Otter Tail County
Minnesota Child and Family Service Review
Program Improvement Plan
I. General Information
County/Tribal Agency: Otter Tail County | Address: 530 W Fir Ave., Fergus Falls, MN 56537 Telephone Number: 218-998-8150 | |
Primary Person Responsible for PIP: Tamra Jokela | E-mail Address: tjokela@co.ottertail.mn.us Telephone Number: (218) 998-8195 | |
DHS Quality Assurance Contact: Lori Munsterman | E-mail Address: lori.munsterman@state.mn.us Telephone Number: (651) 230-0962 | |
To be completed by DHS: | ||
Date of Agency/DHS PIP Meeting: 1/27/12 | Date PIP Approved: 4/9/12 | |
Due Dates for PIP Updates: Update 1: July 15, 2012 (for April – June) Update 2: October 15, 2012 (for July – September) Update 3: January 15, 2013 (for October – December) Update 4: April 15, 2013 (for January – March, 2013) | Date PIP Progress Reviews Received/Occurred: | |
PIP Completion Date: | ||
II. MnCFSR PIP Recommendations (as identified in the Exit Conference)
PIP RECOMMENDATIONS | |||||||||||||||||||
Safety: Develop and implement strategies to address barriers to timely contact with children in response to maltreatment reports (MnCFSR Item 1) Conduct comprehensive assessments of risk and manage safety for all children living in the family home on an ongoing basis (MnCFSR Item 4) Permanency: Evaluate the decline in timeliness of achievement of reunification (Federal Data Indicator, Measure C1.1 Identify and address barriers to timely permanency, with specific focus on older youth and children who have been in care for extended periods of time (Federal Data Indicators, Measures C2.4, C2.5 and C3.1) Address barriers to comprehensive relative searches, focusing on non-CP cases (MnCFSR Item 15) Improve practices that support quality parent/child visits, specifically practices related to establishing and reviewing requirements for supervised visits (MnCFSR Item 13) Well-being: Ensure all family members are engaged in case planning (MnCFSR Item 18) Conduct face-to-face visits with children and parents at a frequency sufficient for conducting ongoing assessments of risk, safety, overall needs and case planning, ensuring caseworker visits with children in foster care each and every month they are in placement (MnCFSR Items 19 and 20) Ensure all children’s mental and behavioral health needs are met in a timely manner (MnCFSR Item 23) Systemic Factors: Develop and implement a quality assurance program for gathering and analyzing data and results in the implementation of practice and/or system changes (Quality Assurance System) Evaluate the current structure for providing staff supervision; ensure staff have adequate access to supervision that supports effective child welfare practice for achieving safety, permanency and well-being outcomes (Supervisor and Social Worker Resources) | |||||||||||||||||||
Goal #1: Develop and implement strategies to address barriers to timely contact with children in response to maltreatment reports. | |||||||||||||||||||
Barriers: Delays in screening decisions; face-to-face attempts were made within timelines, however not consistent with state guidance; face-to-face contact was made with some, but not all of the alleged child victims. | |||||||||||||||||||
Baseline (Performance at the time of the review): | |||||||||||||||||||
x 2012 Case Review Data (if applicable to PIP development) Item 1: 80% (4/5) of cases rated as a Strength | x Annual/Quarterly Performance Data (if applicable to PIP development) Timeliness of Contact in Maltreatment Assessments & Investigations (Source: CW Data Dashboard) | ||||||||||||||||||
Baseline | PIP Updates | ||||||||||||||||||
Q3, ‘11 | Q4, ‘11 | Q1, ‘12 | Q2, ‘12 | Q3, ‘12 | Q4, ‘12 | ||||||||||||||
SCE | 50% (2/4) | 53.3% (8/15) | |||||||||||||||||
NSCE-Inv | 83.3% (5/6) | 100% (3/3) | |||||||||||||||||
NSCE-FA | 75% (33/44) | 76.6% (36/47) | |||||||||||||||||
Performance Goal/Method of Measurement: 90% of children will have face to face contact within statutory timelines, using the CW Data Dashboard as the method of measurement. | |||||||||||||||||||
Action Steps (include persons responsible) | Date Completed | Updates | |||||||||||||||||
