County of __________

Welcome to our System Improvement Planning Process!

Facilitated by:

Introductions:

Please tell us your name and why you are here today.

Agenda1. Welcome and Introductions2. Overview of the Child Welfare Outcomes and

Accountability System 3. Overview of Child Abuse Prevention4. Why are you here?5. What is the process? 6. What is the anticipated outcome?7. Questions and Answers8. Next Steps

Vision for Children in California

Every child in California lives in a safe, stable, permanent home, nurtured by healthy families and strong communities.

CWS Redesign: The Future of California’s Child Welfare Services. Final Report September 2003, page 3.

Improved

OUTCOMES:

Safety

Permanency

Child Well Being

Family Well Being

System Improvement Plan

County Self-Assessment

Peer Quality Case Review

California – Child and Family Services Review

Overview of Child Welfare Outcomes and Accountability System

Quarterly data reports

Peer Quality Case Review (PQCR)

County Self Assessment (CSA)

System Improvement Plan (SIP)

Guiding PrinciplesThe entire community is responsible for

child, youth and family welfare.

To be effective, the child welfare system must embrace the entire continuum of prevention, intervention and services.

Engagement with consumers and the community is vital to promoting safety, permanence and well-being.

Guiding Principles (continued)Arrange fiscal strategies so that services

reflect the needs of all children and families.

Transforming the child welfare system is a process that involves removing traditional barriers within our system, and other systems.

California’s Outcomes and Accountability System

Includes 17 federal outcome measures Includes 17 federal outcome measures and several state measures addressing and several state measures addressing Safety, Permanence & Stability, and Well-Safety, Permanence & Stability, and Well-BeingBeing

Strengthens the accountability system to Strengthens the accountability system to monitor and assess the quality of servicesmonitor and assess the quality of services

Encourages continuous quality Encourages continuous quality improvement, interagency partnerships, improvement, interagency partnerships, community involvement and public community involvement and public reporting of program outcomesreporting of program outcomes

Provides technical assistance to countiesProvides technical assistance to counties

County Self-Assessment ChangesMerges the California Outcomes and

Accountability System (COAS) with the Office of Child Abuse Prevention (OCAP) 3-year planning process

Expands the number of partners Streamlines duplicative processesIncreases partnerships and communicationsCoordinates OCAP planning with the County

System Improvement Plan (SIP)

Overview of Prevention Funding streams and prevention programs

Child Abuse Prevention Intervention and Treatment (CAPIT)

Community Based Child Abuse Prevention (CBCAP)

Promoting Safe & Stable Families (PSSF)

PQCR Focus AreaList your focus area here for Probation and

Child Welfare

County Self AssessmentDescribe your CSA process here.

System Improvement PlanThree year promise to the State to

improve outcomes in selected areas

County is measured on 17 Federal (Safety/Permanence) and 8 State (Well-Being) outcomes.

County required only to select a portion of the above outcomes (2-4 to be addressed in the SIP)

System Improvement Plan – 3 components

Narrative Section

Part I - CWS/Probation

Part II - CBCAP/CAPIT/PSSF

The SIP is approved by the BOS.The SIP is sent to CDSS.

The SIP is a public document.

The C-CFSR is a transparent process for continuous quality improvement.

Why are you here?

We need your expertise to develop a plan to improveoutcomes for children, youth and families across theentire continuum of prevention, intervention, agency services and after care.

SIP Team Members

Community partnersCross disciplinary subject matter

expertsLaw enforcementNative American representativesParents/ConsumersYouthChild Abuse Prevention stakeholdersCounty staff (CWS and Probation)

Membership

Core Membership

Subject Matter experts invited for specific outcome discussions.

What is the process?

List meeting schedule or process the county has decided to use here.

TasksSelect 2-4 Outcomes

For each Outcome select 1-4 Improvement Goals

For each Improvement Goal select 2-4 Strategies

Each Strategy has a Rationale, Milestones and Timeframes

Choosing outcomes

Counties will focus on three to four outcomes or systemic factors.

Priority will be given to Safety and Permanency, followed by Well-Being and Systemic factors.

Choosing Improvement GoalsThe Composite Planner is designed to assist counties with outcome improvement planning for those measures which involve a composite.

It allows for adjustments to be made to the previous quarter’s numerators, denominators, and performance percentages to establish new targets.

Visit the Center for Social Services research at http://cssr.berkeley.edu for further information.

Choosing StrategiesDuring the CSA process the outcomes were

thoroughly assessed.Outcomes in which the county is struggling

were reviewed in terms of Data entry issues Evidence Based Practice (what does the research

tell us about this outcome area in terms of successful practice?)

Existing programs that are targeted to improve the outcome area

Other pertinent points

Choosing Strategies (continued)SIP Planning team needs to brain storm

strategies that can improve the outcomesPrioritize which strategies will have the

most impact (maximum 2-4 per each improvement goal)

When there is no current program in the county to address the need, the use of a Logic Model will assist the SIP planning team in developing a method to clarify thinking about programs and services.

