katie a. technical assistance webinars · a. in mariposa county since implementation of the...
TRANSCRIPT
Katie A. Technical Assistance Webinars
Implementing Katie A. through Collaborative Decision Making: Small County Perspectives – Part 2 June 30, 2015
Overview of Webinar
Successful Katie A implementation requires counties to collaborate across their child welfare and behavioral health agencies. That means frequent meetings to decide on protocols and procedures, roles and responsibilities, tools, resources and services. This two-part webinar mini-series will take you inside the workings of several small counties as they move forward with Katie A implementation. Their stories and the lessons learned can help inform the work of all counties, regardless of size.
Polling Questions
Please tell us where you work: • State/County child welfare • State/County behavioral/mental health • Contract agency/CBO providing services • Education/training organization • Other
Polling Questions
Please let us know the nature of your work: • Work directly with children and families (case
worker, clinician, wraparound facilitator, etc.) • Supervisor/manager • Family partner/youth/peer provider • Consultant/trainer/TA provider • Other
Polling Questions
How would you rate your county’s cross-agency collaboration with regard to Katie A implementation?
• Strong • Average • Still developing our collaboration
• Mariposa County • Madera County • Questions/Answers Overview
of Webinar
Mariposa County Presenters
• Susan Arlington has been a supervisor in Child Welfare Services for about 13 years, 10 years in Mariposa County and almost 3 years in Merced County. She previously spent 7 years in Florida working in custody evaluations for Broward County Family Court Services. She has a B.A. from UCLA in Psychology and a M.A. in Educational Psychology from Cal. State, Northridge. She is also a licensed marriage and family therapist. Susan has been the child welfare “lead” for Katie A. in Mariposa County since implementation of the settlement agreement.
• Chrissie Doss began her work with both the child welfare services and behavioral health systems 13 years ago as a foster parent of a teen mother. That experience introduced her to the social work field. She returned to school and graduated with her MSW from CSU, Bakersfield in 2009, and she received her LCSW in 2014. She has worked for non-profit community based organizations and Child Welfare Services serving foster youth since 2007. In 2015, she started her new role in Behavioral Health as a mental health clinician, and she is now the supervisor for the Children’s System of Care in Mariposa County.
Implementing Katie A. Through Collaborative Decision-Making
Mariposa County Katie A. Webinar June 30, 2015
Strengths of Collaboration
● Both CWS and BH have licensed clinical supervisors.
● CWS and BH staff have experience working within each system.
● Blending of Safety Organized Practice (SOP) and Katie A. practices.
● Small agency, easy access to each other for strong collaboration.
Challenges for Small County
● No community-based organizations (CBOs) to help carry the caseload.
● Limited resources within the community.
● Staff turnover/training on Katie A.
● Trauma Informed Practice for new CWS and BH staff.
Trauma Informed Care
● UCLA PTSD Reaction Index used to screen for trauma by CWS.
● BH clinicians are trauma informed and use
trauma informed treatment modalities. o Trauma Focused CBT o Seeking Safety
Tools and Training
● PTSD Reaction Index approximately $150 for 200 copies with scoring sheets and disc.
● TF-CBT free
o Initial 1 week training o Monthly phone conference for 12 months o Certification after 1 year
Tools and Training Cont.
● Seeking Safety Training
o 1-3 day training depending on location etc. o Costs minimal http://www.treatment-innovations.org/seeking-safety.html
Mariposa Handout #1
UCLA PTSD Reaction Index for Children/Adolescents – DSM-5 Score Sheet
Mariposa Handout #2
UCLA PTSD Reaction Index for DSM-5 Parent/Caregiver Version
Mariposa Handout #3
UCLA PTSD Index Manual
Contact Information
Susan Arlington, LMFT CWS Supervisor [email protected] Christine Doss, LCSW BH Supervisor [email protected]
Madera County Presenters
• Patricia Caudillo received her BSW from San Diego State University in 1995 and her MSW from Cal State, Fresno in 1999. She has 19 years of experience in child welfare services, the past three of them with Madera County where she serves as Program Manager involved with the Katie A. Program.
• Art Galindo is a Licensed Clinical Social Worker with approximately 20 years of experience as a behavioral health professional. For the past 10 ½ years, he has worked for Madera County Behavioral Health, first as a case worker, then as mental health clinician, and since 2012 as a supervisor.
• Keith Crawford has been in the mental health field for over 20 years and has worked for Madera County Behavioral Health for the past 11 years. He serves as the case worker on the Linkage and Placement Team and as the Intensive Care Coordinator for the Katie A. Program. He has also been the Interagency Placement Committee Coordinator for the past 10 years.
• Mee Wang is a Child Welfare Services Supervisor in the Permanent Placement Unit in Madera County. She previously served as the Coordinator for the Independent Living Program and has also been a group home case manager. She came on board with Katie A. in October 2014.
