Title Arial 28 Stakeholder Engagement Workshop Subtitle Arial Narrow - - PowerPoint PPT Presentation

Title Arial 28

Subtitle Arial Narrow 18

Stakeholder Engagement Workshop Care Arrangement Services

November 2016 Ben Whitehouse General Manager Strategy and Reform Rochelle Binks Assistant Director Strategy and Reform Amanda McCurry Senior Contract and Grants Manager

Welcome

• Acknowledgement of Country
• Introduction

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Agenda

1. Purpose of the workshop 2. Community Foster Care, Group Foster Care, Temporary Care Houses, Complex Community Care 3. Outcomes and measures (Reunification, Carers) 4. Foster Care Model 5. Partnerships 6. Children with disability 7. Outcome payments 8. Close

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Purpose of workshop

Purpose of Today:

• Inform key stakeholders on draft preferences for market design,

service system models and indicative costings for care arrangement services.

• Engage with key stakeholders to further develop and refine service

specifications, outcomes and measures for care arrangement services.

• Consult on contract provisions and potential for outcome payments to

be built into contracts

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Why out-of-home care reform?

Objectives of the out-of-home care reform

• Better life outcomes for all children in out-of-

home care.

• Early certainty and permanency for children in
• ut-of-home care.
• A more financially sustainable system.

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Procurement - context setting

• All out-of-home care funding has been aligned to be

recontracted on or around January 2018.

• Opportunity to consider the out-of-home care system as

a whole.

• Open tender process.
• Needs Assessment Tool – December 2016 – February

2017.

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Current care arrangements with the community services sector – 2016/17

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Care arrangement type **Number of care arrangements Type of funding General foster care 450 Recurrent block funding Cottage care 65 Recurrent block funding Family group home 160 Recurrent block funding Specialised fostering program 110 Individualised funding Disability placement program 80 Individualised funding Transitional high needs 20 Individualised funding ARYA 6 Recurrent block funding ** Approximate figures

Funded service system (phase two)

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Child enters care After care support

SGO or adoption

Leaving care services Temporary Group Community Complex Child leaves care

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Temporary care house Community foster care Group foster care Residential Group Homes Complex community care

GFC CFC RGH TCH

Key

CCC

Carer and child connection hub (the Hub)

• Referred when care arrangement unavailable in District.
• Bringing community sector care arrangements earlier into referral pathway
• Clear and consistent information on needs of child and capacity of carer (individual and permanency).
• Real-time knowledge of all care arrangements available in the system

Intentional referral of children based on child needs and carer capacity

The Hub

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Carer and child connection hub (the Hub)

Future care arrangements with the community services sector

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Care arrangement type Type of funding Temporary care house Recurrent funding Community foster care Recurrent funding with CASC Group foster care Recurrent funding with CASC Complex community care Recurrent funding ARYA Recurrent funding Parent/baby support Recurrent funding Leaving care Recurrent funding

Phase 2 – Care arrangements

Key messages – market design

• There is demonstrated efficiency in economies of scale in out-of-home

care in Western Australia.

• Develop a system with flow through. Ability to transition children

through different elements of the system.

• Preference for tender responses that demonstrate provision for the full

spectrum of care needs (excluding complex community care). Step-up, step-down models.

• Models to provide flow through and full spectrum of care needs can

include, but are not limited to:

• Single organisation tenders;
• Partnerships involving lead agency with subcontracting and/or MOU

arrangements.

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Key messages – country care arrangements

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• Seeking tenders that can

provide all care arrangement

• ptions in one geographic

area.

• Typically provided in large

regional centres.

• Demonstrated ability to provide

culturally competent and responsive care for the local context. Single country geographic area

Temporary Community Group

Aboriginal Children in Care

• Aboriginal children

represent 52% of children in out-of-home- care.

• Since January 2011 the

number of Aboriginal children in out-of-home- care has grown by 55%, compared to 14% for non-Aboriginal children.

• 11% of all Aboriginal

children in Perth metro are in the care of the Department for Child Protection and Family Support

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Key messages

Aboriginal children and families

• Further developing a culturally competent and responsive system is a key

priority.

• Demonstrated ability to provide culturally competent and responsive care in the

local context.

• One method for demonstrating this is being, or working in partnership with an

Aboriginal community controlled organisation (ACCO). Trauma-informed care

• Responses must demonstrate the evidenced based trauma-informed therapeutic

model of care they will use and how this complements the Department’s frameworks – Signs of Safety, Sanctuary Framework, Circle of Security etc

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Funded service system (phase two)

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Child enters care After care support

SGO or adoption

Leaving care services Temporary Group Community Complex Child leaves care

Flow through

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Tenders seeking to provide temporary care houses demonstrate a flow through to community foster care:

• Single organisation tenders;
• Organisation partnerships

involving lead agency with subcontracting and/or MOU arrangements;

• Other arrangement.

