNTY THAT THEY DON'T HAVE
QUITE THE SAME RESOURCE.
YOU KNOW I CAN'T RESIST
RESPONDING AND THAT I WHEN ONE
THING THAT.
THERE'S A PIECE OF RESEARCH
THAT WAS DONE BY UC DAVIS THAT I
DON'T THINK HAS REALLY PERMEATED
THE FELT YET ABOUT OUR
RECRUITMENT MESSAGING. AND
THAT'S THAT THE MAJORITY OF
FAMILIES IN CALIFORNIA WHEN
POLLED WOULD CONSIDER BEING A
RESOURCE FAMILY AND THE REASON
THAT THEY WANT TO DO IT IS
ACTUALLY TO WORK ON. HEALING AND
UNIFYING A BIRTH FAMILY. WHICH
IS A REALLY DIFFERENT MESSAGE
THAN OUR CURRENT RECRUITMENT
MESSAGES TYPICALLY GATHER AROUND
LIKE.
TAKING A CHILD WHO HAS NO FAMILY
AND HAS BEEN HORRIBLY VICTIMIZED
IN THE BIRTH PARENTS ARE BAD
PEOPLE. TO SAY IT'S A WHOLE AN
UNEXPLORED TERRITORY I THINK OF
PEOPLE WHO ARE. NOT WILLING TO
MAKE THE COMMITMENT TO ADOPT A
CHILD OR TO BECOME A LONG BUT
WOULD LOVE THE IDEA OF HELPING A
FAMILY BECOME WHOLE. AND AND
THAT RESEARCH WAS DONE A LITTLE
BIT OUTSIDE OF OUR FIELD IT WAS
BY THE SEAT OF THE CENTER FOR
POVERTY RESEARCH BUT. IT'S
REALLY TELLING.
ONE OF THE CHALLENGES THAT THAT
WE HAVE SET UP A SYSTEM WE CAN'T
ADDRESS OF THE ISSUE FOR A CHILD
WITHOUT ADDRESSING THAT FAMILY
AND THAT THAT'S REALLY WHAT.
YOU SPEAK TO THEIR AND
I THINK THAT'S WHERE HOPEFULLY
WERE.
TRYING TO MOVE TO HELP THAT
CHILD HELP THE FAMILY. REALLY
AND THE COMMUNITY THAT THAT
BRINGS THEM TOGETHER OF THAT'S
INTERESTING.
THANK YOU VERY MUCH.
OKAY WILL NOW MOVE TO OUR.
FINAL PANEL IN TOTAL
RESTRUCTURING CASE WORK. AT OUR
PANELISTS ARE OFFERING MECCA AND
THE EXECUTIVE DIRECTOR OF THE
COUNTY WELFARE DIRECTORS
ASSOCIATION.
USHER ON THE WADE.
THE SOCIAL WORKS EIGHT WHO IS A
SOCIAL WORK SUPERVISOR IN LA
COUNTY. OF EDESSA HERNANDEZ.
THE POLICY DIRECTOR OF THE
CALIFORNIA YOUTH CONNECTION. AND
THEN WE WILL.
INVITE OUR.
TWO.
AGENCY DIRECTORS UNDERSTOOD MY
BURDENS CAN I COP WHO WILL HAVE
A CHANCE AT THE END. OF TO
RESPOND TO SOME OF THE COMMENTS
MADE TODAY. THOUGH ON THIS
RECORD.
THANK YOU MISTER CHAIR AND MR
AUTHOR I'M I'M FRANK MECCA AND
THE EECUTIVE DIRECTOR OF THE
COUNTY WELFARE DIRECTORS
ASSOCIATION AND I KNOW THE%
AFTERNOON. IS GETTING ALONG AND
YOU'VE ALREADY HEARD FROM TRENT
ROAR.
ABOUT THE UNEQUIVOCAL COMMITMENT
OF THE COUNTY WELFARE DIRECTORS
THROUGHOUT THE STATE. TO THE
SUCCESS OF CCIR IMPACT.
I SHOULD POINT OUT THAT A
MEMBER OF MY STAFF CO CHAIRED
THE COMMITTEE WITH A MEMBER OF
MR LIKE PORN STAFF THAT CAME UP
WITH THE RECOMMENDATIONS THAT
ULTIMATELY. RESULTED LARGELY AND
AND MUCH OF WHAT WENT INTO SI SI
ARE. THAT WE'VE BEEN WE'VE BEEN
IN IT SINCE THE BEGINNING.
YOU'VE ALSO HEARD ABOUT THE
INCREDIBLE EFFORTS OF NOT JUST
THE COUNTIES BUT EVERYBODY IN
THIS ROOM. TO TRY TO IMPLEMENT
TO CC ARE AS QUICKLY AND
EFFECTIVELY AS POSSIBLE.
WE BELIEVE THAT ABUSED AND
NEGLECTED KIDS IN THE STATE
DESERVE NO LESS AND SO WERE WERE
ABSOLUTELY COMPLETELY COMMITTED
TO IT. YOU'VE ALSO HEARD OUR
SUCCESSES AND SOME OF THE KEY
CHALLENGES AND WE BRING UP THE
KEY CHALLENGES NOT TO WRING OUR
HANDS AND SAY WE GOT IT RIGHT WE
GOT IT WRONG. BUT TO ACTUALLY
REDOUBLE OUR EFFORTS. I'M ANTI
MAKES A MID COURSE CORRECTIONS
WHICH.
WE HAVE BEEN MAKING ALONG THE
WAY IN PARTNERSHIP WITH THE
STATE.
AND SELL LEARNING. WHILE DOING.
IS IS.
THROUGH THE TASK AT HAND.
I MEMBERS BELIEVE WE HAVE TO GET
THIS RIGHT. ARM AS MISTER
SCHROEDER SAID WE'VE ALL BEEN
AROUND MANY REFORM INITIATIVE
THAT. NEVER WENT ANYWHERE LANDED
ON A SHELF OR HAD HAD MARGINAL
INPUT IN THIS REALLY DOES. HAVE
THE PROMISE NOT JUST THE PROMISE
IT WILL ACTUALLY MAKE THE
LASTING CHANGE THAT EVERYONE IN
THE ROOM IT'S BEEN TALKING
ABOUT.
BUT WE HAVE TO MAKE SURE.
THAT THAT ARRAY OF ALTERNATIVE
LIVING ARRANGEMENTS FAMILIES
LOVING PLACES. THAT WE ARE
DEVELOPING UNDER CC ARE THAT ARE
BETTER FOR KIDS. THAN GROWING UP
IN GROUP HOMES RELATIVES
RESOURCE FAMILIES INTENSIVE
SERVICES FOSTER FAMILIES. I'M AN
S. T. R. T. PEAS. ARE WE HAVE TO
MAKE SURE THAT THEY'RE AVAILABLE
AND INSUFFICIENT NUMBERS. TO BE
AVAILABLE FOR.
YOU SELL THAT ON TWELVE THIRTY
ONE WE CAN SAY THAT WE'RE MAKING
LIFE BETTER FOR ALL OF THOSE
KIDS IN OUR CARE AND THAT'S OUR
COMMITMENT
TO THAT END I'D LIKE TO
ACTUALLY.
