National Association of State Adoption Programs, Inc. (NASAP) 2014 Annual Working Meeting Minutes Thursday, November 20, 2014 – 1:00 p.m. Eastern time Webinar Registration Link: https://cc.readytalk.com/r/c6zmh01ksx71&eom State Managers Present: Betty Berzin New Jersey State Adoption Program Manager Catherine Meister New Hampshire Adoption Program Supervisor Connie Stevens Michigan Designee for Cathe Hoover Constance Vigil Colorado Adoption Program Manager Courtney Smith Florida Adoption Program and Policy Manager; new to this role Deborah Goodman Oklahoma Adoption Field Administrator Erin Setla Michigan Fran George Georgia Designee for Deborah Burrus Frank Perfinski Delaware Adoption Program Manager Heather Davidson Iowa Adoption Program Specialist Jacquelyn Hill-Anderson Oklahoma Post Adoption Services Jamie Bazemore North Carolina Adoption Services Manager John Johnson Tennessee Director of Foster Care and Adoption Julie Hoffman North Dakota Adoption Manager Karen Wahlmeier Kansas Adoption Assistance Program Manager Tracey Parker Iowa Adoption Program Manager Kathy Prouty Oregon Adoption Program Manager Kristi Poole Maine Adoption Program Manager Leo Farley Massachusetts Director of Adoption Support Services Maggie Molitor West Virginia Adoption and Legal Guardianship Policy Manager Stephanie Miller Idaho Permanency Program Specialist Steve Obershaw Wisconsin Adoption and Consultation Manager Sue Schmelz Arizona Adoption Policy Specialist Ellie Chargueo New Mexico Adoption Specialist; Designee Tracey Parker Hirst Iowa Adoption Program Manager Yvonne Hill Alaska Adoption Program Coordinator Spaulding for Children Representative: Ingrid Parks, Project Manager, Academy for Family Support and Preservation Children’s Bureau Representative: June Dorn, National Adoption Specialist
Transcript
National Association of State Adoption Programs Inc (NASAP)
2014 Annual Working Meeting Minutes Thursday November 20 2014 ndash 100 pm Eastern time
Webinar Registration Link httpsccreadytalkcomrc6zmh01ksx71ampeom
State Managers Present Betty Berzin New Jersey State Adoption Program Manager Catherine Meister New Hampshire Adoption Program Supervisor Connie Stevens Michigan Designee for Cathe Hoover Constance Vigil Colorado Adoption Program Manager
Courtney Smith Florida Adoption Program and Policy Manager new to this role
Deborah Goodman Oklahoma Adoption Field Administrator Erin Setla Michigan Fran George Georgia Designee for Deborah Burrus Frank Perfinski Delaware Adoption Program Manager Heather Davidson Iowa Adoption Program Specialist Jacquelyn Hill-Anderson Oklahoma Post Adoption Services Jamie Bazemore North Carolina Adoption Services Manager John Johnson Tennessee Director of Foster Care and Adoption Julie Hoffman North Dakota Adoption Manager Karen Wahlmeier Kansas Adoption Assistance Program Manager Tracey Parker Iowa Adoption Program Manager Kathy Prouty Oregon Adoption Program Manager Kristi Poole Maine Adoption Program Manager Leo Farley Massachusetts Director of Adoption Support Services
Maggie Molitor West Virginia Adoption and Legal Guardianship Policy Manager
Stephanie Miller Idaho Permanency Program Specialist Steve Obershaw Wisconsin Adoption and Consultation Manager Sue Schmelz Arizona Adoption Policy Specialist Ellie Chargueo New Mexico Adoption Specialist Designee Tracey Parker Hirst Iowa Adoption Program Manager Yvonne Hill Alaska Adoption Program Coordinator
Spaulding for Children Representative Ingrid Parks Project Manager Academy for Family Support and Preservation Childrenrsquos Bureau Representative June Dorn National Adoption Specialist
Guest Speakers
bull Allison Palmer Child Welfare Program Specialist Administration for Children and Families
bull Sarah Greenblatt Director National Adoption Competency Mental Health Training Initiative
bull Melinda Lis Vice-President Academy for Family Support and Preservation and Director National Quality Improvement Center for AdoptionGuardianship Support and Preservation
bull Pam Wolf Harmony Family Center Call to Order The meeting was opened and called to order by John Johnson NASAP President John thanked the State Managers for taking time from their schedules to join us today for our annual working meeting Recording of Attendance Stephanie Miller NASAP Secretary recorded the names of the NASAP representatives participating in todayrsquos meeting Each representative was asked to identify whether they were the State Adoption Manager or the designee State Managers were also asked to identify if they are new to their role with the State NASAP Mission Statement John shared the NASAP Mission statement
ldquoThe purpose of the National Association of State Adoption Programs is to provide a forum in which State Adoption Program Managers can pool their expertise and to promote networking activities as an association with other direct child welfare entities and individual professionals so that each state can develop and maintain an efficient state-of-the-art adoption programrdquo
John asked the meeting participants to keep the NASAP Mission in mind as we move forward with todayrsquos agenda NASAP Executive Committee (EC) Members John introduced the 2014 EC members The EC currently has one vacant member-at-large position that we hope to fill after the 2014 elections
PRESIDENT John Johnson
Director of Foster Care and Adoptions State of Tennessee Department of Childrens Services
VICE-PRESIDENT
Maggie Molitor Adoption Program Policy Specialist
West Virginia Department of Health and Human Resources
SECRETARY Stephanie Miller
Permanency Program Specialist Idaho Department of Health amp Welfare
INTERIM TREASURER
Steve Obershaw Adoption and Consultation Section Manager
State of Wisconsin Department of Children and Families
MEMBERS Betty Berzin
Assistant Director-Adoption Program Director New Jersey Department of Children and Families
Michigan Department of Human Services Bureau of Child Welfare
Tracey Parker Hirst
Adoption Program Manager Iowa Department of Human Services
Division of Adult Children amp Family Services
EX-OFFICIO MEMBER Deborah Goodman
Program Administrator Oklahoma Department of Human Services
NASAP Overview NASAP was formed in 1998 with the knowledge of and encouragement from the Childrenrsquos Bureau The Association is incorporated in Utah as a non-profit entity Utah was selected only because one of the founding members resided there The Associationrsquos articles of incorporation and by-laws are were shared as handouts for todayrsquos meeting NASAP is a professional peer organization Membership is automatic for all who are identified by their respective States as the statewide adoption manager adoption specialist or state equivalent NASAP charges no membership dues ReadingApproval of the October 1 2013 Annual Working Meeting Minutes Stephanie Miller presented the minutes from last yearrsquos annual working meeting which was provided as a handout for todayrsquos meeting
Stephanie asked NASAP members for a motion to accept the minutes as presented Maggie Molitor motioned to accept the minutes Betty Berzin seconded the motion There were no oppositions or abstentions The NASAP membership unanimously voted to accept the minutes as presented ReviewApproval of the November 20 2014 Treasurerrsquos Report Steve Obershaw NASAP Interim Treasurer presented the current Treasurerrsquos Report Assets as of October 7 2014 were reported as $673312 Since the last Executive Committee Meeting there were no additions to income and no expenses were incurred Net assets as of November 20 2014 remain at $673312 Steve also reported that during the past year the NASAP EC moved the NASAP funds to an internet checking account which will make approving and assigning account administrators and providing access to funds a smoother process when EC members transition from their roles Steve asked NASAP members for a motion to accept the Treasurerrsquos Report as presented Tracey Parker motioned to accept the report Stephanie Miller seconded the motion There were no oppositions to the motion Michigan abstained from the vote The NASAP membership voted to accept the Treasurerrsquos Report as presented Goals and Strategies for 2015-2017 John discussed the identified goals and strategies which were provided as a handout for todayrsquos meeting The initial goals and strategies were developed some time ago and although they have evolved with changing priorities John stated there is a need to continue to think about how to improve upon these priorities and decide how we should lead the organization as we move forward The 1st proposed change addresses Goal 1-D which removes the reference to the NRCA (National Resource Center for Adoption) Although the EC would like to continue to explore the use of a travel agent that may be able to offer reduced fares for State Managers to travel for a NASAP Annual Working Meeting the cooperative agreement for the NRCA ended September 30 2014 so they will no longer be available to provide support The NASAP Annual Working Meetings have historically been held as in-person meetings in the Washington DC area Due to challenges with Statesrsquo travel budgets the Annual Working Meeting was held in conjunction with the Childrenrsquos Bureaursquos National Policy to Practice Meetings since 2008 NASAP has faced further challenges with holding in-person meetings since the elimination of the Childrenrsquos Bureaursquos Policy to Practice Dialogue The last two Annual Working Meetings have been held via webinar The EC will continue to seek ways to bring State Adoption Managers together and are open to suggestions from the general NASAP membership Goal 2 addresses the need to increase opportunities for informal sharingrelationship-building among NASAP members This goal is linked to planning in-person NASAP Annual Meetings which continues to be considered a priority interest of the membership
Goal 3 addresses the need to establish build or strengthen mutually supportive relationships between NASAP and other child welfare peer organizations This goal was addressed during the past year when NASAP held a webinar which included representatives of the Association of Administrators of the Interstate Compact on Adoption and Medical Assistance (AAICAMA) This forum was helpful for making connections for NASAP and the webinar provided opportunities for discussing and thinking through some of shared challenges experienced by both organizations As we keep this goal in place we seek to identify different strategies Goal4 addresses the need to assure the continuity and progress toward fulfilling the stated mission and goals of the Association The strategies identified for this goal continue to viable for our Association Goal 5 addresses the need to encourage and support collaboration among individual Association members as well as with members of partner child welfare peer associations and other national organizations for the attainment of positive individual child and family county state and national outcomes Todayrsquos agenda and the professionals presenting for todayrsquos meeting reflects our ability to meet this goal There are many agencies that have a shared vision of serving children and families and todayrsquos presenters have information about new opportunities to develop innovative programs and practices to improve outcomes for children and families The final proposed change addresses Goal 6 which the EC suggests should be removed This goal continues to address the NRCA and the Childrenrsquos Bureau TampTA network The cooperative agreements for the Resource Centers ended September 30 so this goal no longer applies The Childrenrsquos Bureau is currently working to identify their strategies to support NASAP and other Peer Networks and as plans are developed and identified on what support will be provided NASAP will be better able identify strategies for supporting and building mutually beneficial relationships Sue Schmelz Adoption Specialist from Arizona serving as interim State Adoption Manager until the vacated position is filled asked if NASAP reaches out to new Managers as they are hired to provide information on who may be contacted for information and assistance John stated that NASAP reaches out to new Managers when the EC is informed of changes and orientation information about NASAP is shared along with contact information for the current Executive Committee John asked the membership to please help keep the EC informed when there are changes in State leadership NASAP also has a website which provides general information and updates about the organization Over the next few months NASAP EC will spend time reframing the goals and refining plans for moving forward The EC welcomes feedback around the priority goals and anyone with suggestionsfeedback may contact John Johnson at JohnJohnsontngov or via phone at (615) 253-6351 Review of the proposed NASAP By-Laws changes John reviewed the NASAP By-Laws which were provided as a handout for todayrsquos meeting Proposed changes include
bull Revise Article 4c to include in the clause that the ldquoThe Secretary shall act as clerk of all
meetings of the members and the Executive Committee The Secretary shall keep a record of all proceedings of each meeting for inspection by the members NASAP meeting minutes By-Laws and Goals and Objectives will also be archived on the NASAP websiterdquo This modification is a ldquoclean-uprdquo to the By-Laws which previously reflected involvement from the NRCA The NASAP EC will assume these responsibilities going forward
bull Revise Article 5c to state ldquoThe Association immediate past president andor an immediate
past Executive Committee member shall serve as an advisor to the President and shall have no voting rights on the Executive Committee This modification adds an opportunity to recognize an additional immediate past Executive Committee Member in addition to the immediate past President to help provide support to the current President and ensure this role is covered Steve stated that the phrase ldquoas an advisorrdquo should be changed to ldquoas advisorsrdquo to correct the proposed changes as discussed by the EC To clarify John stated the proposed change to Article 5c will be voted on as follows ldquoThe Association immediate past president andor an immediate past Executive Committee member shall serve as advisors to the President and shall have no voting rights on the Executive Committeerdquo
bull Revise Article 6c to state ldquoA representative from the Childrens Bureau andor other organizations as determined by the Executive Committee may be invited to the annual meetingrdquo This change is a ldquoclean uprdquo which maintains the opportunity to invite other organizations to provide the support previously provided by the NRCA
John asked NASAP members for a motion to accept the By-Laws changes in Articles 4c 5c and 6c as proposed Steve Obershaw motioned to accept the proposed changes Deborah Goodman seconded the motion There were no oppositions to the motion Michigan abstained from the vote The NASAP membership voted to accept the proposed By-Laws changes as presented Annual NASAP Executive Committee Elections Deborah Goodman NASAP Ex-Officio member shared that she met with Steve Obershaw as part of the NASAP nominating committee to develop the slate of candidates for this yearrsquos annual elections In consideration for the ballot the committee looked to find representatives from regions across the country Personal contact was extended to those nominated State Manager and they represented on the ballot which was emailed to the NASAP membership Deborah presented the slate of nominees as follows
bull John Johnson (TN) ndash President (2014-2016) bull Maggie Molitor (WV) ndash Vice-President (2014-2016) bull Betty Berzin (NJ) ndash Member-at-large (2014-2016) bull Tracey Parker Hirst (IA) ndash Member-at-large (2014-2016)
Deborah provided the NASAP membership instructions for voting
bull Ingrid Parks from the Academy for Family Support and Preservation a program of Spaulding for Children will collect ballots via email
bull You may vote for a nominee on the slate or enter a write in candidate bull All States the District of Columbia and the US Territories are each allowed one vote bull All ballots will remain confidential bull All ballots must be returned to Ingrid Parks at iparksspauldingorg by 500 pm
Eastern time on Monday November 24 2014 to be counted bull An email announcing the election results will be sent out to the NASAP membership on
Tuesday November 25 2014 John encouraged everyone to get their ballots in to Ingrid Parks at iparksspauldingorg so we may finalize the elections and introduce our new members who will begin their terms effective January 2015 Guest Presentations John introduced the guest presentations for todayrsquos meeting
bull ldquoAn Overview of Public Law 113-183 the Preventing Sex Trafficking and Strengthening Families Actrdquo ndash presented by Allison Lowery Palmer Child Welfare Program Specialist US Department of Health and Human Services Administration for Children and Families
bull ldquoIntroducing the National Adoption Competency Mental Health Training Initiativerdquo ndash
presented by Sarah Greenblatt Director
bull ldquoIntroducing the National Quality Improvement Center for AdoptionGuardianship Support and Preservationrdquo ndash presented by Melinda Lis Director
bull Overview of the upcoming ldquoAdoption Support and Preservation National Post-Adoption
Conferencerdquo ndash Pamela L Wolf Founder and CEO Harmony Family Center John thanked each of the presenters specifically the Center for Adoption Support and Education (CASE) and Spaulding for Children as they reached out for support from NASAP when they pursued funding opportunities with the Childrenrsquos Bureau The NASAP EC congratulations them on their awards and looks forward to partnering with these projects John also thanked Pam Wolf and her work around helping organize the ASAP National Post-Adoption Conference and the opportunities for the event to provide support to help better
understand best practices for supporting families post-adoption As a reminder the conference is scheduled for June 1-2 2015 in Nashville Tennessee You may find more information about the upcoming conference at this link httpharmonyfamilycenterorg NEW BUSINESS Overview and Discussion of the 2014 NASAP Survey John stated the due to the discontinuation of the Childrenrsquos Bureaursquos Policy to Practice Dialogue where travel was sponsored for State Managers it becomes even more challenging for the NASAP Executive Committee to plan in-person meetings for the NASAP membership due to costs NASAP is constantly looking at ways to reinvent ourselves and the EC is seeking feedback from the membership so we can continue to provide support to State Managers and keep our organization moving in a successful direction Over the next year the NASAP EC will be looking at the possibility of hosting an in-person meeting In our attempt to gain feedback on priorities of the membership NASAP developed a survey A link to the survey was sent out to State Managers a couple of months ago requesting feedback on expectations around holding an annual meeting and also ways we may leverage technology to improve communication and the ability to share information To date there have been approximately 20 responses to the survey Some feedback received from the survey reported that State Managers are increasingly asked to do more Due to the culture and climate we work in the work is no longer just ldquoadoptionrdquo work For many of us the work includes adoption foster care ICAMA post adoption kinship care recruitment etc Time is more limited so we exploring ways NASAP can utilize your time wisely and be more supportive NASAP received good feedback about what is most beneficial to State Managers including the Peer-to-Peer Forums that were hosted via webinar this past year A topic of one these Forums focused on the issue of re-homing which was well attended The NASAP EC hopes to continue offering theses Forums in the coming year The EC also received feedback State Managers would like more information about changes in national policies programs and laws The EC hopes to hold a Forum in the future that goes more in depth about the recent Sex Trafficking Legislation and guidancedirection on how Child Welfare Agencies are to implement this legislation in their programs State Managers also provided feedback they would like information and announcements to continue to be sent out via the NASAP email listserv For those that have questions or need input for other State Managers the EC encourages you to utilize the listserv which is a great way to learn about what is occurring in other Statesagencies The NASAP EC will continue to support the use of the email listserv
The NASAP will also further explore the possibility of holding Regional Roundtables as a forum for State Managers to discuss adoption programs policies and practices with our peers During the past year the NASAP EC directed support to specific regions to engage State Managers around the activities of NASAP and also around hot topics and policy and practice challenges for additional opportunities for dialogue We look forward to increased opportunities to engage State Managers on a regional level over the next year Goal and Priorities for the Coming Year John shared that he will work closely with Maggie Molitor NASAP Vice-President over the coming year to decide how we would like to host next yearrsquos Annual Working Meeting The EC welcomes ideas and thoughts from the NASAP membership on building opportunities for engaging each other in-person meetingsactivitiesevents As more and more State Managers have the opportunity to use technology in their work the EC is also potentially looking at using Facebook Twitter or another social media platform to engage each other and provide access to information As we confirm activities for the coming year the EC is planning the next NASAP Peer-to-Peer Forum around the topic of ldquofull disclosurerdquo John shared that in the State of Tennessee they have been working with Spaulding for Children to look at how they may improve practice around full disclosure specifically how they considerrespect HIPAA while also providing sharing information about their children and providing a clear picture to prospective families about the child wersquore expecting them to parent Tennessee did not have an existing policy around full disclosure and the Technical Assistance received from Spaulding around this issue helped them develop a policy and also resulted in Tennessee submitting State legislation which was recently picked up by the Governor and will be added to his legislative packet Tennessee is currently linking legislation to policy to practice If other States have examples of rising issues or trends or promising practices around full disclosure we are would appreciate you sharing your examples with the NASAP EC The EC plans to hold three Peer-to-Peer Forums over the next year and would be interested in hearing about other ideas for topics Catherine Meister from New Hampshire stated she would be very interested in the discussion around full disclosure and she would also be interested in hearing from other States if they have specific policies and practices around determining their matching process John stated more information around the Sex Trafficking legislation could also potentially be considered as a topic for a NASAP Forum In summary as NASAP continues to move forward we are continually looking at ways to reinvent our organization and keep State Manager engaged and informed We are also looking at ways to strengthen the NASAP Executive Committee to ensure we continue to provide the needed support and adequate representation for the NASAP membership
John thank everyone for their participation in the 2014 NASAP Annual Working Meeting and asked that everyone remember to vote and send in their ballots for the NASAP elections to iparksspauldingorg by Tuesday November 25
Webinar Registration Link
PL 113-183 Preventing Sex
Trafficking and Strengthening
Families Act
Sponsor Rep Dave Camp [R-MI-4]
9292014- signed by the President
Provided by
The Childrenrsquos Bureau
Administration for Children and Families
US Department of Health and Human Services
Legislationrsquos Purpose
bull Amends the title IV-E program to address sex trafficking
locating missing children in foster care amends title IV-
EIV-B case review and planning requirements
reauthorizes and amends the Adoption Incentives Program
and Family Connections Grants
bull All citations are to the Social Security Act (the Act) as
amended by Public Law (PL) 113-183
bull The bill number is HR 4980 Go to Congressgov for more
information about the PL httpswwwcongressgovbill113th-
congresshouse-
bill4980q=7B22search223A5B22hr4980225D7D
2
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
UPON ENACTMENT
3
Title IV-E Adoption Assistance Program
savings reporting
bull Revises the existing requirement for a title IV-E
agency to spend any savings generated from
implementing the revised adoption assistance
eligibility criteria on child welfare services that may be
provided under titles IV-B and IV-E
bull Title IV-E agencies now must also
ndash calculate the savings from de-linking title IV-E adoption
assistance eligibility from the Aid to Families with Dependent
Children (AFDC) eligibility requirements and
ndash report the methodology used to calculate the savings how
savings are spent and on what services
4
Title IV-E Adoption Assistance Program
savings reporting cont
bull Title IV-E agencies must spend the savings on title IV-
B and IV-E programs including
ndash 30 on post-adoption services post-guardianship services
and services to support positive permanent outcomes for
children at risk of entering foster care
ndash Two-thirds of the 30 on post-adoption and post-
guardianship services
bull Title IV-E agencies must use the savings to
supplement and not supplant any funds used to
provide any service under title IV-B or IV-E
bull Effective 10114
5
Relative notification and sibling definition
bull Modifies the relative notification provision to include
notifying the parents of the childrsquos siblings
bull Defines siblings to mean an individual who is
considered by State law to be a sibling or who would
be considered a sibling under state law if it not were
for a disruption in parental rights such as termination
of parental rights (TPR) or death of parent
bull Effective upon enactment unless ACF approves a delayed
effective date
6
Successor guardians
bull Allows continuation of title IV-E kinship guardianship
assistance payments if the relative guardian dies or is
incapacitated and a successor legal guardian is
named in the agreement (or any amendments to the
agreement)
bull Effective upon enactment
7
Family Connection Grants Program
bull Reauthorizes Family Connection Grants at the current
level of $15 million for 2014
bull Permits HHS to make family connection grants
available to institutions of higher education
bull $5 million each FY for kinship navigator programs ndash
no longer required to reserve
bull Effective 10113
8
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
ONE YEAR OR LATER AFTER
ENACTMENT
9
Title IV-E plan requirements victims of sex
trafficking
bull Title IV-E agencies must develop and implement
procedures to identify document and determine
appropriate services for specific children who are at-
risk of becoming a sex trafficking victim or who is a
sex trafficking victim