Patricia Caudillo, PM, CPS Mee Wang, SWS, CPS
Keith Crawford, ICC, BHS Arthur Galindo, Supervisor, BHS
The purpose of power point is to show the
implementation process of Katie A in Madera County.
History: Madera County has had a specific foster
care/mental health program since the 1990’s. MOU between BHS and DSS has been in existence since this time.
The Assessment tool used was the MHST. Levels of treatments were determined through
the IPC Process.
In Jan. 2014, Madera DSS and BHS initiated
meetings to discuss the implementation of Katie A. DSS/BHS met weekly The team developed the following:
• Identification of Cases • Develop Forms • Identify Roles and Responsibilities • PPG and Implementation
Identifying cases:
Tools used to identify cases were BO and Safe Measures Over 300 cases were identified: ER, FM, FR, PP
Two population were identified: Children ages 0-5 were screened through the HB program. (HB partners screened for mental health needs) 5+ were screened using the MHST and Katie A Forms.
Roles and Responsibilities: Katie A. Coordinator (BHS): Receive, assign, track referrals Katie A. Coordinator (DSS): Review, send, track referrals Support Staff: Process paper/schedule appointments ICC Coordinator: Coordinate CFTs Facilitator: Facilitate CFTs
Technical Difficulties Consent Forms/Confidentiality
Youth 12 and older HIPAA: State vs. Federal Confidentiality Laws Shared information between agencies
Tracking Process Backlog Ensuring all children were referred/annually
Staff Support Lack of staff to implement.
WRAP services were not in place Contracts with service providers/identified population CWS/Probation-eligibility etc.
BHS consent forms attached to referrals BHS-identified ICC, Katie A Coordinator, DSS
facilitator Open communication between both coordinators BHS/DSS has their own tracking methods
Next steps Continue discussion on confidentiality Identify a Katie A. Coordinator DSS Work on a share drive between DSS/BHS
REVIEW DATE: _____________
Madera County Child & Family Team (CFT) Meeting
NEXT MEETING DATE:_______ Name: Attendees: ________________________________________________________________________________ __________________________________________________________________________________________ Family driven plan: Strengths Needs Plan & by When? Who’s Responsible
Sign in Sheet Madera County - CHILD & FAMILY team Meeting Understanding of Confidentiality We will be discussing some sensitive issues and ask that you respect the family’s right to privacy. It is important that you agree to abide by the rules of confidentiality. Information about minor children is confidential by law. Anything discussed during the meeting must NOT be repeated, either directly or indirectly, outside of the meeting, except by BHS staff, DSS staff and service providers in the course of implementing the plan and reporting to the Court. At the Child/Family Treatment Team Meeting on ___________(date), the following individuals were present and had the opportunity to provide input into the development of this Summary of Findings Report. Attendance and the agreement to the confidentiality statement are confirmed by the signature of the individuals on this document.
PARTICIPANTS
Name (Please Print)
Phone Number And /Or
Email Address
Title/Relationship to the Child
CHILD NAME: DATE:
DATE OF BIRTH: BHS CLIENT#:
REFERRING SOCIAL WORKER:
BIO MOTHER PARTICIPATED IN ASSESSMENT □YES □NO
BIO FATHER PARTICIPATED IN ASSESSMENT □YES □NO
BIO PARENT SCHEDULED FOR MH ASSESSMENT □YES □NO
If yes, date, place, clinician:
NO SHOW FOR SCHEDULED MH ASSESSMENT □YES □NO
If yes, date, place, clinician:
MEDICAL NECESSITY FOR MH TREATMENT □YES □NO
KATIE A. CLASS □YES □NO
KATIE A. SUBCLASS □YES □NO
□CHILD WILL BE OPENED FOR TREATMENT WITH
□ CHILD DOES NOT MEET MEDICAL NECESSITY FOR MH TREATMENT AT THIS TIME
COMMENTS:
Respectfully Submitted,
Art A. Galindo, LCSW Date Clinical Supervisor, Lake Street Center Madera County Behavioral Health Services
DSS/CPS Patricia Caudillo, Program Manager [email protected]
Mee Wang, Social Work Supervisor [email protected]
Behavioral Health Art Galindo, Supervisor [email protected]
Keith Crawford, ICC [email protected]
Additional Resources
CIBHS: Recordings of CIBHS Katie A Webinars http://www.youtube.com/playlist?list=PLtnjn3qYJROhszIirBE0iiMDYUV8aTyum
CIBHS website http://www.cibhs.org/katie-implementation-technical-assistance-and-training
Kimberly Mayer, MSSW Associate Director, CIBHS [email protected]
Kelly Bitz Program Support Specialist [email protected]
Thank You!