SKIP TO SOME RECOMMENDATIONS
THAT WE HAVE WHERE THAT THE
LEGISLATURE IN THE
ADMINISTRATION COULD ASSIST.
WITH IMPLEMENTATION ADDRESSING
SOME OF THE CHALLENGES.
AND IMPROVING I THINK OUR
IMPLEMENTATION ENVIRONMENT.
NOT SO WITH NO FURTHER ADO.
NUMBER ONE I'M IMPLEMENTING
MOBILE RESPONSE SYSTEM FOR CARE
GIVERS IN YOUTH. UM SERVICES AND
SUPPORTS MUST BE BROUGHT TO YOU
WHERE THEY LIVETHE YOUTH
SHOULDN'T HAVE TO MOVE TO WHERE
THE SERVICES ARE THAT WAS A
MANTRA OF CCIR WE DIDN'T QUITE.
DELIVER ON IT COMPLETELY BUT
LUCKY FOR ALL OF US ASSEMBLY
MEMBER RANDY ALLIES INTRODUCED
AB TWENTY FORTY THREE. THIS
WOULD ETABLISH A TWENTY FOUR
HOUR SEVEN DAY A WEEK SYSTEM OF
MOBILE IN HOME RESPONSE WHEN AN
EMOTIONAL OR BEHAVIORAL CRISIS
IN QUOTES. ARISES IN A FOSTER
HOME THAT OVERWHELMS THE CARE
GIVER THAT MIGHT RESULT
OTHERWISE IN A CALL TO LAW
ENFORCEMENT. WORD MIGHT RESULT
IN A PLACEMENT DISRUPTION IT'S A
MODEL THAT'S WORK ELSEWHERE IN
THE COUNTRY. ARM IN THAT BILL IS
BEING CO SPONSORED BY C. WTA
THAT KIND OF BEHAVIOR HEALTH
DIRECTORS ASSOCIATION WE'VE
HEARD FROM ALREADY IN CHILDREN
NOW.
THE SECOND RECOMMENDATION IS TO
CONTINUE TO PROVIDE THE
ESSENTIAL FUNDING A FIBBER
SPONSOR. THAT FOSTER PARENTS
RECRUITMENT RETENTION AND
SUPPORT.
YOU'VE HEARD FROM SEVERAL
PEOPLE TODAY ABOUT THE VALUABLE
THINGS THAT COUNTIES ARE DOING
WITH THOSE DOLLARS AND THE VALUE
THAT FOSTER PARENTS ARE FINDING
IN THEM. THE BUDGET PROPOSES TO
PHASE THOSE DOLLARS OUT BY
CUTTING THEM IN HALF FOR THE
BUDGET YEAR THAN FACING THEM OUT
MOVING FORWARD GIVEN WHERE WE
ARE IN OUR IN OUR RECRUITMENT
EFFORTS WE THINK IT'S REALLY
CRITICAL THAT THE LEGISLATION
THE ADMINISTRATION CONTINUE
FLIPPERS. AT OF THE FULLY FUNDED
LEVEL.
YOU'VE HEARD A LOT ABOUT THE RFA
BACKLOG AND WE REALLY APPRECIATE
THE LEGISLATURE AND THE
GOVERNOR.
COMING UP WITH A SOLUTION TO
ALLOW RELATIVES.
T GET PAID FROM THE TIME OF
PLACEMENT.
BUT THAT BACKLOG IT'S BEEN SUCH
A PROBLEM IN SO MANY COUNTIES IT
REALLY IS CONSUMING A LOT OF
RESOURCES AND WE REALLY NEED TO
WORK THROUGH THAT BACKLOG SO
THAT WE COULD FREE UP THOSE
RESOURCES. FOR THE OTHER VITAL
PARTS OF CCR WORK AND SO WILL BE
ASKING THE LEGISLATURE AND THE
ADMINISTRATION. FOR TEMPORARY
RESOURCES TO HELP US WORK
THROUGH THE RFA BACKLOG.
I'M SPEAKING OF FUNDING.
THAT LEVEL OF CARE ASSESSMENT
AND THE CANS ASSESSMENT THAT
YOU'VE ALREADY HEARD A LOT
ABOUT.
AND THE VALUE THAT THEY'RE
GOING TO PROVIDE ITS ITS
SIGNIFICANT NEW WORKLOAD FOR OUR
SOCIAL WORKERS AND WE CAN'T
LAYER THAT ON TO EXISTING
OVERBURDENED STAFF I'M SURE
YOU'LL PROBABLY HEAR A LITTLE
BIT MORE ABOUT THAT. WITHOUT
COMPROMISING THE QUALITY OF THE
CASE WORK THEY'RE DOING
ELSEWHERE AND SO THOSE NEW
ACTIVITIES ARE REALLY CRITICAL
NEW COMPONENTS OF CC ARE BUT WE
HAVE TO SUPPORT OUR WORKERS SO
THAT THEY CAN DO THEM.
WHAT WE ALSO NEED TO BUILD S. T.
RTP CAPACITY IN QUALITY
PARTICULARLY FOR MULTI SYSTEM
INVOLVED KIDS? YOU HEARD MR WORK
TALK ABOUT.
SOME YOUTH THAT HAVE BEEN
INVOLVED IN MULTIPLE SYSTEMS
WHETHER IT'S PERHAPS THE DD
SYSTEM OR THAT SPECIAL EDUCATION
SYSTEM.
GET KIDS WHO SUFFERED SO MUCH
TRAUMA.
AND HAVE HAD MULTIPLE NEEDS AN
EXISTING MULTIPLE SYSTEMS THAT
IT'S DIFFICULT FOR COUNTIES TO
FIND PLACEMENTS FOR THEM.
THOSE MULTI SYSTEM INVOLVED
KIDS BASED ON A SURVEY THAT WE
DID WITH OUR MEMBERS ARE MUCH
MORE LIKELY. TO BE TURNED AWAY
BY S. T. R. TEEPEES.
WE'RE ALSO SPONSORING AB TWENTY
EIGHTY THREE BY A SEMI
ASSEMBLYMEMBER COOLEY THE CHAIR
OF THE.
THE FOSTER CARE SELECT
COMMITTEE THAT WOULD BEGIN TO
ADDRESS THAT ISSUE AT BOTH THE
STATE AND THE COUNTY LEVELS BY
REQUIRING.
THOSE SYSTEMS BOUGHT IT BOTH AT
THE STATE LEVEL AND AT THE LOCAL
LEVEL TO WORK TOGETHER TO DEFINE
EVERYONE'S ROLES AND
RESPONSIBILITIES AND TO ASSURE
ACCOUNTABILITY THAT THOSE ROLES
AND RESPONSIBILITIES ARE
EXECUTED.
AND FINALLY. WE WOULD SAY KEEP
UP THE LEGISLATIVE OVERSIGHT WE
WERE REALLY PLEASED THAT YOU
CALL THIS HEARING AND I'D LIKE
TO.