bull Title IV-E agencies must report annually to HHS the
total number of children and youth who are sex
trafficking victims
ndash HHS must report to Congress annually beginning 4 years
after enactment (92918) the number of these children and
youth who are sex trafficking victims (defined in sec
475(9)(A))
10
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Guest Speakers
bull Allison Palmer Child Welfare Program Specialist Administration for Children and Families
bull Sarah Greenblatt Director National Adoption Competency Mental Health Training Initiative
bull Melinda Lis Vice-President Academy for Family Support and Preservation and Director National Quality Improvement Center for AdoptionGuardianship Support and Preservation
bull Pam Wolf Harmony Family Center Call to Order The meeting was opened and called to order by John Johnson NASAP President John thanked the State Managers for taking time from their schedules to join us today for our annual working meeting Recording of Attendance Stephanie Miller NASAP Secretary recorded the names of the NASAP representatives participating in todayrsquos meeting Each representative was asked to identify whether they were the State Adoption Manager or the designee State Managers were also asked to identify if they are new to their role with the State NASAP Mission Statement John shared the NASAP Mission statement
ldquoThe purpose of the National Association of State Adoption Programs is to provide a forum in which State Adoption Program Managers can pool their expertise and to promote networking activities as an association with other direct child welfare entities and individual professionals so that each state can develop and maintain an efficient state-of-the-art adoption programrdquo
John asked the meeting participants to keep the NASAP Mission in mind as we move forward with todayrsquos agenda NASAP Executive Committee (EC) Members John introduced the 2014 EC members The EC currently has one vacant member-at-large position that we hope to fill after the 2014 elections
PRESIDENT John Johnson
Director of Foster Care and Adoptions State of Tennessee Department of Childrens Services
VICE-PRESIDENT
Maggie Molitor Adoption Program Policy Specialist
West Virginia Department of Health and Human Resources
SECRETARY Stephanie Miller
Permanency Program Specialist Idaho Department of Health amp Welfare
INTERIM TREASURER
Steve Obershaw Adoption and Consultation Section Manager
State of Wisconsin Department of Children and Families
MEMBERS Betty Berzin
Assistant Director-Adoption Program Director New Jersey Department of Children and Families
Michigan Department of Human Services Bureau of Child Welfare
Tracey Parker Hirst
Adoption Program Manager Iowa Department of Human Services
Division of Adult Children amp Family Services
EX-OFFICIO MEMBER Deborah Goodman
Program Administrator Oklahoma Department of Human Services
NASAP Overview NASAP was formed in 1998 with the knowledge of and encouragement from the Childrenrsquos Bureau The Association is incorporated in Utah as a non-profit entity Utah was selected only because one of the founding members resided there The Associationrsquos articles of incorporation and by-laws are were shared as handouts for todayrsquos meeting NASAP is a professional peer organization Membership is automatic for all who are identified by their respective States as the statewide adoption manager adoption specialist or state equivalent NASAP charges no membership dues ReadingApproval of the October 1 2013 Annual Working Meeting Minutes Stephanie Miller presented the minutes from last yearrsquos annual working meeting which was provided as a handout for todayrsquos meeting
Stephanie asked NASAP members for a motion to accept the minutes as presented Maggie Molitor motioned to accept the minutes Betty Berzin seconded the motion There were no oppositions or abstentions The NASAP membership unanimously voted to accept the minutes as presented ReviewApproval of the November 20 2014 Treasurerrsquos Report Steve Obershaw NASAP Interim Treasurer presented the current Treasurerrsquos Report Assets as of October 7 2014 were reported as $673312 Since the last Executive Committee Meeting there were no additions to income and no expenses were incurred Net assets as of November 20 2014 remain at $673312 Steve also reported that during the past year the NASAP EC moved the NASAP funds to an internet checking account which will make approving and assigning account administrators and providing access to funds a smoother process when EC members transition from their roles Steve asked NASAP members for a motion to accept the Treasurerrsquos Report as presented Tracey Parker motioned to accept the report Stephanie Miller seconded the motion There were no oppositions to the motion Michigan abstained from the vote The NASAP membership voted to accept the Treasurerrsquos Report as presented Goals and Strategies for 2015-2017 John discussed the identified goals and strategies which were provided as a handout for todayrsquos meeting The initial goals and strategies were developed some time ago and although they have evolved with changing priorities John stated there is a need to continue to think about how to improve upon these priorities and decide how we should lead the organization as we move forward The 1st proposed change addresses Goal 1-D which removes the reference to the NRCA (National Resource Center for Adoption) Although the EC would like to continue to explore the use of a travel agent that may be able to offer reduced fares for State Managers to travel for a NASAP Annual Working Meeting the cooperative agreement for the NRCA ended September 30 2014 so they will no longer be available to provide support The NASAP Annual Working Meetings have historically been held as in-person meetings in the Washington DC area Due to challenges with Statesrsquo travel budgets the Annual Working Meeting was held in conjunction with the Childrenrsquos Bureaursquos National Policy to Practice Meetings since 2008 NASAP has faced further challenges with holding in-person meetings since the elimination of the Childrenrsquos Bureaursquos Policy to Practice Dialogue The last two Annual Working Meetings have been held via webinar The EC will continue to seek ways to bring State Adoption Managers together and are open to suggestions from the general NASAP membership Goal 2 addresses the need to increase opportunities for informal sharingrelationship-building among NASAP members This goal is linked to planning in-person NASAP Annual Meetings which continues to be considered a priority interest of the membership
Goal 3 addresses the need to establish build or strengthen mutually supportive relationships between NASAP and other child welfare peer organizations This goal was addressed during the past year when NASAP held a webinar which included representatives of the Association of Administrators of the Interstate Compact on Adoption and Medical Assistance (AAICAMA) This forum was helpful for making connections for NASAP and the webinar provided opportunities for discussing and thinking through some of shared challenges experienced by both organizations As we keep this goal in place we seek to identify different strategies Goal4 addresses the need to assure the continuity and progress toward fulfilling the stated mission and goals of the Association The strategies identified for this goal continue to viable for our Association Goal 5 addresses the need to encourage and support collaboration among individual Association members as well as with members of partner child welfare peer associations and other national organizations for the attainment of positive individual child and family county state and national outcomes Todayrsquos agenda and the professionals presenting for todayrsquos meeting reflects our ability to meet this goal There are many agencies that have a shared vision of serving children and families and todayrsquos presenters have information about new opportunities to develop innovative programs and practices to improve outcomes for children and families The final proposed change addresses Goal 6 which the EC suggests should be removed This goal continues to address the NRCA and the Childrenrsquos Bureau TampTA network The cooperative agreements for the Resource Centers ended September 30 so this goal no longer applies The Childrenrsquos Bureau is currently working to identify their strategies to support NASAP and other Peer Networks and as plans are developed and identified on what support will be provided NASAP will be better able identify strategies for supporting and building mutually beneficial relationships Sue Schmelz Adoption Specialist from Arizona serving as interim State Adoption Manager until the vacated position is filled asked if NASAP reaches out to new Managers as they are hired to provide information on who may be contacted for information and assistance John stated that NASAP reaches out to new Managers when the EC is informed of changes and orientation information about NASAP is shared along with contact information for the current Executive Committee John asked the membership to please help keep the EC informed when there are changes in State leadership NASAP also has a website which provides general information and updates about the organization Over the next few months NASAP EC will spend time reframing the goals and refining plans for moving forward The EC welcomes feedback around the priority goals and anyone with suggestionsfeedback may contact John Johnson at JohnJohnsontngov or via phone at (615) 253-6351 Review of the proposed NASAP By-Laws changes John reviewed the NASAP By-Laws which were provided as a handout for todayrsquos meeting Proposed changes include
bull Revise Article 4c to include in the clause that the ldquoThe Secretary shall act as clerk of all
meetings of the members and the Executive Committee The Secretary shall keep a record of all proceedings of each meeting for inspection by the members NASAP meeting minutes By-Laws and Goals and Objectives will also be archived on the NASAP websiterdquo This modification is a ldquoclean-uprdquo to the By-Laws which previously reflected involvement from the NRCA The NASAP EC will assume these responsibilities going forward
bull Revise Article 5c to state ldquoThe Association immediate past president andor an immediate
past Executive Committee member shall serve as an advisor to the President and shall have no voting rights on the Executive Committee This modification adds an opportunity to recognize an additional immediate past Executive Committee Member in addition to the immediate past President to help provide support to the current President and ensure this role is covered Steve stated that the phrase ldquoas an advisorrdquo should be changed to ldquoas advisorsrdquo to correct the proposed changes as discussed by the EC To clarify John stated the proposed change to Article 5c will be voted on as follows ldquoThe Association immediate past president andor an immediate past Executive Committee member shall serve as advisors to the President and shall have no voting rights on the Executive Committeerdquo
bull Revise Article 6c to state ldquoA representative from the Childrens Bureau andor other organizations as determined by the Executive Committee may be invited to the annual meetingrdquo This change is a ldquoclean uprdquo which maintains the opportunity to invite other organizations to provide the support previously provided by the NRCA
John asked NASAP members for a motion to accept the By-Laws changes in Articles 4c 5c and 6c as proposed Steve Obershaw motioned to accept the proposed changes Deborah Goodman seconded the motion There were no oppositions to the motion Michigan abstained from the vote The NASAP membership voted to accept the proposed By-Laws changes as presented Annual NASAP Executive Committee Elections Deborah Goodman NASAP Ex-Officio member shared that she met with Steve Obershaw as part of the NASAP nominating committee to develop the slate of candidates for this yearrsquos annual elections In consideration for the ballot the committee looked to find representatives from regions across the country Personal contact was extended to those nominated State Manager and they represented on the ballot which was emailed to the NASAP membership Deborah presented the slate of nominees as follows
bull John Johnson (TN) ndash President (2014-2016) bull Maggie Molitor (WV) ndash Vice-President (2014-2016) bull Betty Berzin (NJ) ndash Member-at-large (2014-2016) bull Tracey Parker Hirst (IA) ndash Member-at-large (2014-2016)
Deborah provided the NASAP membership instructions for voting
bull Ingrid Parks from the Academy for Family Support and Preservation a program of Spaulding for Children will collect ballots via email
bull You may vote for a nominee on the slate or enter a write in candidate bull All States the District of Columbia and the US Territories are each allowed one vote bull All ballots will remain confidential bull All ballots must be returned to Ingrid Parks at iparksspauldingorg by 500 pm
Eastern time on Monday November 24 2014 to be counted bull An email announcing the election results will be sent out to the NASAP membership on
Tuesday November 25 2014 John encouraged everyone to get their ballots in to Ingrid Parks at iparksspauldingorg so we may finalize the elections and introduce our new members who will begin their terms effective January 2015 Guest Presentations John introduced the guest presentations for todayrsquos meeting
bull ldquoAn Overview of Public Law 113-183 the Preventing Sex Trafficking and Strengthening Families Actrdquo ndash presented by Allison Lowery Palmer Child Welfare Program Specialist US Department of Health and Human Services Administration for Children and Families
bull ldquoIntroducing the National Adoption Competency Mental Health Training Initiativerdquo ndash
presented by Sarah Greenblatt Director
bull ldquoIntroducing the National Quality Improvement Center for AdoptionGuardianship Support and Preservationrdquo ndash presented by Melinda Lis Director
bull Overview of the upcoming ldquoAdoption Support and Preservation National Post-Adoption
Conferencerdquo ndash Pamela L Wolf Founder and CEO Harmony Family Center John thanked each of the presenters specifically the Center for Adoption Support and Education (CASE) and Spaulding for Children as they reached out for support from NASAP when they pursued funding opportunities with the Childrenrsquos Bureau The NASAP EC congratulations them on their awards and looks forward to partnering with these projects John also thanked Pam Wolf and her work around helping organize the ASAP National Post-Adoption Conference and the opportunities for the event to provide support to help better
understand best practices for supporting families post-adoption As a reminder the conference is scheduled for June 1-2 2015 in Nashville Tennessee You may find more information about the upcoming conference at this link httpharmonyfamilycenterorg NEW BUSINESS Overview and Discussion of the 2014 NASAP Survey John stated the due to the discontinuation of the Childrenrsquos Bureaursquos Policy to Practice Dialogue where travel was sponsored for State Managers it becomes even more challenging for the NASAP Executive Committee to plan in-person meetings for the NASAP membership due to costs NASAP is constantly looking at ways to reinvent ourselves and the EC is seeking feedback from the membership so we can continue to provide support to State Managers and keep our organization moving in a successful direction Over the next year the NASAP EC will be looking at the possibility of hosting an in-person meeting In our attempt to gain feedback on priorities of the membership NASAP developed a survey A link to the survey was sent out to State Managers a couple of months ago requesting feedback on expectations around holding an annual meeting and also ways we may leverage technology to improve communication and the ability to share information To date there have been approximately 20 responses to the survey Some feedback received from the survey reported that State Managers are increasingly asked to do more Due to the culture and climate we work in the work is no longer just ldquoadoptionrdquo work For many of us the work includes adoption foster care ICAMA post adoption kinship care recruitment etc Time is more limited so we exploring ways NASAP can utilize your time wisely and be more supportive NASAP received good feedback about what is most beneficial to State Managers including the Peer-to-Peer Forums that were hosted via webinar this past year A topic of one these Forums focused on the issue of re-homing which was well attended The NASAP EC hopes to continue offering theses Forums in the coming year The EC also received feedback State Managers would like more information about changes in national policies programs and laws The EC hopes to hold a Forum in the future that goes more in depth about the recent Sex Trafficking Legislation and guidancedirection on how Child Welfare Agencies are to implement this legislation in their programs State Managers also provided feedback they would like information and announcements to continue to be sent out via the NASAP email listserv For those that have questions or need input for other State Managers the EC encourages you to utilize the listserv which is a great way to learn about what is occurring in other Statesagencies The NASAP EC will continue to support the use of the email listserv
The NASAP will also further explore the possibility of holding Regional Roundtables as a forum for State Managers to discuss adoption programs policies and practices with our peers During the past year the NASAP EC directed support to specific regions to engage State Managers around the activities of NASAP and also around hot topics and policy and practice challenges for additional opportunities for dialogue We look forward to increased opportunities to engage State Managers on a regional level over the next year Goal and Priorities for the Coming Year John shared that he will work closely with Maggie Molitor NASAP Vice-President over the coming year to decide how we would like to host next yearrsquos Annual Working Meeting The EC welcomes ideas and thoughts from the NASAP membership on building opportunities for engaging each other in-person meetingsactivitiesevents As more and more State Managers have the opportunity to use technology in their work the EC is also potentially looking at using Facebook Twitter or another social media platform to engage each other and provide access to information As we confirm activities for the coming year the EC is planning the next NASAP Peer-to-Peer Forum around the topic of ldquofull disclosurerdquo John shared that in the State of Tennessee they have been working with Spaulding for Children to look at how they may improve practice around full disclosure specifically how they considerrespect HIPAA while also providing sharing information about their children and providing a clear picture to prospective families about the child wersquore expecting them to parent Tennessee did not have an existing policy around full disclosure and the Technical Assistance received from Spaulding around this issue helped them develop a policy and also resulted in Tennessee submitting State legislation which was recently picked up by the Governor and will be added to his legislative packet Tennessee is currently linking legislation to policy to practice If other States have examples of rising issues or trends or promising practices around full disclosure we are would appreciate you sharing your examples with the NASAP EC The EC plans to hold three Peer-to-Peer Forums over the next year and would be interested in hearing about other ideas for topics Catherine Meister from New Hampshire stated she would be very interested in the discussion around full disclosure and she would also be interested in hearing from other States if they have specific policies and practices around determining their matching process John stated more information around the Sex Trafficking legislation could also potentially be considered as a topic for a NASAP Forum In summary as NASAP continues to move forward we are continually looking at ways to reinvent our organization and keep State Manager engaged and informed We are also looking at ways to strengthen the NASAP Executive Committee to ensure we continue to provide the needed support and adequate representation for the NASAP membership
John thank everyone for their participation in the 2014 NASAP Annual Working Meeting and asked that everyone remember to vote and send in their ballots for the NASAP elections to iparksspauldingorg by Tuesday November 25
Webinar Registration Link
PL 113-183 Preventing Sex
Trafficking and Strengthening
Families Act
Sponsor Rep Dave Camp [R-MI-4]
9292014- signed by the President
Provided by
The Childrenrsquos Bureau
Administration for Children and Families
US Department of Health and Human Services
Legislationrsquos Purpose
bull Amends the title IV-E program to address sex trafficking
locating missing children in foster care amends title IV-
EIV-B case review and planning requirements
reauthorizes and amends the Adoption Incentives Program
and Family Connections Grants
bull All citations are to the Social Security Act (the Act) as
amended by Public Law (PL) 113-183
bull The bill number is HR 4980 Go to Congressgov for more
information about the PL httpswwwcongressgovbill113th-
congresshouse-
bill4980q=7B22search223A5B22hr4980225D7D
2
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
UPON ENACTMENT
3
Title IV-E Adoption Assistance Program
savings reporting
bull Revises the existing requirement for a title IV-E
agency to spend any savings generated from
implementing the revised adoption assistance
eligibility criteria on child welfare services that may be
provided under titles IV-B and IV-E
bull Title IV-E agencies now must also
ndash calculate the savings from de-linking title IV-E adoption
assistance eligibility from the Aid to Families with Dependent
Children (AFDC) eligibility requirements and
ndash report the methodology used to calculate the savings how
savings are spent and on what services
4
Title IV-E Adoption Assistance Program
savings reporting cont
bull Title IV-E agencies must spend the savings on title IV-
B and IV-E programs including
ndash 30 on post-adoption services post-guardianship services
and services to support positive permanent outcomes for
children at risk of entering foster care
ndash Two-thirds of the 30 on post-adoption and post-
guardianship services
bull Title IV-E agencies must use the savings to
supplement and not supplant any funds used to
provide any service under title IV-B or IV-E
bull Effective 10114
5
Relative notification and sibling definition
bull Modifies the relative notification provision to include
notifying the parents of the childrsquos siblings
bull Defines siblings to mean an individual who is
considered by State law to be a sibling or who would
be considered a sibling under state law if it not were
for a disruption in parental rights such as termination
of parental rights (TPR) or death of parent
bull Effective upon enactment unless ACF approves a delayed
effective date
6
Successor guardians
bull Allows continuation of title IV-E kinship guardianship
assistance payments if the relative guardian dies or is
incapacitated and a successor legal guardian is
named in the agreement (or any amendments to the
agreement)
bull Effective upon enactment
7
Family Connection Grants Program
bull Reauthorizes Family Connection Grants at the current
level of $15 million for 2014
bull Permits HHS to make family connection grants
available to institutions of higher education
bull $5 million each FY for kinship navigator programs ndash
no longer required to reserve
bull Effective 10113
8
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
ONE YEAR OR LATER AFTER
ENACTMENT
9
Title IV-E plan requirements victims of sex
trafficking
bull Title IV-E agencies must develop and implement
procedures to identify document and determine
appropriate services for specific children who are at-
risk of becoming a sex trafficking victim or who is a
sex trafficking victim
bull Title IV-E agencies must report annually to HHS the
total number of children and youth who are sex
trafficking victims
ndash HHS must report to Congress annually beginning 4 years
after enactment (92918) the number of these children and
youth who are sex trafficking victims (defined in sec
475(9)(A))
10
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
West Virginia Department of Health and Human Resources
SECRETARY Stephanie Miller
Permanency Program Specialist Idaho Department of Health amp Welfare
INTERIM TREASURER
Steve Obershaw Adoption and Consultation Section Manager
State of Wisconsin Department of Children and Families
MEMBERS Betty Berzin
Assistant Director-Adoption Program Director New Jersey Department of Children and Families
Michigan Department of Human Services Bureau of Child Welfare
Tracey Parker Hirst
Adoption Program Manager Iowa Department of Human Services
Division of Adult Children amp Family Services
EX-OFFICIO MEMBER Deborah Goodman
Program Administrator Oklahoma Department of Human Services
NASAP Overview NASAP was formed in 1998 with the knowledge of and encouragement from the Childrenrsquos Bureau The Association is incorporated in Utah as a non-profit entity Utah was selected only because one of the founding members resided there The Associationrsquos articles of incorporation and by-laws are were shared as handouts for todayrsquos meeting NASAP is a professional peer organization Membership is automatic for all who are identified by their respective States as the statewide adoption manager adoption specialist or state equivalent NASAP charges no membership dues ReadingApproval of the October 1 2013 Annual Working Meeting Minutes Stephanie Miller presented the minutes from last yearrsquos annual working meeting which was provided as a handout for todayrsquos meeting
