· Web viewA fillable application form is available in Appendix D. Answer each question. Please note “n/a” for fields that do not apply. The review panel will not review applications

Peer Learning CourtRequest for

Application (PLC RFA)

Release Date: February 3, 2020Due Date: March 2, 2020

PLC RFA Page 1 of 23

TABLE OF CONTENTS

TABLE OF CONTENTS.................................................................................................................2

ACKNOWLEDGEMENTS..............................................................................................................3

PROGRAM ANNOUNCEMENT AND EXECUTIVE SUMMARY...................................................4

INTRODUCTION AND OVERVIEW..............................................................................................5

PEER LEARNING COURT PROGRAM ACTIVITIES...................................................................7

APPLICATION ELIGIBILITY..........................................................................................................9

APPLICATION INSTRUCTIONS...................................................................................................9

FORMATTING REQUIREMENTS...............................................................................................10

APPLICATION SUBMISSION.....................................................................................................10

EVALUATION AND SELECTION PROCESS.............................................................................11

QUESTIONS................................................................................................................................11

APPENDIX A: Application Checklist............................................................................................12

APPENDIX B: Signature Page....................................................................................................13

APPENDIX C: Phone Interview and Onsite Review Availability Form........................................14

APPENDIX D: Application Form..................................................................................................15

APPENDIX E: Basic FTC Models...............................................................................................23


ACKNOWLEDGEMENTS

The Peer Learning Court (PLC) program, which is managed by the Center for Children and

Family Futures, is supported by Grant #2019-DC-BX-K013 from the Office of Juvenile Justice

and Delinquency Prevention, Office of Justice Programs, U.S. Department of Justice. The

opinions, findings, and conclusions or recommendations expressed in this

publication/program/exhibition are those of the author(s) and do not necessarily reflect those of

the Department of Justice.


PROGRAM ANNOUNCEMENT AND EXECUTIVE SUMMARY

DescriptionThe Center for Children and Family Futures (CCCFF) is pleased to announce it is accepting applications for the fourth cohort of the Peer Learning Court (PLC) Program. The primary purpose of the PLC Program is to highlight best practice implementation and share innovations that advance the Family Treatment Court1 (FTC) field.

PLCs are mentor FTC collaboratives serving families involved in the child welfare system and affected by parental substance use. PLCs demonstrate commitment to evidence-based practices; innovative strategies to improve outcomes for children, youth, and families; and strong partnerships among the court, child welfare, substance use treatment, and community service agencies.

The 15 FTCs selected to serve as Peer Learning Courts in former cohorts use sound evidence-supported practices and policies, and demonstrate strong collaboration among the courts, child welfare, substance abuse treatment agencies, and others.

CCFF, through its National Family Treatment Court Training and Technical Assistance (TTA) Program team and program consultants, will select up to eight family treatment courts to serve as a PLC for two years.

Important DatesApplication Due Date: March 2, 2020

Award Notification Date: September 30, 2020

Project Start Date: October 1, 2020

Project End Date: September 30, 2022

Peer Learning Court Benefits

PLCs receive and experience a range of benefits including: National recognition as a leader in the field of FTCs Unique opportunities for peer-to-peer networking with other model courts Ongoing access to resources and TTA provided through the National FTC TTA Program A travel scholarship for up to three team members from each PLC to visit another

mentor court in the PLC Program for a two-day onsite visit One travel scholarship2 for each PLC to attend the 2021 and 2022 National Association

of Drug Court Professionals (NADCP) annual training conference to showcase the FTC and PLC Program alongside the CCFF FTC TTA team

1 FTCs are known by many names including: Family Drug Courts, Family Dependency Drug Courts, Family Recovery Courts, and Family Preservation Courts.2 The scholarship includes airfare, lodging, per diem, and conference registration fee for one team member. Airfare not to exceed $700 and GSA rates apply for lodging and per diem. https://www.gsa.gov/travel/plan-book/per-diem-rates


INTRODUCTION AND OVERVIEW

The Center for Children and Family Futures (CCFF), with support from the Office of Juvenile Justice and Delinquency Prevention (OJJDP), invites well-established and high-functioning Family Treatment Court collaboratives to apply for the National FTC Training and Technical Assistance (TTA) Program’s Peer Learning Court (PLC) Program.