COMMAND YOUR STAFF IN
PARTICULAR. WE HAVE TO GET THIS
RIGHT AND I THINK THAT
LEGISLATIVE OVERSIGHT AND HOW
WE'RE DOING IS CRITICAL. ARE ARE
WE MEETING THE TARGETS THAT WE
NEED TO ME.
WITH RESPECT TO RECRUITING
FAMILIES ARE WE DELIVERING THE
SERVICES WHETHER THEIR BEHAVIOR
HEALTH SERVICES OR OTHER TYPES
OF SERVICES. THAT CHILDREN NEED
IN A TIMELY WAY ARE WE ABLE TO
SUPPORT RELATIVE SO THAT KIDS
COULD BE PLACED WITH RELATIVES.
AND NO TO UNDERSCORE THE
IMPORTANCE.
I'M.
ARE WE ABLE TO SORT OF BREAK
THROUGH AND TRY TO FIGURE OUT
WAYS TO RECRUIT AND SUPPORT MORE
INTENSIVE SERVICES FOSTER
FAMILIES THOSE ARE THE KEY
THINGS THAT WE NEED TO DO AND AS
WE HURTLE. TOWARD TWELVE THIRTY
ONE WITH OUR NOSE TO THE
GRINDSTONE. THOSE ARE THE TYPES
OF QUESTIONS THAT WE HOPE THAT
YOU KEEP ASKING. AND WE EXPECT
THAT THIS THIS WILL NOT BE THE
LAST BUT ONE OF MANY
CONVERSATIONS THAT WE HAVE
THROUGHOUT THE YEAR. AND I
APPRECIATE YOU HAVING THIS
HEARING AND THE OPPORTUNITY TO
TESTIFY.
CAN. GET AFTERNOON MY NAME IS
SHARON TO WADE I AM A
SUPERVISING CHILDREN SOCIAL
WORKER WITH THE. RFA DIVISION
FOR. LA COUNTY DCFS I AM ALSO
THE VICE PRESIDENT OF THE
EXECUTIVE BOARD FOR SEIU SEVEN
TO ONE. I'M HERE TODAY.
AND REALLY PROUD TO BE HERE AS A
SOCIAL WORKER TO TALK ABOUT CC
ARE AND HOW IT'S REALLY IMPACTED
THE FAMILIES THAT WE WORK WITH.
ON BEHALF OF THE THREE HUNDRED.
THOUSAND SOCIAL WORKERS IN THE
STATE OF CALIFORNIA WE REALLY
ARE DEDICATED TO THE WORK THAT
WE DO.
SOMETIMES AS SOCIAL WORKERS WE
PLAY THE ROLE OF TEACHER.
CARE GIVER WHEN THERE IS NO CARE
GIVER OF MOTHER WHEN THERE IS NO
MOTHER WE WE ARE THERE FOR THE
CHILDREN AND WE ARE THERE FOR
THESE FAMILIES. AND ALTHOUGH WE
SUPPORT CECE ARE WE REALLY DO
NEED THE RESOURCES SO THAT WE
CAN PUT IN THE TIME. OF.
WE HAVE THIS SEA OF T. MODEL
THAT HAS BEEN ROLLED OUT IN
WHICH WE NOW MEET FAMILIES IN
THEIR HOMES. AND IT'S A BIG
CHANGE FROM WHAT WE WERE DOING
BEFORE BECAUSE BEFORE WE WOULD
HAVE THEM COME TO THE OFFICE AND
HAVE WHAT WAS CALLED A TDM. A
TEAM DECISION MAKING MEETING IN
IN THAT MEETING THEY WOULD COME
TO OUR OFFICE WE WOULD TELL THEM
WHAT THE CONCERNS WERE WE WOULD
TELL THEM WITH THEIR STRESS WERE
GIVEN A SAFETY PLAN A TELEMOVIE
YOU DON'T FOLLOW THIS PLANET.
YOUR KIDS ARE GOING TO BE
REMOVED NOW WE ACTUALLY MEET
WITH THEM IN THEIR HOMES. AND WE
TELL THEM WE ACT ON WHAT ARE
YOUR STRAPS WHAT DO YOU THINK
YOUR STRESS THAT YOUR FAMILY IS
WHAT DO YOU THINK YOUR CHILDREN
EAT AND WE HAVE NONNEGOTIABLE
SCHOOL. CAN BE CHILD ABUSE GOING
ON BUT WE DO LET THEM COME UP
WITH A PLAN FOR THEIR OWN
FAMILY.
AND WE'VE EVEN BEEN ABLE TO DO
THAT WITH SOME OF OUR CARE
GIVERS IN RFA.
OUR COUNTY IS VERY UNIQUE AS
YOU MAY. ALL KNOW IS LARGE AND
NOT ONLY IS THE LARGE IS VERY
pDIVERSE WE HAVE A LARGE IMAGE
UNDOCUMENTED IMMIGRANT
POPULATION WE HAVE A LARGE
POPULATION OF PEOPLE IN POVERTY
WE HAVE SOME CARE GIVERS WHO ARE
HOMELESS THEMSELVES. SO THAT'S
PRISON PRESENTED AS A CHALLENGE
AND BURY YOUR FULL RFA.
WE WILL AGAIN WE WANT TO DO THE
WORK WITH THESE FAMILIES BUT WE
LACK THE STAFF.
.
COMING INTO THE RFA PROGRAM WHEN
IT STARTED IN JANUARY AND UNTIL
JANUARY OF THIS YEAR SO FROM
JANUARY OF TWO THOUSAND AND
SEVENTEEN TO JANUARY O TWO
THOUSAND EIGHTEEN WE HAD SEVEN
THOUSAND APPLICANTS APPLY. SEVEN
THOUSAND AND WE ONLY HAD NINETY
SOCIAL WORKERS.
IS OUR FAMILIES INTO A CRISIS.
HE SAID OUR CHILDREN INTO A
CRISIS AND I CAN SAY IS A
SUPERVISOR I LITERALLY HAD
GRANDPARENTS COME INTO MY OFFICE
CRYING. SENT ON BEING A BIG DATE
MY CREDIT CARD IS MAXED OUT.
AND TRYING TO TALK TO THEM AND
WORK WITH THEM ON KEEPING THESE
CHILDREN. IT WAS KIND OF LIKE
THE RE TRAUMATIZE ASIA FOR THE
CHILDREN TOO BECAUSE HOW WOULD
YOU FEEL LIVING IN THE HOME.
BEER REMOVE FROM YOUR BIO PARENT
AND NOW YOU'RE IN A HOME WITH
YOUR RELATIVE AND NOT KNOWING IF
THEIR RELATIVE CAN KEEP YOU. SO
WHAT I WOULD LIKE TO SAY IS WE
WANT TO DO THIS WORK WE LOVE OUR
FAMILIES WE PUT OUR HEART AND
SOUL INTO. THE WORK THAT WE'VE
DONE BUT WE DO NEED MORE SUPPORT
AND THAT COMES IN THE FORM OF
MORE SOCIAL WORKERS. AND WE NEED
HIM NOW NOT THREE MONTHS FROM
NOW NOT SIX MONTHS FROM NOW. WE
NEED THEM NOW IT WE HAVE MORE
SOCIAL WORKERS WE WILL BE ABLE
TO GIVE THE FAMILIES THE SUPPORT
THAT THEY NEED. WE WILL BE ABLE
TO COMPLETE THESE ASSESSMENTS IN
A MORE TIMELY MANNER.