Stephanie asked NASAP members for a motion to accept the minutes as presented Maggie Molitor motioned to accept the minutes Betty Berzin seconded the motion There were no oppositions or abstentions The NASAP membership unanimously voted to accept the minutes as presented ReviewApproval of the November 20 2014 Treasurerrsquos Report Steve Obershaw NASAP Interim Treasurer presented the current Treasurerrsquos Report Assets as of October 7 2014 were reported as $673312 Since the last Executive Committee Meeting there were no additions to income and no expenses were incurred Net assets as of November 20 2014 remain at $673312 Steve also reported that during the past year the NASAP EC moved the NASAP funds to an internet checking account which will make approving and assigning account administrators and providing access to funds a smoother process when EC members transition from their roles Steve asked NASAP members for a motion to accept the Treasurerrsquos Report as presented Tracey Parker motioned to accept the report Stephanie Miller seconded the motion There were no oppositions to the motion Michigan abstained from the vote The NASAP membership voted to accept the Treasurerrsquos Report as presented Goals and Strategies for 2015-2017 John discussed the identified goals and strategies which were provided as a handout for todayrsquos meeting The initial goals and strategies were developed some time ago and although they have evolved with changing priorities John stated there is a need to continue to think about how to improve upon these priorities and decide how we should lead the organization as we move forward The 1st proposed change addresses Goal 1-D which removes the reference to the NRCA (National Resource Center for Adoption) Although the EC would like to continue to explore the use of a travel agent that may be able to offer reduced fares for State Managers to travel for a NASAP Annual Working Meeting the cooperative agreement for the NRCA ended September 30 2014 so they will no longer be available to provide support The NASAP Annual Working Meetings have historically been held as in-person meetings in the Washington DC area Due to challenges with Statesrsquo travel budgets the Annual Working Meeting was held in conjunction with the Childrenrsquos Bureaursquos National Policy to Practice Meetings since 2008 NASAP has faced further challenges with holding in-person meetings since the elimination of the Childrenrsquos Bureaursquos Policy to Practice Dialogue The last two Annual Working Meetings have been held via webinar The EC will continue to seek ways to bring State Adoption Managers together and are open to suggestions from the general NASAP membership Goal 2 addresses the need to increase opportunities for informal sharingrelationship-building among NASAP members This goal is linked to planning in-person NASAP Annual Meetings which continues to be considered a priority interest of the membership
Goal 3 addresses the need to establish build or strengthen mutually supportive relationships between NASAP and other child welfare peer organizations This goal was addressed during the past year when NASAP held a webinar which included representatives of the Association of Administrators of the Interstate Compact on Adoption and Medical Assistance (AAICAMA) This forum was helpful for making connections for NASAP and the webinar provided opportunities for discussing and thinking through some of shared challenges experienced by both organizations As we keep this goal in place we seek to identify different strategies Goal4 addresses the need to assure the continuity and progress toward fulfilling the stated mission and goals of the Association The strategies identified for this goal continue to viable for our Association Goal 5 addresses the need to encourage and support collaboration among individual Association members as well as with members of partner child welfare peer associations and other national organizations for the attainment of positive individual child and family county state and national outcomes Todayrsquos agenda and the professionals presenting for todayrsquos meeting reflects our ability to meet this goal There are many agencies that have a shared vision of serving children and families and todayrsquos presenters have information about new opportunities to develop innovative programs and practices to improve outcomes for children and families The final proposed change addresses Goal 6 which the EC suggests should be removed This goal continues to address the NRCA and the Childrenrsquos Bureau TampTA network The cooperative agreements for the Resource Centers ended September 30 so this goal no longer applies The Childrenrsquos Bureau is currently working to identify their strategies to support NASAP and other Peer Networks and as plans are developed and identified on what support will be provided NASAP will be better able identify strategies for supporting and building mutually beneficial relationships Sue Schmelz Adoption Specialist from Arizona serving as interim State Adoption Manager until the vacated position is filled asked if NASAP reaches out to new Managers as they are hired to provide information on who may be contacted for information and assistance John stated that NASAP reaches out to new Managers when the EC is informed of changes and orientation information about NASAP is shared along with contact information for the current Executive Committee John asked the membership to please help keep the EC informed when there are changes in State leadership NASAP also has a website which provides general information and updates about the organization Over the next few months NASAP EC will spend time reframing the goals and refining plans for moving forward The EC welcomes feedback around the priority goals and anyone with suggestionsfeedback may contact John Johnson at JohnJohnsontngov or via phone at (615) 253-6351 Review of the proposed NASAP By-Laws changes John reviewed the NASAP By-Laws which were provided as a handout for todayrsquos meeting Proposed changes include
bull Revise Article 4c to include in the clause that the ldquoThe Secretary shall act as clerk of all
meetings of the members and the Executive Committee The Secretary shall keep a record of all proceedings of each meeting for inspection by the members NASAP meeting minutes By-Laws and Goals and Objectives will also be archived on the NASAP websiterdquo This modification is a ldquoclean-uprdquo to the By-Laws which previously reflected involvement from the NRCA The NASAP EC will assume these responsibilities going forward
bull Revise Article 5c to state ldquoThe Association immediate past president andor an immediate
past Executive Committee member shall serve as an advisor to the President and shall have no voting rights on the Executive Committee This modification adds an opportunity to recognize an additional immediate past Executive Committee Member in addition to the immediate past President to help provide support to the current President and ensure this role is covered Steve stated that the phrase ldquoas an advisorrdquo should be changed to ldquoas advisorsrdquo to correct the proposed changes as discussed by the EC To clarify John stated the proposed change to Article 5c will be voted on as follows ldquoThe Association immediate past president andor an immediate past Executive Committee member shall serve as advisors to the President and shall have no voting rights on the Executive Committeerdquo
bull Revise Article 6c to state ldquoA representative from the Childrens Bureau andor other organizations as determined by the Executive Committee may be invited to the annual meetingrdquo This change is a ldquoclean uprdquo which maintains the opportunity to invite other organizations to provide the support previously provided by the NRCA
John asked NASAP members for a motion to accept the By-Laws changes in Articles 4c 5c and 6c as proposed Steve Obershaw motioned to accept the proposed changes Deborah Goodman seconded the motion There were no oppositions to the motion Michigan abstained from the vote The NASAP membership voted to accept the proposed By-Laws changes as presented Annual NASAP Executive Committee Elections Deborah Goodman NASAP Ex-Officio member shared that she met with Steve Obershaw as part of the NASAP nominating committee to develop the slate of candidates for this yearrsquos annual elections In consideration for the ballot the committee looked to find representatives from regions across the country Personal contact was extended to those nominated State Manager and they represented on the ballot which was emailed to the NASAP membership Deborah presented the slate of nominees as follows
bull John Johnson (TN) ndash President (2014-2016) bull Maggie Molitor (WV) ndash Vice-President (2014-2016) bull Betty Berzin (NJ) ndash Member-at-large (2014-2016) bull Tracey Parker Hirst (IA) ndash Member-at-large (2014-2016)
Deborah provided the NASAP membership instructions for voting
bull Ingrid Parks from the Academy for Family Support and Preservation a program of Spaulding for Children will collect ballots via email
bull You may vote for a nominee on the slate or enter a write in candidate bull All States the District of Columbia and the US Territories are each allowed one vote bull All ballots will remain confidential bull All ballots must be returned to Ingrid Parks at iparksspauldingorg by 500 pm
Eastern time on Monday November 24 2014 to be counted bull An email announcing the election results will be sent out to the NASAP membership on
Tuesday November 25 2014 John encouraged everyone to get their ballots in to Ingrid Parks at iparksspauldingorg so we may finalize the elections and introduce our new members who will begin their terms effective January 2015 Guest Presentations John introduced the guest presentations for todayrsquos meeting
bull ldquoAn Overview of Public Law 113-183 the Preventing Sex Trafficking and Strengthening Families Actrdquo ndash presented by Allison Lowery Palmer Child Welfare Program Specialist US Department of Health and Human Services Administration for Children and Families
bull ldquoIntroducing the National Adoption Competency Mental Health Training Initiativerdquo ndash
presented by Sarah Greenblatt Director
bull ldquoIntroducing the National Quality Improvement Center for AdoptionGuardianship Support and Preservationrdquo ndash presented by Melinda Lis Director
bull Overview of the upcoming ldquoAdoption Support and Preservation National Post-Adoption
Conferencerdquo ndash Pamela L Wolf Founder and CEO Harmony Family Center John thanked each of the presenters specifically the Center for Adoption Support and Education (CASE) and Spaulding for Children as they reached out for support from NASAP when they pursued funding opportunities with the Childrenrsquos Bureau The NASAP EC congratulations them on their awards and looks forward to partnering with these projects John also thanked Pam Wolf and her work around helping organize the ASAP National Post-Adoption Conference and the opportunities for the event to provide support to help better
understand best practices for supporting families post-adoption As a reminder the conference is scheduled for June 1-2 2015 in Nashville Tennessee You may find more information about the upcoming conference at this link httpharmonyfamilycenterorg NEW BUSINESS Overview and Discussion of the 2014 NASAP Survey John stated the due to the discontinuation of the Childrenrsquos Bureaursquos Policy to Practice Dialogue where travel was sponsored for State Managers it becomes even more challenging for the NASAP Executive Committee to plan in-person meetings for the NASAP membership due to costs NASAP is constantly looking at ways to reinvent ourselves and the EC is seeking feedback from the membership so we can continue to provide support to State Managers and keep our organization moving in a successful direction Over the next year the NASAP EC will be looking at the possibility of hosting an in-person meeting In our attempt to gain feedback on priorities of the membership NASAP developed a survey A link to the survey was sent out to State Managers a couple of months ago requesting feedback on expectations around holding an annual meeting and also ways we may leverage technology to improve communication and the ability to share information To date there have been approximately 20 responses to the survey Some feedback received from the survey reported that State Managers are increasingly asked to do more Due to the culture and climate we work in the work is no longer just ldquoadoptionrdquo work For many of us the work includes adoption foster care ICAMA post adoption kinship care recruitment etc Time is more limited so we exploring ways NASAP can utilize your time wisely and be more supportive NASAP received good feedback about what is most beneficial to State Managers including the Peer-to-Peer Forums that were hosted via webinar this past year A topic of one these Forums focused on the issue of re-homing which was well attended The NASAP EC hopes to continue offering theses Forums in the coming year The EC also received feedback State Managers would like more information about changes in national policies programs and laws The EC hopes to hold a Forum in the future that goes more in depth about the recent Sex Trafficking Legislation and guidancedirection on how Child Welfare Agencies are to implement this legislation in their programs State Managers also provided feedback they would like information and announcements to continue to be sent out via the NASAP email listserv For those that have questions or need input for other State Managers the EC encourages you to utilize the listserv which is a great way to learn about what is occurring in other Statesagencies The NASAP EC will continue to support the use of the email listserv
The NASAP will also further explore the possibility of holding Regional Roundtables as a forum for State Managers to discuss adoption programs policies and practices with our peers During the past year the NASAP EC directed support to specific regions to engage State Managers around the activities of NASAP and also around hot topics and policy and practice challenges for additional opportunities for dialogue We look forward to increased opportunities to engage State Managers on a regional level over the next year Goal and Priorities for the Coming Year John shared that he will work closely with Maggie Molitor NASAP Vice-President over the coming year to decide how we would like to host next yearrsquos Annual Working Meeting The EC welcomes ideas and thoughts from the NASAP membership on building opportunities for engaging each other in-person meetingsactivitiesevents As more and more State Managers have the opportunity to use technology in their work the EC is also potentially looking at using Facebook Twitter or another social media platform to engage each other and provide access to information As we confirm activities for the coming year the EC is planning the next NASAP Peer-to-Peer Forum around the topic of ldquofull disclosurerdquo John shared that in the State of Tennessee they have been working with Spaulding for Children to look at how they may improve practice around full disclosure specifically how they considerrespect HIPAA while also providing sharing information about their children and providing a clear picture to prospective families about the child wersquore expecting them to parent Tennessee did not have an existing policy around full disclosure and the Technical Assistance received from Spaulding around this issue helped them develop a policy and also resulted in Tennessee submitting State legislation which was recently picked up by the Governor and will be added to his legislative packet Tennessee is currently linking legislation to policy to practice If other States have examples of rising issues or trends or promising practices around full disclosure we are would appreciate you sharing your examples with the NASAP EC The EC plans to hold three Peer-to-Peer Forums over the next year and would be interested in hearing about other ideas for topics Catherine Meister from New Hampshire stated she would be very interested in the discussion around full disclosure and she would also be interested in hearing from other States if they have specific policies and practices around determining their matching process John stated more information around the Sex Trafficking legislation could also potentially be considered as a topic for a NASAP Forum In summary as NASAP continues to move forward we are continually looking at ways to reinvent our organization and keep State Manager engaged and informed We are also looking at ways to strengthen the NASAP Executive Committee to ensure we continue to provide the needed support and adequate representation for the NASAP membership
John thank everyone for their participation in the 2014 NASAP Annual Working Meeting and asked that everyone remember to vote and send in their ballots for the NASAP elections to iparksspauldingorg by Tuesday November 25
Webinar Registration Link
PL 113-183 Preventing Sex
Trafficking and Strengthening
Families Act
Sponsor Rep Dave Camp [R-MI-4]
9292014- signed by the President
Provided by
The Childrenrsquos Bureau
Administration for Children and Families
US Department of Health and Human Services
Legislationrsquos Purpose
bull Amends the title IV-E program to address sex trafficking
locating missing children in foster care amends title IV-
EIV-B case review and planning requirements
reauthorizes and amends the Adoption Incentives Program
and Family Connections Grants
bull All citations are to the Social Security Act (the Act) as
amended by Public Law (PL) 113-183
bull The bill number is HR 4980 Go to Congressgov for more
information about the PL httpswwwcongressgovbill113th-
congresshouse-
bill4980q=7B22search223A5B22hr4980225D7D
2
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
UPON ENACTMENT
3
Title IV-E Adoption Assistance Program
savings reporting
bull Revises the existing requirement for a title IV-E
agency to spend any savings generated from
implementing the revised adoption assistance
eligibility criteria on child welfare services that may be
provided under titles IV-B and IV-E
bull Title IV-E agencies now must also
ndash calculate the savings from de-linking title IV-E adoption
assistance eligibility from the Aid to Families with Dependent
Children (AFDC) eligibility requirements and
ndash report the methodology used to calculate the savings how
savings are spent and on what services
4
Title IV-E Adoption Assistance Program
savings reporting cont
bull Title IV-E agencies must spend the savings on title IV-
B and IV-E programs including
ndash 30 on post-adoption services post-guardianship services
and services to support positive permanent outcomes for
children at risk of entering foster care
ndash Two-thirds of the 30 on post-adoption and post-
guardianship services
bull Title IV-E agencies must use the savings to
supplement and not supplant any funds used to
provide any service under title IV-B or IV-E
bull Effective 10114
5
Relative notification and sibling definition
bull Modifies the relative notification provision to include
notifying the parents of the childrsquos siblings
bull Defines siblings to mean an individual who is
considered by State law to be a sibling or who would
be considered a sibling under state law if it not were
for a disruption in parental rights such as termination
of parental rights (TPR) or death of parent
bull Effective upon enactment unless ACF approves a delayed
effective date
6
Successor guardians
bull Allows continuation of title IV-E kinship guardianship
assistance payments if the relative guardian dies or is
incapacitated and a successor legal guardian is
named in the agreement (or any amendments to the
agreement)
bull Effective upon enactment
7
Family Connection Grants Program
bull Reauthorizes Family Connection Grants at the current
level of $15 million for 2014
bull Permits HHS to make family connection grants
available to institutions of higher education
bull $5 million each FY for kinship navigator programs ndash
no longer required to reserve
bull Effective 10113
8
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
ONE YEAR OR LATER AFTER
ENACTMENT
9
Title IV-E plan requirements victims of sex
trafficking
bull Title IV-E agencies must develop and implement
procedures to identify document and determine
appropriate services for specific children who are at-
risk of becoming a sex trafficking victim or who is a
sex trafficking victim
bull Title IV-E agencies must report annually to HHS the
total number of children and youth who are sex
trafficking victims
ndash HHS must report to Congress annually beginning 4 years
after enactment (92918) the number of these children and
youth who are sex trafficking victims (defined in sec
475(9)(A))
10
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Stephanie asked NASAP members for a motion to accept the minutes as presented Maggie Molitor motioned to accept the minutes Betty Berzin seconded the motion There were no oppositions or abstentions The NASAP membership unanimously voted to accept the minutes as presented ReviewApproval of the November 20 2014 Treasurerrsquos Report Steve Obershaw NASAP Interim Treasurer presented the current Treasurerrsquos Report Assets as of October 7 2014 were reported as $673312 Since the last Executive Committee Meeting there were no additions to income and no expenses were incurred Net assets as of November 20 2014 remain at $673312 Steve also reported that during the past year the NASAP EC moved the NASAP funds to an internet checking account which will make approving and assigning account administrators and providing access to funds a smoother process when EC members transition from their roles Steve asked NASAP members for a motion to accept the Treasurerrsquos Report as presented Tracey Parker motioned to accept the report Stephanie Miller seconded the motion There were no oppositions to the motion Michigan abstained from the vote The NASAP membership voted to accept the Treasurerrsquos Report as presented Goals and Strategies for 2015-2017 John discussed the identified goals and strategies which were provided as a handout for todayrsquos meeting The initial goals and strategies were developed some time ago and although they have evolved with changing priorities John stated there is a need to continue to think about how to improve upon these priorities and decide how we should lead the organization as we move forward The 1st proposed change addresses Goal 1-D which removes the reference to the NRCA (National Resource Center for Adoption) Although the EC would like to continue to explore the use of a travel agent that may be able to offer reduced fares for State Managers to travel for a NASAP Annual Working Meeting the cooperative agreement for the NRCA ended September 30 2014 so they will no longer be available to provide support The NASAP Annual Working Meetings have historically been held as in-person meetings in the Washington DC area Due to challenges with Statesrsquo travel budgets the Annual Working Meeting was held in conjunction with the Childrenrsquos Bureaursquos National Policy to Practice Meetings since 2008 NASAP has faced further challenges with holding in-person meetings since the elimination of the Childrenrsquos Bureaursquos Policy to Practice Dialogue The last two Annual Working Meetings have been held via webinar The EC will continue to seek ways to bring State Adoption Managers together and are open to suggestions from the general NASAP membership Goal 2 addresses the need to increase opportunities for informal sharingrelationship-building among NASAP members This goal is linked to planning in-person NASAP Annual Meetings which continues to be considered a priority interest of the membership
Goal 3 addresses the need to establish build or strengthen mutually supportive relationships between NASAP and other child welfare peer organizations This goal was addressed during the past year when NASAP held a webinar which included representatives of the Association of Administrators of the Interstate Compact on Adoption and Medical Assistance (AAICAMA) This forum was helpful for making connections for NASAP and the webinar provided opportunities for discussing and thinking through some of shared challenges experienced by both organizations As we keep this goal in place we seek to identify different strategies Goal4 addresses the need to assure the continuity and progress toward fulfilling the stated mission and goals of the Association The strategies identified for this goal continue to viable for our Association Goal 5 addresses the need to encourage and support collaboration among individual Association members as well as with members of partner child welfare peer associations and other national organizations for the attainment of positive individual child and family county state and national outcomes Todayrsquos agenda and the professionals presenting for todayrsquos meeting reflects our ability to meet this goal There are many agencies that have a shared vision of serving children and families and todayrsquos presenters have information about new opportunities to develop innovative programs and practices to improve outcomes for children and families The final proposed change addresses Goal 6 which the EC suggests should be removed This goal continues to address the NRCA and the Childrenrsquos Bureau TampTA network The cooperative agreements for the Resource Centers ended September 30 so this goal no longer applies The Childrenrsquos Bureau is currently working to identify their strategies to support NASAP and other Peer Networks and as plans are developed and identified on what support will be provided NASAP will be better able identify strategies for supporting and building mutually beneficial relationships Sue Schmelz Adoption Specialist from Arizona serving as interim State Adoption Manager until the vacated position is filled asked if NASAP reaches out to new Managers as they are hired to provide information on who may be contacted for information and assistance John stated that NASAP reaches out to new Managers when the EC is informed of changes and orientation information about NASAP is shared along with contact information for the current Executive Committee John asked the membership to please help keep the EC informed when there are changes in State leadership NASAP also has a website which provides general information and updates about the organization Over the next few months NASAP EC will spend time reframing the goals and refining plans for moving forward The EC welcomes feedback around the priority goals and anyone with suggestionsfeedback may contact John Johnson at JohnJohnsontngov or via phone at (615) 253-6351 Review of the proposed NASAP By-Laws changes John reviewed the NASAP By-Laws which were provided as a handout for todayrsquos meeting Proposed changes include
bull Revise Article 4c to include in the clause that the ldquoThe Secretary shall act as clerk of all
meetings of the members and the Executive Committee The Secretary shall keep a record of all proceedings of each meeting for inspection by the members NASAP meeting minutes By-Laws and Goals and Objectives will also be archived on the NASAP websiterdquo This modification is a ldquoclean-uprdquo to the By-Laws which previously reflected involvement from the NRCA The NASAP EC will assume these responsibilities going forward
bull Revise Article 5c to state ldquoThe Association immediate past president andor an immediate
past Executive Committee member shall serve as an advisor to the President and shall have no voting rights on the Executive Committee This modification adds an opportunity to recognize an additional immediate past Executive Committee Member in addition to the immediate past President to help provide support to the current President and ensure this role is covered Steve stated that the phrase ldquoas an advisorrdquo should be changed to ldquoas advisorsrdquo to correct the proposed changes as discussed by the EC To clarify John stated the proposed change to Article 5c will be voted on as follows ldquoThe Association immediate past president andor an immediate past Executive Committee member shall serve as advisors to the President and shall have no voting rights on the Executive Committeerdquo
bull Revise Article 6c to state ldquoA representative from the Childrens Bureau andor other organizations as determined by the Executive Committee may be invited to the annual meetingrdquo This change is a ldquoclean uprdquo which maintains the opportunity to invite other organizations to provide the support previously provided by the NRCA