CCFF will work with up to eight well-established and experienced FTCs to demonstrate how a comprehensive family-centered approach grounded in effective cross-systems collaboration and FTC best practices improves court, child welfare, and substance use disorder treatment outcomes.

Applicant review and selection of the fourth PLC cohort is a multistep process. A panel, which includes a mix of peers, FTC professionals, and CCFF FTC TTA program staff, will review and score the applications. CCFF’s FTC TTA team will discuss the review panels’ scores to identify applicants who will move on to a phone interview phase of the selection process. Phone interviews will be one hour and allow teams to elaborate on successes and challenges facing the collaborative. Upon completion of phone interviews, CCFF will select up to ten FTCs to move to the final stage of the PLC application process, the onsite review. Based on the onsite review results, CCFF will select up to eight mentor FTCs to participate in the fourth cohort of the PLC program. CCFF will notify applicants of the final PLC selection on or before September 30, 2020.

About the Center for Children and Family FuturesCCFF’s mission is to improve safety, permanency, well-being, and recovery outcomes for children, parents, and families affected by trauma, substance use, and mental health disorders.

About the National FTC TTA ProgramFunded by OJJDP, the mission of the National FTC TTA Program is to improve outcomes for children and families by providing TTA that develops, maintains, and enhances FTCs. The National FTC TTA Program achieves this mission by providing TTA to states, tribes, counties, and jurisdictions that focus on advancing FTC capacity through effective cross-system collaborative partnerships and comprehensive family-centered service delivery to parents, children, and their families affected by substance use disorders (SUDs) and child abuse and neglect.

CCFF is a national leader in the field of FTCs providing TTA and evaluation to more than 300 FTCs across the nation and actively contributing to advancing the FTC movement, which has grown from two FTCs in 1996 to over 400 FTCs operating today. CCFF engages states in systems improvement efforts to implement and institutionalize FTC practices in the larger state-level child welfare, SUD treatment, and court systems; strengthen cross-system collaboration at the state and local level; and ensure families affected by SUD and involved with child welfare have access to a comprehensive array of services.

Purpose and History of PLC ProgramThe PLC Program highlights national best practices for FTC collaboratives and furthers the exchange of learning through peer-to-peer technical assistance while advancing knowledge in the field. PLCs are FTCs that operate with fidelity to the model by using sound, evidence-supported practices and policies to improve child welfare and SUD treatment outcomes for families. Serving as model courts, PLCs have established and demonstrated strong


collaborative leadership teams that include champions among courts, child welfare, SUD treatment, and other family-serving agencies.

CCFF launched the PLC Program in 2012 to highlight national best practice models for FTCs and to further the exchange of knowledge and innovative practice through peer-to-peer learning and technical assistance. CCFF initially selected five FTCs to serve in the first cohort of mentor courts. In 2014, CCFF expanded the PLC program to include four additional sites, while four of the previous PLCs continued serving as mentor courts. In 2016, CCFF selected six FTCs to serve as the third cohort of mentor courts.

Given the success of the PLC program in demonstrating evidence-based implementation and advances in the field, CCFF seeks to select a fourth cohort of up to eight new PLCs, including representation from a minimum of one rural and/or tribal PLC, to highlight the range of environments in which FTCs successfully operate. Rural and/or tribal representation will expand the geographical and cultural diversity for the new round of PLCs. To the extent feasible, CCFF seeks PLCs located in areas readily accessible for visiting professionals.3

Population to be ServedPrevalence data on parental substance use confirms the need for coordinated and effective strategies to support children and families affected by parental SUD. Family courts often lack sufficient resources to address the multiple needs and complex risk factors of families in which parental SUDs contribute to child maltreatment.

Peer Learning Courts are mentor collaboratives serving families involved in the child welfare system and affected by parental substance use. Historically, PLCs demonstrate commitment to evidence-based practices and innovative strategies to leverage community resources and better serve this population of at-risk families.

