Recommendation 1Overview Direct DHHS to establish policies and - - PDF document

▶
recommendation 1 overview
SMART_READER_LITE
LIVE PREVIEW

Recommendation 1Overview Direct DHHS to establish policies and - - PDF document

Apr 06, 2024 154 likes •383 views

North Carolina Child Well-Being Transformation Council Child Well-Being Transformation Council Recommendations June 22, 2020 Brent Lucas, Program Evaluation Division Jared Simmons, Legislative Drafting Division Child Well-Being Transformation

slide-1
SLIDE 1

North Carolina Child Well-Being Transformation Council 1

Child Well-Being Transformation Council North Carolina General Assembly

June 22, 2020 Brent Lucas, Program Evaluation Division Jared Simmons, Legislative Drafting Division

Child Well-Being Transformation Council Recommendations

Child Well-Being Transformation Council North Carolina General Assembly

2

  • Direct DHHS to establish policies and procedures to

require coordination between counties beginning no later than 90 days after a child’s 17th birthday to ensure services are available upon exiting foster care

  • Relates to:

– Council member survey – Council meetings:

  • DSS directors and deputy directors panel (Dec 2019)
  • Council member discussion (Feb 2020)

Bill Draft 1: Page 1, Line 14 Section 1

Recommendation 1—Overview

1 2

slide-2
SLIDE 2

North Carolina Child Well-Being Transformation Council 2

Child Well-Being Transformation Council North Carolina General Assembly

3

Recommendation 1-Discussion and Vote

Child Well-Being Transformation Council North Carolina General Assembly

4

  • Direct DHHS to outline the permanency plan process and

require permanency plans be initiated no later than 90 days after a child’s 17th birthday and finalized no later than 15 days prior to a child transitioning out on their 18th birthday

  • Relates to:

– Council member survey – Council meetings:

  • Judges panel (Dec 2019)
  • Council member discussion (Feb 2020)

Bill Draft 1: Page 2, Line 1, Section 2

Recommendation 2—Overview

3 4

slide-3
SLIDE 3

North Carolina Child Well-Being Transformation Council 3

Child Well-Being Transformation Council North Carolina General Assembly

5

Recommendation 2-Discussion and Vote

Child Well-Being Transformation Council North Carolina General Assembly

6

  • Require DHHS to develop and implement a plan to keep

foster children in community-based settings and avoid inappropriate residential behavioral health placements

  • Relates to:

– Council member survey – Council meetings:

  • Council member discussions (Dec 2018, Jun 2019, Sept

2019, Dec 2019, Feb 2020)

  • Foster parent, GAL, and judges panels (Dec 2019)
  • DSS panel (Feb 2020)

Bill Draft 1: Page 2, Line 13, Section 3

Recommendation 3—Overview

5 6

slide-4
SLIDE 4

North Carolina Child Well-Being Transformation Council 4

Child Well-Being Transformation Council North Carolina General Assembly

7

Recommendation 3-Discussion and Vote

Child Well-Being Transformation Council North Carolina General Assembly

8

  • Require DHHS to study

– Statutory requirements of the State’s social services system, juvenile justice system, and Medicaid program applicable to foster care youth and identify differences, consistencies, and gaps in such statutory requirements – Challenges and solutions in systematic communications between LME/MCOs and stakeholders – Options for replacing the current LME/MCO system, including anticipated cost savings or requirements

Bill Draft 1: Page 2, Line 20, Section 4

Recommendation 4—Overview

7 8

slide-5
SLIDE 5

North Carolina Child Well-Being Transformation Council 5

Child Well-Being Transformation Council North Carolina General Assembly

9

  • Relates to:

– Council member survey – Council meetings:

  • Judge Corpening presentation (Sept 2019)
  • Foster parent and judges panels (Dec 2019)
  • DSS panel (Feb 2020)
  • Council member discussion (Sept 2019, Dec 2019, Feb

2020)