John asked NASAP members for a motion to accept the By-Laws changes in Articles 4c 5c and 6c as proposed Steve Obershaw motioned to accept the proposed changes Deborah Goodman seconded the motion There were no oppositions to the motion Michigan abstained from the vote The NASAP membership voted to accept the proposed By-Laws changes as presented Annual NASAP Executive Committee Elections Deborah Goodman NASAP Ex-Officio member shared that she met with Steve Obershaw as part of the NASAP nominating committee to develop the slate of candidates for this yearrsquos annual elections In consideration for the ballot the committee looked to find representatives from regions across the country Personal contact was extended to those nominated State Manager and they represented on the ballot which was emailed to the NASAP membership Deborah presented the slate of nominees as follows
bull John Johnson (TN) ndash President (2014-2016) bull Maggie Molitor (WV) ndash Vice-President (2014-2016) bull Betty Berzin (NJ) ndash Member-at-large (2014-2016) bull Tracey Parker Hirst (IA) ndash Member-at-large (2014-2016)
Deborah provided the NASAP membership instructions for voting
bull Ingrid Parks from the Academy for Family Support and Preservation a program of Spaulding for Children will collect ballots via email
bull You may vote for a nominee on the slate or enter a write in candidate bull All States the District of Columbia and the US Territories are each allowed one vote bull All ballots will remain confidential bull All ballots must be returned to Ingrid Parks at iparksspauldingorg by 500 pm
Eastern time on Monday November 24 2014 to be counted bull An email announcing the election results will be sent out to the NASAP membership on
Tuesday November 25 2014 John encouraged everyone to get their ballots in to Ingrid Parks at iparksspauldingorg so we may finalize the elections and introduce our new members who will begin their terms effective January 2015 Guest Presentations John introduced the guest presentations for todayrsquos meeting
bull ldquoAn Overview of Public Law 113-183 the Preventing Sex Trafficking and Strengthening Families Actrdquo ndash presented by Allison Lowery Palmer Child Welfare Program Specialist US Department of Health and Human Services Administration for Children and Families
bull ldquoIntroducing the National Adoption Competency Mental Health Training Initiativerdquo ndash
presented by Sarah Greenblatt Director
bull ldquoIntroducing the National Quality Improvement Center for AdoptionGuardianship Support and Preservationrdquo ndash presented by Melinda Lis Director
bull Overview of the upcoming ldquoAdoption Support and Preservation National Post-Adoption
Conferencerdquo ndash Pamela L Wolf Founder and CEO Harmony Family Center John thanked each of the presenters specifically the Center for Adoption Support and Education (CASE) and Spaulding for Children as they reached out for support from NASAP when they pursued funding opportunities with the Childrenrsquos Bureau The NASAP EC congratulations them on their awards and looks forward to partnering with these projects John also thanked Pam Wolf and her work around helping organize the ASAP National Post-Adoption Conference and the opportunities for the event to provide support to help better
understand best practices for supporting families post-adoption As a reminder the conference is scheduled for June 1-2 2015 in Nashville Tennessee You may find more information about the upcoming conference at this link httpharmonyfamilycenterorg NEW BUSINESS Overview and Discussion of the 2014 NASAP Survey John stated the due to the discontinuation of the Childrenrsquos Bureaursquos Policy to Practice Dialogue where travel was sponsored for State Managers it becomes even more challenging for the NASAP Executive Committee to plan in-person meetings for the NASAP membership due to costs NASAP is constantly looking at ways to reinvent ourselves and the EC is seeking feedback from the membership so we can continue to provide support to State Managers and keep our organization moving in a successful direction Over the next year the NASAP EC will be looking at the possibility of hosting an in-person meeting In our attempt to gain feedback on priorities of the membership NASAP developed a survey A link to the survey was sent out to State Managers a couple of months ago requesting feedback on expectations around holding an annual meeting and also ways we may leverage technology to improve communication and the ability to share information To date there have been approximately 20 responses to the survey Some feedback received from the survey reported that State Managers are increasingly asked to do more Due to the culture and climate we work in the work is no longer just ldquoadoptionrdquo work For many of us the work includes adoption foster care ICAMA post adoption kinship care recruitment etc Time is more limited so we exploring ways NASAP can utilize your time wisely and be more supportive NASAP received good feedback about what is most beneficial to State Managers including the Peer-to-Peer Forums that were hosted via webinar this past year A topic of one these Forums focused on the issue of re-homing which was well attended The NASAP EC hopes to continue offering theses Forums in the coming year The EC also received feedback State Managers would like more information about changes in national policies programs and laws The EC hopes to hold a Forum in the future that goes more in depth about the recent Sex Trafficking Legislation and guidancedirection on how Child Welfare Agencies are to implement this legislation in their programs State Managers also provided feedback they would like information and announcements to continue to be sent out via the NASAP email listserv For those that have questions or need input for other State Managers the EC encourages you to utilize the listserv which is a great way to learn about what is occurring in other Statesagencies The NASAP EC will continue to support the use of the email listserv
The NASAP will also further explore the possibility of holding Regional Roundtables as a forum for State Managers to discuss adoption programs policies and practices with our peers During the past year the NASAP EC directed support to specific regions to engage State Managers around the activities of NASAP and also around hot topics and policy and practice challenges for additional opportunities for dialogue We look forward to increased opportunities to engage State Managers on a regional level over the next year Goal and Priorities for the Coming Year John shared that he will work closely with Maggie Molitor NASAP Vice-President over the coming year to decide how we would like to host next yearrsquos Annual Working Meeting The EC welcomes ideas and thoughts from the NASAP membership on building opportunities for engaging each other in-person meetingsactivitiesevents As more and more State Managers have the opportunity to use technology in their work the EC is also potentially looking at using Facebook Twitter or another social media platform to engage each other and provide access to information As we confirm activities for the coming year the EC is planning the next NASAP Peer-to-Peer Forum around the topic of ldquofull disclosurerdquo John shared that in the State of Tennessee they have been working with Spaulding for Children to look at how they may improve practice around full disclosure specifically how they considerrespect HIPAA while also providing sharing information about their children and providing a clear picture to prospective families about the child wersquore expecting them to parent Tennessee did not have an existing policy around full disclosure and the Technical Assistance received from Spaulding around this issue helped them develop a policy and also resulted in Tennessee submitting State legislation which was recently picked up by the Governor and will be added to his legislative packet Tennessee is currently linking legislation to policy to practice If other States have examples of rising issues or trends or promising practices around full disclosure we are would appreciate you sharing your examples with the NASAP EC The EC plans to hold three Peer-to-Peer Forums over the next year and would be interested in hearing about other ideas for topics Catherine Meister from New Hampshire stated she would be very interested in the discussion around full disclosure and she would also be interested in hearing from other States if they have specific policies and practices around determining their matching process John stated more information around the Sex Trafficking legislation could also potentially be considered as a topic for a NASAP Forum In summary as NASAP continues to move forward we are continually looking at ways to reinvent our organization and keep State Manager engaged and informed We are also looking at ways to strengthen the NASAP Executive Committee to ensure we continue to provide the needed support and adequate representation for the NASAP membership
John thank everyone for their participation in the 2014 NASAP Annual Working Meeting and asked that everyone remember to vote and send in their ballots for the NASAP elections to iparksspauldingorg by Tuesday November 25
Webinar Registration Link
PL 113-183 Preventing Sex
Trafficking and Strengthening
Families Act
Sponsor Rep Dave Camp [R-MI-4]
9292014- signed by the President
Provided by
The Childrenrsquos Bureau
Administration for Children and Families
US Department of Health and Human Services
Legislationrsquos Purpose
bull Amends the title IV-E program to address sex trafficking
locating missing children in foster care amends title IV-
EIV-B case review and planning requirements
reauthorizes and amends the Adoption Incentives Program
and Family Connections Grants
bull All citations are to the Social Security Act (the Act) as
amended by Public Law (PL) 113-183
bull The bill number is HR 4980 Go to Congressgov for more
information about the PL httpswwwcongressgovbill113th-
congresshouse-
bill4980q=7B22search223A5B22hr4980225D7D
2
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
UPON ENACTMENT
3
Title IV-E Adoption Assistance Program
savings reporting
bull Revises the existing requirement for a title IV-E
agency to spend any savings generated from
implementing the revised adoption assistance
eligibility criteria on child welfare services that may be
provided under titles IV-B and IV-E
bull Title IV-E agencies now must also
ndash calculate the savings from de-linking title IV-E adoption
assistance eligibility from the Aid to Families with Dependent
Children (AFDC) eligibility requirements and
ndash report the methodology used to calculate the savings how
savings are spent and on what services
4
Title IV-E Adoption Assistance Program
savings reporting cont
bull Title IV-E agencies must spend the savings on title IV-
B and IV-E programs including
ndash 30 on post-adoption services post-guardianship services
and services to support positive permanent outcomes for
children at risk of entering foster care
ndash Two-thirds of the 30 on post-adoption and post-
guardianship services
bull Title IV-E agencies must use the savings to
supplement and not supplant any funds used to
provide any service under title IV-B or IV-E
bull Effective 10114
5
Relative notification and sibling definition
bull Modifies the relative notification provision to include
notifying the parents of the childrsquos siblings
bull Defines siblings to mean an individual who is
considered by State law to be a sibling or who would
be considered a sibling under state law if it not were
for a disruption in parental rights such as termination
of parental rights (TPR) or death of parent
bull Effective upon enactment unless ACF approves a delayed
effective date
6
Successor guardians
bull Allows continuation of title IV-E kinship guardianship
assistance payments if the relative guardian dies or is
incapacitated and a successor legal guardian is
named in the agreement (or any amendments to the
agreement)
bull Effective upon enactment
7
Family Connection Grants Program
bull Reauthorizes Family Connection Grants at the current
level of $15 million for 2014
bull Permits HHS to make family connection grants
available to institutions of higher education
bull $5 million each FY for kinship navigator programs ndash
no longer required to reserve
bull Effective 10113
8
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
ONE YEAR OR LATER AFTER
ENACTMENT
9
Title IV-E plan requirements victims of sex
trafficking
bull Title IV-E agencies must develop and implement
procedures to identify document and determine
appropriate services for specific children who are at-
risk of becoming a sex trafficking victim or who is a
sex trafficking victim
bull Title IV-E agencies must report annually to HHS the
total number of children and youth who are sex
trafficking victims
ndash HHS must report to Congress annually beginning 4 years
after enactment (92918) the number of these children and
youth who are sex trafficking victims (defined in sec
475(9)(A))
10
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Goal 3 addresses the need to establish build or strengthen mutually supportive relationships between NASAP and other child welfare peer organizations This goal was addressed during the past year when NASAP held a webinar which included representatives of the Association of Administrators of the Interstate Compact on Adoption and Medical Assistance (AAICAMA) This forum was helpful for making connections for NASAP and the webinar provided opportunities for discussing and thinking through some of shared challenges experienced by both organizations As we keep this goal in place we seek to identify different strategies Goal4 addresses the need to assure the continuity and progress toward fulfilling the stated mission and goals of the Association The strategies identified for this goal continue to viable for our Association Goal 5 addresses the need to encourage and support collaboration among individual Association members as well as with members of partner child welfare peer associations and other national organizations for the attainment of positive individual child and family county state and national outcomes Todayrsquos agenda and the professionals presenting for todayrsquos meeting reflects our ability to meet this goal There are many agencies that have a shared vision of serving children and families and todayrsquos presenters have information about new opportunities to develop innovative programs and practices to improve outcomes for children and families The final proposed change addresses Goal 6 which the EC suggests should be removed This goal continues to address the NRCA and the Childrenrsquos Bureau TampTA network The cooperative agreements for the Resource Centers ended September 30 so this goal no longer applies The Childrenrsquos Bureau is currently working to identify their strategies to support NASAP and other Peer Networks and as plans are developed and identified on what support will be provided NASAP will be better able identify strategies for supporting and building mutually beneficial relationships Sue Schmelz Adoption Specialist from Arizona serving as interim State Adoption Manager until the vacated position is filled asked if NASAP reaches out to new Managers as they are hired to provide information on who may be contacted for information and assistance John stated that NASAP reaches out to new Managers when the EC is informed of changes and orientation information about NASAP is shared along with contact information for the current Executive Committee John asked the membership to please help keep the EC informed when there are changes in State leadership NASAP also has a website which provides general information and updates about the organization Over the next few months NASAP EC will spend time reframing the goals and refining plans for moving forward The EC welcomes feedback around the priority goals and anyone with suggestionsfeedback may contact John Johnson at JohnJohnsontngov or via phone at (615) 253-6351 Review of the proposed NASAP By-Laws changes John reviewed the NASAP By-Laws which were provided as a handout for todayrsquos meeting Proposed changes include
bull Revise Article 4c to include in the clause that the ldquoThe Secretary shall act as clerk of all
meetings of the members and the Executive Committee The Secretary shall keep a record of all proceedings of each meeting for inspection by the members NASAP meeting minutes By-Laws and Goals and Objectives will also be archived on the NASAP websiterdquo This modification is a ldquoclean-uprdquo to the By-Laws which previously reflected involvement from the NRCA The NASAP EC will assume these responsibilities going forward
bull Revise Article 5c to state ldquoThe Association immediate past president andor an immediate
past Executive Committee member shall serve as an advisor to the President and shall have no voting rights on the Executive Committee This modification adds an opportunity to recognize an additional immediate past Executive Committee Member in addition to the immediate past President to help provide support to the current President and ensure this role is covered Steve stated that the phrase ldquoas an advisorrdquo should be changed to ldquoas advisorsrdquo to correct the proposed changes as discussed by the EC To clarify John stated the proposed change to Article 5c will be voted on as follows ldquoThe Association immediate past president andor an immediate past Executive Committee member shall serve as advisors to the President and shall have no voting rights on the Executive Committeerdquo
bull Revise Article 6c to state ldquoA representative from the Childrens Bureau andor other organizations as determined by the Executive Committee may be invited to the annual meetingrdquo This change is a ldquoclean uprdquo which maintains the opportunity to invite other organizations to provide the support previously provided by the NRCA
John asked NASAP members for a motion to accept the By-Laws changes in Articles 4c 5c and 6c as proposed Steve Obershaw motioned to accept the proposed changes Deborah Goodman seconded the motion There were no oppositions to the motion Michigan abstained from the vote The NASAP membership voted to accept the proposed By-Laws changes as presented Annual NASAP Executive Committee Elections Deborah Goodman NASAP Ex-Officio member shared that she met with Steve Obershaw as part of the NASAP nominating committee to develop the slate of candidates for this yearrsquos annual elections In consideration for the ballot the committee looked to find representatives from regions across the country Personal contact was extended to those nominated State Manager and they represented on the ballot which was emailed to the NASAP membership Deborah presented the slate of nominees as follows
bull John Johnson (TN) ndash President (2014-2016) bull Maggie Molitor (WV) ndash Vice-President (2014-2016) bull Betty Berzin (NJ) ndash Member-at-large (2014-2016) bull Tracey Parker Hirst (IA) ndash Member-at-large (2014-2016)
Deborah provided the NASAP membership instructions for voting
bull Ingrid Parks from the Academy for Family Support and Preservation a program of Spaulding for Children will collect ballots via email
bull You may vote for a nominee on the slate or enter a write in candidate bull All States the District of Columbia and the US Territories are each allowed one vote bull All ballots will remain confidential bull All ballots must be returned to Ingrid Parks at iparksspauldingorg by 500 pm
Eastern time on Monday November 24 2014 to be counted bull An email announcing the election results will be sent out to the NASAP membership on
Tuesday November 25 2014 John encouraged everyone to get their ballots in to Ingrid Parks at iparksspauldingorg so we may finalize the elections and introduce our new members who will begin their terms effective January 2015 Guest Presentations John introduced the guest presentations for todayrsquos meeting
bull ldquoAn Overview of Public Law 113-183 the Preventing Sex Trafficking and Strengthening Families Actrdquo ndash presented by Allison Lowery Palmer Child Welfare Program Specialist US Department of Health and Human Services Administration for Children and Families
bull ldquoIntroducing the National Adoption Competency Mental Health Training Initiativerdquo ndash
presented by Sarah Greenblatt Director
bull ldquoIntroducing the National Quality Improvement Center for AdoptionGuardianship Support and Preservationrdquo ndash presented by Melinda Lis Director
bull Overview of the upcoming ldquoAdoption Support and Preservation National Post-Adoption
Conferencerdquo ndash Pamela L Wolf Founder and CEO Harmony Family Center John thanked each of the presenters specifically the Center for Adoption Support and Education (CASE) and Spaulding for Children as they reached out for support from NASAP when they pursued funding opportunities with the Childrenrsquos Bureau The NASAP EC congratulations them on their awards and looks forward to partnering with these projects John also thanked Pam Wolf and her work around helping organize the ASAP National Post-Adoption Conference and the opportunities for the event to provide support to help better
understand best practices for supporting families post-adoption As a reminder the conference is scheduled for June 1-2 2015 in Nashville Tennessee You may find more information about the upcoming conference at this link httpharmonyfamilycenterorg NEW BUSINESS Overview and Discussion of the 2014 NASAP Survey John stated the due to the discontinuation of the Childrenrsquos Bureaursquos Policy to Practice Dialogue where travel was sponsored for State Managers it becomes even more challenging for the NASAP Executive Committee to plan in-person meetings for the NASAP membership due to costs NASAP is constantly looking at ways to reinvent ourselves and the EC is seeking feedback from the membership so we can continue to provide support to State Managers and keep our organization moving in a successful direction Over the next year the NASAP EC will be looking at the possibility of hosting an in-person meeting In our attempt to gain feedback on priorities of the membership NASAP developed a survey A link to the survey was sent out to State Managers a couple of months ago requesting feedback on expectations around holding an annual meeting and also ways we may leverage technology to improve communication and the ability to share information To date there have been approximately 20 responses to the survey Some feedback received from the survey reported that State Managers are increasingly asked to do more Due to the culture and climate we work in the work is no longer just ldquoadoptionrdquo work For many of us the work includes adoption foster care ICAMA post adoption kinship care recruitment etc Time is more limited so we exploring ways NASAP can utilize your time wisely and be more supportive NASAP received good feedback about what is most beneficial to State Managers including the Peer-to-Peer Forums that were hosted via webinar this past year A topic of one these Forums focused on the issue of re-homing which was well attended The NASAP EC hopes to continue offering theses Forums in the coming year The EC also received feedback State Managers would like more information about changes in national policies programs and laws The EC hopes to hold a Forum in the future that goes more in depth about the recent Sex Trafficking Legislation and guidancedirection on how Child Welfare Agencies are to implement this legislation in their programs State Managers also provided feedback they would like information and announcements to continue to be sent out via the NASAP email listserv For those that have questions or need input for other State Managers the EC encourages you to utilize the listserv which is a great way to learn about what is occurring in other Statesagencies The NASAP EC will continue to support the use of the email listserv
The NASAP will also further explore the possibility of holding Regional Roundtables as a forum for State Managers to discuss adoption programs policies and practices with our peers During the past year the NASAP EC directed support to specific regions to engage State Managers around the activities of NASAP and also around hot topics and policy and practice challenges for additional opportunities for dialogue We look forward to increased opportunities to engage State Managers on a regional level over the next year Goal and Priorities for the Coming Year John shared that he will work closely with Maggie Molitor NASAP Vice-President over the coming year to decide how we would like to host next yearrsquos Annual Working Meeting The EC welcomes ideas and thoughts from the NASAP membership on building opportunities for engaging each other in-person meetingsactivitiesevents As more and more State Managers have the opportunity to use technology in their work the EC is also potentially looking at using Facebook Twitter or another social media platform to engage each other and provide access to information As we confirm activities for the coming year the EC is planning the next NASAP Peer-to-Peer Forum around the topic of ldquofull disclosurerdquo John shared that in the State of Tennessee they have been working with Spaulding for Children to look at how they may improve practice around full disclosure specifically how they considerrespect HIPAA while also providing sharing information about their children and providing a clear picture to prospective families about the child wersquore expecting them to parent Tennessee did not have an existing policy around full disclosure and the Technical Assistance received from Spaulding around this issue helped them develop a policy and also resulted in Tennessee submitting State legislation which was recently picked up by the Governor and will be added to his legislative packet Tennessee is currently linking legislation to policy to practice If other States have examples of rising issues or trends or promising practices around full disclosure we are would appreciate you sharing your examples with the NASAP EC The EC plans to hold three Peer-to-Peer Forums over the next year and would be interested in hearing about other ideas for topics Catherine Meister from New Hampshire stated she would be very interested in the discussion around full disclosure and she would also be interested in hearing from other States if they have specific policies and practices around determining their matching process John stated more information around the Sex Trafficking legislation could also potentially be considered as a topic for a NASAP Forum In summary as NASAP continues to move forward we are continually looking at ways to reinvent our organization and keep State Manager engaged and informed We are also looking at ways to strengthen the NASAP Executive Committee to ensure we continue to provide the needed support and adequate representation for the NASAP membership
John thank everyone for their participation in the 2014 NASAP Annual Working Meeting and asked that everyone remember to vote and send in their ballots for the NASAP elections to iparksspauldingorg by Tuesday November 25
Webinar Registration Link
PL 113-183 Preventing Sex
Trafficking and Strengthening
Families Act
Sponsor Rep Dave Camp [R-MI-4]
9292014- signed by the President
Provided by
The Childrenrsquos Bureau
Administration for Children and Families
US Department of Health and Human Services
Legislationrsquos Purpose
bull Amends the title IV-E program to address sex trafficking
