chdp director/deputy director training section vii health care program for children in foster care...
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CHDP DIRECTOR/DEPUTY DIRECTOR TRAINING SECTION VIIHealth Care Program for Children in Foster Care (HCPCFC) 7/1/2010
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2 History
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History
The trauma of family separation and frequent moves for foster children compound serious health conditions. Given this fact, foster children require more health services than other children, which they often fail to receive due to inadequate medical records and limited access to care.
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History
Code Blue: Health Services for Children in Foster Care (1998)
Report by the California Foster Care (FC) Children’s Task Force: foster care children typically suffer serious health, emotional, and developmental problems and the causes of these conditions are multiple.
Recommendations of the Task Force included: develop a system of health care for children in FC, improve coordination and delivery of services in counties, and hire FC Public Health Nurses (PHNs).
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5 Program Legislation
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Program Legislation
State Budget Act of 1999
Appropriated State General Funds (GF) to the California Department of Social Services (CDSS) for the purpose of increasing the use of PHNs in meeting the health care needs of children in foster care.
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Program Legislation
Assembly Bill 1111 (1999)
Enabling legislation for the Health Care Program for Children in Foster Care (HCPCFC). It defined the components of the program and added to the Welfare and Institutions (W&I) Code, Section 16501.3(a) through (e).
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88 Program Letter
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Child Health and Disability Prevention (CHDP) Program Letter
CHDP Program Letter (PL) No. 99-6 (10/21/99) Describes the HCPCFC (as provided for by the
State Budget Act of 1999 and the W&I Code sec. 16501.3). It states that funds to CDSS will be transferred to the Department of Health Services (DHS), CMS Branch, and will be distributed through the CHDP program in the form of an augmentation to the local CHDP program allocation.
CDSS and DHS developed a Memorandum of Understanding (MOU) to ensure the availability of federal matching funds, which are available only to DHS as the single agency (for Medicaid).
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Program Description
HCPCFC is administered through the local public health department CHDP programs to provide public health nursing expertise in meeting the medical, dental, mental and developmental health needs of children and youth in court-ordered out-of-home placement, or foster care.
FC PHN’s worksite should be in the Social Services office. The PHN works in tandem with the child’s social worker or probation officer to ensure the needed health care resources are provided. Documentation in the Health and Education
Passport (HEP) Participation in interdisciplinary team
conferences Serves in an administrative capacity, linking
the child to vital community resources
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Program Implementation Tools
Legislation Memorandum of Understanding (MOU)
Health Services Social Services Probation
Scope of Work (SOW) PHN Duty Statement HCPCFC Resource Guide
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Legislative Mandates
FC Nurses must be PHNs and must be housed within Social Services
Purpose: enhance physical, mental, dental, &
developmental well being of foster children
Serves as liaison with health care professionals
Collaborates with Social Services/Probation workers to coordinate health care services
Services provided must be limited to Title XIX mandates (NO Direct Care)
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1313 MOU
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MOU
CHDP provides program oversight of activities of PHN working with Social Services and Probation
Social Services provides work-space for PHN
Probation works collaboratively with CHDP/Social Services within MOU
Probation
Social Services
CHDP
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1515 PHN Responsibilities
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Responsibility of PHN in MOU/SOW
Accessing Resources Identify & liaise with health care providers
in the community Serve as resource & facilitate referrals Assist in out-of-county placement referrals
Health Care Planning & Coordination Collaborate with the Social Worker
(SW)/Probation Officer (PO) to develop a health plan for each child expected to remain in out of home placement
Interpret health care reports Obtain & provide medical input for the HEP
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Responsibility of PHN in MOU/SOW
Training/Orientation Provide in-services for Social
Services/Probation staff & foster care community
Policy/Procedure Development Participate in multi-disciplinary meetings for review of health-related issues
Transition from Foster Care Assist foster child & SW with community
health care resources & final HEP update
Quality Assurance Participate in joint reviews, evaluation process & data development
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HCPCFC PHN vs. Social Services - funded PHN
HCPCFC PHN limited to perform duties as specified within the MOU
“No Direct Care”
Social Services PHN may perform duties as specified by their funding source
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1919 PM 160 Process
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PM 160 Process
PM 160 comes to CHDP from the provider’s office
PM 160 Goes To Foster Care PHN
PHN reviews PM 160and collaborates with SW,Medical Provider, Substitute Care Provider, utilizing resources; makesappropriate referral
Assure all documentation is in the child’s HEP
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2121 References
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References
Code Blue http://www.dhcs.ca.gov/formsandpubs/publications/
Documents/CMS/CodeBlue.pdf
HCPCFC http://www.dhcs.ca.gov/services/
hcpcfc/Pages/ResourceGuide.aspx/
CHDP http://www.dhcs.ca.gov/services/chdp/Pages/default.aspx
CMS http://www.dhcs.ca.gov/services/Pages/CMS.aspx
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Public Health Nurse Resources
PHN Directory http://www.dhcs.ca.gov/services/HCPCFC
/Documents/HCPCFCDirectory.pdf Regional Meeting Calendar
http://www.dhcs.ca.gov/services/HCPCFC/Pages/Events.aspx
Web Resources and Publications http://www.dhcs.ca.gov/services/HCPCFC
/Pages/WebResources.aspx
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Contact Information
Nurse Consultant III CDHCS/Children's Medical Services Health Care Program for Children in
Foster Care 1515 K Street, Suite 400 P. O. Box 997413, MS 8100 Sacramento, CA 95899-7413 (916) 327-1400
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