3 CCFF recognized that easy accessibility may not be possible for rural and/or tribal collaboratives.


PEER LEARNING COURT PROGRAM ACTIVITIES

PLC activities are designed to highlight best practices and advance innovation in the field. Participation in the Peer Learning Court program includes, but is not limited to, the following activities:

A. Monthly CallsIndividual site calls are held between the CCFF PLC team and each participating PLC monthly. The CCFF PLC task lead will work with the team to schedule recurring monthly calls. At least one FTC team member must participate to share program updates and innovative practices, as well as discuss any challenges and TTA needs. Monthly calls are sometimes used for planning and coordinating PLC hosted site visits. Information discussed during the calls is used to address TTA needs and advance the knowledge in the field.

B. Cohort TTA CallsAs leaders in the field, PLCs often identify and develop effective responses to pressing unmet TTA needs affecting all FTCs. Cohort TTA calls feature topic experts to address emerging and ongoing challenges that PLCs experience (e.g., partnering with school-based mental health centers, addressing domestic violence, serving veteran families, preventing juvenile justice involvement). Following Cohort TTA calls, PLCs will work with CCFF to identify tools and/or resources to support the field and provide feedback to the CCFF FTC TTA team in the development of resources.

C. NADCP Annual Training ConferenceThe CCFF FTC TTA team spotlights PLC practice during the NADCP conference. PLC representatives are asked to exhibit and co-present with the CCFF FTC TTA team at the annual conference. The purpose of this is to connect with other FTCs across the country and offer support in best practice implementation. Each PLC will receive a scholarship for one team member to attend the NADCP conference.

D. Data CollectionData collection is a critical component of the fourth cohort of Peer Learning Courts. Upon selection, the CCFF evaluation team will meet with sites to identify existing research questions as well as process counts or outcomes the collaborative already tracks. This review will help the CCFF team determine which components of outcome data already tracked can be used to support evaluation of the FTC model.

E. Monthly Submission of PLC TA SupportAs a mentor court, PLCs serve as an important TA resource to others in the field. FTC teams across the country can directly email and coordinate phone calls to inquire about experience and knowledge, and schedule observation site visits with PLCs. With the support of the CCFF PLC team, PLCs are expected to submit monthly logs recording the collaborative’s engagement in providing technical assistance (TA) to the field.

F. Shared FTC Program MaterialsPLCs are asked to share policy and procedure manuals, participant handbooks, marketing brochures, milestone/phasing structures, cross-systems data sharing agreements, information sharing forms, and participant materials (e.g., releases, exit surveys, etc.) with the CCFF FTC TTA team. CCFF associates widely share sample materials through the CCFF FTC TTA program.


G. TrainingEach selected site is asked to complete a CCFF orientation training call to help ensure PLC teams have a firm understanding of the opportunities for partnering with CCFF to deliver TTA. PLCs frequently communicate with collaborative courts across the country independently and co-present at national conferences with CCFF staff. Completing an orientation training helps ensure consistent TTA delivery across CCFF staff, consultants, and partners.

H. PicturesEach selected team is asked to share a picture of their choosing (e.g., their team, courthouse, local community) that CCFF can use for social media and/or newsletter notifications about PLC updates. All people in photographs must sign a photo release, which CCFF will hold on file for the duration of the project.

Emerging Trends

Throughout the two-year PLC program period, participating PLCs are asked to collaborate with CCFF and other stakeholders to plan and facilitate TTA for the FTC field. Emerging trends in approaches to family-centered practice, service delivery, collaborative practice, data monitoring, and more may result in adjustments to aspects of evidence-based FTC implementation or best practice TTA delivery. PLCs must consider data and research to adjust practices where needed throughout the project period.


APPLICATION ELIGIBILITY

CCFF is seeking applicants wishing to advance work in the FTC field who have sound, evidence-informed approaches in place. FTC collaboratives eligible to apply for the Peer Learning Court Program are multidisciplinary, collaborative teams serving families in the child welfare system affected by parental substance use. Teams must have an established organizational/governance structure; documented processes in operating manuals and cooperative agreements, such as MOUs; established data collection and performance monitoring practices; and must provide evidence-based, family-centered screening and services. Current and former PLCs are eligible to apply.

APPLICATION INSTRUCTIONS

PLC applicants must complete all application components listed below. The review panel will review, score, and consider only full and complete applications for the next stage of the PLC process, which is phone interviews.

Applicants must submit Items A-C as a single PDF document titled [Site Name]- Application. Applicants must submit Items D, E, and each attachment identified in items F and G as individual PDF documents using the document titles noted below.

