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Regional Partnership
Grant Program Update
AIA/SEN Grantees’ Meeting
Ken DeCerchio, MSW. CAP
Children and Family Futures
A Program of the
Substance Abuse and Mental Health Services Administration
Center for Substance Abuse Treatment
and the
Administration on Children, Youth and Families
Children’s Bureau
Office on Child Abuse and Neglect
Why Partner ?
• Needs of families are more complex and require
multiple system responses
• Achieve better outcomes
• Broaden the base of community support
• Maximize existing and generate additional
resources
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Responding to CFSR:
Making the Case for
Partnerships
Percent and Number of Children with Terminated Parental Rights
by Reason for Removal -- 2007
Neglect (n=90,020)
Parent Alcohol or Drug Abuse (n=46,622)
Parent Unable to Cope (n=30,896)
Physical Abuse (n=26,002)
Inadequate Housing (n=19,992)
Sexual Abuse (n=10,764)
Abandonment (n=10,280)
Child Behavior (n=10,250)
Parent Incarceration (n=9,922)
Child Alcohol or Drug Abuse (n=7,672)
Child Disability (n=7,438)
Reliquishment (n=6,203)
0
10
20
30
40
50
60
70
80
90 100
Source: Boles, S. (2010). Data analysis of the 2007 Adoption and Foster Care Analysis and Reporting System (AFCARS) data set. Unpublished data.
The Regional Partnership Grant
(RPG) Program
Cross-systems partnerships designed
to improve the safety, permanency and
well-being of children affected by
parental substance use
Background of the RPG Program
• Authorized by the Child and Family Services
Improvement Act of 2006
• 53 regional partnership grants awarded by ACF
in September 2007
• Improve the safety, permanency and well-being
of children affected by methamphetamine and
other substance abuse
• Address a variety of common systemic and
practice challenges that are barriers to optimal
child, adult and family outcomes
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Regional Partnership Grants
Regional Partnership
Grants = 53 Sites
Array of Services - 11
Child Focused – 8
Drug Courts – 10
System-Wide Collaboration – 9
Treatment Focused – 9
Tribal - 6
US DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Administration for Children and Families
www.samhsa.gov
NCSACW In-Depth Technical Assistance Sites
Children’s Bureau Regional Partnership Grants
OJJDP Family Drug Courts
NCSACW IDTA Sites = 20 Sites
16 States (NE & KY Pending)
3 Tribal Communities
1 County
14 OJJDP Sites
Five Broad Program Strategy Areas
(and selected examples of specific grantee activities)
• Systems Collaboration and Improvements
– Cross-systems training
– Cross-systems information-sharing and data collection
– Intensive coordinated case management
– Family Group Decision Making
• Substance Abuse Treatment Linkages and Services
– Improved substance abuse screening and assessment
– Specialized outreach, engagement and retention
– Family-centered treatment for parents with children
• Services for Children and Youth
– Early intervention and developmental services
– Trauma and other therapeutic services
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Five Broad Program Strategy Areas
(and selected examples of specific grantee activities)
• Clinical and Community Support Services for
Children, Parents and Families
– Parenting education and family strengthening programs
– Continuing care and recovery support services
– Housing, child care, transportation and other ancillary services
– Mental health and trauma-specific services
• Expanded Capacity to Provide Treatment and
Services to Families
– Implementation of new and/or expansion and enhancement of
existing Family Treatment Drug Courts (FTDCs)
– Increased number of residential treatment beds for parents
– Co-located and out-stationed staff
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Inputs
Outputs
Initial Program Activities
Program Services/Strategies
ADULT SERVICES
Family Enters
Community
Services
Family Enters
AOD Treatment
Family
Enters
RPG
Family Enters
CW System
Family
Court
Family
Drug
Court
SYSTEMS CHANGES
Organizational and Other
Strategies
Assessment of Service
Needs
Coordinated Case
Management
Wrap Around
In-Home Services
Substance Abuse
Treatment
Family-Centered
Treatment
Parents Connected to
Support Services
Cognitive/Behavioral/
Therapeutic Strategies
Judicial Oversight
Outcomes
COMMUNITY
SERVICES
CHILD/YOUTH
SERVICES
Parent Supportive
Services:
• Primary Medical Care
• Dental Care
• Mental Health
Services
• Child Care
• Transportation
• Housing
• Parenting
Training/Child
Development
Education
• Domestic Violence
• Employment Training
• Continuing
Care/Recovery
Support
• Alternative Therapies
Assessment of Service
Needs
Coordinated Case
Management
Wrap Around
In-Home Services
Substance Abuse
Treatment
Family-Centered
Treatment
Children Connected to
Support Services