locating missing children in foster care amends title IV-
EIV-B case review and planning requirements
reauthorizes and amends the Adoption Incentives Program
and Family Connections Grants
bull All citations are to the Social Security Act (the Act) as
amended by Public Law (PL) 113-183
bull The bill number is HR 4980 Go to Congressgov for more
information about the PL httpswwwcongressgovbill113th-
congresshouse-
bill4980q=7B22search223A5B22hr4980225D7D
2
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
UPON ENACTMENT
3
Title IV-E Adoption Assistance Program
savings reporting
bull Revises the existing requirement for a title IV-E
agency to spend any savings generated from
implementing the revised adoption assistance
eligibility criteria on child welfare services that may be
provided under titles IV-B and IV-E
bull Title IV-E agencies now must also
ndash calculate the savings from de-linking title IV-E adoption
assistance eligibility from the Aid to Families with Dependent
Children (AFDC) eligibility requirements and
ndash report the methodology used to calculate the savings how
savings are spent and on what services
4
Title IV-E Adoption Assistance Program
savings reporting cont
bull Title IV-E agencies must spend the savings on title IV-
B and IV-E programs including
ndash 30 on post-adoption services post-guardianship services
and services to support positive permanent outcomes for
children at risk of entering foster care
ndash Two-thirds of the 30 on post-adoption and post-
guardianship services
bull Title IV-E agencies must use the savings to
supplement and not supplant any funds used to
provide any service under title IV-B or IV-E
bull Effective 10114
5
Relative notification and sibling definition
bull Modifies the relative notification provision to include
notifying the parents of the childrsquos siblings
bull Defines siblings to mean an individual who is
considered by State law to be a sibling or who would
be considered a sibling under state law if it not were
for a disruption in parental rights such as termination
of parental rights (TPR) or death of parent
bull Effective upon enactment unless ACF approves a delayed
effective date
6
Successor guardians
bull Allows continuation of title IV-E kinship guardianship
assistance payments if the relative guardian dies or is
incapacitated and a successor legal guardian is
named in the agreement (or any amendments to the
agreement)
bull Effective upon enactment
7
Family Connection Grants Program
bull Reauthorizes Family Connection Grants at the current
level of $15 million for 2014
bull Permits HHS to make family connection grants
available to institutions of higher education
bull $5 million each FY for kinship navigator programs ndash
no longer required to reserve
bull Effective 10113
8
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
ONE YEAR OR LATER AFTER
ENACTMENT
9
Title IV-E plan requirements victims of sex
trafficking
bull Title IV-E agencies must develop and implement
procedures to identify document and determine
appropriate services for specific children who are at-
risk of becoming a sex trafficking victim or who is a
sex trafficking victim
bull Title IV-E agencies must report annually to HHS the
total number of children and youth who are sex
trafficking victims
ndash HHS must report to Congress annually beginning 4 years
after enactment (92918) the number of these children and
youth who are sex trafficking victims (defined in sec
475(9)(A))
10
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
bull Revise Article 4c to include in the clause that the ldquoThe Secretary shall act as clerk of all
meetings of the members and the Executive Committee The Secretary shall keep a record of all proceedings of each meeting for inspection by the members NASAP meeting minutes By-Laws and Goals and Objectives will also be archived on the NASAP websiterdquo This modification is a ldquoclean-uprdquo to the By-Laws which previously reflected involvement from the NRCA The NASAP EC will assume these responsibilities going forward
bull Revise Article 5c to state ldquoThe Association immediate past president andor an immediate
past Executive Committee member shall serve as an advisor to the President and shall have no voting rights on the Executive Committee This modification adds an opportunity to recognize an additional immediate past Executive Committee Member in addition to the immediate past President to help provide support to the current President and ensure this role is covered Steve stated that the phrase ldquoas an advisorrdquo should be changed to ldquoas advisorsrdquo to correct the proposed changes as discussed by the EC To clarify John stated the proposed change to Article 5c will be voted on as follows ldquoThe Association immediate past president andor an immediate past Executive Committee member shall serve as advisors to the President and shall have no voting rights on the Executive Committeerdquo
bull Revise Article 6c to state ldquoA representative from the Childrens Bureau andor other organizations as determined by the Executive Committee may be invited to the annual meetingrdquo This change is a ldquoclean uprdquo which maintains the opportunity to invite other organizations to provide the support previously provided by the NRCA
John asked NASAP members for a motion to accept the By-Laws changes in Articles 4c 5c and 6c as proposed Steve Obershaw motioned to accept the proposed changes Deborah Goodman seconded the motion There were no oppositions to the motion Michigan abstained from the vote The NASAP membership voted to accept the proposed By-Laws changes as presented Annual NASAP Executive Committee Elections Deborah Goodman NASAP Ex-Officio member shared that she met with Steve Obershaw as part of the NASAP nominating committee to develop the slate of candidates for this yearrsquos annual elections In consideration for the ballot the committee looked to find representatives from regions across the country Personal contact was extended to those nominated State Manager and they represented on the ballot which was emailed to the NASAP membership Deborah presented the slate of nominees as follows
bull John Johnson (TN) ndash President (2014-2016) bull Maggie Molitor (WV) ndash Vice-President (2014-2016) bull Betty Berzin (NJ) ndash Member-at-large (2014-2016) bull Tracey Parker Hirst (IA) ndash Member-at-large (2014-2016)
Deborah provided the NASAP membership instructions for voting
bull Ingrid Parks from the Academy for Family Support and Preservation a program of Spaulding for Children will collect ballots via email
bull You may vote for a nominee on the slate or enter a write in candidate bull All States the District of Columbia and the US Territories are each allowed one vote bull All ballots will remain confidential bull All ballots must be returned to Ingrid Parks at iparksspauldingorg by 500 pm
Eastern time on Monday November 24 2014 to be counted bull An email announcing the election results will be sent out to the NASAP membership on
Tuesday November 25 2014 John encouraged everyone to get their ballots in to Ingrid Parks at iparksspauldingorg so we may finalize the elections and introduce our new members who will begin their terms effective January 2015 Guest Presentations John introduced the guest presentations for todayrsquos meeting
bull ldquoAn Overview of Public Law 113-183 the Preventing Sex Trafficking and Strengthening Families Actrdquo ndash presented by Allison Lowery Palmer Child Welfare Program Specialist US Department of Health and Human Services Administration for Children and Families
bull ldquoIntroducing the National Adoption Competency Mental Health Training Initiativerdquo ndash
presented by Sarah Greenblatt Director
bull ldquoIntroducing the National Quality Improvement Center for AdoptionGuardianship Support and Preservationrdquo ndash presented by Melinda Lis Director
bull Overview of the upcoming ldquoAdoption Support and Preservation National Post-Adoption
Conferencerdquo ndash Pamela L Wolf Founder and CEO Harmony Family Center John thanked each of the presenters specifically the Center for Adoption Support and Education (CASE) and Spaulding for Children as they reached out for support from NASAP when they pursued funding opportunities with the Childrenrsquos Bureau The NASAP EC congratulations them on their awards and looks forward to partnering with these projects John also thanked Pam Wolf and her work around helping organize the ASAP National Post-Adoption Conference and the opportunities for the event to provide support to help better
understand best practices for supporting families post-adoption As a reminder the conference is scheduled for June 1-2 2015 in Nashville Tennessee You may find more information about the upcoming conference at this link httpharmonyfamilycenterorg NEW BUSINESS Overview and Discussion of the 2014 NASAP Survey John stated the due to the discontinuation of the Childrenrsquos Bureaursquos Policy to Practice Dialogue where travel was sponsored for State Managers it becomes even more challenging for the NASAP Executive Committee to plan in-person meetings for the NASAP membership due to costs NASAP is constantly looking at ways to reinvent ourselves and the EC is seeking feedback from the membership so we can continue to provide support to State Managers and keep our organization moving in a successful direction Over the next year the NASAP EC will be looking at the possibility of hosting an in-person meeting In our attempt to gain feedback on priorities of the membership NASAP developed a survey A link to the survey was sent out to State Managers a couple of months ago requesting feedback on expectations around holding an annual meeting and also ways we may leverage technology to improve communication and the ability to share information To date there have been approximately 20 responses to the survey Some feedback received from the survey reported that State Managers are increasingly asked to do more Due to the culture and climate we work in the work is no longer just ldquoadoptionrdquo work For many of us the work includes adoption foster care ICAMA post adoption kinship care recruitment etc Time is more limited so we exploring ways NASAP can utilize your time wisely and be more supportive NASAP received good feedback about what is most beneficial to State Managers including the Peer-to-Peer Forums that were hosted via webinar this past year A topic of one these Forums focused on the issue of re-homing which was well attended The NASAP EC hopes to continue offering theses Forums in the coming year The EC also received feedback State Managers would like more information about changes in national policies programs and laws The EC hopes to hold a Forum in the future that goes more in depth about the recent Sex Trafficking Legislation and guidancedirection on how Child Welfare Agencies are to implement this legislation in their programs State Managers also provided feedback they would like information and announcements to continue to be sent out via the NASAP email listserv For those that have questions or need input for other State Managers the EC encourages you to utilize the listserv which is a great way to learn about what is occurring in other Statesagencies The NASAP EC will continue to support the use of the email listserv
The NASAP will also further explore the possibility of holding Regional Roundtables as a forum for State Managers to discuss adoption programs policies and practices with our peers During the past year the NASAP EC directed support to specific regions to engage State Managers around the activities of NASAP and also around hot topics and policy and practice challenges for additional opportunities for dialogue We look forward to increased opportunities to engage State Managers on a regional level over the next year Goal and Priorities for the Coming Year John shared that he will work closely with Maggie Molitor NASAP Vice-President over the coming year to decide how we would like to host next yearrsquos Annual Working Meeting The EC welcomes ideas and thoughts from the NASAP membership on building opportunities for engaging each other in-person meetingsactivitiesevents As more and more State Managers have the opportunity to use technology in their work the EC is also potentially looking at using Facebook Twitter or another social media platform to engage each other and provide access to information As we confirm activities for the coming year the EC is planning the next NASAP Peer-to-Peer Forum around the topic of ldquofull disclosurerdquo John shared that in the State of Tennessee they have been working with Spaulding for Children to look at how they may improve practice around full disclosure specifically how they considerrespect HIPAA while also providing sharing information about their children and providing a clear picture to prospective families about the child wersquore expecting them to parent Tennessee did not have an existing policy around full disclosure and the Technical Assistance received from Spaulding around this issue helped them develop a policy and also resulted in Tennessee submitting State legislation which was recently picked up by the Governor and will be added to his legislative packet Tennessee is currently linking legislation to policy to practice If other States have examples of rising issues or trends or promising practices around full disclosure we are would appreciate you sharing your examples with the NASAP EC The EC plans to hold three Peer-to-Peer Forums over the next year and would be interested in hearing about other ideas for topics Catherine Meister from New Hampshire stated she would be very interested in the discussion around full disclosure and she would also be interested in hearing from other States if they have specific policies and practices around determining their matching process John stated more information around the Sex Trafficking legislation could also potentially be considered as a topic for a NASAP Forum In summary as NASAP continues to move forward we are continually looking at ways to reinvent our organization and keep State Manager engaged and informed We are also looking at ways to strengthen the NASAP Executive Committee to ensure we continue to provide the needed support and adequate representation for the NASAP membership
John thank everyone for their participation in the 2014 NASAP Annual Working Meeting and asked that everyone remember to vote and send in their ballots for the NASAP elections to iparksspauldingorg by Tuesday November 25
Webinar Registration Link
PL 113-183 Preventing Sex
Trafficking and Strengthening
Families Act
Sponsor Rep Dave Camp [R-MI-4]
9292014- signed by the President
Provided by
The Childrenrsquos Bureau
Administration for Children and Families
US Department of Health and Human Services
Legislationrsquos Purpose
bull Amends the title IV-E program to address sex trafficking
locating missing children in foster care amends title IV-
EIV-B case review and planning requirements
reauthorizes and amends the Adoption Incentives Program
and Family Connections Grants
bull All citations are to the Social Security Act (the Act) as
amended by Public Law (PL) 113-183
bull The bill number is HR 4980 Go to Congressgov for more
information about the PL httpswwwcongressgovbill113th-
congresshouse-
bill4980q=7B22search223A5B22hr4980225D7D
2
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
UPON ENACTMENT
3
Title IV-E Adoption Assistance Program
savings reporting
bull Revises the existing requirement for a title IV-E
agency to spend any savings generated from
implementing the revised adoption assistance
eligibility criteria on child welfare services that may be
provided under titles IV-B and IV-E
bull Title IV-E agencies now must also
ndash calculate the savings from de-linking title IV-E adoption
assistance eligibility from the Aid to Families with Dependent
Children (AFDC) eligibility requirements and
ndash report the methodology used to calculate the savings how
savings are spent and on what services
4
Title IV-E Adoption Assistance Program
savings reporting cont
bull Title IV-E agencies must spend the savings on title IV-
B and IV-E programs including
ndash 30 on post-adoption services post-guardianship services
and services to support positive permanent outcomes for
children at risk of entering foster care
ndash Two-thirds of the 30 on post-adoption and post-
guardianship services
bull Title IV-E agencies must use the savings to
supplement and not supplant any funds used to
provide any service under title IV-B or IV-E
bull Effective 10114
5
Relative notification and sibling definition
bull Modifies the relative notification provision to include
notifying the parents of the childrsquos siblings
bull Defines siblings to mean an individual who is
considered by State law to be a sibling or who would
be considered a sibling under state law if it not were
for a disruption in parental rights such as termination
of parental rights (TPR) or death of parent
bull Effective upon enactment unless ACF approves a delayed
effective date
6
Successor guardians
bull Allows continuation of title IV-E kinship guardianship
assistance payments if the relative guardian dies or is
incapacitated and a successor legal guardian is
named in the agreement (or any amendments to the
agreement)
bull Effective upon enactment
7
Family Connection Grants Program
bull Reauthorizes Family Connection Grants at the current
level of $15 million for 2014
bull Permits HHS to make family connection grants
available to institutions of higher education
bull $5 million each FY for kinship navigator programs ndash
no longer required to reserve
bull Effective 10113
8
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
ONE YEAR OR LATER AFTER
ENACTMENT
9
Title IV-E plan requirements victims of sex
trafficking
bull Title IV-E agencies must develop and implement
procedures to identify document and determine
appropriate services for specific children who are at-
risk of becoming a sex trafficking victim or who is a
sex trafficking victim
bull Title IV-E agencies must report annually to HHS the
total number of children and youth who are sex
trafficking victims
ndash HHS must report to Congress annually beginning 4 years
after enactment (92918) the number of these children and
youth who are sex trafficking victims (defined in sec
475(9)(A))
10
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
The unexpired NASAP terms are
bull John Johnson (TN) ndash President (2014-2016) bull Maggie Molitor (WV) ndash Vice-President (2014-2016) bull Betty Berzin (NJ) ndash Member-at-large (2014-2016) bull Tracey Parker Hirst (IA) ndash Member-at-large (2014-2016)
Deborah provided the NASAP membership instructions for voting
bull Ingrid Parks from the Academy for Family Support and Preservation a program of Spaulding for Children will collect ballots via email
bull You may vote for a nominee on the slate or enter a write in candidate bull All States the District of Columbia and the US Territories are each allowed one vote bull All ballots will remain confidential bull All ballots must be returned to Ingrid Parks at iparksspauldingorg by 500 pm
Eastern time on Monday November 24 2014 to be counted bull An email announcing the election results will be sent out to the NASAP membership on
Tuesday November 25 2014 John encouraged everyone to get their ballots in to Ingrid Parks at iparksspauldingorg so we may finalize the elections and introduce our new members who will begin their terms effective January 2015 Guest Presentations John introduced the guest presentations for todayrsquos meeting
bull ldquoAn Overview of Public Law 113-183 the Preventing Sex Trafficking and Strengthening Families Actrdquo ndash presented by Allison Lowery Palmer Child Welfare Program Specialist US Department of Health and Human Services Administration for Children and Families
bull ldquoIntroducing the National Adoption Competency Mental Health Training Initiativerdquo ndash
presented by Sarah Greenblatt Director
bull ldquoIntroducing the National Quality Improvement Center for AdoptionGuardianship Support and Preservationrdquo ndash presented by Melinda Lis Director
bull Overview of the upcoming ldquoAdoption Support and Preservation National Post-Adoption
Conferencerdquo ndash Pamela L Wolf Founder and CEO Harmony Family Center John thanked each of the presenters specifically the Center for Adoption Support and Education (CASE) and Spaulding for Children as they reached out for support from NASAP when they pursued funding opportunities with the Childrenrsquos Bureau The NASAP EC congratulations them on their awards and looks forward to partnering with these projects John also thanked Pam Wolf and her work around helping organize the ASAP National Post-Adoption Conference and the opportunities for the event to provide support to help better
understand best practices for supporting families post-adoption As a reminder the conference is scheduled for June 1-2 2015 in Nashville Tennessee You may find more information about the upcoming conference at this link httpharmonyfamilycenterorg NEW BUSINESS Overview and Discussion of the 2014 NASAP Survey John stated the due to the discontinuation of the Childrenrsquos Bureaursquos Policy to Practice Dialogue where travel was sponsored for State Managers it becomes even more challenging for the NASAP Executive Committee to plan in-person meetings for the NASAP membership due to costs NASAP is constantly looking at ways to reinvent ourselves and the EC is seeking feedback from the membership so we can continue to provide support to State Managers and keep our organization moving in a successful direction Over the next year the NASAP EC will be looking at the possibility of hosting an in-person meeting In our attempt to gain feedback on priorities of the membership NASAP developed a survey A link to the survey was sent out to State Managers a couple of months ago requesting feedback on expectations around holding an annual meeting and also ways we may leverage technology to improve communication and the ability to share information To date there have been approximately 20 responses to the survey Some feedback received from the survey reported that State Managers are increasingly asked to do more Due to the culture and climate we work in the work is no longer just ldquoadoptionrdquo work For many of us the work includes adoption foster care ICAMA post adoption kinship care recruitment etc Time is more limited so we exploring ways NASAP can utilize your time wisely and be more supportive NASAP received good feedback about what is most beneficial to State Managers including the Peer-to-Peer Forums that were hosted via webinar this past year A topic of one these Forums focused on the issue of re-homing which was well attended The NASAP EC hopes to continue offering theses Forums in the coming year The EC also received feedback State Managers would like more information about changes in national policies programs and laws The EC hopes to hold a Forum in the future that goes more in depth about the recent Sex Trafficking Legislation and guidancedirection on how Child Welfare Agencies are to implement this legislation in their programs State Managers also provided feedback they would like information and announcements to continue to be sent out via the NASAP email listserv For those that have questions or need input for other State Managers the EC encourages you to utilize the listserv which is a great way to learn about what is occurring in other Statesagencies The NASAP EC will continue to support the use of the email listserv
The NASAP will also further explore the possibility of holding Regional Roundtables as a forum for State Managers to discuss adoption programs policies and practices with our peers During the past year the NASAP EC directed support to specific regions to engage State Managers around the activities of NASAP and also around hot topics and policy and practice challenges for additional opportunities for dialogue We look forward to increased opportunities to engage State Managers on a regional level over the next year Goal and Priorities for the Coming Year John shared that he will work closely with Maggie Molitor NASAP Vice-President over the coming year to decide how we would like to host next yearrsquos Annual Working Meeting The EC welcomes ideas and thoughts from the NASAP membership on building opportunities for engaging each other in-person meetingsactivitiesevents As more and more State Managers have the opportunity to use technology in their work the EC is also potentially looking at using Facebook Twitter or another social media platform to engage each other and provide access to information As we confirm activities for the coming year the EC is planning the next NASAP Peer-to-Peer Forum around the topic of ldquofull disclosurerdquo John shared that in the State of Tennessee they have been working with Spaulding for Children to look at how they may improve practice around full disclosure specifically how they considerrespect HIPAA while also providing sharing information about their children and providing a clear picture to prospective families about the child wersquore expecting them to parent Tennessee did not have an existing policy around full disclosure and the Technical Assistance received from Spaulding around this issue helped them develop a policy and also resulted in Tennessee submitting State legislation which was recently picked up by the Governor and will be added to his legislative packet Tennessee is currently linking legislation to policy to practice If other States have examples of rising issues or trends or promising practices around full disclosure we are would appreciate you sharing your examples with the NASAP EC The EC plans to hold three Peer-to-Peer Forums over the next year and would be interested in hearing about other ideas for topics Catherine Meister from New Hampshire stated she would be very interested in the discussion around full disclosure and she would also be interested in hearing from other States if they have specific policies and practices around determining their matching process John stated more information around the Sex Trafficking legislation could also potentially be considered as a topic for a NASAP Forum In summary as NASAP continues to move forward we are continually looking at ways to reinvent our organization and keep State Manager engaged and informed We are also looking at ways to strengthen the NASAP Executive Committee to ensure we continue to provide the needed support and adequate representation for the NASAP membership
John thank everyone for their participation in the 2014 NASAP Annual Working Meeting and asked that everyone remember to vote and send in their ballots for the NASAP elections to iparksspauldingorg by Tuesday November 25
Webinar Registration Link
PL 113-183 Preventing Sex
Trafficking and Strengthening
Families Act
Sponsor Rep Dave Camp [R-MI-4]
9292014- signed by the President
Provided by
The Childrenrsquos Bureau
Administration for Children and Families
US Department of Health and Human Services
Legislationrsquos Purpose
bull Amends the title IV-E program to address sex trafficking
locating missing children in foster care amends title IV-
EIV-B case review and planning requirements
reauthorizes and amends the Adoption Incentives Program
and Family Connections Grants
bull All citations are to the Social Security Act (the Act) as
amended by Public Law (PL) 113-183
bull The bill number is HR 4980 Go to Congressgov for more