All child protection reports/intakes will be presented to the screening team the day after received. | 1: 2: 3: 4: | ||||||||||||||||||
Supervisor will provide guidance to staff to ensure intake disposition date and time in SSIS accurately reflects when screening decision was actually made. | 1: 2: 3: 4: | ||||||||||||||||||
Supervisor’s designee will run the SSIS General report, “Child Maltreatment Screening Timeliness” on a monthly basis and share with staff. | 1: 2: 3: 4: | ||||||||||||||||||
Supervisor will review information and clarify expectations with staff that all alleged child victims must have a face to face contact within statutory timelines state guidance regarding attempted face to face contact with alleged child victims. | 1: 2: 3: 4: | ||||||||||||||||||
The date and time of face-to-face contact with each alleged victim will be added to “Family Assessment Summary” and “Investigation Summary” forms. Additions will include identification of the type of report (substantial child endangerment or non-substantial child endangerment) and a place for workers to indicate whether contact was made within timelines. | 1: 2: 3: 4: | ||||||||||||||||||
When reviewing closed assessment and investigation files, supervisor will specifically review whether contact with children was made within required timelines. If delays occurred, supervisor will review reasons for delays with assessment or investigation staff. Summary information of results of supervisor reviews will be shared with agency staff at least quarterly. | 1: 2: 3: 4: | ||||||||||||||||||
Goal #2: Improve timeliness of reunification. | |||||||||||||||||||
Barriers: Increased use of Trial Home Visits for the full 6 months allowed by statute may be a contributing factor. | |||||||||||||||||||
Baseline (Performance at the time of the review): | |||||||||||||||||||
o Case Review Data (if applicable to PIP development) | x Annual/Quarterly Performance Data (if applicable to PIP development) 2011 County performance on Federal Data Indicators: C1.1: 73.1% (19/26) | ||||||||||||||||||
Performance Goal/Method of Measurement: NA | Performance Goal/Method of Measurement: National Standards on Federal Data Indicators C1.1: 75.2% h | ||||||||||||||||||
Action Steps (include persons responsible) | Date Completed | Updates | |||||||||||||||||
Supervisor (or designee) will generate Charting and Analysis reports for Federal Measures C1.1 for 2011. | 1: 2: 3: 4: | ||||||||||||||||||
Supervisor will convene a committee to review Charting and Analysis reports and identify and analyze the factors that contributed to children remaining in foster care for longer than 12 months. | 1: 2: 3: 4: | ||||||||||||||||||
Results of analysis completed by committee referenced above will be reviewed for determination of need for further action steps. | 1: 2: 3: 4: | ||||||||||||||||||
Goal #3: Increase the rate of achieving permanency for older youth and children in out-of-home care for extended periods of time. | |||||||||||||||||||
Barriers: Inexperienced social workers specific to knowledge of adoption process/documentation | |||||||||||||||||||
Baseline (Performance at the time of the review): | |||||||||||||||||||
o Case Review Data (if applicable to PIP development) | x Annual/Quarterly Performance Data (if applicable to PIP development) 2011 County Performance on Federal Data Indicators: C2.4: 0% (0/3) C2.5: 20% (2/10) C3.1: 0% (0/3) | ||||||||||||||||||
Performance Goal/Method of Measurement: NA | Performance Goal/Method of Measurement: National Standards on Federal Data Indicators: C2.4: 10.9% h C2.5: 22.7% h C3.1: 53.7% h | ||||||||||||||||||
Action Steps (include persons responsible) | Date Completed | Updates | |||||||||||||||||
Supervisor (or designee) will generate Charting and Analysis reports for Federal Measures C2.4, C2.5 and C3.1 for 2011. | 1: 2: 3: 4: | ||||||||||||||||||
Supervisor will convene a committee to review Charting and Analysis reports and identify barriers to achieving permanency for youth represented in those measures. | 1: 2: 3: 4: | ||||||||||||||||||