A. Application ChecklistPlease mark off and include the application checklist provided in Appendix A as the cover page of your application packet. The checklist helps ensure applicants submit all required application materials.

B. Cover LetterCover letters are to be no more than two pages, single spaced. Letters must address the following: goals for participating in the PLC program, strengths of the FTC, and challenges facing the FTC. Additionally, make note of state and/or regional partnerships the FTC collaborates with to improve services for children, youth, and families involved in the child welfare system and affected by parental substance use.

C. Application FormA fillable application form is available in Appendix D. Answer each question. Please note “n/a” for fields that do not apply. The review panel will not review applications with blank or unanswered fields. Please adhere to all word limits for narrative sections.

D. Signature PageFamily Treatment Court collaboratives are asked to apply as a team. To document partnerships and agreement to participate in the PLC program, collaboratives must submit signatures from each of the identified stakeholders on the signature page in Appendix B. Document title: [Site Name]- Signature Page.

E. Phone Interview and Onsite Availability FormApplications will undergo several stages of review. Applications selected for advancement will undergo a team phone interview. Applicants that advance past the phone interview will have an onsite review. Due to the tight review and selection timeframe, applicants are asked to complete Appendix C to indicate their availability at the time of application for both phone


interviews and onsite reviews, should they reach that stage of the selection process. Document title: [Site Name]- Availability Form.

F. Required AttachmentsApplicants must provide additional documentation of program structure and processes. Required documents are listed in the checklist in Appendix A and include the most recent data reports (e.g., process evaluation, outcome evaluation, data dashboard), program operating manual, participant handbook, enacted MOUs, staffing form, and up to three relevant participant forms (e.g., exit survey, participant releases). Collaboratives may use each document’s respective title to name documents as follows, [Site Name]- Document Title.

Sample document titles are listed below:Best County FTC- ApplicationBest County FTC- Participant Handbook

G. Optional AttachmentsApplicants may submit up to three additional documents or materials they feel would be helpful to reviewers throughout the review process. Optional attachments must only include existing program documents; please do not include additional narratives drafted for the purpose of this RFA. Attach these documents individually and title them as follows, [Site Name]- Document Name.

FORMATTING REQUIREMENTS

Formatting requirements for the application document are as follows: Use single-spacing with 11-point Arial font and 1-inch margins. Use letter size paper, portrait orientation, and include page numbers with total number of

pages and collaborative name (i.e., Best County FTC 1 of 20, Best County FTC 2 of 20, etc.).

Use single spacing for tables and charts, and use 10-point, Arial font with 1-inch margins.

It is not necessary to reformat the required and optional attachments (F and G above) to meet the formatting specifications required for other parts of the application above.

As a last step, all applicants must save all application documents as a PDF file.

Note that CCFF will only accept submissions that meet formatting specifications for full review.

APPLICATION SUBMISSION

Deadline CCFF must receive all completed applications by 5:00 pm Pacific Time on March 2, 2020. We will not accept late submissions.

How to Submit Applicants must email their completed applications, including attachments to [email protected]. CCFF will not accept faxed applications or hard copy applications via mail or special delivery (e.g., FedEx).


mailto:[email protected]

EVALUATION AND SELECTION PROCESS

CCFF will process full and complete applications that we receive by the published deadline of 5:00 p.m. Pacific Time on March 2, 2020, using the following steps:

STEP 1: Technical Review of Application (March 3-27, 2020)The CCFF FTC TTA team and consultants will conduct the technical review. Reviewers will review, score, and consider all completed applications for the next stage of the application review process, which is the phone interview. Reviewers are looking for application completeness, implementation of best practices, evidence of a strong, multidisciplinary collaborative practice, and innovative advancements in the field.

STEP 2: Phone Interview (April 6-30, 2020)CCFF will notify all applicants who are invited to participate in the one-hour phone interview via email by April 3, 2020. Applicants are required to include the top four FTC stakeholders in the interview, including the presiding judicial official.

Phone interviews will allow teams to communicate program successes, challenges, and innovations in more detail. Reviewers are not looking for perfection. Reviewers are looking for cohesive collaboratives that can honestly speak to successes, challenges, and next steps. Two CCFF FTC TTA staff will conduct all phone interviews. Phone interviews will be recorded.