information about the PL httpswwwcongressgovbill113th-
congresshouse-
bill4980q=7B22search223A5B22hr4980225D7D
2
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
UPON ENACTMENT
3
Title IV-E Adoption Assistance Program
savings reporting
bull Revises the existing requirement for a title IV-E
agency to spend any savings generated from
implementing the revised adoption assistance
eligibility criteria on child welfare services that may be
provided under titles IV-B and IV-E
bull Title IV-E agencies now must also
ndash calculate the savings from de-linking title IV-E adoption
assistance eligibility from the Aid to Families with Dependent
Children (AFDC) eligibility requirements and
ndash report the methodology used to calculate the savings how
savings are spent and on what services
4
Title IV-E Adoption Assistance Program
savings reporting cont
bull Title IV-E agencies must spend the savings on title IV-
B and IV-E programs including
ndash 30 on post-adoption services post-guardianship services
and services to support positive permanent outcomes for
children at risk of entering foster care
ndash Two-thirds of the 30 on post-adoption and post-
guardianship services
bull Title IV-E agencies must use the savings to
supplement and not supplant any funds used to
provide any service under title IV-B or IV-E
bull Effective 10114
5
Relative notification and sibling definition
bull Modifies the relative notification provision to include
notifying the parents of the childrsquos siblings
bull Defines siblings to mean an individual who is
considered by State law to be a sibling or who would
be considered a sibling under state law if it not were
for a disruption in parental rights such as termination
of parental rights (TPR) or death of parent
bull Effective upon enactment unless ACF approves a delayed
effective date
6
Successor guardians
bull Allows continuation of title IV-E kinship guardianship
assistance payments if the relative guardian dies or is
incapacitated and a successor legal guardian is
named in the agreement (or any amendments to the
agreement)
bull Effective upon enactment
7
Family Connection Grants Program
bull Reauthorizes Family Connection Grants at the current
level of $15 million for 2014
bull Permits HHS to make family connection grants
available to institutions of higher education
bull $5 million each FY for kinship navigator programs ndash
no longer required to reserve
bull Effective 10113
8
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
ONE YEAR OR LATER AFTER
ENACTMENT
9
Title IV-E plan requirements victims of sex
trafficking
bull Title IV-E agencies must develop and implement
procedures to identify document and determine
appropriate services for specific children who are at-
risk of becoming a sex trafficking victim or who is a
sex trafficking victim
bull Title IV-E agencies must report annually to HHS the
total number of children and youth who are sex
trafficking victims
ndash HHS must report to Congress annually beginning 4 years
after enactment (92918) the number of these children and
youth who are sex trafficking victims (defined in sec
475(9)(A))
10
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
understand best practices for supporting families post-adoption As a reminder the conference is scheduled for June 1-2 2015 in Nashville Tennessee You may find more information about the upcoming conference at this link httpharmonyfamilycenterorg NEW BUSINESS Overview and Discussion of the 2014 NASAP Survey John stated the due to the discontinuation of the Childrenrsquos Bureaursquos Policy to Practice Dialogue where travel was sponsored for State Managers it becomes even more challenging for the NASAP Executive Committee to plan in-person meetings for the NASAP membership due to costs NASAP is constantly looking at ways to reinvent ourselves and the EC is seeking feedback from the membership so we can continue to provide support to State Managers and keep our organization moving in a successful direction Over the next year the NASAP EC will be looking at the possibility of hosting an in-person meeting In our attempt to gain feedback on priorities of the membership NASAP developed a survey A link to the survey was sent out to State Managers a couple of months ago requesting feedback on expectations around holding an annual meeting and also ways we may leverage technology to improve communication and the ability to share information To date there have been approximately 20 responses to the survey Some feedback received from the survey reported that State Managers are increasingly asked to do more Due to the culture and climate we work in the work is no longer just ldquoadoptionrdquo work For many of us the work includes adoption foster care ICAMA post adoption kinship care recruitment etc Time is more limited so we exploring ways NASAP can utilize your time wisely and be more supportive NASAP received good feedback about what is most beneficial to State Managers including the Peer-to-Peer Forums that were hosted via webinar this past year A topic of one these Forums focused on the issue of re-homing which was well attended The NASAP EC hopes to continue offering theses Forums in the coming year The EC also received feedback State Managers would like more information about changes in national policies programs and laws The EC hopes to hold a Forum in the future that goes more in depth about the recent Sex Trafficking Legislation and guidancedirection on how Child Welfare Agencies are to implement this legislation in their programs State Managers also provided feedback they would like information and announcements to continue to be sent out via the NASAP email listserv For those that have questions or need input for other State Managers the EC encourages you to utilize the listserv which is a great way to learn about what is occurring in other Statesagencies The NASAP EC will continue to support the use of the email listserv
The NASAP will also further explore the possibility of holding Regional Roundtables as a forum for State Managers to discuss adoption programs policies and practices with our peers During the past year the NASAP EC directed support to specific regions to engage State Managers around the activities of NASAP and also around hot topics and policy and practice challenges for additional opportunities for dialogue We look forward to increased opportunities to engage State Managers on a regional level over the next year Goal and Priorities for the Coming Year John shared that he will work closely with Maggie Molitor NASAP Vice-President over the coming year to decide how we would like to host next yearrsquos Annual Working Meeting The EC welcomes ideas and thoughts from the NASAP membership on building opportunities for engaging each other in-person meetingsactivitiesevents As more and more State Managers have the opportunity to use technology in their work the EC is also potentially looking at using Facebook Twitter or another social media platform to engage each other and provide access to information As we confirm activities for the coming year the EC is planning the next NASAP Peer-to-Peer Forum around the topic of ldquofull disclosurerdquo John shared that in the State of Tennessee they have been working with Spaulding for Children to look at how they may improve practice around full disclosure specifically how they considerrespect HIPAA while also providing sharing information about their children and providing a clear picture to prospective families about the child wersquore expecting them to parent Tennessee did not have an existing policy around full disclosure and the Technical Assistance received from Spaulding around this issue helped them develop a policy and also resulted in Tennessee submitting State legislation which was recently picked up by the Governor and will be added to his legislative packet Tennessee is currently linking legislation to policy to practice If other States have examples of rising issues or trends or promising practices around full disclosure we are would appreciate you sharing your examples with the NASAP EC The EC plans to hold three Peer-to-Peer Forums over the next year and would be interested in hearing about other ideas for topics Catherine Meister from New Hampshire stated she would be very interested in the discussion around full disclosure and she would also be interested in hearing from other States if they have specific policies and practices around determining their matching process John stated more information around the Sex Trafficking legislation could also potentially be considered as a topic for a NASAP Forum In summary as NASAP continues to move forward we are continually looking at ways to reinvent our organization and keep State Manager engaged and informed We are also looking at ways to strengthen the NASAP Executive Committee to ensure we continue to provide the needed support and adequate representation for the NASAP membership
John thank everyone for their participation in the 2014 NASAP Annual Working Meeting and asked that everyone remember to vote and send in their ballots for the NASAP elections to iparksspauldingorg by Tuesday November 25
Webinar Registration Link
PL 113-183 Preventing Sex
Trafficking and Strengthening
Families Act
Sponsor Rep Dave Camp [R-MI-4]
9292014- signed by the President
Provided by
The Childrenrsquos Bureau
Administration for Children and Families
US Department of Health and Human Services
Legislationrsquos Purpose
bull Amends the title IV-E program to address sex trafficking
locating missing children in foster care amends title IV-
EIV-B case review and planning requirements
reauthorizes and amends the Adoption Incentives Program
and Family Connections Grants
bull All citations are to the Social Security Act (the Act) as
amended by Public Law (PL) 113-183
bull The bill number is HR 4980 Go to Congressgov for more
information about the PL httpswwwcongressgovbill113th-
congresshouse-
bill4980q=7B22search223A5B22hr4980225D7D
2
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
UPON ENACTMENT
3
Title IV-E Adoption Assistance Program
savings reporting
bull Revises the existing requirement for a title IV-E
agency to spend any savings generated from
implementing the revised adoption assistance
eligibility criteria on child welfare services that may be
provided under titles IV-B and IV-E
bull Title IV-E agencies now must also
ndash calculate the savings from de-linking title IV-E adoption
assistance eligibility from the Aid to Families with Dependent
Children (AFDC) eligibility requirements and
ndash report the methodology used to calculate the savings how
savings are spent and on what services
4
Title IV-E Adoption Assistance Program
savings reporting cont
bull Title IV-E agencies must spend the savings on title IV-
B and IV-E programs including
ndash 30 on post-adoption services post-guardianship services
and services to support positive permanent outcomes for
children at risk of entering foster care
ndash Two-thirds of the 30 on post-adoption and post-
guardianship services
bull Title IV-E agencies must use the savings to
supplement and not supplant any funds used to
provide any service under title IV-B or IV-E
bull Effective 10114
5
Relative notification and sibling definition
bull Modifies the relative notification provision to include
notifying the parents of the childrsquos siblings
bull Defines siblings to mean an individual who is
considered by State law to be a sibling or who would
be considered a sibling under state law if it not were
for a disruption in parental rights such as termination
of parental rights (TPR) or death of parent
bull Effective upon enactment unless ACF approves a delayed
effective date
6
Successor guardians
bull Allows continuation of title IV-E kinship guardianship
assistance payments if the relative guardian dies or is
incapacitated and a successor legal guardian is
named in the agreement (or any amendments to the
agreement)
bull Effective upon enactment
7
Family Connection Grants Program
bull Reauthorizes Family Connection Grants at the current
level of $15 million for 2014
bull Permits HHS to make family connection grants
available to institutions of higher education
bull $5 million each FY for kinship navigator programs ndash
no longer required to reserve
bull Effective 10113
8
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
ONE YEAR OR LATER AFTER
ENACTMENT
9
Title IV-E plan requirements victims of sex
trafficking
bull Title IV-E agencies must develop and implement
procedures to identify document and determine
appropriate services for specific children who are at-
risk of becoming a sex trafficking victim or who is a
sex trafficking victim
bull Title IV-E agencies must report annually to HHS the
total number of children and youth who are sex
trafficking victims
ndash HHS must report to Congress annually beginning 4 years
after enactment (92918) the number of these children and
youth who are sex trafficking victims (defined in sec
475(9)(A))
10
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
The NASAP will also further explore the possibility of holding Regional Roundtables as a forum for State Managers to discuss adoption programs policies and practices with our peers During the past year the NASAP EC directed support to specific regions to engage State Managers around the activities of NASAP and also around hot topics and policy and practice challenges for additional opportunities for dialogue We look forward to increased opportunities to engage State Managers on a regional level over the next year Goal and Priorities for the Coming Year John shared that he will work closely with Maggie Molitor NASAP Vice-President over the coming year to decide how we would like to host next yearrsquos Annual Working Meeting The EC welcomes ideas and thoughts from the NASAP membership on building opportunities for engaging each other in-person meetingsactivitiesevents As more and more State Managers have the opportunity to use technology in their work the EC is also potentially looking at using Facebook Twitter or another social media platform to engage each other and provide access to information As we confirm activities for the coming year the EC is planning the next NASAP Peer-to-Peer Forum around the topic of ldquofull disclosurerdquo John shared that in the State of Tennessee they have been working with Spaulding for Children to look at how they may improve practice around full disclosure specifically how they considerrespect HIPAA while also providing sharing information about their children and providing a clear picture to prospective families about the child wersquore expecting them to parent Tennessee did not have an existing policy around full disclosure and the Technical Assistance received from Spaulding around this issue helped them develop a policy and also resulted in Tennessee submitting State legislation which was recently picked up by the Governor and will be added to his legislative packet Tennessee is currently linking legislation to policy to practice If other States have examples of rising issues or trends or promising practices around full disclosure we are would appreciate you sharing your examples with the NASAP EC The EC plans to hold three Peer-to-Peer Forums over the next year and would be interested in hearing about other ideas for topics Catherine Meister from New Hampshire stated she would be very interested in the discussion around full disclosure and she would also be interested in hearing from other States if they have specific policies and practices around determining their matching process John stated more information around the Sex Trafficking legislation could also potentially be considered as a topic for a NASAP Forum In summary as NASAP continues to move forward we are continually looking at ways to reinvent our organization and keep State Manager engaged and informed We are also looking at ways to strengthen the NASAP Executive Committee to ensure we continue to provide the needed support and adequate representation for the NASAP membership
John thank everyone for their participation in the 2014 NASAP Annual Working Meeting and asked that everyone remember to vote and send in their ballots for the NASAP elections to iparksspauldingorg by Tuesday November 25
Webinar Registration Link
PL 113-183 Preventing Sex
Trafficking and Strengthening
Families Act
Sponsor Rep Dave Camp [R-MI-4]
9292014- signed by the President
Provided by
The Childrenrsquos Bureau
Administration for Children and Families
US Department of Health and Human Services
Legislationrsquos Purpose
bull Amends the title IV-E program to address sex trafficking
locating missing children in foster care amends title IV-
EIV-B case review and planning requirements
reauthorizes and amends the Adoption Incentives Program
and Family Connections Grants
bull All citations are to the Social Security Act (the Act) as
amended by Public Law (PL) 113-183
bull The bill number is HR 4980 Go to Congressgov for more
information about the PL httpswwwcongressgovbill113th-
congresshouse-
bill4980q=7B22search223A5B22hr4980225D7D
2
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
UPON ENACTMENT
3
Title IV-E Adoption Assistance Program
savings reporting
bull Revises the existing requirement for a title IV-E
agency to spend any savings generated from
implementing the revised adoption assistance
eligibility criteria on child welfare services that may be
provided under titles IV-B and IV-E
bull Title IV-E agencies now must also
ndash calculate the savings from de-linking title IV-E adoption
assistance eligibility from the Aid to Families with Dependent
Children (AFDC) eligibility requirements and
ndash report the methodology used to calculate the savings how
savings are spent and on what services
4
Title IV-E Adoption Assistance Program
savings reporting cont
bull Title IV-E agencies must spend the savings on title IV-
B and IV-E programs including
ndash 30 on post-adoption services post-guardianship services
and services to support positive permanent outcomes for
children at risk of entering foster care
ndash Two-thirds of the 30 on post-adoption and post-
guardianship services
bull Title IV-E agencies must use the savings to
supplement and not supplant any funds used to
provide any service under title IV-B or IV-E
bull Effective 10114
5
Relative notification and sibling definition
bull Modifies the relative notification provision to include
notifying the parents of the childrsquos siblings
bull Defines siblings to mean an individual who is
considered by State law to be a sibling or who would
be considered a sibling under state law if it not were
for a disruption in parental rights such as termination
of parental rights (TPR) or death of parent
bull Effective upon enactment unless ACF approves a delayed
effective date
6
Successor guardians
bull Allows continuation of title IV-E kinship guardianship
assistance payments if the relative guardian dies or is
incapacitated and a successor legal guardian is
named in the agreement (or any amendments to the
agreement)
bull Effective upon enactment
7
Family Connection Grants Program
bull Reauthorizes Family Connection Grants at the current
level of $15 million for 2014
bull Permits HHS to make family connection grants
available to institutions of higher education
bull $5 million each FY for kinship navigator programs ndash
no longer required to reserve
bull Effective 10113
8
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
ONE YEAR OR LATER AFTER
ENACTMENT
9
Title IV-E plan requirements victims of sex
trafficking
bull Title IV-E agencies must develop and implement
procedures to identify document and determine
appropriate services for specific children who are at-
risk of becoming a sex trafficking victim or who is a
sex trafficking victim
bull Title IV-E agencies must report annually to HHS the
total number of children and youth who are sex
trafficking victims
ndash HHS must report to Congress annually beginning 4 years
after enactment (92918) the number of these children and
youth who are sex trafficking victims (defined in sec
475(9)(A))
10
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
John thank everyone for their participation in the 2014 NASAP Annual Working Meeting and asked that everyone remember to vote and send in their ballots for the NASAP elections to iparksspauldingorg by Tuesday November 25
Webinar Registration Link
PL 113-183 Preventing Sex
Trafficking and Strengthening
Families Act
Sponsor Rep Dave Camp [R-MI-4]
9292014- signed by the President
Provided by
The Childrenrsquos Bureau
Administration for Children and Families
US Department of Health and Human Services
Legislationrsquos Purpose
bull Amends the title IV-E program to address sex trafficking
locating missing children in foster care amends title IV-
EIV-B case review and planning requirements
reauthorizes and amends the Adoption Incentives Program
and Family Connections Grants
bull All citations are to the Social Security Act (the Act) as
amended by Public Law (PL) 113-183
bull The bill number is HR 4980 Go to Congressgov for more
information about the PL httpswwwcongressgovbill113th-
congresshouse-
bill4980q=7B22search223A5B22hr4980225D7D
2
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
UPON ENACTMENT
3
Title IV-E Adoption Assistance Program
savings reporting
bull Revises the existing requirement for a title IV-E
agency to spend any savings generated from
implementing the revised adoption assistance
eligibility criteria on child welfare services that may be
provided under titles IV-B and IV-E
bull Title IV-E agencies now must also
ndash calculate the savings from de-linking title IV-E adoption
assistance eligibility from the Aid to Families with Dependent
Children (AFDC) eligibility requirements and
ndash report the methodology used to calculate the savings how
savings are spent and on what services
4
Title IV-E Adoption Assistance Program
savings reporting cont
bull Title IV-E agencies must spend the savings on title IV-
B and IV-E programs including
ndash 30 on post-adoption services post-guardianship services
and services to support positive permanent outcomes for
children at risk of entering foster care
ndash Two-thirds of the 30 on post-adoption and post-
guardianship services
bull Title IV-E agencies must use the savings to
supplement and not supplant any funds used to
provide any service under title IV-B or IV-E
bull Effective 10114
5
Relative notification and sibling definition
bull Modifies the relative notification provision to include
notifying the parents of the childrsquos siblings
bull Defines siblings to mean an individual who is
considered by State law to be a sibling or who would
be considered a sibling under state law if it not were
for a disruption in parental rights such as termination
of parental rights (TPR) or death of parent
bull Effective upon enactment unless ACF approves a delayed
effective date
6
Successor guardians
bull Allows continuation of title IV-E kinship guardianship
assistance payments if the relative guardian dies or is
incapacitated and a successor legal guardian is
named in the agreement (or any amendments to the
agreement)
bull Effective upon enactment
7
Family Connection Grants Program
bull Reauthorizes Family Connection Grants at the current
level of $15 million for 2014
bull Permits HHS to make family connection grants
available to institutions of higher education
bull $5 million each FY for kinship navigator programs ndash
no longer required to reserve
bull Effective 10113
8
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
ONE YEAR OR LATER AFTER
ENACTMENT
9
Title IV-E plan requirements victims of sex
trafficking
bull Title IV-E agencies must develop and implement
procedures to identify document and determine
appropriate services for specific children who are at-
risk of becoming a sex trafficking victim or who is a
sex trafficking victim
bull Title IV-E agencies must report annually to HHS the
total number of children and youth who are sex
trafficking victims
ndash HHS must report to Congress annually beginning 4 years
after enactment (92918) the number of these children and
youth who are sex trafficking victims (defined in sec
475(9)(A))
10
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
PL 113-183 Preventing Sex
Trafficking and Strengthening
Families Act
Sponsor Rep Dave Camp [R-MI-4]
9292014- signed by the President
Provided by
The Childrenrsquos Bureau
Administration for Children and Families
US Department of Health and Human Services
Legislationrsquos Purpose
bull Amends the title IV-E program to address sex trafficking
locating missing children in foster care amends title IV-
EIV-B case review and planning requirements
reauthorizes and amends the Adoption Incentives Program
and Family Connections Grants
bull All citations are to the Social Security Act (the Act) as
amended by Public Law (PL) 113-183
bull The bill number is HR 4980 Go to Congressgov for more
information about the PL httpswwwcongressgovbill113th-
congresshouse-
bill4980q=7B22search223A5B22hr4980225D7D
2
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
UPON ENACTMENT
3
Title IV-E Adoption Assistance Program
savings reporting
bull Revises the existing requirement for a title IV-E
agency to spend any savings generated from
implementing the revised adoption assistance
eligibility criteria on child welfare services that may be
provided under titles IV-B and IV-E
bull Title IV-E agencies now must also
ndash calculate the savings from de-linking title IV-E adoption
assistance eligibility from the Aid to Families with Dependent
Children (AFDC) eligibility requirements and
ndash report the methodology used to calculate the savings how
savings are spent and on what services
4
Title IV-E Adoption Assistance Program
savings reporting cont
bull Title IV-E agencies must spend the savings on title IV-
B and IV-E programs including
ndash 30 on post-adoption services post-guardianship services
and services to support positive permanent outcomes for
children at risk of entering foster care
ndash Two-thirds of the 30 on post-adoption and post-
guardianship services
bull Title IV-E agencies must use the savings to
supplement and not supplant any funds used to
provide any service under title IV-B or IV-E
bull Effective 10114
5
Relative notification and sibling definition
bull Modifies the relative notification provision to include
notifying the parents of the childrsquos siblings
bull Defines siblings to mean an individual who is
considered by State law to be a sibling or who would
be considered a sibling under state law if it not were
for a disruption in parental rights such as termination
of parental rights (TPR) or death of parent
bull Effective upon enactment unless ACF approves a delayed
effective date
6
Successor guardians
bull Allows continuation of title IV-E kinship guardianship
assistance payments if the relative guardian dies or is
incapacitated and a successor legal guardian is
named in the agreement (or any amendments to the
agreement)
bull Effective upon enactment
7
Family Connection Grants Program
bull Reauthorizes Family Connection Grants at the current
level of $15 million for 2014
bull Permits HHS to make family connection grants
available to institutions of higher education
bull $5 million each FY for kinship navigator programs ndash
no longer required to reserve
bull Effective 10113
8
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
ONE YEAR OR LATER AFTER
ENACTMENT
9
Title IV-E plan requirements victims of sex
trafficking
bull Title IV-E agencies must develop and implement
