November 26, 2018 IV-E Prevention Family First Implementation & Policy Work Group LPRO : L EGISLATIVE P OLICY AND R ESEARCH O FFICE 1 IV-E Overview • mental health foster care family child(ren) services maintenance situation removed • substance abuse payments and comes to the from home prevention and administrative attention of and enter treatment payments child welfare foster care • in-home parent skill-based programs LPRO : L EGISLATIVE P OLICY AND R ESEARCH O FFICE 1
November 26, 2018 IV-E Prevention Beginning October 1, 2019: IV-E available for up to 12 months for services for families of children who, without these services, would likely enter foster care, and pregnant and parenting foster youth. No income test Per family/episode Uncapped partial matching dollars LPRO : L EGISLATIVE P OLICY AND R ESEARCH O FFICE IV-E Prevention Services include: mental health services Services and programs substance abuse prevention and must be identified and treatment services specified in prevention plan in-home parent “skill-based” for each child prior to programs (parent training, home providing services. visiting, individual and family therapy) LPRO : L EGISLATIVE P OLICY AND R ESEARCH O FFICE 2
November 26, 2018 IV-E Prevention family • mental health child(ren) prevention situation services remain plan written comes to the • substance abuse safely at for child(ren), attention of prevention and home or with identifying child welfare treatment relative services and • in-home parent caregivers foster care skill-based prevention programs strategy LPRO : L EGISLATIVE P OLICY AND R ESEARCH O FFICE Prevention Program Requirements Trauma Informed Services or programs provided under an organizational structure and treatment framework that involves understanding, recognizing, and responding to the effects of all types of trauma and in accordance with recognized principles of a trauma- informed approach and trauma-specific interventions to address trauma’s consequences and facilitate healing. LPRO : L EGISLATIVE P OLICY AND R ESEARCH O FFICE 3
November 26, 2018 Prevention Program Requirements practice has a there is no if multiple outcome outcome there is no case book, manual, or empirical basis studies have been measures are data suggesting a other available suggesting that, conducted, the reliable and valid, risk of harm that writings that compared to its overall weight of and are was probably specify the likely benefits, the evidence supports administered caused by the components of the practice constitutes the benefits of the consistently and treatment and that practice protocol a risk of harm to practice accurately across was sever or and describe how those receiving it all those receiving frequent to administer the the practice practice LPRO : L EGISLATIVE P OLICY AND R ESEARCH O FFICE Evidence Standard Services and programs that meet the requirements for being a promising, supported, or well-supported practice shall be IV-E eligible. Promising: At least one study that used some form of control group (e.g., wait list study, placebo group) to determine effect. Supported: At least one study that used a random control or quasi- experimental trial to determine effect; sustained effect of at least 6 months. Well-supported: At least two studies that used a random control or quasi- experimental trial to determine outcomes; sustained effect of at least 1 year. LPRO : L EGISLATIVE P OLICY AND R ESEARCH O FFICE 4
November 26, 2018 Outcome Assessments & Evaluation The state must collect and report to HHS The state must have a well-designed and the following: rigorous evaluation strategy for promising, • The specific services/programs supported, or well-supported practice. provided HHS may waive this requirement. The • Total expenditures provided state cannot receive FFP for program or • Duration of services/programs provided service unless the evaluation strategy is • Placement status of child(ren) at the included in the 5 year Prevention Plan.* beginning and end of 12 month period, and whether entered foster care within 2 years *HHS must provide technical assistance LPRO : L EGISLATIVE P OLICY AND R ESEARCH O FFICE Clearinghouse HHS shall, directly or through grants, contracts*, or interagency agreements, evaluate research on the prevention services and programs, including culturally specific, or location- or population-based adaptations of the practices, to identify and establish a public Clearinghouse of the practices that satisfy each category . The Clearinghouse shall include information on the specific outcomes associated with each practice, including whether the practice has been shown to prevent child abuse and neglect and reduce the likelihood of foster care placement by supporting birth families and kinship families and improving targeted supports for pregnant and parenting youth and their children. *Abt Associates was awarded the contract to build the Clearinghouse LPRO : L EGISLATIVE P OLICY AND R ESEARCH O FFICE 5
November 26, 2018 Questions, Concerns, & Next Steps Develop Provider Survey Disseminate Provider Survey Analyze results (build map) What else? LPRO : L EGISLATIVE P OLICY AND R ESEARCH O FFICE 6
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