Bill Draft 1: Page 2, Line 20, Section 4

Recommendation 4—Overview

Child Well-Being Transformation Council North Carolina General Assembly

10

Recommendation 4-Discussion and Vote

9 10

slide-6
SLIDE 6

North Carolina Child Well-Being Transformation Council 6

Child Well-Being Transformation Council North Carolina General Assembly

11

  • Direct DHHS to implement a rapid consultation system to

provide consultation to counties when making decisions regarding the safety of children using regional staff, thereby promoting consistency among counties

  • Relates to:

– Council meetings:

  • Council member discussions (Dec 2019, Feb 2020)

Bill Draft 1: Page 2, Line 40, Section 5

Recommendation 5—Overview

Child Well-Being Transformation Council North Carolina General Assembly

12

Recommendation 5-Discussion and Vote

11 12

slide-7
SLIDE 7

North Carolina Child Well-Being Transformation Council 7

Child Well-Being Transformation Council North Carolina General Assembly

13

  • Direct DHHS to

– Develop standardized, trauma-informed assessment tools – Require their usage be limited to trained clinicians deemed appropriate to assess the applicability of tools in treatment – Evaluate the costs and benefits of implementing the assessment tools and ensuring ongoing fidelity of the tools

  • Relates to:

– Council member survey – Council meetings:

  • Judge Corpening presentation (Sept 2019)
  • Judges panel (Dec 2019)
  • Council member discussion (Dec 2019, Feb 2020)

Bill Draft 1: Page 3, Line 5, Section 6

Recommendation 6—Overview

Child Well-Being Transformation Council North Carolina General Assembly

14

Recommendation 6-Discussion and Vote

13 14

slide-8
SLIDE 8

North Carolina Child Well-Being Transformation Council 8

Child Well-Being Transformation Council North Carolina General Assembly

15

  • Direct DHHS to do the following relating to the

Guardianship Assistance Program (GAP) and the Kinship Care program:

– Establish oversight mechanisms of these programs – Increase the use of these programs – Explore reducing the ages these programs serve – Recommend ways to incentivize the use of these programs – Lower GAP eligibility from age 14 to age 12

Bill Draft 1: Page 3, Line 16, Section 7

Recommendation 7—Overview

Child Well-Being Transformation Council North Carolina General Assembly

16

  • Relates to:

– Council member survey – Council meetings:

  • Foster parents and Guardian ad Litem panels (Dec 2019)
  • DSS directors and deputy directors panel (Feb 2020)
  • Council member discussion (Feb 2020)

Bill Draft 1: Page 3, Line 16, Section 7

Recommendation 7—Overview

15 16

slide-9
SLIDE 9

North Carolina Child Well-Being Transformation Council 9

Child Well-Being Transformation Council North Carolina General Assembly

17

Recommendation 7-Discussion and Vote

Child Well-Being Transformation Council North Carolina General Assembly

18

  • Requires DHHS and the NC Association of Regional

Councils of Governments to develop a plan to allow Councils of Government to provide physical office space for regional social services staff

  • Relates to:

– Council meetings:

  • Council member discussion (Feb 2020)

Bill Draft 1: Page 3, Line 34, Section 8

Recommendation 8—Overview

17 18

slide-10
SLIDE 10

North Carolina Child Well-Being Transformation Council 10

Child Well-Being Transformation Council North Carolina General Assembly

19

Recommendation 8-Discussion and Vote

Child Well-Being Transformation Council North Carolina General Assembly

20

  • Require DHHS to report on

– FFPSA programs approved for federal reimbursement – Approved FFPSA programs used in any county or by any entity – Amounts of federal funds obtained from using such approved programs – Strategies to improve and expand the use of such programs (Rec 14)

Bill Draft 1: Page 3, Line 47, Section 9

Recommendation 9—Overview

19 20

slide-11
SLIDE 11

North Carolina Child Well-Being Transformation Council 11

Child Well-Being Transformation Council North Carolina General Assembly

21

  • Relates to:

– Council member survey – Council meetings:

  • DHHS presentation (Mar 2019)
  • DSS panel (Feb 2020)
  • Council member discussions (Dec 2018, Dec 2019, Feb

2020)