Child Supportive
Services:
• Developmental
Services
• Mental Health
Services
• Primary Pediatric
Care
• Substance Abuse
Prevention and
Treatment
• Educational Services
Training
Substance Abuse
Training/Education for Foster
Care Parents
Partnership Meetings
Regular Program/
Administrative Meetings
SYSTEMS COLLABORATION
Formal Cross-Systems Policies and Procedures
Information Sharing and Data Analysis
Increased Service Capacity
SHORT TERM
LONG TERM
C1. Children Remain at
Home
C3. Length of Stay in
Foster Care
C2. Occurrence of
Maltreatment
C4. Re-entries to
Foster Care
C3. Length of Stay in
Foster Care
C5. Timeliness of
Reunification
C7. Prevention of
Substance-Exposed
Newborns
C6. Timeliness of
Permanency
C9. Child Well-Being
A1. Access to Treatment
A3. Substance Use
A5. Employment
A2. Retention in
Substance Abuse
Treatment
A6. Criminal Behavior
A3. Substance Use
R1. Collaborative
Capacity
A5. Employment
A6. Criminal Behavior
A7. Mental Health Status
F1. Parenting
F2. Family
Relationships/
Functioning
F3. Risk/Protective
Factors
R1. Collaborative
Capacity
A7. Mental Health
Status
Tools for Partnerships
The 10 Elements of System Linkages
10-Element Framework of
Systems Linkages
• Method to organize collaborative activities in
specific practice and policy areas
– Defines key elements of collaboration
– Describes components of an initiative
• Provides systematic way to assess effectiveness
of collaborative work
– Assists in measuring their implementation
– Helps assess progress in building stronger crosssystems linkages and where those linkages are most
effective
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Elements of System Linkages
The Ten Key Bridges
Mission
1. Underlying Values and Priorities
Children, Family, Tribal, and Community Services
2. Screening and
Assessment
3. Engagement and
Retention
4. Services for Children
5. Community and Family
Support
System Elements
6. Information Systems
7. Training and System Tools
8. Budget and Sustainability
Outcomes
10. Shared Outcomes and Systems Reforms
9. Working with Other
Agencies
Collaborative Practice and Policy Tools
Ten Element Framework – A method to organize collaborative activities in specific
practice and policy areas
Collaborative Values Inventory – An anonymous way to explore values and beliefs to
facilitate the development of common principles using web-based data collection
Collaborative Capacity Instrument – An anonymous way to assess the strengths and
challenges in each of the areas of system linkages using web-based data collection
Matrix of Progress in System Linkages – A practice-based approach that specifies
characteristics of advance collaboration practice in the elements of system linkages
Screening and Assessment for Family Engagement, Retention and Recovery — SAFERR -A guidebook to develop effective communication across systems while engaging families
in services
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Early Lessons from the RPG
Program
Successes and Challenges of
Cross-Systems Collaborations
(Year Two)
Percent (N=53 grantees)
Percentage of RPGs Experiencing Greatest
Accomplishments and Challenges in
Key Collaborative Areas in Year 2
Collaborative Values
Screening/Assessment
Engagement/Retention
Children's Services
Info Sharing/Data Systems
Joint Accountability/Shared Outcomes
Budget/Sustainability
Staff Training/Development
Working w/Related Agencies
Building Community Supports
62
38
28
28
66
43
28
9
21
43
26
32
25
25
51
21
32
23
43
21
0
Accomplishment
10
20
30
40
50
Challenge
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60
70
Collaborative Values and Principles –
Accomplishments
• Nearly two-thirds (62 percent) identified accomplishments in
developing and/or strengthening underlying collaborative
values and principles, such as:
– Conducted case file review to understand services provided to families
and identify ways to improve coordination between substance abuse
treatment providers and child welfare
– Implemented discharge criteria to ensure a more uniform approach
across partners to discharging cases
– Developed a cross-systems communication plan to establish
consistent language and terminology across systems and a clear
message for families
– Developed interagency MOU to prioritize services for families involved
in child welfare system due to parental substance abuse
– Changed culture and focus of the systems from looking solely at
the deficits of families to identifying their strengths as well
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Collaborative Values and Principles –
Challenges
• Yet more than one-third of grantees (38 percent) also
experienced challenges in the area of collaborative values
and principles, such as:
– Involvement of substance abuse agency, child welfare agency,
courts or community providers on a case-by-case basis and only