AND THE SAME WITH THE CFCS
RIGHT NOW OUR AGENCY POLICY IS
THEY SEE A TEASE ONLY OCCUR WHEN
A CHILD HAS BEEN REMOVED AND THE
TIMEFRAME IS SIXTY DATE. WE HAVE
MORE STAFF WE MAY BE ABLE TO
HAVE ONE BEFORE THE CHILD IS
EVEN REMOVED. WE COULD BE
PREVENTING REMOVALS BECAUSE
AGAIN THE PARENT IS GETTING MORE
INSIGHT INTO WHAT NEEDS TO BE
DONE. AND EVEN WITH THE SIXTY
DAYTIME FRAME MY AGENCY IS UNDER
FIFTY PERCENT COMPLIANCE WITH
THAT TIME FRAME BECAUSE AGAIN.
THE STAFF IS LACKING SO ARE
ASKING AS AS THE SOCIAL WORKERS
IS WE NEED MORE SOCIAL WORKERS
WE NEED MORE OF OUR PEERS TO DO
THIS WORK. SO THAT WE CAN
SUPPORT OUR FAMILIES SO THAT WE
CAN GIVE THEM WHAT WE KNOW WHAT
THEY NEED. AND. MOST OF ALL SO
THAT WE CAN GIVE THEM. THE
PATIENCE THAT TIME AND
UNDERSTAND.
GOOD AFTERNOON. MY NAME'S
VANESSA HERNANDEZ I'M THE POLICY
DIRECTOR FOR CALIFORNIA YOUTH
CONNECTION. AND. I WAS ALSO
FORMALLY A MEMBER OF THAT
ORGANIZATION I'M ABOUT FIVE
YEARS AGO SO I GREW UP IN FOSTER
CARE HERE IN CALIFORNIA AS WELL.
AND I FEEL ABSOLUTELY VERY LUCKY
AND HUMBLED TO SERVE THE
ORGANIZATION THAT HELP ME FIND
MY BOYS TO LEARN HOW TO
ADVOCATE.
IN MY CURRENT ROLE.
I HAVE THE PRIVILEGE PRIVILEGE
OF WORKING WITH CURRENT AND
FORMER FOSTER YOUTH ACROSS THE
STATE WE HAVE THIRTY THREE
CHAPTERS FROM HUMBLE DOWN TO SAN
DIEGO. AND.
OUR AGE RANGES BETWEEN FOURTEEN
TO TWENTY FOUR YEAR OLDS MUCH
LIKE.
CHRISTINA WHO SPOKE ON THE
FIRST PANEL.
OUR MEMBERS ARE IN THE SCENE
THEY I HAVE EXPERIENCED THEM TO
BE PROBLEM SOLVERS SMART
THOUGHTFUL AND MOST IMPORTANTLY
CREATIVE.
IN MY EXPERIENCE I'M ABLE TO
ENGAGE THEM ON POLICY WORK WHICH
IS SOMETIMES IS LESS APPEALING
THAN FACEBOOK LIVE PARTIES.
HOWEVER MY MEMBERS ARE COMMITTED
TO ENSURING THAT THEY COULD HELP
CREATE A BETTER SYSTEM FOR THEIR
BROTHERS AND SISTERS AND CARE.
A REALLY GREAT EXAMPLE IS TWO
WEEKS AGO ON A SUNDAY.
I HAD A GROUP OF TEN YOUNG
PEOPLE ROLL UP THEIR SLEEVES
READING ECHL'S AND REVIEWING THE
CANS TOP FIFTY ASSESSMENT TOOL.
AND.
WHILE THEY COULD'VE BEEN DOING
LOTS OF OTHER THINGS ON THEIR
THREE DAY WEEKEND I THEY WERE
COMMITTED TO REALLY ANALYZING TO
MAKE SURE THIS WAS A TOOL THAT
MADE SENSE FOR THE WHOLE SYSTEM.
OVERALL SEE WE SEE IS VERY I'M
OPTIMISTIC AND SUPPORTIVE OF THE
GOALS OF CCR.
WE'VE BEEN PARTICIPATING.
IN MANY OF THE EFFORTS FOR
SEVERAL YEARS AND ON THAT NOTE
I'M THERE'S SOME.
VERY EXCITING BRIGHT SPOTS THAT
ARE MEMBERS.
TALK ABOUT THIS INCLUDES TOM
FAMILY TEAM MEAN.
THE YOUTH SATISFACTION SURVEY
AN ONGOING DYNAMIC TRAINING AND
SUPPORT FOR FOSTER PARENTS.
ON THE SAME NOTE THERE IS ALSO
SOME VERY SPECIFIC.
TOPICS THAT OUR MEMBERS HAVE
SOME HESITATION AND CONCERNS
ABOUT THOSE INCLUDE THE YOUTH
SATISFACTION SURVEY TOM FAMILY
TEAMS AND THE ON GOING DYNAMIC
TRAINING AND SUPPORT FOR FOSTER
PARENTS. SO THESE THREE BUCKETS
ARE THE ONES THAT ARE MEMBERS
HAVE REALLY ZEROED IN ON AND
HAVE RAISED THE FLAG ON I'M IN
MULTIPLE DIFFERENT APPROACHES.
FOR US WE'RE VERY EXCITED TO
HEAR.
JUST THE POTENTIAL SUCCESSES
AND THEN ALSO THE REAL LIFE
BARRIERS OF TOM FAMILY TEAM WE
UNDERSTAND THAT CC ARE ABOVE ALL
IS A CULTURE SHIFT AND WE ARE
EXCITED THAT THIS CULTURE SHIFT
IT'S IN THE DIRECTION. THAT IS
HAS THE VALUES OF TEAMING AND
IT'S A CULTURE SHOCK FOR THE
SYSTEMS TO TURN ON THEIR
LISTENING HABITS TO REALLY
ENGAGE FAMILY AND YOUTH ON HOW
TO IMPROVE THEIR LIVES. AND WE
ALSO UNDERSTAND THAT.
TI MEAN IF DONE RIGHT WILL HAVE
AN AMAZING IMPACT AND TI MEAN IF
DONE WRONG WILL FEEL LIKE BEING
PLACED IN A ROOM FULL OF ADULTS
MAKING DECISIONS ABOUT YOUR LIFE
WHERE YOU CAN LIVE WHERE YOU CAN
GO TO SCHOOL. AND WHO YOU CAN
AND CANNOT TALK TO GO SO FAR AS
TOM FAMILY TEAM MAINTAINS.
MAINTAINS OUR TOP ATTENTION AND
PRIORITY AND WE ARE HOPEFUL TO
SEE THIS EXECUTED CORRECTLY I'M
ADDS THE COUNTIES ADOPTED AND.
BRIDGET WITH THEIR EXISTING
STRUCTURES.
ANOTHER BRIGHT SPOT IN SOMETHING
THAT WILL CONTINUE TO GAUGE ON
IS THE YOUTH SATISFACTION SURVEY
THIS TOOL IS ON THE FIRST TIME
THE SYSTEM IS CREATING. A SURVEY
TO ASK YOUNG PEOPLE HOW ARE
THINGS GOING ON IN THEIR HME.