Bill Draft 1: Page 3, Line 47, Section 9

Recommendation 9—Overview

Child Well-Being Transformation Council North Carolina General Assembly

22

Recommendation 9-Discussion and Vote

21 22

slide-12
SLIDE 12

North Carolina Child Well-Being Transformation Council 12

Child Well-Being Transformation Council North Carolina General Assembly

23

  • Direct the Social Services Commission to review DHHS’s

Division of Social Services’s existing publications, policies, and procedures that satisfy the definition of a rule, report its findings to the Office of Administrative Hearings, and submit for adoption under the rule-making process any identified as satisfying the definition of a rule

  • Relates to:

– Council meetings:

  • Council member discussion (Feb 2020)

Bill Draft 1: Page 4, Line 9, Section 10

Recommendation 10—Overview

Child Well-Being Transformation Council North Carolina General Assembly

24

Recommendation 10-Discussion and Vote

23 24

slide-13
SLIDE 13

North Carolina Child Well-Being Transformation Council 13

Child Well-Being Transformation Council North Carolina General Assembly

25

  • Implement the SSWG’s recommendations to require

– DHHS, DPI, DPS, AOC, and DIT to study social services confidentiality laws and request recommendations for revisions to improve inter-county collaboration and service delivery

  • Relates to:

– Council member survey – Council meetings:

  • DIT, DHHS, and Casebook presentations (Sept 2019)
  • UNC School of Government’s SSWG presentation (Mar 2019)
  • GAL panel (Dec 2019)
  • Council member discussions (Dec 2018, Jun 2019, Sept

2019, Dec 2019, Feb 2020)

Bill Draft 1: Page 4, Line 44, Section 11

Recommendations 11—Overview

Child Well-Being Transformation Council North Carolina General Assembly

26

Recommendation 11-Discussion and Vote

25 26

slide-14
SLIDE 14

North Carolina Child Well-Being Transformation Council 14

Child Well-Being Transformation Council North Carolina General Assembly

27

  • Modify state statute to eliminate the following inactive

boards and commissions in the children, youth, and family arena:

– “More at Four” Pre-K Task Force – North Carolina Education Cabinet – Permanency Innovation Initiative Oversight Committee

  • Relates to:

– Council meetings:

  • Council member discussions (Dec 2018, Jun 2019, Sept

2019, Dec 2019, Feb 2020)

Bill Draft 1: Page 5, Line 19, Sections 12-13

Recommendation 12—Overview

Child Well-Being Transformation Council North Carolina General Assembly

28

Recommendation 12-Discussion and Vote

27 28

slide-15
SLIDE 15

North Carolina Child Well-Being Transformation Council 15

Child Well-Being Transformation Council North Carolina General Assembly

29

  • Modify state law to continue the Social Services Working

Group (SSWG) and add the responsibility of oversight

  • f DHHS’s implementation of regional supervision and

collaboration

  • Relates to:

– Council meetings:

  • UNC School of Government’s SSWG presentation (Mar

2019)

  • Council member discussions (Mar 2019, June 2019, Feb

2020)

Bill Draft 1: Page 5, Line 42, Section 14

Recommendation 13—Overview

Child Well-Being Transformation Council North Carolina General Assembly

30

Recommendation 13-Discussion and Vote

29 30

slide-16
SLIDE 16

North Carolina Child Well-Being Transformation Council 16

Child Well-Being Transformation Council North Carolina General Assembly

31

  • Implement the SSWG’s recommendation of regional

supervision of county DSSs, which would

– Establish 7 regions for regional supervision of child welfare and social services – Provide oversight and support within those regions with 11 regional staff

  • Relates to:

– Council meetings:

  • UNC School of Government’s SSWG presentation (Mar 2019)
  • Council member discussions (Dec 2018, Jun 2019, Sept

2019, Dec 2019, Feb 2020)

Bill Draft 2: Page 1, Line 7, Sections 1-2

Recommendation 14—Overview

Child Well-Being Transformation Council North Carolina General Assembly

32

Recommendation 14-Discussion and Vote

31 32

slide-17
SLIDE 17

North Carolina Child Well-Being Transformation Council 17

Child Well-Being Transformation Council North Carolina General Assembly

33

  • Direct DPI and DHHS, in consultation with LME/MCOs, to

– develop and implement a plan to increase awareness

  • f additional in-school Medicaid-eligible services

beyond Individualized Education Program (IEP) services and – assess the feasibility of enhanced rates to incentive such services

