HELPING FAMILIES STAY TOGETHER (THROUGH FLEXI BLE FUNDING)VAUGHN BRANDT, PROGRAM

COORDINATOR

The P.S. Program and the Fortress of Solitude

Getting kids home and helping families keep them there

Achieving reunification is an important part of the child welfare system for 85% of kids in care.

This is also a stressful event for many families, and in Wisconsin 21% of kids reunified with their parents are placed in out-of-home care again within 12 months ( = Re-entry).

• LONG TERM SAFETY AND WELLBEING

• KEEPING THINGS COOL DURING CRISIS OR STRESS• IN-HOME SERVICES AND

CASE WORKER ENGAGEMENT AFTER

REUNIFICATION

Program Basics and Goals

Returning Children to a Stable Home

Helping Parent(s) to Support the Family

Year One P.S. Program Summary:

Total Number of Children Enrolled and Reunified in 2014: 198

Total Number of Families Enrolled and Reunified in 2014: 121

Total Children Returning to OHC at any point after enrollment: 17

Total Number of participating Year One Counties with Enrolled Children: 29 of 35 (83%)

By Targeting Those Most at Risk of Re-entry

Address Unmet Family Needs and Stressors

Decrease the Trauma Associated with Reentry

Make a Smart Investment in order to Reinvest Savings and Help More Families

Positive Outcomes

Family Stability

Prevent Additional

Trauma

Enhanced

Wellbeing

Child

Safety

Why would Superman/Finance Managers be interested?

Financial Matters

The Department provides counties with a Daily Case Rate of $36.13 per day enrolled for State-funded children

If an enrolled child participates for the full 12 month period, this equates to $13,200

Y1: 198 children = up to $2.1 million in the first contract year (CY 2014 enrollees), contingent on continued participation.

Y2 Budget: 467 children = up to $6.2 million in the second contract year (CY 2015 enrollees)

Predictive Analytics Determine Eligibility

P.S. El-igible38%Not Eli-

gible62%

RPM 2.0 Eligible Children Currently in Placed in OHC

The County Reinvestment Requirement

For every three state funded children, the county must support one local reinvestment child with the same program practice requirements by the end of the following year (3/1 State/County Ratio)

Sources of county support can include unspent P.S. funds

Multiple sibling cases may be an opportunity to meet reinvestment requirement

Following Reunification – What Then?

12 Month P.S. Program Participation

Reunification Stabilization•Intensive Case Management•Family centered In-Home Case Plan•Crisis/Respite Plans•Formal service engagement

Strengthening and Supporting Family•Frequent check-ins and ongoing engagement •Sustain family’s motivation•Family centered services and supports

Progressing Towards Independence•Collaborating with family for empowerment towards independence•Court Orders may expire•Long term focus on wellness and stability

Flexible Funding Guidance

Counties are encouraged to spend program funds flexibly across all families with enrolled child(ren).

Cost reporting must reflect the net cost incurred by the county for the provision of these services.

Report costs at the case level (no need to separate by child).

Total costs may exceed or be less than paid case rate as reimbursement can be used flexibly across families with enrolled child(ren).

Program expenditures must be:

• Reasonable and beneficial to the children and families enrolled in the program.

• Necessary to support achievement of goals specified in a family’s Case Plan.

Allowable Expenditures

County Considerations for Approving Expenditures

Is this expenditure meaningfully related to achieving the goals and objectives in the Family’s Case Plan?

Is there a plan to make the service or assistance sustainable for the family beyond the post-reunification support period?

Do the supervisor and financial manager approve the use of county funding in this way?

Staff Support

Case managementSecondary case

worker/case aide support

Contracted supportInternal county

teaming Shared parenting with

foster care families

How Families are Supported

Direct Assistance:

Car seats Gas cards Housing assistanceEssential household

itemsClothingSchool supplies

Examples of Tangible Supports

Services:

In-Home parenting skills

Individual TherapyRespite care/parent

mentorsStructured

recreational activities

Services to Enhance Safety and Well-being

Cost Reporting and Reconciliation

Counties report costs quarterly, including case management time and costs, services, and other supports using SPC Codes

Once all 2014 enrollees with service periods extending into 2015 have either completed or discontinued the program, we will calculate reconciliation amounts for the full contract year’s expenditures

Reconciliation amount = Payments received * 90% - Costs reported for 2014 enrollees

SPC Codes and CW Services (Pt. 1)