STEP 3: Onsite Review (May 18-August 7, 2020)CCFF will notify all applicants invited to participate in the onsite review via email by May 6, 2020. The onsite review is an opportunity for CCFF to see the FTC collaborative in action. A CCFF FTC TTA staff and a consultant from the field will conduct all onsite reviews. Reviewers must observe a staffing session and FTC collaborative court session. Reviewers must also meet with the collaborative team during the site visit to further discuss program implementation.

STEP 4: Application Review Panel (August 2020)Following the technical review, phone interview, and onsite review phases, a committee comprised of the CCFF FTC Director, CCFF FTC Manager, CCFF PLC team, OJJDP Federal Project Officer, and site review consultants will meet to review final scores and select recommendations for the fourth cohort of mentor courts in the Peer Learning Court Program. The application review panel will be recorded.

STEP 5: Final Selection and Notification (September 2020)CCFF will submit site selection recommendations and supporting materials to OJJDP for review. OJJDP will approve PLC site selections. CCFF will notify applicants of their status and final selections by September 30, 2020. The new PLC cohort will begin October 1, 2020.

QUESTIONSPlease submit all questions regarding the PLC RFA in writing to [email protected] no later than Tuesday, February 11 at 5:00 p.m. Pacific Time. CCFF will post answers to questions to the Peer Learning Courts Website by Thursday, February 13 at 5:00 p.m. Pacific Time.


https://www.cffutures.org/plc/

mailto:[email protected]

APPENDIX A: APPLICATION CHECKLIST

Applicant: [Court Name]

Presiding FTC Judicial Officer: [Name of Judicial Contact; Email]

FTC Coordinator/Contact: [Name, Email]

Child Welfare Lead/Contact: [Name, Email]

Treatment Lead/Contact: [Name, Email]

Size of County/Jurisdiction (Population):

APPLICATION COMPONENTS

☐ Checklist- First page of application and titled [Site Name]- Application

☐ Cover Letter- Included in document titled [Site Name]- Application

☐ Application Form- Included in document titled [Site Name]- Application

☐ Availability Form- Document titled [Site Name]- Availability Form

☐ Signature Page- Document Titled [Site Name]- Signature Page

☐ Required Attachments- Attach documents individually and title them [Site Name]- Document Title

☐ Most recent data or evaluation reports

☐ Operating procedures

☐ Participant handbook

☐ All enacted MOUs

Please list all attached:

☐ Staffing form

☐ Participant forms (e.g., participant release, exit surveys)

Please list all attached:

☐ Agenda from most recent oversight and/or governance committee meeting.

☐ Optional Attachments- Applicants may submit up to three additional documents they feel would be helpful during the review process. Additional narrative will not be accepted. Please attach documents individually and title them [Site Name]- Document Title.


APPENDIX B: SIGNATURE PAGE

Our established FTC collaborative jointly submits this application for consideration in response to the Peer Learning Court Request for Application. To the best of our team’s knowledge, the information contained herein is true and accurate.

Presiding Judge Signature DateName (typed or printed)

FTC Coordinator Signature DateName (typed or printed)

Child Welfare Representative Signature DateName (typed or printed)

SUD Treatment Representative Signature Date(typed or printed)

Other Representative Name Signature Date(typed or printed)




APPENDIX C: PHONE INTERVIEW AND ONSITE REVIEW AVAILABILITY FORM

Please note that completion of this form does not guarantee a phone interview or onsite review.

Phone Interview Availability

As outlined in the RFA, stage two of the selection process involves a follow-up phone interview. Identify three days and times between April 6-30, 2020 that your collaborative’s top four stakeholders, including judicial officer, are available for a one-hour phone interview between April 6-30, 2020 if selected. Please hold these times on your calendars until April 3, 2020.

Available Dates for Phone Interview Time

Onsite Review Availability

Provide three dates between May 18-August 7, 2020 that the team is available for a site review, if selected. Site reviews will be scheduled for one day and include a staffing and court observation as well as a team meeting. Please hold the selected dates until May 6, 2020.

Available Dates for Onsite Review

To assist us with planning, please provide the following information related to potential onsite review.