MeasureCounty PIP Baseline

(Q3 07) Most Recent (Q3 08)

Number Direction Weight Num. Denom. Perf. Num. Denom. Perf.

C2 + 100% -- -- 98.5 -- -- 101.9

C2.1 + 15% 2,460 7,564 32.5 2,237 7,631 29.3

C2.2 - 19% -- 7,564 29.6 -- 7,631 30.4

C2.3 + 22% 5,320 32,810 16.2 5,593 30,483 18.3

C2.4 + 18% 1,461 25,101 5.8 1,537 22,796 6.7

C2.5 + 26% 4,277 7,925 54.0 4,385 7,644 57.4

Composite Planner Example

Needell, B., Webster, D., Armijo, M., Lee, S., Dawson, W., Magruder, J., Exel, M., Glasser, T., Williams, D., Zimmerman, K., Simon, V., Putnam-Hornstein, E., Frerer, K., Cuccaro-Alamin, S., Winn, A., Lou, C., & Peng, C. (2009). Child Welfare Services Reports for California. Retrieved April 14, 2009 from University of

California at Berkeley Center for Social Services Research website. URL: http://cssr.berkeley.edu/ucb_childwelfare

Adjustments Target (Q1 11)Compare To: National

Standard or Goal

Num. Denom. Perf. Num. Denom. Perf.Baseli

ne

PIP Multip

lierStd. / Goal % Achieved

-- -- -- -- -- 105.4 N.A. N.A. 106.4 98.2

      2,237 7,631 29.3     36.6 80.1

--     -- 7,631 30.4     27.3 89.8

      5,593 30,483 18.3     22.7 80.8

  20,516 10.0% 2,052 20,516 10.0     10.9 91.7

      4,385 7,644 57.4     53.7 106.8

Needell, B., Webster, D., Armijo, M., Lee, S., Dawson, W., Magruder, J., Exel, M., Glasser, T., Williams, D., Zimmerman, K., Simon, V., Putnam-Hornstein, E., Frerer, K., Cuccaro-Alamin, S., Winn, A., Lou, C., & Peng, C. (2009). Child Welfare Services Reports for California. Retrieved April 14, 2009 from University of

California at Berkeley Center for Social Services Research website. URL: http://cssr.berkeley.edu/ucb_childwelfare

Logic ModelStep by step process to construct

programs to meet identified needs by defining key program components such as

Program visionPopulation servedPopulation needsAssociated servicesRequired resourcesRelated assumptionsMeasurement tools

Sample Logic Model

Program Name:Young Parents Building Strong Families

Program Vision:Young parents in our county will use positive, age-appropriate, disciplinary techniques with their children.

Population Served: Any youth under the age of 21 who have transitioned out of the child welfare or probation system and are parenting in our county.

Population Needs to be Addressed by Services: We serve youth under the age of 21 who have transitioned out of the child welfare or probation system and are raising their children in our county. The youth have specific needs regarding child development and parenting practices related to their children.

Retrieved on March 30, 2009 from http://toolkit.childwelfare.gov/toolkit/

Outcomes Indicators Measurement Services Resources

Long term: Participants know how to manage child behavior in a nurturing and effective manner (behavior management, discipline).

Participants demonstrate knowledge of the importance of noticing and encouraging their children's positive behaviors.

Keys to Interactive Parenting Scale (KIPS)

Participants will attend bi-monthly parenting groups and weekly one on one mentoring which includes role-playing followed by feedback and reinforcement.

Youth parenting class facilitator, youth mentors, facilitator training in use of curriculum, meeting space, supplies and equipment for child enrich-ment activities, child care, transportation for parents, food for snacks.

Retrieved on March 30, 2009 from http://toolkit.childwelfare.gov/toolkit/

Logic ModelVisit the Child Welfare Information Gateway logic model builder at

http://toolkit.childwelfare.gov/toolkit/home.do- or -http://www.freindsnrc.org/outcome/toolkit/evalplan/logic

Strategy RationaleThe Strategy Rationale explains why a

particular strategy was chosen and how this strategy will help reach the improvement goal for a specific outcome.

Logic models and research (literature reviews) can help determine both the strategy and strategy rationale.

MilestonesMilestones are the steps that lead to he

completion of the strategy. They break the strategy into smaller, more easily attainable intermediate goals. This can includeFurther data pullsData clean upsPolicy reviewPolicy developmentTrainingPilot implementationEvaluationSystem wide implementation

Time FramesDevelop attainable and realistic time

frames

Remember to allow for staggered implementation of new practices across all strategies!

Today’s MeetingList what you are working on today

Thank you for your participation!

Your presence will help change the life of a family in __________ County!