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Family First Prevention Services Act
February 12, 2019
Key messages on FFPSA for today
Reduces some current
placement revenue
Provides some new prevention
services revenue
Supports work across
family- serving systems
FFPSA is budget-neutral, not new funding
System
Services
Finances
Regulation
MOE from 2014
Rigorous research HHS approved
Risk assessments State plan
Prevention
System
• Hosted Federal Administration on Children Youth & Families (ACYF) and Casey Family Programs
• Presented to MACSSA & MACSSA/AMC work group
• Facilitated drafting of FFPSA principles for MACSSA/AMC work group
• Leading a break-out session at the AMC Conference
Current Title IV-E
Foster care assistance is about half of our costs for eligible children: • Family met Aid to Families with
Dependent Children (1996) income eligibility in the month of placement
• Placement circumstances met criteria
51%
Dakota County’s IV-E revenue
0102030405060708090100
$-
$20,000
$40,000
$60,000
$80,000
$100,000
$120,000
$140,000
$160,000
$180,000
3/1/
2012
6/1/
2012
9/1/
2012
12/1
/201
2
3/1/
2013
6/1/
2013
9/1/
2013
12/1
/201
3
3/1/
2014
6/1/
2014
9/1/
2014
12/1
/201
4
3/1/
2015
6/1/
2015
9/1/
2015
12/1
/201
5
3/1/
2016
6/1/
2016
9/1/
2016
12/1
/201
6
3/1/
2017
6/1/
2017
9/1/
2017
12/1
/201
7
3/1/
2018
6/1/
2018
9/1/
2018
12/1
/201
8
IV-E Revenues Eligible Children
Changes to placement reimbursement
Congregate care settings only reimbursed for 14 days with a few exceptions.
Revenue possibly at risk (2016 final)
Minnesota: $6,926,844 Dakota County: $28,926
Reallocation to Prevention
Three categories of services allowed
Mental health services
Substance use disorder prevention
and treatment
In-home parenting skill-based
services
Removes income eligibility requirement
Title IV-E for prevention
Assistance will reimburse about half of our costs for approved prevention services: • As a payer of last resort • If child is at risk of placement • In a case plan prior to services • Up to a twelve-month episode,
multiple episodes allowed
51%
Support for System Change
Currently approved services
• Parent-Child Interaction Therapy • Trauma Focused-Cognitive
Behavioral Therapy • Multisystemic Therapy • Functional Family Therapy • Motivational Interviewing • Families Facing the Future • Methadone Maintenance Therapy
• Nurse-Family Partnership • Healthy Families America • Parents as Teachers • Children’s Home Society of New
Jersey Kinship Navigator Model • Children’s Home Inc. Kinship
Interdisciplinary Navigation Technologically-Advanced Model (KIN-Tech)
Minnesota context
• Child protection task force and subsequent increases in child protection assessments
• Increased assessments and placements easily outstripped funds returned to child welfare
• Prevalence of neglect, including high substance abuse levels, are opportunities for prevention
Jerry Milner’s Congressional testimony
… FFPSA provides a tremendous opportunity to make substantial improvements in the outcomes of children and families in the child welfare system. Such improvements, as FFPSA seeks to create, require shifts in long-held mindsets, a new vision of serving children and families, and a commitment to a different way of working with communities and the broader child welfare system. …
Questions?
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