when a referral is necessary
– Lack of understanding of how the RPG program and partnership fit
into the bigger systems picture
– Lack of cooperation and involvement of major partners and lack of
clear roles and responsibilities among partners
– Limited or ineffective communication between RPG staff and
dependency and drug court judges and differing beliefs about
whether reunification is in the child’s best interest
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Working with Other Agencies and Building
Community Supports – Accomplishments
• 43 percent of grantees noted advancements in building
community supports, while 32 percent experienced
successes in working with related agencies
– Worked with the housing authority to complete a housing feasibility
study that resulted in stronger agency relationships and the provision of
Family Unification Program housing vouchers for 100 RPG clients
– Increased collaboration with community agencies that led to RPG
representation on several community boards and expanded
collaboration with partners in a neighboring county
– Used parents’ digital stories as a social marketing strategy to facilitate
greater community awareness, interest, involvement and support
– Established partnerships with local community colleges to provide job
training/work readiness programs
Accomplishments in these areas are critical to securing additional core
and supportive services that clients need to succeed both while in the
RPG program and when they are discharged or graduate
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Working with Other Agencies and Building
Community Supports – Challenges
• Challenges experienced by grantees in working with
other agencies and building community supports
include:
– The need to clarify and better articulate the RPG program
model before trying to engage other systems
– Overcoming community concerns/skepticism regarding hiring
of Family/Peer Mentors who have prior history of substance
abuse and child welfare involvement
– The RPG lead agency lacking the credibility or recognition
needed to engage other State or community agencies
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Collaborative Relationships –
Key Themes/Lessons
• Collaboration takes time and is developmental and
iterative in nature
• Collaboration needs to occur at multiple levels
– Front-line and larger systems levels
– State and local levels
• Importance of oversight and feedback structures (e.g.,
advisory boards, steering committees)
– Provide leadership, direction, problem-solving
– Continually review project goals and progress
– Address emerging or specific issues
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Collaborative Relationships –
Key Themes/Lessons
Fundamentals of successful collaboration and active
engagement of partners include:
• Alignment of project and partner goals
• Communication of concrete benefits to prospective partners
• Ability to integrate the collaborative’s work into existing efforts
or infrastructures
• Clarification, understanding and agreement on roles,
responsibilities and processes
• Ongoing communication (all levels), reporting and monitoring
– Establishing relationships is an event, maintaining relationships
is a process
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Collaborative Relationships –
Key Themes/Lessons
Development and strengthening of collaborative
relationships is facilitated by:
• Cross-systems communication on client progress (e.g., joint
case staffing or case conferences, team decision making)
• Cross-systems training on both:
– The broad array of clinical issues affecting shared clients
– Program and policy issues impacting how each system operates
• Intensive, targeted and multi-faceted community outreach:
– Presentations to partners; convening of community forums
– Involvement on other local advisory boards or steering groups
– Value of routine and regular in-person contact and dedicated person
or position to conduct outreach
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Sustainability – Themes and Lessons
from the RPG Program
Key Elements of Sustainability include:
• Strong collaborative relationships
• Engaging key stakeholders – in particular, State leadership
• Promoting awareness of the RPG program and communicating
its results/outcomes
• Linking and aligning RPG program to CFSR and PIP goals
• Building capacity at the local level (for large-scale, multi-site
initiatives)
• Making sustainability an explicit program objective
• Having a designated body or structure (e.g., task force,
subcommittee) to focus on sustainability
• DATA
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How Do I Access Technical Assistance?
• Visit the NCSACW website for resources and
products at http://ncsacw.samhsa.gov
• Email us at [email protected]
• Ken DeCerchio
[email protected]