Nearest airport to FTC:

Distance to FTC from airport:


APPENDIX D: APPLICATION FORM

INSTRUCTIONS: Please type your response or select the appropriate box to respond to the questions below.

Contact Information

Please provide information about the court program, primary contact information, and involved team members. The primary contact below will receive all communication throughout the application process.

Name of CourtAddressPrimary Contact NamePrimary Contact RolePrimary Contact PhonePrimary Contact Email

Team Member Information

Please provide information about who is on the team. Add rows if needed.

Name Role/Agency Phone Email

Program Overview

Tell us more about the Family Treatment Court/ collaborative court program serving families in your community.

Type of community served: ☐ Tribal ☐ Rural ☐ Urban

Court Model (see Appendix E): ☐ Parallel ☐ Integrated ☐ Hybrid

☐ Other:

If hybrid or other, please explain. Limit 100 words

Who is population served? Limit 100 words


Describe the needs of families involved with the child welfare system who are affected by parental substance use disorders within your community. Include data to define the need. Limit 250 words

Month and year the FTC became operational:

How long has the presiding judge been with the FTC? How often do judges rotate in your county/jurisdiction? Limit 100 words

Does the FTC coordinator manage other programs or projects or have significant responsibilities outside of their FTC duties? ☐ Yes ☐ No

If yes, please describe and note the percent of their time allocated specifically to the FTC. Limit

50 words

Participation in Pre-Court Staffing Please select the box in the column that best describes the frequency of each professional’s attendance at the pre-court staffing. If the person is not a member of the FTC collaborative, then please mark N/A.

Always Sometimes Rarely Never N/AJudicial Officer ☐ ☐ ☐ ☐ ☐

Coordinator ☐ ☐ ☐ ☐ ☐

Parent Attorney ☐ ☐ ☐ ☐ ☐

Prosecuting Attorney ☐ ☐ ☐ ☐ ☐

Guardian Ad Litem (GAL) ☐ ☐ ☐ ☐ ☐

Court Appointed Special Advocate (CASA) ☐ ☐ ☐ ☐ ☐

Child Welfare Representative ☐ ☐ ☐ ☐ ☐

Substance Abuse Treatment Provider ☐ ☐ ☐ ☐ ☐

Mental Health Provider ☐ ☐ ☐ ☐ ☐

Family Services Provider ☐ ☐ ☐ ☐ ☐

Peer Support Provider ☐ ☐ ☐ ☐ ☐

Child Care Provider ☐ ☐ ☐ ☐ ☐

School Representative ☐ ☐ ☐ ☐ ☐


Other (please specify) ☐ ☐ ☐ ☐ ☐

What is the frequency and average duration of pre-court staffing (e.g., weekly for two hours)?

What day and time is pre-court staffing held?

Participation Court Sessions Please select the box in the column that best describes the frequency of each professional’s attendance at court hearings. If the person is not a member of the FTC collaborative, then please mark N/A.

Always Sometimes Rarely Never N/AJudicial Officer ☐ ☐ ☐ ☐ ☐

Coordinator ☐ ☐ ☐ ☐ ☐

Parent Attorney ☐ ☐ ☐ ☐ ☐

Prosecuting Attorney ☐ ☐ ☐ ☐ ☐

Guardian Ad Litem (GAL) ☐ ☐ ☐ ☐ ☐

Court Appointed Special Advocate (CASA) ☐ ☐ ☐ ☐ ☐

Child Welfare Representative ☐ ☐ ☐ ☐ ☐

Substance Abuse Treatment Provider ☐ ☐ ☐ ☐ ☐

Mental Health Provider ☐ ☐ ☐ ☐ ☐

Family Services Provider ☐ ☐ ☐ ☐ ☐

Peer Support Provider ☐ ☐ ☐ ☐ ☐

Child Care Provider ☐ ☐ ☐ ☐ ☐

School Representative ☐ ☐ ☐ ☐ ☐

Other (please specify) ☐ ☐ ☐ ☐ ☐

What is the frequency and average duration of court hearings?

What day and time is court held?