Results of analysis completed by committee referenced above will be reviewed for determination of need for further action steps. | 1: 2: 3: 4: | ||||||||||||||||||
Goal #4: Improve relative search and placement practices, focusing on non-child protection cases. | |||||||||||||||||||
Barriers: Lack of comprehensive relative search efforts in non-child protection cases | |||||||||||||||||||
Baseline (Performance at the time of the review): | |||||||||||||||||||
x 2012 Case Review Data (if applicable to PIP development) Item 15 (Relative placement): 66.7% (4/6) of cases rated as a Strength | o Annual/Quarterly Performance Data (if applicable to PIP development) 2010 MN Child Welfare Report, Rate of Relative Placement Otter Tail County: 8.5% State average: 12.1% | ||||||||||||||||||
Performance Goal/Method of Measurement: 80% of cases reviewed using the agency’s internal case review process will be rated as a Strength on Item 15. | Performance Goal/Method of Measurement: NA | ||||||||||||||||||
Action Steps (include persons responsible) | Date Completed | Updates | |||||||||||||||||
Develop policy regarding relative searches for non–child protection cases, including: Children’s Mental Health workers will contact the case aid to have the case aid contact the parent to complete the relative information packet. The Case Aid will contact the parents and get relative information via completing the relative information packet. Policy will also address next steps, e.g. staff responsible for contacting relatives and assessing/evaluating their willingness and/or capacity to be a placement resource | 1: 2: 3: 4: | ||||||||||||||||||
Share and review policy with staff | 1: 2: 3: 4: | ||||||||||||||||||
Supervisor will review the “Notice to Parent(s) Considering Voluntary Foster Care “ with caseworkers and ensure that caseworkers are reviewing the document with parents at the time of a voluntary placement. The document outlines the requirements for parents’ participation in the relative search process in situations involving voluntary placement. | 1: 2: 3: 4: | ||||||||||||||||||
Goal #5: Improve practices that support quality parent/child visits, specifically practices related to establishing and reviewing requirements for supervised visits. | |||||||||||||||||||
Barriers: | |||||||||||||||||||
Baseline (Performance at the time of the review): | |||||||||||||||||||
x 2012 Case Review Data (if applicable to PIP development) Item 13 (Visitation): 60% (3/5) of cases rated as a Strength. | o Annual/Quarterly Performance Data (if applicable to PIP development) NA | ||||||||||||||||||
Performance Goal/Method of Measurement: 80% of cases reviewed using the agency’s internal case review process will be rated as a Strength on Item 13. | Performance Goal/Method of Measurement: NA | ||||||||||||||||||
Action Steps (include persons responsible) | Date Completed | Updates | |||||||||||||||||
Establish agency expectations for use of the SDM Safety Assessment and/or Reunification Tool at regular intervals for evaluating the need for ongoing supervision of parent/child visits. | 1: 2: 3: 4: | ||||||||||||||||||
Agency caseworkers will bring cases to unit staff meetings for mapping when making decisions to increase/decrease supervision of parent/child visits. | 1: 2: 3: 4: | ||||||||||||||||||
Agency caseworkers will invite appropriate people to the mapping meeting to help in the discussion of how visitation should look. | 1: 2: 3: 4: | ||||||||||||||||||
Goal #6: Improve the frequency and quality of face-to-face visits with children and parents, ensuring: caseworker visits occur at a frequency sufficient for conducting initial and ongoing assessments of risk and safety, all family members are engaged in case planning, and caseworker visits with children in out-of-home placement occur each and every month they are in placement. | |||||||||||||||||||
Barriers: Gaps in caseworker visits when children are living at home and at critical points in case; less than monthly contact with children in out-of-home placement; caseworker visits with some, but not all, children in the home; variation in engagement skills across caseworkers, including skills in managing family reluctance. | |||||||||||||||||||