Bill Draft 3: Page 1, Line 13, Section 1

Recommendation 15—Overview

Child Well-Being Transformation Council North Carolina General Assembly

34

  • Relates to:

– Council member survey – Council meetings:

  • Judges and foster parents panels (Dec 2019)
  • DSS directors and deputy directors and school counselors,

social workers, and psychologists panels (Feb 2020)

  • Council member discussion (June 2019, Feb 2020)

Bill Draft 3: Page 1, Line 13, Section 1

Recommendation 15—Overview

33 34

slide-18
SLIDE 18

North Carolina Child Well-Being Transformation Council 18

Child Well-Being Transformation Council North Carolina General Assembly

35

Recommendation 15-Discussion and Vote

Child Well-Being Transformation Council North Carolina General Assembly

36

  • Require the Program Evaluation Division to evaluate the

success of the Integrated Care for Kids (InCK) pilot program in 2024, including:

– Demonstrated empirical benefits achieved – Use of telehealth – Feasibility of expanding the pilot program – Anticipated cost savings and requirements for expanding the pilot program

  • Relates to:

– Council member survey – Council meetings:

  • Council member discussion (Feb 2020)

Bill Draft 3: Page 1, Line 28, Section 2

Recommendation 16—Overview

35 36

slide-19
SLIDE 19

North Carolina Child Well-Being Transformation Council 19

Child Well-Being Transformation Council North Carolina General Assembly

37

Recommendation 16-Discussion and Vote

Child Well-Being Transformation Council North Carolina General Assembly

38

  • Expresses support for the SSWG’s recommendations to

share information between DHHS, DPS, county DSSs, the GAL program, and LME/MCOs, specifically that

– the Judicial branch’s new IT platform should provide directors and attorneys involved with a case with access to limited information about children and adults who intersected with any county’s social services system

Recommendation 17—Overview

37 38

slide-20
SLIDE 20

North Carolina Child Well-Being Transformation Council 20

Child Well-Being Transformation Council North Carolina General Assembly

39

  • Relates to:

– Council member survey – Council meetings:

  • UNC School of Government’s SSWG presentation (Mar 2019)
  • DIT, DHHS, and Casebook presentations (Sept 2019)
  • GAL panel (Dec 2019)
  • Council member discussions (Dec 2018, Jun 2019, Sept

2019, Dec 2019, Feb 2020)

Recommendation 17—Overview

Child Well-Being Transformation Council North Carolina General Assembly

40

Recommendation 17-Discussion and Vote

39 40

slide-21
SLIDE 21

North Carolina Child Well-Being Transformation Council 21

Child Well-Being Transformation Council North Carolina General Assembly

41

  • Express support for the SSWG’s recommendation for

DHHS to prepare comprehensive guidance and training regarding information sharing and confidentiality for all social services programs (Recommendation 11)

  • Relates to:

– Council member survey – Council meetings:

  • UNC School of Government’s SSWG presentation (Mar 2019)
  • DIT, DHHS, and Casebook presentations (Sept 2019)
  • GAL panel (Dec 2019)
  • Council member discussions (Dec 2018, Jun 2019, Sept

2019, Dec 2019, Feb 2020)

Recommendation 18—Overview

Child Well-Being Transformation Council North Carolina General Assembly

42

Recommendation 18-Discussion and Vote

41 42

slide-22
SLIDE 22

North Carolina Child Well-Being Transformation Council 22

Child Well-Being Transformation Council North Carolina General Assembly

43

19.Extend parental Medicaid eligibility after a child is removed from the home when reunification is the goal 20.Require DHHS to study which DSS services or programs should remain county-administered and which should be shifted to regional or state administration 21.Require DPI, in consultation with DHHS, to study the benefits of requiring children under 7 be enrolled in school and making those over age 16 be subject to the State’s attendance law

Potential Recommendations

43