ICP Service Categories

DCF Crosswalk

Code SPC Code and DescriptionCase Management

1 - Case Management

604: Case Management Services

 AMSO: Agency Management Support and Overhead

Parenting Services

2 - Parenting Skills and

Family Functioning

104: Supportive home careFamily Therapy 110: Daily Living Skills trainingBasic Home Management 111: Family Support

 113: Consumer education and training

  404: Family Planning

Daycare 3 - Childcare Services

101: Child day care - crisis/respite

Respite 103: RespiteCrisis Services

4 - Psychosocial/ Psychiatric

Interventions

501: Crisis InterventionPsychiatric Assessment/Services 503: Inpatient AODA Treatment

Psychological Assessment507: Counseling/Therapeutic Resources

Individual Therapy510: Comprehensive Community Services

Group Therapy511: Community Recovery Services

AODA Assessment 603: Intake Assessment

AODA Treatment703: Detoxification - Hospital Setting

 705: Detoxification - Social Setting

SPC Codes and CW Services (Pt. 2)

Transportation

5 - Financial Support /

Direct Assistance

106: Housing/Energy Assistance

Economic Support 107: Transportation and Escort

Housing Assistance 609: Consumer directed supports

  610: Housing counseling

Occupational/Physical Therapy6 - Physical/

Developmental Health Services

606: Health screening and accessibility

Medical/Dental Services 704: Day Treatment - MedicalDevelopmental Assessment/Services