FOR US THIS IS AMAZINGLY AND
AMAZINGLY POWERFUL.
BECAUSE WE'RE PUTTING THE YOUNG
PEOPLE AT THE CENTER OF
COLLECTING FEEDBACK AND REALLY
PUTTING THEIR PROBLEM SOLVING
HATS ON I'M AS THEY FILL OUT
THIS SURVEY. THAT BEING SAID
THAT.
WE THINK THE RESULTS OF THE
SURVEY WILL HELP THE SYSTEM MOVE
FORWARD ON AT A QUICKER PACE
WHEN WE UNDERSTAND WHAT IS GOING
ON AT FOUGHT IN FOSTER HOMES.
FOR INSTANCE IF THERE ARE FIVE
YOUTH THAT RUN AWAY FROM THE
SAME HOME MAYBE SOMETHING'S
GOING ON IN THE HOME AND NOT
AND.
NOT WITH THE YOUNG PERSON WHO
RAN AWAY WE'RE EXCITED FOR THE
RESULTS OF THIS THAT WILL
EVENTUALLY GO STATEWIDE.
THE OTHER PIECE THAT OUR MEMBERS
ARE REALLY INTERESTED IN IS THE
FOSTER PARENTS THIS INCLUDES
ENGAGING RESOURCE PARENTS IN A
NEW WAY. AND REALLY LOOKING AT
HOW THEY ARE USING THEIR EIGHT
HOURS OF ANNUAL TRAINING
REQUIREMENT TO.
BE TAILORED AND TO PRODUCTIVE
TO THE CHILDREN AND YOUTH IN
THEIR HOME.
ARE MUCH OF A FOR THE LAST
THIRTY YEARS HAVE BEEN CENTERED
AROUND MAKING SURE THE YOUNG
PERSON IS AT THE CENTER OF THESE
POLICIES IN THESE CHANGES.
MOVING FORWARD.
SOME OF THE RECOMMENDATIONS AND
TO WHAT WE VIEW AS.
CCAR'S NEXT STEPS AND.
WILL HELP US DETERMINE WHETHER
OR NOT TO SEE OUR WILL BE
SUCCESSFUL. IS WHEN WE CAN TO AS
A SYSTEM TALK ABOUT STABILITY IN
YOUNG PEOPLE'S LIVES AND IT NOT
BE DIRECTLY ASSOCIATED TO
PLACEMENT STABILITY. OUR MEMBERS
WANT TO AISE THE FLAG THAT
STABILITY IS A CONVERSATION
ABOUT RELATIONSHIPS ABOUT
EDUCATION ABOUT SERVICES ABOUT
WELLNESS. AND THEIR TRUST. AND
WE WOULD LIKE TO RAISE THIS
CONVERSATION AND FOR US THIS IS
THE NEXT STEP OF CCAR'S VISION
AND THE DIRECTION WE'RE MOVING
TOWARDS.
AND.
TO DO THAT WE REALLY THINK THAT.
AS A STATE AS THE SYSTEMS MOVE
FORWARD WE NEED TO.
CURRY OR IMPLEMENT OR ANALYZE.
WHAT'S GOING ON IN PLACEMENT
DISRUPTIONS AND WHY I'M SEVENTY
NOTICES ARE HAPPENING. WHO ARE
THEY HAPPENING TO WHY THEY'RE
HAPPENING WHEN THEY'RE HAPPENING
AND WHAT ARE WE DOING TO PREVENT
THEM REALLY UNDERSTANDING THAT
DATA AND UNDERSTAND?
AND HOW IT'S IMPACTING THE
YOUNG PEOPLE WILL REALLY HELP US
REALIZE THE POTENTIAL OF CCR.
WE SUSPECT THAT SEVENTY NOTICE
NOTICE IS DISPROPORTIONATELY
IMPACT OF.
DIFFERENT POPULATIONS INCLUDING
OUR LGBTQ BROTHERS AND SISTERS
AND OUR YOUTH OF COLOR.
FOR US WE WANT TO UNDERSTAND
AND RESOLVE THIS.
.
AFTER HOURS OF TALKING ABOUT
POLICY IN CCIR IN CREATING TOOL
KIDS BY MEMBERS REMAIN COMMITTED
AND HOPEFUL FOR THE FUTURE.
IN MY OWN PAST TIME I WAS
READING AND I READ A QUOTE ABOUT
A COMEDIAN WHOSE MOTHER WAS HIS
HERO.
HE DESCRIBED HER PARENT TEEN
APPROACH AS ONE THAT NOURISHED
HIS MIND BODY AND SOUL ANY
REFLECTED HOW LITERALLY HIS MOM
TOOK THAT.
IN JUST LIKE THAT THAT THE
STORIES EXPERIENCES FROM MY
MEMBERS REALLY CAME TO LIFE IF
WE CAN CREATE A SYSTEM THAT
NOURISHES THE MIND BODY AND SOUL
FOR EACH YOUNG PERSON WE HAVE
SUCCEEDED. THANK YOU.
IF YOU VERY MUCH.
OKAY WHEN I BACK TO OUR.
TWO DIRECTORS LIKE BURNING
HANDS ON. AND ACTUALLY WON A.
.
QUESTION I HAVE IS.
SO ON DECEMBER THIRTY FIRST ON
ONE GROUP HOMES CLOSE.
WHAT'S. WHAT'S GOING TO HAPPEN
WHAT OF WHAT IS HAPPENING WITH
THESE KIDS.
IT'S IT SEEMS FAR AWAY BUT IT'S
NOT.
IT'S ACTUALLY TWO HUNDRED NINETY
THREE DAYS.
I. WAS GOING ON.
THE.
OBVIOUSLY THERE'S AN ENORMOUS.
TENSION IN THE CONCEPT OF CCIR
WHICH IS THE NEED TO MOVE
QUICKLY THROUGH CHANGES BECAUSE
OF THE INTER DEPENDENCIES. OF
OLD CLOTHES. ARM.
I HAD THIS POINT THE THE THING I
CAN MOST ASSUREDLY IS THAT THERE
IS ALMOST. HOME ON WE BRING
FOLKS ON THE VARIOUS STEPS THAT
NEED TO BE TAKING PLACE BETWEEN.
NOW AND THEN TO THE BOTH OF.
MAKE THE RICH.
YEAH RECRUITMENT THE AND GET THE
IDENTIFICATION RECRUITMENT.
ENGAGEMENT OF THE HOMES THAT ARE
THAT ARE NEEDED POSSIBLE TO MAKE
THE CONVERSIONS OF THOSE STR
TEEPEES THAT REMAIN TO BE
CONVERTED. ON HAPPEN.
THE THE.
THROUGHOUT MUCH I'VE FIRST I'VE
I'VE THANK ALL MY FRIENDS WHO
HAVE SUPPORTED CCR TODAY THROUGH
WITH GRITTED TEETH. ARM AS MR
STONE. ARM IT'S IT'S IT'S VERY
HARD VERY HEAVY LEFT AND. ARM AS
WE SORT OF.