Baseline (Performance at the time of the review): | |||||||||||||||||||
x 2012 Case Review Data (if applicable to PIP development) Item 4 (Risk Assessment and Safety Monitoring): 33.3% (3/9) of cases rated a strength Item 18 (Family engagement in case planning): 66.7% (6/9) Item 19 (Caseworker visits with children): 44.4% (4/9) Item 20 (Caseworker visits with parents): 62.50% (5/8) | x Annual/Quarterly Performance Data (if applicable to PIP development) Monthly Caseworker Visits with Children in Out-of-Home Placement (Source: MN Child Welfare Data Dashboard) | ||||||||||||||||||
Baseline | PIP Updates | ||||||||||||||||||
Q3, 2011 | Q4, 2011 | Q1, 2012 | Q2, 2012 | Q3, 2012 | Q4, 2012 | ||||||||||||||
36.7% (18/49) | 43.2% (16/37) | ||||||||||||||||||
Performance Goal/Method of Measurement: 80% of cases reviewed internally will be rated as a Strength on Items 4, 18, 19 and 20. | Performance Goal/Method of Measurement: 90% of all children in out-of-home placement will have a face-to-face visit with a caseworker each and every month they are in placement, using CW Data Dashboard as the method of measurement. | ||||||||||||||||||
Action Steps (include persons responsible) | Date Completed | Updates | |||||||||||||||||
Supervisor will clarify agency expectations and statutory requirements for a minimum of monthly face-to-face visits with children in out-of-home placement. | 1: 2: 3: 4: | ||||||||||||||||||
Supervisor’s designee will run the SSIS General Report “Monthly Contacts with Children in Continuous Placement” monthly. Report will be reviewed with staff individually, and summary information will be provided to staff in unit meetings. | 1: 2: 3: 4: | ||||||||||||||||||
Supervisor will relay new expectation that caseworkers complete the SDM Risk Reassessment tool on a quarterly basis (in conjunction with case plan reviews) in all ongoing child protection case management cases. Risk level and SDM contact standards will be utilized to determine expectations for frequency of visits. | 1: 2: 3: 4: | ||||||||||||||||||
The agency will establish a schedule regarding expectations of when cases are mapped in unit meetings, including but not limited to: When transitioning a case from Family Assessment to FA case management When considering reducing the level of supervision for parent/child visits | 1: 2: 3: 4: | ||||||||||||||||||
Agency staff will participate in upcoming Signs of Safety training on April 2012 | 1: 2: 3: 4: | ||||||||||||||||||
At case worker reviews with the Supervisor the frequency of using the SDM tools will be reviewed. | 1: 2: 3: 4: | ||||||||||||||||||
The supervisor (or designee) will run the “Contact with Clients” general report (General Reports, Case Workgroup node) to monitor most recent risk level and frequency of worker visits with family members. | 1: 2: 3: 4: | ||||||||||||||||||
WELL-BEING | |||||||||||||||||||
Goal #7: Children’s mental and behavioral health needs will be met in a timely manner. | |||||||||||||||||||
Barriers: Delays in fully assessing and providing necessary services | |||||||||||||||||||
Baseline (Performance at the time of the review): | |||||||||||||||||||
x 2012 Case Review Data (if applicable to PIP development) Item 23: 55.6% (5/9) of cases were rated as a Strength | o Annual/Quarterly Performance Data (if applicable to PIP development) | ||||||||||||||||||
Performance Goal/Method of Measurement: 80% of cases reviewed using the agency’s internal case review process will be rated as a Strength on Item 23. | Performance Goal/Method of Measurement: NA | ||||||||||||||||||
Action Steps (include persons responsible) | Date Completed | Updates | |||||||||||||||||
Workers will complete the Family Strengths and Needs SDM tool within 30 days of case management case opening. | 1: 2: 3: 4: | ||||||||||||||||||
Workers will complete the children mental health screening tool within 30 days of case management case opening on all children in the family. | 1: 2: 3: 4: | ||||||||||||||||||