procedures to identify document and determine
appropriate services for specific children who are at-
risk of becoming a sex trafficking victim or who is a
sex trafficking victim
bull Title IV-E agencies must report annually to HHS the
total number of children and youth who are sex
trafficking victims
ndash HHS must report to Congress annually beginning 4 years
after enactment (92918) the number of these children and
youth who are sex trafficking victims (defined in sec
475(9)(A))
10
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Legislationrsquos Purpose
bull Amends the title IV-E program to address sex trafficking
locating missing children in foster care amends title IV-
EIV-B case review and planning requirements
reauthorizes and amends the Adoption Incentives Program
and Family Connections Grants
bull All citations are to the Social Security Act (the Act) as
amended by Public Law (PL) 113-183
bull The bill number is HR 4980 Go to Congressgov for more
information about the PL httpswwwcongressgovbill113th-
congresshouse-
bill4980q=7B22search223A5B22hr4980225D7D
2
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
UPON ENACTMENT
3
Title IV-E Adoption Assistance Program
savings reporting
bull Revises the existing requirement for a title IV-E
agency to spend any savings generated from
implementing the revised adoption assistance
eligibility criteria on child welfare services that may be
provided under titles IV-B and IV-E
bull Title IV-E agencies now must also
ndash calculate the savings from de-linking title IV-E adoption
assistance eligibility from the Aid to Families with Dependent
Children (AFDC) eligibility requirements and
ndash report the methodology used to calculate the savings how
savings are spent and on what services
4
Title IV-E Adoption Assistance Program
savings reporting cont
bull Title IV-E agencies must spend the savings on title IV-
B and IV-E programs including
ndash 30 on post-adoption services post-guardianship services
and services to support positive permanent outcomes for
children at risk of entering foster care
ndash Two-thirds of the 30 on post-adoption and post-
guardianship services
bull Title IV-E agencies must use the savings to
supplement and not supplant any funds used to
provide any service under title IV-B or IV-E
bull Effective 10114
5
Relative notification and sibling definition
bull Modifies the relative notification provision to include
notifying the parents of the childrsquos siblings
bull Defines siblings to mean an individual who is
considered by State law to be a sibling or who would
be considered a sibling under state law if it not were
for a disruption in parental rights such as termination
of parental rights (TPR) or death of parent
bull Effective upon enactment unless ACF approves a delayed
effective date
6
Successor guardians
bull Allows continuation of title IV-E kinship guardianship
assistance payments if the relative guardian dies or is
incapacitated and a successor legal guardian is
named in the agreement (or any amendments to the
agreement)
bull Effective upon enactment
7
Family Connection Grants Program
bull Reauthorizes Family Connection Grants at the current
level of $15 million for 2014
bull Permits HHS to make family connection grants
available to institutions of higher education
bull $5 million each FY for kinship navigator programs ndash
no longer required to reserve
bull Effective 10113
8
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
ONE YEAR OR LATER AFTER
ENACTMENT
9
Title IV-E plan requirements victims of sex
trafficking
bull Title IV-E agencies must develop and implement
procedures to identify document and determine
appropriate services for specific children who are at-
risk of becoming a sex trafficking victim or who is a
sex trafficking victim
bull Title IV-E agencies must report annually to HHS the
total number of children and youth who are sex
trafficking victims
ndash HHS must report to Congress annually beginning 4 years
after enactment (92918) the number of these children and
youth who are sex trafficking victims (defined in sec
475(9)(A))
10
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
UPON ENACTMENT
3
Title IV-E Adoption Assistance Program
savings reporting
bull Revises the existing requirement for a title IV-E
agency to spend any savings generated from
implementing the revised adoption assistance
eligibility criteria on child welfare services that may be
provided under titles IV-B and IV-E
bull Title IV-E agencies now must also
ndash calculate the savings from de-linking title IV-E adoption
assistance eligibility from the Aid to Families with Dependent
Children (AFDC) eligibility requirements and
ndash report the methodology used to calculate the savings how
savings are spent and on what services
4
Title IV-E Adoption Assistance Program
savings reporting cont
bull Title IV-E agencies must spend the savings on title IV-
B and IV-E programs including
ndash 30 on post-adoption services post-guardianship services
and services to support positive permanent outcomes for
children at risk of entering foster care
ndash Two-thirds of the 30 on post-adoption and post-
guardianship services
bull Title IV-E agencies must use the savings to
supplement and not supplant any funds used to
provide any service under title IV-B or IV-E
bull Effective 10114
5
Relative notification and sibling definition
bull Modifies the relative notification provision to include
notifying the parents of the childrsquos siblings
bull Defines siblings to mean an individual who is
considered by State law to be a sibling or who would
be considered a sibling under state law if it not were
for a disruption in parental rights such as termination
of parental rights (TPR) or death of parent
bull Effective upon enactment unless ACF approves a delayed
effective date
6
Successor guardians
bull Allows continuation of title IV-E kinship guardianship
assistance payments if the relative guardian dies or is
incapacitated and a successor legal guardian is
named in the agreement (or any amendments to the
agreement)
bull Effective upon enactment
7
Family Connection Grants Program
bull Reauthorizes Family Connection Grants at the current
level of $15 million for 2014
bull Permits HHS to make family connection grants
available to institutions of higher education
bull $5 million each FY for kinship navigator programs ndash
no longer required to reserve
bull Effective 10113
8
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
ONE YEAR OR LATER AFTER
ENACTMENT
9
Title IV-E plan requirements victims of sex
trafficking
bull Title IV-E agencies must develop and implement
procedures to identify document and determine
appropriate services for specific children who are at-
risk of becoming a sex trafficking victim or who is a
sex trafficking victim
bull Title IV-E agencies must report annually to HHS the
total number of children and youth who are sex
trafficking victims
ndash HHS must report to Congress annually beginning 4 years
after enactment (92918) the number of these children and
youth who are sex trafficking victims (defined in sec
475(9)(A))
10
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Title IV-E Adoption Assistance Program
savings reporting
bull Revises the existing requirement for a title IV-E
agency to spend any savings generated from
implementing the revised adoption assistance
eligibility criteria on child welfare services that may be
provided under titles IV-B and IV-E
bull Title IV-E agencies now must also
ndash calculate the savings from de-linking title IV-E adoption
assistance eligibility from the Aid to Families with Dependent
Children (AFDC) eligibility requirements and
ndash report the methodology used to calculate the savings how
savings are spent and on what services
4
Title IV-E Adoption Assistance Program
savings reporting cont
bull Title IV-E agencies must spend the savings on title IV-
B and IV-E programs including
ndash 30 on post-adoption services post-guardianship services
and services to support positive permanent outcomes for
children at risk of entering foster care
ndash Two-thirds of the 30 on post-adoption and post-
guardianship services
bull Title IV-E agencies must use the savings to
supplement and not supplant any funds used to
provide any service under title IV-B or IV-E
bull Effective 10114
5
Relative notification and sibling definition
bull Modifies the relative notification provision to include
notifying the parents of the childrsquos siblings
bull Defines siblings to mean an individual who is
considered by State law to be a sibling or who would
be considered a sibling under state law if it not were
for a disruption in parental rights such as termination
of parental rights (TPR) or death of parent
bull Effective upon enactment unless ACF approves a delayed
effective date
6
Successor guardians
bull Allows continuation of title IV-E kinship guardianship
assistance payments if the relative guardian dies or is
incapacitated and a successor legal guardian is
named in the agreement (or any amendments to the
agreement)
bull Effective upon enactment
7
Family Connection Grants Program
bull Reauthorizes Family Connection Grants at the current
level of $15 million for 2014
bull Permits HHS to make family connection grants
available to institutions of higher education
bull $5 million each FY for kinship navigator programs ndash
no longer required to reserve
bull Effective 10113
8
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
ONE YEAR OR LATER AFTER
ENACTMENT
9
Title IV-E plan requirements victims of sex
trafficking
bull Title IV-E agencies must develop and implement
procedures to identify document and determine
appropriate services for specific children who are at-
risk of becoming a sex trafficking victim or who is a
sex trafficking victim
bull Title IV-E agencies must report annually to HHS the
total number of children and youth who are sex
trafficking victims
ndash HHS must report to Congress annually beginning 4 years
after enactment (92918) the number of these children and
youth who are sex trafficking victims (defined in sec
475(9)(A))
10
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Title IV-E Adoption Assistance Program
savings reporting cont
bull Title IV-E agencies must spend the savings on title IV-
B and IV-E programs including
ndash 30 on post-adoption services post-guardianship services
and services to support positive permanent outcomes for
children at risk of entering foster care
ndash Two-thirds of the 30 on post-adoption and post-
guardianship services
bull Title IV-E agencies must use the savings to
supplement and not supplant any funds used to
provide any service under title IV-B or IV-E
bull Effective 10114
5
Relative notification and sibling definition
bull Modifies the relative notification provision to include
notifying the parents of the childrsquos siblings
bull Defines siblings to mean an individual who is
considered by State law to be a sibling or who would
be considered a sibling under state law if it not were
for a disruption in parental rights such as termination
of parental rights (TPR) or death of parent
bull Effective upon enactment unless ACF approves a delayed
effective date
6
Successor guardians
bull Allows continuation of title IV-E kinship guardianship
assistance payments if the relative guardian dies or is
incapacitated and a successor legal guardian is
named in the agreement (or any amendments to the
agreement)
bull Effective upon enactment
7
Family Connection Grants Program
bull Reauthorizes Family Connection Grants at the current
level of $15 million for 2014
bull Permits HHS to make family connection grants
available to institutions of higher education
bull $5 million each FY for kinship navigator programs ndash
no longer required to reserve
bull Effective 10113
8
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
ONE YEAR OR LATER AFTER
ENACTMENT
9
Title IV-E plan requirements victims of sex
trafficking
bull Title IV-E agencies must develop and implement
procedures to identify document and determine
appropriate services for specific children who are at-
risk of becoming a sex trafficking victim or who is a
sex trafficking victim
bull Title IV-E agencies must report annually to HHS the
total number of children and youth who are sex
trafficking victims
ndash HHS must report to Congress annually beginning 4 years
after enactment (92918) the number of these children and
youth who are sex trafficking victims (defined in sec
475(9)(A))
10
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Relative notification and sibling definition
bull Modifies the relative notification provision to include
notifying the parents of the childrsquos siblings
bull Defines siblings to mean an individual who is
considered by State law to be a sibling or who would
be considered a sibling under state law if it not were
for a disruption in parental rights such as termination
of parental rights (TPR) or death of parent
bull Effective upon enactment unless ACF approves a delayed
effective date
6
Successor guardians
bull Allows continuation of title IV-E kinship guardianship
assistance payments if the relative guardian dies or is
incapacitated and a successor legal guardian is
named in the agreement (or any amendments to the
agreement)
bull Effective upon enactment
7
Family Connection Grants Program
bull Reauthorizes Family Connection Grants at the current
level of $15 million for 2014
bull Permits HHS to make family connection grants
available to institutions of higher education
bull $5 million each FY for kinship navigator programs ndash
no longer required to reserve
bull Effective 10113
8
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
ONE YEAR OR LATER AFTER
ENACTMENT
9
Title IV-E plan requirements victims of sex
trafficking
bull Title IV-E agencies must develop and implement
procedures to identify document and determine
appropriate services for specific children who are at-
risk of becoming a sex trafficking victim or who is a
sex trafficking victim
bull Title IV-E agencies must report annually to HHS the
total number of children and youth who are sex
trafficking victims
ndash HHS must report to Congress annually beginning 4 years
after enactment (92918) the number of these children and
youth who are sex trafficking victims (defined in sec
475(9)(A))
10
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Successor guardians
bull Allows continuation of title IV-E kinship guardianship
assistance payments if the relative guardian dies or is
incapacitated and a successor legal guardian is
named in the agreement (or any amendments to the
agreement)
bull Effective upon enactment
7
Family Connection Grants Program
bull Reauthorizes Family Connection Grants at the current
level of $15 million for 2014
bull Permits HHS to make family connection grants
available to institutions of higher education
bull $5 million each FY for kinship navigator programs ndash
no longer required to reserve
bull Effective 10113
8
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
ONE YEAR OR LATER AFTER
ENACTMENT
9
Title IV-E plan requirements victims of sex
trafficking
bull Title IV-E agencies must develop and implement
procedures to identify document and determine
appropriate services for specific children who are at-
risk of becoming a sex trafficking victim or who is a
sex trafficking victim
bull Title IV-E agencies must report annually to HHS the
total number of children and youth who are sex
trafficking victims
ndash HHS must report to Congress annually beginning 4 years
after enactment (92918) the number of these children and
youth who are sex trafficking victims (defined in sec
475(9)(A))
10
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Family Connection Grants Program
bull Reauthorizes Family Connection Grants at the current
level of $15 million for 2014
bull Permits HHS to make family connection grants
available to institutions of higher education
bull $5 million each FY for kinship navigator programs ndash
no longer required to reserve
bull Effective 10113
8
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
ONE YEAR OR LATER AFTER
ENACTMENT
9
Title IV-E plan requirements victims of sex
trafficking
bull Title IV-E agencies must develop and implement
procedures to identify document and determine
appropriate services for specific children who are at-
risk of becoming a sex trafficking victim or who is a
sex trafficking victim
bull Title IV-E agencies must report annually to HHS the
total number of children and youth who are sex
trafficking victims
ndash HHS must report to Congress annually beginning 4 years
after enactment (92918) the number of these children and
youth who are sex trafficking victims (defined in sec
475(9)(A))
10
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
PROVISIONS RELATED TO TITLE
IV-EIV-B PROGRAMS EFFECTIVE
ONE YEAR OR LATER AFTER
ENACTMENT
9
Title IV-E plan requirements victims of sex
trafficking
bull Title IV-E agencies must develop and implement
procedures to identify document and determine
appropriate services for specific children who are at-
risk of becoming a sex trafficking victim or who is a
sex trafficking victim
bull Title IV-E agencies must report annually to HHS the
total number of children and youth who are sex
trafficking victims
ndash HHS must report to Congress annually beginning 4 years
after enactment (92918) the number of these children and
youth who are sex trafficking victims (defined in sec
475(9)(A))
10
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Title IV-E plan requirements victims of sex
trafficking
bull Title IV-E agencies must develop and implement
procedures to identify document and determine
appropriate services for specific children who are at-
risk of becoming a sex trafficking victim or who is a
sex trafficking victim
bull Title IV-E agencies must report annually to HHS the
total number of children and youth who are sex
trafficking victims
ndash HHS must report to Congress annually beginning 4 years
after enactment (92918) the number of these children and
youth who are sex trafficking victims (defined in sec
475(9)(A))
10
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Title IV-E plan requirement victims of sex
trafficking cont
bull Childrenndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such higher age elected under 475(8)
ndash Not in foster care who are receiving Chafee services
ndash Under age 26 who were or were never in foster care (optional)
bull Within 1 year of enactment (by 92915) must develop
bull Within 2 years of enactment (by 92916) must demonstrate implementing
bull Within 3 years of enactment (by 92917) must report to HHS total numbers
11
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Title IV-E plan requirement victims of sex
trafficking cont
bull Defines ldquosex trafficking victimrdquo in SSA as a victim of
sex trafficking (as defined in section 103(10) of the
Trafficking Victims Protection Act of 2000) or a severe
form of trafficking in persons (described in section
103(9)(A) of the Trafficking Victims Protection Act of
2000)
ndash Section 103(10) of TVPA Sex trafficking means the
recruitment harboring transportation provision or obtaining
of a person for the purpose of a commercial sex act
ndash Section 103(9)(A) of TVPA Severe forms of trafficking in
persons means sex trafficking in which a commercial sex act
is induced by force fraud or coercion or in which the person
induced to perform such act has not attained 18 years of age
bull Effective upon enactment
12
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Title IV-E plan requirement locate missing
children in foster care
bull Title IV-E agencies must develop and implement
protocols to locate missing children from foster care
and
ndash determine the factors that lead to the childrsquos being absent
from foster care
ndash determine the childrsquos experiences while absent from care
including whether the child is a sex trafficking victim and
ndash report any related information as required by HHS
bull Within 1 year of enactment (by 92915)
13
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement
bull Title IV-E agencies must report immediately (no later
than 24 hours) to law enforcement specific children or
youth the agency identifies as being a sex trafficking
victim
bull Title IV-E agencies must develop and implement
protocols to report specific children or youth
immediately (no later than 24 hours) on missing or
abducted children to law enforcement for entry into
the National Crime Information Center (NCIC)
database
14
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Title IV-E plan requirement report sex
trafficking victims missing abducted
children to law enforcement cont
bull Children
ndash In the placement and care responsibility of the IV-E agency
ndash Not removed from home with an open case file
ndash Have run away from foster care and under age 18 or such
higher age elected under sec 475(8)
ndash Not in foster care who are receiving Chafee services
bull Within 2 years of enactment (by 92916)
15
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
New APPLA requirements
bull Limits another planned permanent living arrangement
(APPLA) as a permanency plan only for youth age 16
and olderbull Effective 92915
bull Tribal title IV-EIV-B agencies have 3 years to
implement the limit on APPLA as a permanency plan
for youth age 16 and older
16
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the efforts to place a child permanently with a
parent relative or in a guardianship or adoptive placement
bull This requirement is similar to the existing
requirements in sec 475(5)(C)(i) of the Act that
require that the title IV-EIV-B agency document to the
court a compelling reason for APPLA as a
permanency plan
17
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-E agency must at each
permanency hearing
ndash ensure that the court or administrative body asks the child
about hisher desired permanency outcome and makes a
judicial determination that
bull APPLA is the best permanency plan for the child and
bull compelling reasons why itrsquos not in the best interest of the
child to be placed permanently with a parent relative or in
a guardianship or adoptive placement
bull This requirement is similar to the requirements in sec
472(a) of the Act and 1356121(b)(2) for judicial
determinations for reasonable efforts to finalize a
permanency plan
18
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
New APPLA requirements cont
bull For children in foster care with a permanency plan of
APPLA the title IV-EIV-B agency must at each
permanency hearing
ndash document the steps the agency is taking to ensure that the
foster family follows the ldquoreasonable and prudent parent
standardrdquo in allowing the child to have regular opportunities to
engage in ldquoage or developmentally-appropriate activitiesrdquo (this
must also be done at the 6 month periodic review)
bull Effective 92915
19
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Reasonable and prudent parent standard
bull The ldquoreasonable and prudent parent standardrdquo is defined as ldquothe
standard characterized by careful and sensible parental decisions
that maintain the health safety and best interests of a child while
at the same time encouraging the emotional and developmental
growth of the child that a caregiver (a foster parent of a child or
designated official of a child care institution in which a child in
foster care has been placed) shall use when determining whether
to allow a child in foster care under the responsibility of the title
IV-E agency to participate in extracurricular enrichment cultural
and social activitiesrdquo
20
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Reasonable and prudent parent standard
contbull Title IV-E agencies must
ndash require state and tribal licensing authorities to permit the use
of the ldquoreasonable and prudent parenting standardrdquo and to
have policies to ensure appropriate caregiver liability when
approving an activity for a foster youth using the standard
ndash require child care institutions to have an on-site official
authorized to apply the standard and certify that foster
parents have skills and knowledge on the standard and
require that the authorized official have the same training as
foster parents
bull HHS must provide TA on best practices to help foster
parents in applying the reasonable and prudent parent
standard
21
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
New title IV-EIV-B requirements for children
age 14+
bull For children age 14 and older the title IV-BIV-E agency must ndash document the childrsquos education health visitation and court
participation rights and a signed acknowledgement that the child was provided these rights and that they were explained in an age appropriate way in the case plan
ndash develop the case plan and permanency plan in consultation with the child and at the option of the child 2 members of the case planning team who are not the caseworker or foster parent
ndash describe the services to help the youth transition to successful adulthood in the case plan and permanency hearing (formerly at age 16) and
ndash provide a copy of the childrsquos credit report annually and assist in fixing any inaccuracies (formerly age 16)
bull Effective 92915
22
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Providing important documents to youth
aging out of foster care
bull Title IV-BIV-E agencies must provide a youth aging out of foster care at age 18 (or 19 20 or 21 as elected by the agency under sec 475(8) of the Act) with hisherndash birth certificate
ndash Social Security card
ndash driverrsquos license or identification card
ndash health insurance information and
ndash medical records
bull Applies to youth who are in foster care for 6 months or longer
bull Effective 92915
23
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Adoption and Guardianship Incentive
Program
bull Applies to state title IV-E agencies only
bull Reauthorized at the current level of $43 million for
each FY through 2016
bull Phases in new categoriesawards in 10114 (next
slides)
bull Other requirements effective sooner
ndash Allows states to spend the money over a 36 month period
instead of a 24 month period ndash 10113
ndash States may not use incentive payments to supplant federal or
non-federal funds for services under title IV-EIV-B ndash applies
to awards for FY 14
24
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Incentives cont ndash New Categories and
Awardsbull Each FY a state is eligible for incentive funds
ndash for improving the rate of foster child adoptions ndash $5000
ndash for improving the rate of older child adoptions and older foster child guardianships (age 14 and older) ndash $10000
ndash for improving the rate of pre-adolescent adoptions and pre-adolescent foster child guardianships (ages 9-13) ndash $7500
ndash for improving the rate of foster child guardianships ndash $4000
bull Base rate ndash average rate for the immediately preceding 3 fiscal years or
ndash the rate for the prior fiscal year
bull Creates an incentive for timely adoptions and guardianships finalized during any FY 2013-2015 if other incentive awards are less than the appropriation Average number of months from removal to placement in a finalized adoption must be less than 24 months for a FY
25
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Incentives contbull FY 2014 ndash States receive an amount equal to half the sum
of the total award currently in effect and the total award under the new categories
bull Provides a pro rata adjustment if insufficient funds are available