Tenders seeking to provide group foster care demonstrate a flow through to community foster care:

• Single organisation tenders;
• Organisation partnerships

involving lead agency with subcontracting and/or MOU arrangements;

• Other arrangement.

Temp Community Community Group

Temporary Care House

19 When there is no other care arrangement immediately available Purpose – provide safe and stable care arrangement in child’s community while child’s needs are better assessed and a matched care arrangement can be identified.

• Foster care model
• Children with low to moderate needs where there is

no other suitable care arrangement available.

• Aged 0-17 years
• Four care arrangements – with capacity for more

children if sibling group.

• Temporary care - three month maximum length of

care arrangement

• Priority for sibling placement.

INDICATIVE DRAFT COSTING:

• $320,000 per four care arrangements pa (no

CASC)

Typical referral

• ut:

Reunification

Preference for tenders that have flow through to community foster care arrangements

GFC RGH

Child enters care

C

Community foster care

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When a child is best placed in family setting Purpose – provide temporary and permanent safe and stable care arrangements

• Foster care model
• Children with low-to-higher intensity

needs that are best cared for in a carer’s home.

• Aged 0-17 years
• Temporary care - minimum 7 night

requirement.

• Temporary and permanent care - no

maximum time limit on length of care arrangement.

Typical referral in: Typical referral

• ut:

Reunification Leave care at 18 SGO or adoption

TCH GFC RGH

Community foster care

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Preference for tender responses that demonstrate provision for the full spectrum of care needs (excluding complex community care). The Needs Assessment Tool determines the need level.

Typical needs Moderate needs High needs Higher Intensity needs

Increase in child’s needs

Complex community care

Models should provide flow through and full spectrum of care. This could include, but is not limited to:

• Single organisation tenders;
• Organisation partnerships

involving lead agency with subcontracting and/or MOU arrangements.

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Aged based caring allowance Aged based caring allowance Aged based caring allowance

Child support costs Child support costs

Care arrangement support cost Care arrangement support cost Care arrangement support cost

Child support costs

Cost of raising a child in out-of-home care Placement administration cost Placement administration cost Placement administration cost Placement administration cost Aged based caring allowance

Child support costs

Resource for extra support and intervention

$$ $$ $$ $$ $$ $$ $X $Y $Z $$ $$ $$

4

$$ $$ $$

Care arrangement support cost model

3 2 1

$39,000 - $42,000 pa (without CASC)

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Key Messages - Community foster care

Temporary and permanent Care

• Demonstrate ability to provide temporary carers and permanent carers.
• Temporary carers provide minimum of 7 days of care.

Siblings

• Ability to group together community care arrangements for group foster care

where needed (through discussions with the Department). Disability (consultation question)

• Tenders have ability to take children with disability.
• One or two disability specific provider

Group foster care

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When a child is best placed in a group setting

Purpose – provide temporary and permanent safe and stable care arrangements

• Foster care model
• Children with moderate to high needs that

are best cared for in a group care setting.

• Aged 0-17 years
• Four care arrangements – with discretion

for more children if sibling group.

• Temporary or permanent care
• Priority for sibling placement.

INDICATIVE DRAFT COSTING:

• $280,000 - $300,000 per four care

arrangements pa PLUS CASC

Typical referral in: Typical referral

• ut:

Reunification Leave care at 18

Preference for tenders that flow through to community foster care arrangements

TCH CFC CFC RGH RGH

Complex community care

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Purpose – provide temporary and safe and stable care arrangements for children with exceptionally complex needs

• Community care arrangements for children

with exceptionally complex needs

• Individual and/or group living options

dependent on needs of young person Flexibility to provide foster care model and/or residential care model

• Recurrently ‘block funded’
• Work with child’s existing therapeutic plan

INDICATIVE DRAFT COSTING $350, 000 per care arrangement pa Between 20 – 30 care arrangements

Typical referral in: Typical referral

• ut:

For children with the most complex and intense needs

TCH GFC CFC CFC RGH RGH

Residential Group Homes

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When a child’s needs are so complex and intense that they require a staffed model

• f care.

Purpose – provide temporary and permanent safe and stable care arrangement

• Rotating staff model
• Children with medium-to-high needs

that are best cared for through a staffed model.

• Aged 10-17 years
• Provided by the Department for Child

Protection and Family Support.

Typical referral in: Typical referral

• ut:

Leave care at 18

TCH GFC GFC CFC CFC CCC CCC

Outcome Payments

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Some areas for Outcome Payments:

• When larger sibling groups are together in same care arrangement.
• Aboriginal children provided care arrangement with Aboriginal carer
• Child leaves care onto permanent care arrangement
• Child transitions to a less intensive care level

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Activities

Next Steps

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Inform and Consult:

• External workshops November
• Service user focus groups Nov/Dec
• Regional consults November

Finalise service specifications Indicative Advertising Date: May 2017