RIP REALIZE THERE ARE AGENDAS
THAT GOAL YEARS INTO THE FUTURE
BUT THEY'RE ALSO VERY SPECIFIC
IMMEDIATE STEPS THAT WE HAVE TO.
ACCOMPLISH AND HOUSE WERE DOING
NOW ARE SORT OF COUNTY BY COUNTY
IMPLEMENTATION CALLS WHERE
WE'RE.
ON MS BOYLE TALKED ABOUT THE
NEED FOR MENTAL HEALTH.
PLANS TO KNOW HOW MANY STR
TEEPEES THERE WILL BE WITH A
CAPACITY FOR WANT CHILDREN OR
HOW MANY TFC IS THAT'S WHAT
WE'RE DOING NOW WITH EACH
INDIVIDUAL COUNTY SAYING. YOU
HAVE EIGHTY TWO CHILDREN IN
GROUP CARE WHAT PERCENTAGE OF
THEM NEED TO. CONCEIVABLY BE AN
STR T. P. CARE. AT THE END OF
THIS YEAR VERSUS HOW MANY NEED
TO GO INTO FAMILY CARE AND.
WHERE WHAT LEVEL OF FAMILY CARE
AND WE'RE BEGINNING AT THE
FAMILIES AND IT'S GOING TO BE A
VERY? GRANULAR PROCESS FROM HERE
TO THERE ARM. I'D NOT IN ANY WAY
I DON'T WANT TO BE CAVALIER THAT
IT'S.
EASY AND THE WHO BOTH THE
MECHANICS AND THE CULTURE SHIFT
OF THAT ARE.
OUR OUR.
OUR OUR OUR MAJOR. ARMED.
FRANK SORT OF MENTIONED ISSUES A
BUDGET NEEDS AND STUFF ARM YOU
KNOW OBVIOUSLY I. CAN'T SPEAK
FOR THE GOVERNOR'S BUDGET BEFORE
ON YOU KNOW THE MAJOR. IT'S OVER
BUT WHEN WE WENT INTO THIS WE
DID SO WITH THE INTENTION OF
HONESTLY BUDGETING HONEST. COST
ABOUT IS IN FACT NEW
REQUIREMENTS AND WE'LL KEEP ON
WORKING ON VALIDATING THAT ALL.
THERE MAY BE ASPIRATIONAL THINGS
THAT ARE BEYOND WHAT NEEDS TO BE
ACCOMPLISHED BY DECEMBER THAT
THE SIDE YOU KNOW. WE TELL
ANOTHER PERIOD OF. BUT ON THE
THE THE FOCUS.
NEEDS TO BE IN. ONE PARTICULAR
AREA THAT I'M GONNA. THAT I KNOW
WE'RE GOING TO BE WORKING VERY
CLOSELY WITH COUNTIES ON IN THIS
NEXT PERIOD. ON THERE WAS
REFERENCE.
ONE IS I THINK OF. TRENT MADE
REFERENCE TO THE CONTRACT ON
FOR.
SPECIAL RECRUITMENT OF CHINESE
KIDS. ARM OR OR KIDS IN CARE WHO
THERE THERE'S DIFFICULTY
PLACING.
IF YOU THINK ABOUT OUR OUR OR.
POPULATION GROUP CARE VANESSA
TOUCH THE ISSUE OF CHILDREN
COLOR. IT IT IS
DISPROPORTIONATELY AFRICAN
AMERICAN AND LATINO. AND HARD
WHEN WE WERE DOING FOCUS GROUP
WORK WITH ALL MEN.
EARLIER.
THERE'S A DIFFICULTY IN GOING
BACK TO THOSE RELATIVES IF THEY
HAVE HISTORICALLY FILLED WE
NEEDED FROM SYSTEMS. AND I THINK
PART OF WHAT WE'RE GOING TO BE
DOING OVER THIS NEXT PERIOD IS
TRYING TO DEVELOP ONE OF THE.
MEANS OF COMMUNICATION THE
INTERMEDIARIES THE NAVIGATORS
INSIDER WHO CAN HELP BRING BACK
INTO THE CONVERSATION PEOPLE
WHO.
THE KNESSET AND THEY. GOT A RUN
ON THE PEOPLE WHO DON'T
HISTORICALLY HAVE A SENSE OF
TRUST IN OUR PUBLIC SYSTEM. AND
THAT'S PART OF WHAT THESE NEXT
MONTH FOR ABOUT SO WE CAN BE OF.
ENORMOUS AMOUNT OF STUFF GOING
ON ON. AND ON.
THE TWO HUNDRED NINETY THREE
DAYS THAT ARE GOING TO BE LIVED
TO THE FULLEST EVERY SINGLE DAY
ON. WHAT ONE THING I WOULD WOULD
ASK? MY COLLEAGUES DIRECTOR
CANTIK TO TO MENTION IS THE ON
SPECIAL TEAMS DENTAL HEALTH AND
EPS THE T. ENTITLEMENTS.
SURE AND I AM. SO I KNOW THAT
THERE WAS A DISCUSSION AROUND
THE MIDDLE HEALTH AND I
APPRECIATE CERTAINLY THT
CONCERNED.
AND WE'VE BEEN WORKING TO
REFINE THE DATA OBVIOUSLY
BETWEEN OUR CLAIMS DATA.
AS WELL AS WHAT DEPARTMENT
SOCIAL SERVICES HAS FOR CHILDREN
THAT ARE IN CARE AND I THINK.
WE'VE ISSUED GUIDANCE AND WE'RE
HAPPY TO SHARE WITH THE
COMMITTEE ON BOTH FOR OUR
MANAGED CARE PLANS AS WELL AS
THE COUNTY MENTAL HEALTH PLANS.
CLEARLY STATING.
HOW WE EXPECT YOU PST T.
BENEFITS TO BE ADMINISTERED HOW
SERVICES ARE TO BE DELIVERED AND
THAT? THERE'S A VERY CLEAR
DISTINCTION BETWEEN.
CHILDREN REQUIRING SPECIAL TO
MENTAL HEALTH SERVICES AS WELL
AS ADULTS AND SO I'M HAPPY TO
KIND OF SHARE THAT GUIDES
BECAUSE THAT HAS BEEN. KIND OF
OUR IT'S BEEN DONE TODAY IN
TERMS
OF. CHILDREN.
WITH A MENTAL HEALTH ISSUE HAVE
A LOWER LEVEL OF.
.
NEED THAT NEEDS TO BE
DEMONSTRATED FROM A MEDICAL
NECESSITY STANDPOINT I'M FOR
RECEIVING SERVICES AND SO THERE
CERTAINLY IS.
INTERPLAY BETWEEN A CHILD IN
OUR MEDICAL FEE FOR SERVICE
SYSTEM ARE YOU KNOW CHILDREN
THAT MAY OR MAY NOT BE IN A
MANAGED CARE AND ALSO USING
SERVICES THROUGH THE COUNTY ON
SPECIAL TO MIDDLE HEALTH
SERVICES BUT. WE HAVE BEEN
REALLY CLEAR ABOUT.