Supervisor will monitor the completion of those tools through general reports and also worker/supervisor consultation. | 1: 2: 3: 4: | ||||||||||||||||||
SYSTEMIC FACTOR | |||||||||||||||||||
Goal #8: Agency staff will have adequate access to supervision that supports effective child welfare practice for achieving safety, permanency and well-being outcomes. | |||||||||||||||||||
Current process/practice(s): There is 1 supervisor responsible for 18 staff and all child welfare program areas. | |||||||||||||||||||
Barriers: Reduction in supervisory capacity; staff turnover, need for orientation and training | |||||||||||||||||||
Action Steps (include persons responsible) | Date Completed | Updates | |||||||||||||||||
Agency will increase opportunities for group consultation/group supervision, e.g. mapping at designated points in a case. | 1: 2: 3: 4: | ||||||||||||||||||
Agency administration, in consultation with DHS QA staff, will utilize the Workload Analytic Tool for assessing adequacy of child welfare supervisory resources. | 1: 2: 3: 4: | ||||||||||||||||||
Agency administration will explore caseworker responsibilities that can be transferred to Office Support Specialists and/or Case Aides, e.g. data entry responsibilities. | 1: 2: 3: 4: | ||||||||||||||||||
The agency will implement two Lead Social Worker positions to provide policy, program and training coordinator for the following programs: Child Protection Services and Children’s Mental Health. | 1: 2: 3: 4: | ||||||||||||||||||
SYSTEMIC FACTOR | |||||||||||||||||||
Goal #9: Develop an internal process for the ongoing evaluation of child welfare practices and systems, leading to program improvements. | |||||||||||||||||||
Current process/practice(s): Supervisor reviews assessments and investigations at closing. | |||||||||||||||||||
Barriers: Supervisor training on Charting & Analysis and general reports is needed; | |||||||||||||||||||
Action Steps (include persons responsible) | Date Completed | Updates | |||||||||||||||||
Establish and maintain a process that yields valid data: | |||||||||||||||||||
Supervisor will receive training to use data to inform decision making and improve practice. | 1: 2: 3: 4: | ||||||||||||||||||
Supervisor (or designee) will utilize SSIS Charting & Analysis and General Reports that correspond to specific PIP strategies: Federal Data Indicators (Charting & Analysis) (quarterly) C1.1 C1.2 C2.4 C2.5 C3.1 Child Maltreatment Screening Timeliness (General report) (monthly) Monthly Contacts with Children in Continuous Placement (General report) (monthly) CMH Screening Exemption Report (General report) (quarterly) | 1: 2: 3: 4: | ||||||||||||||||||
Agency will establish a process for internal qualitative review of 2 cases per quarter using the QA Toolkit case review instrument. The cases will be randomly picked child protection/children’s mental health cases. These cases will be reviewed using the CFSR format. | 1: 2: 3: 4: | ||||||||||||||||||
Supervisor will maintain oversight to the case review process to ensure consistency and integrity in the process. | 1: 2: 3: 4: | ||||||||||||||||||
Develop/implement a process for analyzing and learning from the data: | |||||||||||||||||||
Supervisor and social worker will discuss each case reviewed to reinforce good practice and consider alternative actions on practices needing improvement. | 1: 2: 3: 4: | ||||||||||||||||||
Analyze SSIS Charting & Analysis/General Reports and identify patterns/themes. | 1: 2: 3: 4: | ||||||||||||||||||
Use the data to effectively implement practice and system change: | |||||||||||||||||||
Share information from case reviews and analysis of reports with staff on a quarterly basis as a means of communicating performance results and giving opportunity to discuss potential solutions and clarify expectations and/or provide guidance. | 1: 2: 3: 4: | ||||||||||||||||||
Share results of performance data, case reviews, and strategies adopted to improve practice and outcomes with child welfare stakeholders (i.e. CJI team). | 1: 2: 3: 4: | ||||||||||||||||||
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