bull Guardianship incentive available for a child who leaves foster care to live with a legal guardian if either
ndash child was removed from the home pursuant to a VPA or judicial determination that continuation in the home is contrary to the welfare of the child return to the home is not an appropriate option the child demonstrates a strong attachment to the legal guardian the legal guardian has a strong commitment to caring permanently for the child and if over 14 years of age the child is consulted regarding the legal guardianship arrangement or
ndash Alternative procedure used by the state to determine that the legal guardianship is an appropriate option for the child
26
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Adoption and Foster Care Analysis and
Reporting System (AFCARS)
bull Title IV-E agencies must report information to
AFCARS on children in foster care
ndash who are identified as sex trafficking victims before entering
foster care and while in foster care
ndash children who entered after a finalized adoption or legal
guardianship
27
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Chafee Foster Care Independence Program
(CFCIP) changes
bull Purposes of the CFCIP now includes ensuring that
children who are likely to remain in foster care until
age 18 have on-going opportunities to engage in ldquoage
or developmentally-appropriaterdquo activities
bull Effective 92915
bull Beginning FY 2020 the appropriation increases
by $3M to $143M
28
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
HHS REQUIREMENTS
29
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Child welfare outcomes report
bull Beginning FY 2016 the outcomes report must include
state data on children in foster care who are
ndash pregnant or parenting
ndash placed in a child care institution or other non-foster family
home setting including
bull the number of children in the placement their ages and
whether they have a permanency plan of APPLA
bull their duration in placement and the type of child care
institution
bull the number of foster children in each setting and
bull any clinically diagnosed special need and the extent of
special education or services provided in the placement
30
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Reports to Congress
bull HHS must report to Congress on
ndash children who run away from foster care and their risk of being
sex trafficking victims their characteristics factors associated
with running away experiences while absent from care and
trends among other things (due 92916)
ndash agenciesrsquo implementation of and best practices for the case
planning amendments regarding APPLA and children age 14+
(due 92917)
31
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
National Advisory Committee on the Sex
Trafficking of Children and Youth in the
United States
bull HHS must establish and appoint a National Advisory
Committee on the Sex Trafficking of Children and
Youth in the United States to among other things
advise on practical and general policies on improving
the national response to sex trafficking and develop
best practices
ndash 21 members appointed in consultation with the AG and NGA
bull Within 2 years of enactment (by 92916) establish and
appoint members
bull Committee terminates 5 years after establishment
32
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
QUESTIONS
Thank you
33
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
A Program of Spaulding for Children
in Partnership with
The University of Texas at Austin
The University of Wisconsin-Milwaukee and
The University of North Carolina at Chapel Hil l
NATIONAL QUALITY IMPROVEMENT CENTER
FOR ADOPTIONGUARDIANSHIP
SUPPORT AND PRESERVATION
(QIC-AG)
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Spaulding for Children Lead Contact Melinda Lis
The University of Texas at Austin Lead Contact Dr Rowena Fong
The University of Wisconsin-Milwaukee Lead Contact Dr Nancy Rolock
The University of North Carolina at Chapel Hill Lead Contact Dr Mark Testa
2
QIC-AG PARTNERSHIP
QIC-AG is funded through a cooperative agreement with Department of Health and Human Services Administration for Children and Families Childrenrsquos Bureau
The partnership includes
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
The QIC-AG will develop evidence-based models of support and interventions which can be replicated or adapted in other child welfare systems to achieve long-term stable permanency in adoptiveguardianship homes for waiting children as well for the general post-adoptionguardianship population
3
QIC-AG GOAL
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Increased post-permanency stability
Improved behavioral health for children
Improved child and family well-being
4
EXPECTED LONG-TERM OUTCOMES
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
1 To build a body of knowledge of the correct combinations of supports services and interventions that work best to ensure resiliency and stability for youth in a permanent home
2 To support innovative collaborative and effective practices in the development of these supports services and interventions and the strategies for each of the project sites
3 To ensure project sites can assess and match appropriate service interventions and service-delivery mechanisms that effectively match the needs of childrenyouth and their adoptive parentslegal guardians to ensure ongoing stability and enhanced resilience
5
QIC-AG OBJECTIVES
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
4 To assist sites to conduct comprehensive screening and functional assessments of childrenyouth to ensure appropriate service intervention Services will be available accessible culturally responsive and effective to meet behavioralmental health needs
5 To develop in partnership with the 6-8 sites a system of culturally responsive evidence-based services to improve permanency and stability outcomes for childrenyouth in adoptive guardianship homes to meet the target populations needs and extend post-permanency supports services to the general post-adoptionguardianship population in the selected sites
6 To complete an evaluation on each site and produce new evidence-based models of support and intervention that increase resiliency and assure permanency and stability for youth in adoptiveguardianship homes
6
QIC-AG OBJECTIVES
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Child welfare agencies should provide a continuum of services that increase permanency stabil ity and support beginning when children first enter the child welfare system and continue after adoptionguardianship has been finalized
Pre-Permanency Services and supports that engage prepare and connect families to services prior to finalization of adoptionguardianship These services focus on increasing resil iency and assuring permanency and placement stabil ity They focus on emotional-behavioral health issues and provide caregivers with education that improves their capacity to support stable permanency once adoptionguardianship has been finalized
Post-Adoption or Guardianship Services and supports that increase resil iency placement stabil ity and the capacity of caregivers to meet the needs of children in their care Services are targeted to the transitions and changing developmental and emotional needs associated with this population Recognizing that services targeted at families in crisis may be too late these services target the earliest signs of dif ficulty
7
CONTINUUM OF SERVICES amp SUPPORTS
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
8
ldquoThe new catch phrase is adoption-competency but what does that really meanI need services that help me understand the impact trauma has on my children and how I can change my parenting paradigm to effectively meet their needs As an adoptive parent it is difficult to meet the childrens complex needs and almost impossible if you donrsquot know what services to look for or who to call for helprdquo
ndash Quote from an adoptive parent
ADOPTION-COMPETENCY
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Services need to be provided early Interventions targeting adoptive or guardianship homes nearing disruption and
dissolution are often provided too late
Services should target the earliest sign of difficulty
Preparation should begin prior to finalization and equip families with the capacity to weather unexpected difficulties and seek services and supports
Identify families most at risk Research has shown predictors of post-permanency instability that can be
assessed to determine which families to target for post permanency instability
Regular check-ins can identify families most at risk of instability and in need of services
Services should be evidence-supported Appropriate services should be culturally-responsive models that are tested to
determine their effectiveness and can be replicated with fidelity
Well-conducted RCTs measure important outcomes and distinguish services that produce sizable effects from those that do not
9
THEORY OF CHANGE
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Target Group 1 Children awaiting an adoptiveguardianship placement or children that are in an identified adoptiveguardianship home but the placement has not resulted in a finalization for a significant period of time due to the childrenrsquos challenging mental health emotional or behavioral issues
Target Group 2 Children and their adoptiveguardianship families who have already finalized the adoptionguardianship and for whom stabilization may be threatened This target group includes children whom have obtained permanency through private guardianship and domestic private or international adoptions
10
TARGET POPULATIONS TO BE SERVED
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
11
QIC-AG TEAMING STRUCTURE
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
12
ADVISORY BOARD
M a r y B i s s e l lC h i l d F o c u s
V e e n o d C h u l a n i M DO r l a n d o H e a l t h
H o p e C o o p e rT r u e N o r t h G r o u p
D r J o s e p h C r u m b l e yT r a i n e r C o n s u l t a n t a n d T h e r a p i s t
A p r i l C u r t i sB e S t r o n g F a m i l i e s
D r A n g e l i q u e D a yW a y n e S t a t e U n i v e r s i t y
K a t h y D e s e r l yC a p a c i t y B u i l d i n g C e n t e r f o r T r i b e s
H e a t h e r F o r b e sB e y o n d C o n s e q u e n c e s I n s t i t u t e
F r a n k G a r r o t tG l a d n e y C e n t e r f o r A d o p t i o n
D e b o r a h G r a yN u r t u r i n g A t t a c h m e n t s
J o h n J o h n s o nT e n n e s s e e D e p a r t m e n t o f C h i l d r e n s S e r v i c e s
R o b e r t J o h n s o nA n n u i t y C o m p a n y
J o e K r o l lN o r t h A m e r i c a n C o u n c i l o n A d o p t a b l e C h i l d r e n
S h a u n L a n eH e p h z i b a h C h i l d r e n s A s s o c i a t i o n
J u d g e C i n d y L e d e r m a nE l e v e n t h J u d i c i a l C i r c u i t o f F l o r i d a
D r S h a r o n M c D a n i e lA S e c o n d C h a n c e
H o l l e e M c G i n n i sD o c t o r a l C a n d i d a t e N I M H P r e d o c t o r a l F e l l o w a n d a K o r e a n F o u n d a t i o n F e l l o w a t G e o r g e W a r r e n B r o w n S c h o o l o f S o c i a l W o r k
K a t h l e e n M c N a u g h tA m e r i c a n B a r A s s o c i a t i o n C e n t e r o n C h i l d r e n a n d t h e L a w
D r A v i d a n M i l e v s k yK u t z t o w n U n i v e r s i t y o f P e n n s y l v a n i a
D r P e t e r P e c o r aT h e U n i v e r s i t y o f W a s h i n g t o n a n d C a s e y F a m i l y P r o g r a m s
D r B r u c e P e r r yC h i l d T r a u m a A c a d e m y
R u s s e l l P r e t zF o r m e r I n t e r n C o n g r e s s i o n a l C o a l i t i o n o n A d o p t i o n I n s t i t u t e
D r S c o t t R y a nT h e U n i v e r s i t y o f T e x a s a t A r l i n g t o n
D r G i n a S a m u e l sT h e U n i v e r s i t y o f C h i c a g o
K a r y n S c h i m m e l sC a m p t o B e l o n g
M i c h a e l S h a v e rC h i l d r e n s H o m e S o c i e t y o f F l o r i d a
D r K r i s t e n S S l a c kT h e U n i v e r s i t y o f W i s c o n s i n - M a d i s o n
P a m W o l fH a r m o n y F a m i l y C e n t e r
Dr Mark F TestaAdvisory Board ChairUniversity of North Carolina at Chapel Hill
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Six to eight sites (state county or tribal child welfare system) will be selected to take part in a national project designed to promote permanency and improve adoption and guardianship preservation and support
Sites will work in partnership with the QIC-AG to implement and evaluate a continuum of services that support the permanence and stability of children in adoptiveguardianship homes
Financial resources intensive technical assistance and support will be available to the sites over a four year period
13
SITE SELECTION
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
14
SITE SELECTION
Children Bureaursquos Guidelines
Two or three of the sites with greater than 10000 children in substitute care
At least one site with fewer than 5000 children in substitute care
Urban and rural jurisdictions Binding work agreements will govern the relationships
between sites and the QIC-AG and must be executed with state or county public child welfare agencies or tribes
Sites will be selected in late springearly summer 2015
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Sites will be identified through intensive assessment and preliminary research conducted by QIC-AG
Preliminary conversations will take place with sites to discuss potential collaboration including detailed discussion of the initiative benefits of being a selected site and site specific programs services and capacity currently in place and in need of development
After the initial assessment sites will be identified to participate in the full assessment process This process will focus on obtaining foundational knowledge of each sitersquos continuum of care and readiness to participate in this initiative
15
OVERVIEW OF SELECTION PROCESS
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
16
IMPLEMENTATION amp EVALUATION STEPS
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Spaulding for Children and all of its partners are excited to be part of this critical initiative
We believe that the knowledge gained from the initiative will help child welfare agencies across the nation redefine their systems so that they provide a continuum of services that promote permanency and stability for children in custody and provide stability and support for children and families post-permanency
17
ldquoPost permanency supports are critical to the stability and well-being of adoptive families My husband and I love our adopted child but she came to us having experienced a lot of trauma which will take years and many resources to healrdquo- Jennifer Adoptive Parent
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Sites that are interested in obtaining more information about this initiative should contact Melinda Lis at
mlisspauldingorg or 773-848-6880
18
FOLLOW UP
F u n d e d t h r o u g h t h e D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s A d m i n i s t r a t i o n f o r C h i l d r e n a n d F a m i l i e s C h i l d r e n rsquo s B u r e a u G r a n t 9 0 C O 1 1 2 2 - 0 1 - 0 0 T h e c o n t e n t s o f t h i s p u b l i c a t i o n d o n o t n e c e s s a r i l y r e f l e c t t h e
v i e w s o r p o l i c i e s o f t h e f u n d e r s n o r d o e s m e n t i o n o f t r a d e n a m e s c o m m e r c i a l p r o d u c t s o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U S D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s T h i s i n f o r m a t i o n i s i n t h e p u b l i c d o m a i n
R e a d e r s a r e e n c o u r a g e d t o c o p y a n d s h a r e i t b u t p l e a s e c r e d i t S p a u l d i n g f o r C h i l d r e n
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
National Association of State Adoption Programs
Annual Webinar
National Adoption Competency Mental Health Training Initiative
Cooperative Agreement (Grant 90CO1121) Between
The DHHS Administration on Children Youth and FamiliesChildrenrsquos Bureau
and
The Center for Adoption Support and Education 4000 Blackburn Lane ndash Suite 260 ndash Burtonsville MD 20866
wwwadoptionsupportorg
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
National Adoption Competency Mental Health Training Initiative ndash Purpose
To establish a web-based National Adoption Competency Mental Health Training Initiative (NIT) that will build the capacity of state tribe and territory child welfare professionals and mental health practitioners serving youth moving toward permanency through adoption or guardianship as well as youth already achieving permanency in adoptive or guardianship families
To infuse new web-based curricula in training systems of all states tribes amp territories
To improve well-being outcomes for the children moving to adoptionguardianship as well as providing support and the appropriate therapeutic interventions to assure stable and secure post-permanency experiences for these youth
To build on previous adoption competency models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners serving the population of the childrenyouth with goals of adoptionguardianship as well as those already living with adoptiveguardianship families
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
Center for Adoption Support amp Education ndash Management amp Oversight Debbie B Riley CEO Sarah B Greenblatt Initiative Director
University of Maryland School of Social Work ndash Web-based Training amp Technical Assistance NTI Evaluation The Institute for Innovation amp ImplementationOnline Training Center Rick Barth Dean Marlene Matarese amp Meredith Waudby Web-based Curricula Delivery amp Related TA Bethany Lee and Devon Brooks (University of Southern California) Evaluation
PolicyWorks - Initial Adoption-Competency amp Jurisdictional Scans to Inform Curriculum Content and State Tribal amp Territory Profiles Project Management QA Systems amp Informational Products Anne J Atkinson President amp Principal Evaluator
Curriculum Content Consultants ndash Definitions competencies content Susan Smith amp Carol Bishop
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
National Adoption Competency Mental Health Training Initiative ndash Partners (2) National Indian Child Welfare Association ndash Cultural
responsiveness consultation linkages within tribal CWMH providers amp training programs development amp implementation consultation Terry Cross ndash Executive Director
Alliance for Strong Families amp Communities ndashLinkages within private provider networks and organizations resource scans Patrice A Heinz Resource Development Director
The Dave Thomas Foundation ndash Linkages within Wendyrsquos Wonderful Kids national networks consultation related to development and implementation of web-based training Rita Soronen ndash President amp CEO
Lilliput Childrenrsquos Services ndash Coaching Network development and oversight Edythe Swindler ndash Clinical and Training Manager
Rudd Adoption Research ProgramUmass Amherst ndash Dissemination efforts Work Group participation Hal Grotevant Director
Kentucky Partnership for Families amp Children ndashSubject matter expertise for curricula development Carol Cecil adoptive parent
Family Involvement CenterPheonix AZ ndash Subject matter expertise for curricula development Dawn Schoenstadt adoptive parent
Cassandra KisielNorthwestern University Feinberg School of Medicine ndash Trauma consultation Co-Director for Treatment Services amp Adaptation Center of the National Child Traumatic Stress Network
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Association of State Adoption Programs ndash Linkages with state adoption program managers and other state program and training leaders development implementation amp sustainability consultation
National Association of State Mental Health Program Managers ndash Linkages with state mental health program directors development implementation amp sustainability consultation
New England Association of Child Welfare Commissioners amp Directors ndash Linkages to New England state child welfare leaders development implementation amp sustainability consultation
National Public Human Services AssociationNational Association of Public Child Welfare Agencies ndash Linkages re development implementation amp sustainability with state child welfare program amp training leadership
North American Council on Adoptable Children ndash Linkages with national networks of adoptivekinship families and child welfaremental health providers
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
Uma Ahlawalia ndash Public CW Training Implementation
Karen Alford ndash Private CW MH Training Implementation
Mary Lee Allen ndash CW and MH
David Brodzinzky ndash CW MH Training Certification
Carol Cecil ndash Adoptive Parent
Stephanie Chambers ndash Certification
Joseph Crumbley ndash CW MH Training Kinship Transracial Adoption
Colleen Ellingson - Private CW MH Training
Lauren Frey ndash CW Training Implementation Adoptive Parent
Sarah Gerstenzang ndash CW MH
Hal Grotevant ndash MH Dissemination
Michelle Hanna ndash CW MH Training Certification
Darla Henry ndash CW MH Training
Claudia Hutchinson ndash Implementation
DeJuana Jernigan ndash Private CW Implementation
Regina Kepecky ndash CW Training
Margaret Holland McDuff ndash CW MH Implementation
Ruth McRoy ndash CW Implementation
Lisa Maynard ndash CW MH
Allison Metz ndash Implementation
Deb Roberts ndash CW MH
Dawn Schoenfeld ndash Adoptive Parent
Deborah Siegel ndash CW MH
Additional Experts to be Recruited
State Tribal Territories Private Agencies
Youth Guardians
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
Minnesota Department of Human Services
California Department of Social Services
Vermont Department of Children and Families
2 Additional Sites
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
National Adoption Competency Mental Health Training Initiative ndash ObjectivesObjective 1
Create a state of the art evidence-informed adoption competent mental health web-based curriculum for Child Welfare Professionals (CWPs) and Mental Health Practitioners (MHPs) with quality improvement components for infusing within all states tribes amp territoriesrsquo training systems
Objective 2
Deliver state of the art evidence informed curricula in a web-based format for CWPs (workers and supervisors) and MHPs in all states tribes and territories
Objective 3
Develop and implement a national certificate process for adoption-competent CWPs and MHPs designating successful completion of the web-based training and develop a blueprint for a national certification process
Objective 4
Evaluate rigorously NTI performance the effectiveness and outcomes of training and related costs
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
Work with states tribes and territories to develop state of the art evidence-informed curricula in a web-based format for CWPs amp Supervisors and MHPs using WBT development amp best implementation amp sustainability practices Preliminary Web-Based Training FrameworkMental Health Practitioners10 modules x 5 lessons x 5 hours per session = 25 hours
Child Welfare Workers8 modules x 5 lessons x 5 hours per session = 20 hours
Child Welfare Supervisors8 CW worker modules + 2 supervisor-specific modules x 3 lessons x 5 hours per session = 23 hours
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
Phase I ndash Years 1 amp 2 Relationships with States Tribes amp
Territories to inform curricula content implementation amp sustainability
Scans ndash adoption-competency training programsresources definitions amp competencies jurisdictional profiles
CW amp MH Work Groups ndash Definitions amp Competencies to inform curriculum content
Curricula Content amp Web-based Conversion
Quality Improvement Systems
Pilot Test with 5 States Tribes andor Territories
Phase II ndash Years 2-5 Pilots evaluation and revisions build
coaching components
Continue leadership relationships to build implementation amp sustainability plans in States Tribes amp Territories
Implementation of TA with additional States Tribes amp Territories to infuse web-based curricula in training systems
Build Certification Competency Process
Evaluate effectiveness of web-based curriculum implementation with selected sites
Determine costs of development implementation evaluation revision sustainability
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
Infusing Curricula into required pre- amp in-service agency training systems
Developing training policies amp resources requiring staff to complete training
Developing strategies to promote the curricula widely through agency training
Promoting the curricula in meeting with the contract agencies particularly those that provide mental health services with child welfare populations
Promoting the training in partnering agency amp parent network newsletters
Developing systems of preferred provider status for mental health service providers who have earned an adoption-competency certificate
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
National Adoption Competency
Mental Health Training Initiative
Outcomes
Short Term
Increase in of CWPs amp MHPs with increased adoption competencies
Increase in of States Tribe amp Territories with CWPs amp MHPs participating in WBT
Increase in of localities that received TA in implementationinfusion of WBT
Increase in of CWPs amp MHPs demonstrating a transfer of knowledge from training amp TA activities (by specific activity)
Interim
CWPs amp MHPs will provide Adoption Competent services to served children amp families
CW systems will systematically include adoption competency content in training
MH amp CW organizations will highlight availability of certified adoption-competent professionals
Long Term
Children amp families served by CWPs amp MHPs experience improved stability amp well-being
Web-Based Curricula infused in training
systems of all states tribes and territories
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you
Through our partnership with NASAP we can support you to achieve these outcomeshellip
Thank youSarah B Greenblatt NTI Director
203-836-6022 - greenblattadoptionsupportorg
The Center for Adoption Support amp Education ndash wwwadoptionsupportorg
National Association of State Adoption ProgramsAnnual WebinarNational Adoption Competency Mental Health Training Initiative
National Adoption Competency Mental Health Training Initiative ndash Purpose
National Adoption Competency Mental Health Training Initiative ndash Partners (1)
National Adoption Competency Mental Health Training Initiative ndash Partners (2)
National Adoption Competency Mental Health Training Initiative ndash National Network Partners
National Adoption Competency Mental Health Training Initiative ndashSubject Matter Experts
National Adoption Competency Mental Health Training Initiative ndash Initial Pilot Sites
National Adoption Competency Mental Health Training Initiative ndash Objectives
National Adoption Competency Mental Health Training Initiative ndash Preliminary Web-Based Training Curricula
National Adoption Competency Mental Health Training Initiative ndash Approach amp Timelines
National Adoption Competency Mental Health Training Initiative ndash Sustainability Strategies with States Tribes amp Territories
National Adoption Competency Mental Health Training InitiativeOutcomes
Through our partnership with NASAP we can support you to achieve these outcomeshellip Thank you