WHAT THAT STANDARD IS AND THAT
CHILDREN HAVE AND ARE EXPECTED
TO BE TREATED DIFFERENTLY WHEN
THEY ARE I'M REFERRED OVER TO
THE COUNTY'S FOUR EPS TT
SERVICES AND MENTAL HEALTH
TREATMENT SO? HAPPY TO PROVIDE
THAT IS AS FOLLOWS BACKGROUND.
THANK YOU MISTER CHAIR IF I
COULD TOUCH ON THE QUESTION YOU
ASKED MR LIFE BORN ABOUT TWELVE
THIRTY ONE.
I THINK IT'S IT'S NOT LOST ON
ANYBODY THAT EMBEDDED IN CC ARE
AND THAT DAY AND THAT DAY IS A
THEORY OF CHANGE.
AND THAT THEORY OF CHANGES.
ARMED.
WE HAVE TO WE HAVE TO CREATE A
SENSE OF URGENCY AND A TARGET
THAT WE'RE SHOOTING FOR BECAUSE
THERE ARE SO MANY MOVING PIECES.
THE TO KEEP EVERYBODY MOVING IN
THE RIGHT DIRECTION TO PUT ALL
THE ELEMENTS IN PLACE.
THAT THIS THE URGENCY CREATED
BY THAT DEADLINE IS CRITICAL FOR
IMPLEMENTATION.
IT WAS IT WAS THE THEORY OF
CHANGE EMBEDDED IN THE PROPOSAL
IT WAS EMBEDDED IN THE BILL AND
IT WAS THE THEORY OF CHANGE IT
WAS ACCEPTED. BY EVERYBODY WHO
SUPPORTED THE BILL.
AND IT'S YOU KNOW IT'S WORKED
YOU KNOW IF THE IF IF WHAT
YOU'RE WONDERING IS WHETHER OR
NOT IT CREATED A SENSE OF
URGENCY I'M HERE TO ASSURE YOU
THAT IT HAS.
.
BUT IT'S MARCH.
.
THE GOOD NEWS IS. WE DO HAVE TWO
HUNDRED EIGHTY FIVE DAYS LEFT
BUT I DO I DO THINK IT'S REALLY
IMPORTANT THAT WE FIND THE
OPPORTUNITIES WITH OTHER FORMAL
HEARINGS ARE INFORMAL HEARINGS.
TO REALLY TALK TO EACH OTHER
ABOUT HOW IT'S GOING LIKE THE
THE CONCERNS WITH I. SFC NTSC.
THAT'S A CRITICAL COMPONENT OF
CCR AND AND WE TOLD OU HERE
TODAY. WE'RE NOT HAPPY WITH
WHERE WE ARE WE NEED TO WORK
TOGETHER TO TRY TO FIGURE THAT
OUT. SO WE ACTUALLY LOOK FORWARD
TO THOSE CONVERSATIONS BECAUSE
WE DO HAVE TO MAKE SURE. THAT WE
DON'T MAKE IT WE WE DON'T MAKE
ANYTHING WORSE FOR ANY CHILD
THAT AT ANY MOMENT IN TIME AND I
KNOW WE'RE ALL COMMITTED TO
THAT.
BUT I JUDGE STARTED SORT OF
UNDERSCORE THAT.
THE IMPORTANCE OF.
CONSTANT DIALOGUE OVER THESE
NEXT COMING MONTHS WITH YOU THE
LEGISLATURE ON HOW IT'S GOING SO
THAT WE CAN MAKE SURE THAT EVERY
GETS BETTER OFF ON JANUARY FIRST
NINETEEN.
GREAT.
THANK YOU EVERYONE.
OKAY THAT WAS OUR FINAL.
THEY'RE JUST YET BUT I JUST MAKE
A BRIEF COMMENT IT'S BEEN SAID
SEVERAL TIMES INCLUDING BY
MISTER MAC OF THAT WE HAVE TO
GET THIS RIGHT. AND WE AND WE
ABSOLUTELY DO BUT WE ALSO TO THE
EXTENT IT'S NOT EXACTLY RIGHT.
WHICH WE WILL HAVE SOME
CHALLENGES WE ALSO HAVE TO HAVE
A COMMITMENT TO FIX WHAT. WHAT
WE NEED TO DO THROUGH THE
IMPLEMENTATION?
AND TWELVE THIRTY ONE IS A
DEADLINE FOR A LOT OF
IMPLEMENTATION. BUT WE ALSO HAVE
AN EVEN BIGGER CHANGE THAT'S
COMING COME JANUARY WITH AN
INAUGURATION. AND WE NEED TO
MAKE SURE THAT WHAT WE'RE
SETTING UP.
IS GOING TO BE ABLE TO BE
CARRIED FORWARD AND THE SAME
COMMITMENT TO CHANGE FOR. THOSE
OF US WHO ARE STILL PLANNING ON
BEING HERE COME JANUARY.
THAT THERE'S A COMMITMENT TO
TRACKING THIS PROGRAM MAKING
SURE THAT IT'S SUCCESSFUL AND
CONTINUING TO DO WHAT WE NEED TO
DO WHETHER IT'S SHORT TERM FIXES
LONG TERM FIXES SHORT TERM
INVESTMENTS. TO GET COUNTIES
OVER HURDLES OR LONG TERM
INVESTMENTS TO ENSURE THE
SUCCESS OF OUR CHILDREN IN OUR
COMMUNITIES THAT'S WHAT WE ALL
HAVE TO BE COMMITTED TO.
RIGHT.
OKAY.
WE'RE NOW GOING TO MOVE ON TO
PUBLIC COMMENT AND I'D LIKE TO.
INVITE AS OUR PERSONAL COMMENTER
ON LA COUNTY DIRECTOR OF
CHILDREN AND FAMILY SERVICES
BOBBY CABLE.
BUT THAT OF EVERYONE ELSE
ANYONE ELSE'S INTERESTS IN
SPEAKING COMBINED OUT.
THANK YOU THANK YOU MR CHAIRMAN
MEMBERS COMMITTEE I'D ALSO LIKE
TO THANK.
SIMMONS A STONE FOR THE WORK
THAT WE'VE DONE HERE.
ON THIS ON THE WORK THAT WE
TALKED ABOUT TODAY IS EXTREMELY
IMPORTANT AND I'D LIKE TO ECHO
THE COMMENTS OF MANY OF MY
COLLEAGUES THAT WE'RE SITTING
HERE TODAY. BUT ALSO HIT ON
THREE POINTS THAT I THINK ARE
REALLY VITAL IN LA COUNTY AND
PROBABLY APPLY TO MANY OTHER
COUNTIES AS WELL. FIRST AND
FOREMOST THE RFA PROCESS IS THE
BEDROCK UPON WHICH THIS WHOLE
SYSTEM IS BUILT. FOR US THAT IS
A VERY DIFFICULT PROCESS HAS
BEEN HISTORICALLY IT'S GETTING
BETTER. WE STARTED OUT WITH A
THOUSAND THAT WE DID IN A YEAR.