706: Day Center Services - non-Medical

  710: Skilled Nursing ServicesJuvenile Justice Services/Activities

7 - Legal/Juvenile

Services

301: Court Intake and Studies

Legal Services303: Juvenile reintegration and supervision services

 304: Juvenile reintegration and aftercare services

  305: Restitution

 605: Advocacy and defense resources

Educational Assessment/Services 8 - Educational and

Employment Services

108: Work related services

Independent Living 615: Supported employment

Work Related Servies 701: Training and Development

Domestic Violence Services

9 - Advocacy and Personal

Supports

112: Interpreter services and adaptive equipment

Mentoring403: Recreational/alternative activities

Social Supports 509: Community Support

Spiritual/Cultural Supports 513: Mentoring Services

Recreational Activities 601: Outreach

  602: Information and Referral

October 1 – December 31 Cost Report Data

Table 1, Reported Expenditures by Standard Program Category code

Category Total Costs % of total

604: Case Management $ 309,176 42.3%

507: Counseling/Therapeutic Resources $ 67,073 9.5%

110: Daily Living Skills Training $ 60,119 8.5%

106: Housing/Energy Assistance $ 40,799 5.8%

103: Respite $ 33,950 4.8%

101: Child Day Care - crisis/respite $ 30,376 4.3%

107: Transportation and Escort $ 30,278 4.3%

513: Mentoring Services $ 29,101 4.1%

999: Other $ 27,348 3.9%

111: Family Support $ 21,554 3.0%

October 1 – December 31 Cost Report Linked Service Data

Table 2, Expenditures by P.S. Cost Category

Category Total Costs % of total

Case Management $ 307,118 43.7%

Parenting Skills and Family Functioning $ 100,298 14.2%

Financial Support / Direct Assistance $ 73,295 10.4%

Psychosocial/Psychiatric Interventions $ 70,184 9.9%

Childcare services $ 64,326 9.1%

Advocacy and Personal Supports $ 40,016 5.7%

Other $ 27,348 3.9%

Legal/juvenile services $ 18,348 2.6%

Physical/developmental health services $ 2,159 0.3%

Educational and Employment Services $ 1,991 0.3%

Total $ 707,141 100.0%

Monthly Family Service Reporting Data

 AUG Received Service

SEPT Received Service

OCT Received Service

NOV Received Service

DEC Received Service

JAN Received Service

FEB Received Service

MAR Received Service

AODA Assessment 9.8% 7.8% 6.6% 6.0% 4.6% 3.8% 1.1% 1.1%AODA Services 29.5% 31.3% 24.6% 30.0% 24.6% 22.6% 23.3% 20.9%Basic Home Management 54.9% 62.5% 60.7% 60.0% 63.0% 63.8% 58.9% 56.0%Crisis Services 13.7% 17.2% 14.7% 14.0% 12.3% 11.3% 15.5% 11.0%Daycare 29.4% 12.5% 19.7% 12.0% 13.8% 17.5% 13.3% 18.7%Developmental Assessment/Services 11.8% 14.0% 16.4% 26.0% 13.8% 18.8% 14.4% 9.9%Domestic Violence Services 4.0% 1.6% 3.3% 4.0% 3.0% 2.6% 6.6% 5.5%Economic Support 62.8% 59.4% 59.0% 62.0% 64.6% 62.6% 61.1% 66.0%Educational Assessment/Services 25.5% 26.6% 31.2% 32.0% 33.8% 30.1% 33.3% 33.0%Family Therapy 31.4% 34.4% 29.5% 44.0% 29.2% 23.8% 27.8% 29.7%Group Therapy 13.8% 15.6% 6.5% 4.0% 7.7% 6.3% 11.1% 7.7%Housing Assistance 37.3% 29.7% 27.9% 16.0% 30.7% 33.8% 34.5% 31.9%Independent Living 3.9% 7.9% 6.6% 6.0% 6.2% 6.3% 6.7% 11.0%Individual Therapy 60.8% 56.3% 57.4% 52.0% 63.1% 62.5% 58.9% 59.3%Juvenile Justice Services/Activities 9.8% 7.8% 8.2% 12.0% 15.3% 15.1% 8.9% 11.0%Legal Services 11.8% 9.4% 9.9% 8.0% 12.3% 13.8% 8.9% 13.2%Medical/Dental Services 21.5% 21.9% 29.6% 24.0% 23.0% 23.8% 25.6% 19.8%Mentoring 25.4% 23.5% 31.1% 30.0% 30.8% 25.0% 27.7% 28.6%Occupational/Physical Therapy 2.0% 6.3% 6.6% 10.0% 7.7% 5.0% 5.5% 9.9%Parenting Services 58.9% 59.4% 60.7% 60.0% 60.0% 57.5% 47.8% 44.0%Psychiatric Assessment/Services 17.6% 21.9% 18.0% 16.0% 21.5% 22.6% 14.4% 15.4%Psychological Assessment 7.8% 3.1% 4.9% 4.0% 4.6% 3.8% 4.4% 3.3%Recreational Activities 37.2% 37.5% 34.4% 30.0% 26.1% 25.0% 27.8% 31.9%Respite 37.2% 25.0% 29.5% 18.0% 23.1% 26.3% 22.2% 23.1%Social Supports 50.9% 50.0% 54.1% 50.0% 41.5% 38.8% 48.9% 55.0%Spiritual/Cultural Supports 29.4% 21.9% 24.6% 22.0% 21.6% 16.3% 21.1% 20.9%Transportation 50.9% 56.3% 54.1% 40.0% 50.8% 50.0% 35.6% 45.1%Work Related Services 19.6% 20.4% 19.6% 18.0% 12.3% 15.1% 14.5% 14.3%

Cost Categories Service Categories

1. 604: Case Management2. 507:

Counseling/Therapeutic Resources

3. 110: Daily Living Skills Training

4. 106: Housing/Energy Assistance

5. 103: Respite6. 101: Child Day Care -

crisis/respite7. 107: Transportation and

Escort

1. Case Management2. Economic Support3. Basic Home Mgt4. Parenting Services5. Individual Therapy6. Social Supports7. Transportation

Cost Report and Service Report Comparison

Cost Report Crosswalk Categories

Service Report Crosswalk Categories

1. Case Management2. Parenting Skills and

Family Functioning3. Financial Support/Direct

Assistance4. Psychosocial

Interventions5. Childcare Services6. Advocacy and Personal

Supports

1. Case Management2. Parenting Skills and

Family Functioning3. Financial Support/Direct

Assistance4. Psychosocial

Interventions5. Advocacy and Personal

Supports

Cost/Service Report Crosswalk Comparison

Fiscal Management Essentials

Track Case Worker time by Case IDReport expenses to DSP quarterly via SPC codesMonitor county enrollment and payments (see

SM08X117 report in eWiSACWIS)Coordinate with Ongoing Supervisors regarding

purchase approvals and expendituresSupport staff, contractors, and service

providers, to help families stay togetherReinvest savings in additional reunifying

families, service providers, and agency workforce

Questions and Discussion

Thank you

Vaughn BrandtP.S. Program Coordinator

Desk Phone: (608) 261-8682Email: Vaughnx.Brandt@wisconsin.gov

David HarkinsTitle IV-E Program Coordinator

Desk Phone: (608) 261-8687Email: DavidE.Harkins@wisconsin.gov