LAST MONTH WE DID OVER THREE
HUNDRED AND SO IT'S SHOWING THAT
WE CAN DO THIS AND WE ARE GOING
TO DO IT. SECONDLY TREATMENT
FOSTER CARE AND INTENSIVE
SERVICES FOSTER CARE IS AN
ESSENTIAL COMPONENT OF THIS. IF
WE'RE GOING TO KEEP KIDS FROM
BOUNCING FROM FOSTER HOME TO THE
S.. T. R. T. P. AND BACK AND
BACK AGAIN THOSE ARE THE THE
ONES THAT ARE REALLY ESSENTIAL
FOR PREVENTING THAT.
AND THEN LASTLY THE TWELVE
THIRTY ONE DATE I REALLY
APPRECIATED THE DISCUSSION ON
THAT. OUR CONCERN IS THAT WHEN
WE REACH THAT TWELVE THIRTY ONE
DATE THOSE HOMES THAT ARE NOT IN
FULL APPROVAL STATUS THOSE. A
PLACEMENT NST RT PAYS THAT ARE
NOT IN FULL APPROVAL STATUS WILL
NOT RECEIVE THE FEDERAL FORTY
FINDING THAT WE WOULD BE
ENTITLED SOCIAL WORKERS
CALIFORNIA
CHAPTER WE REPRESENT SOCIAL
WORKERS WHO HAVE A DEGREE FROM
AN ACCREDITED SCHOOL OF SOCIAL
WORK AND WE JUST WANT TO. DOUBLE
THE CALL FOR THE NEED FOR MORE
SOCIAL WORKERS TO DO THIS JOB TO
HELP TRANSFORM THE SYSTEM THANK
YOU.
HI I'M GENEREX ROAD WITH
CALIFORNIA ALLIANCE OF CARE
GIVERS AND WE THANK ALL THE
MEMBERS OF THIS COMMITTEE AND
ALL OF THE PANELISTS.
FOR THEIR LEADERSHIP AND
COMMENTS. AND WE WOULD LIKE TO
EMPHASIZE AGAIN.
IN AN OBVIOUS NEED. OF FUNDING
FOR RELATIVES AT THE TIME OF
PLACEMENT AND THANK YOU FOR AND
THE LEADERSHIP SHOWN. AND TO
BRING THAT ABOUT. AND WE ALSO
WANT TO EMPHASIZE ON THE NEED
FOR CONTINUED FLIPPERS FUNDING.
AND AND HAVE SOME EXAMPLES OF
WAYS THAT THIS HAS REALLY MADE A
DIFFERENCE FOR CAREGIVERS TO
SUPPORT PLACEMENT STABILITY IN
THE SUB STABILITY OF YOUTH THEIR
CARE. WERE ALSO SAYING THAT A
LOT OF WORK NEEDS TO BE DONE
AROUND TO THE IMPLEMENTATION OF
MENTAL HEALTH SERVICES. AND ALSO
DEVELOPMENTAL SCREENINGS AND
DEVELOPMENTAL AND BEHAVIORAL
HEALTH SERVICES FOR CHILDREN.
THANK YOU.
THANK YOU VERY MUCH.
ANY ADDITIONAL PUBLIC COMMENT
PLEASE COME FORWARD.
YEAH.
YEAH T'S NOT A ONE AT A TIME
THING SO ANYONE WHO'S INTERESTED
JUST COME COME OUT. RIGHT.
AND I GOT TO BE A PHYSICAL
CHALLENGES RAISE YOUR HAND WILL
ACCOMMODATE YOU.
GREAT THANK YOU TO THE COMMITTEE
ON MY MEMBERSHIP ON GUITAR AND
THE HUMAN SERVICES DIRECTOR FOR
MARIPOSA COUNTY. AND I'M LUCKY
IN MY COUNTY I HAVE BOTH THE
BEHAVIORAL HEALTH DIVISION I'M
THE MIDDLE HEALTH DIRECTOR I'M
ALSO THE SOCIAL SERVICES
DIRECTOR. AD IT'S BEEN REALLY A
GOOD THING WITH C. C. R. BECAUSE
IT DOES REQUIRE AN INTENSIVE
AMOUNT OF COLLABORATION BETWEEN
BOTH SIDES OF OUR HOUSE SO WE'RE
REALLY LUCKY TO HAVE THAT I KNOW
SOME OF MY COLLEAGUES IN OTHER
COUNTIES AREN'T AS FORTUNATE. I
ALSO WANTED TO JUST UNDER SCORER
I KNOW WE'VE HEARD FROM A LOT OF
BIG COUNTIES TODAY I WANTED TO
UNDERSCORE IN A COUNTY OF
EIGHTEEN THOUSAND PEOPLE WHICH
IS WHAT WE HAVE.
WE'RE QUAINT BUT WE HAVE A LOT
OF RESOURCE CHALLENGES AND A LOT
OF OUR OTHER SMALL COUNTY
DIRECTORS. BASED RESOURCE
CHALLENGES WITH BEING ABLE TO
RECRUIT AND OFF ODD THERAPEUTIC
FOSTER CARE AND INTENSIVE
SERVICES FOSTER CARE HOME SO I
WANT TO UNDERSCORE. THE
IMPORTANCE OF THOSE RESOURCES I
ALSO WANTED TO THANK DIRECTOR
LIKE PORN AND HIS STAFF JUST
YESTERDAY THEY HELPED US TO
NAVIGATE A CHALLENGE WITH AN S.
T. R. T. P..
WERE AND WHAT WHAT IT
HIGHLIGHTED FOR ME AND
NAVIGATING THAT CHALLENGE WAS
REALLY THAT CONFUSION THAT STILL
EXISTS. FROM THE STR TEEPEES
FROM THE BEHAVIORAL HEALTH SIDE
AND THE SOCIAL SERVICES SIDE
ABOUT THE ROLES AND
RESPONSIBILITIES SO I'VE
APPRECIATED EVERYTHING I'VE
HEARD HERE TODAY FROM THE
ADMINISTRATION. ABOUT NEW
DIRECTION COMING DOWN I THINK
THAT WILL BE VERY IMPORTANT AND
HELPFUL AS WE NAVIGATE THIS
PROCESS FORWARD AND I APPRECIATE
YOUR COMMITMENT TO LOOKING AT
THE RESOURCE ISSUE THANK YOU
VERY MUCH.
IS THERE ANY ADDITIONAL PUBLIC
COMMENTS.
OKAY WILL CLOSE PUBLIC COMMENT
US SO I I WANNA THANK.
ALL OF OUR PANELISTS TODAY
BECAUSE OF A USEFUL CONVERSATION
IS AN ENORMOUS AMOUNT OF WORK TO
DO BUT THERE'S PROGRESS. BEING
MADE IN SO THANK YOU FOR
EVERYONE IN THE AGENCIES THE
WORKERS THE.
ADVOCATES THE FAMILIES.
IT'S REALLY.
I'M IT TAKES A VILLAGE TO HELP
THESE KIDS AND I'M OPTIMISTIC. I
ALSO WANT TO THANK SOME STONE
FOR FOR BEING HERE AND ALSO FOR
YOUR.
STEADY WORK IN THIS AREA.
AND SO WITH THAT OTHER
CONCLUDES OUR HEARING AND WE ARE
ADJOURNED