Treatment and Related Support Services

Table 1: Core Substance Use Disorder and Mental Health ServicesCurrently Name of Primary Provider


Provided Agency (list all primaries)Residential/inpatient treatment – parent only (children do not/cannot accompany parent) ☐ Yes ☐ No

Residential/inpatient treatment – parents with children accompanying them ☐ Yes ☐ No

Intensive outpatient treatment ☐ Yes ☐ NoNon-intensive outpatient treatment ☐ Yes ☐ NoAftercare/continuing care ☐ Yes ☐ NoMedication Assisted Treatment (MAT) for opioid use disorder (If no, indicate whether MAT for opioid use disorder is exclusionary criteria for your FTC)

☐ Yes ☐ No

Medication Assisted Treatment (MAT) for mental health diagnoses (If no, indicate whether MAT for mental health diagnoses is exclusionary criteria for your FTC)

☐ Yes ☐ No

Medically-supervised detoxification (when appropriate) ☐ Yes ☐ No

Mental health counseling services and behavioral therapies (other than psychiatric care and trauma services noted separately below)

☐ Yes ☐ No

Psychiatric care including medication management ☐ Yes ☐ No

Therapeutic trauma services ☐ Yes ☐ NoOther: ☐ Yes ☐ NoSelected Support ServicesPrimary medical care/health services ☐ Yes ☐ NoPeer recovery supports ☐ Yes ☐ NoChild Care ☐ Yes ☐ NoHousing assistance/support services ☐ Yes ☐ NoEmergency/transitional/interim housing ☐ Yes ☐ NoDomestic violence services ☐ Yes ☐ NoEmployment or vocational training/education ☐ Yes ☐ NoTransportation services ☐ Yes ☐ NoVeteran and/or military family services ☐ Yes ☐ NoSupport or educational groups for children and youth of FTC parents ☐ Yes ☐ No

Other: ☐ Yes ☐ No

Table 2: Information on Existing Parenting Program Family Strengthening Program(s) If you currently provide multiple parenting programs, then repeat the table rows as needed. Name of parenting program:Is parenting program/service evidence-based or evidence informed?

☐ Yes ☐ No

How long has this program/service been provided to FTC participants?Does the FTC monitor the number of participants referred? ☐ Yes ☐ NoDoes the FTC track participants’ initiations and completions of parenting program?

☐ Yes ☐ No

Does the FTC assess and measure the effectiveness of existing parenting services that FTC participants receive?

☐ Yes ☐ No

Does the FTC assess and measure the fidelity of existing ☐ Yes ☐ No


parenting services that FTC participants receive?Does this program/service include specific opportunities for parent-child interaction?

☐ Yes ☐ No

Age range(s) of children the service/program is designed for:Approximate percentage of FTC parents who receive this program/service:Who provides the program/service (e.g., the FTC, a partner agency, a community-based organization)?Where are the services typically provided (e.g., in-home, in the community, at the court, in the substance use disorder treatment facility)?Expected goals/outcomes of the parenting program/service; specific parenting behaviors and related outcomes you want families to achieve:

Table 3: Information on Existing Child ServicesIf you currently provide multiple child development/therapeutic services to FTC participants, repeat the table rows as needed.Name of child development/ therapeutic intervention:Is intervention evidence-based or evidence-informed?

☐ Yes ☐ No

How long has this intervention been available and provided to children of FTC participants?Does the FTC monitor the number of children referred?

☐ Yes ☐ No

Does the FTC track initiations and completions of children’s interventions?

☐ Yes ☐ No

Does the FTC assess and measure the effectiveness and fidelity of services that children of FTC participants receive?

☐ Yes ☐ No

Age range(s) of children the intervention is designed for:For programs serving children under 3 years of age, is the parent/caregiver an active participant in the service?

☐ Yes ☐ No

Approximate percentage of children of FTC parents who receive this intervention:Who provides the intervention (e.g., the FTC, a partner agency, a community-based organization)?Where are the services typically provided (e.g., in-home, in the community, at the court)?Expected goals/outcomes of the service; what specific needs does it address?

Please list three incentives your FTC most commonly uses:

1.

2.


3.

Please list three sanctions your FTC most commonly uses:

1.

2.

3.

Team Action Planning and Training

Please provide the date when the FTC collaborative last met to form a strategic action plan and/or review policy:

How often does this type of meeting occur? Limit 50 words

Does your FTC have a formal staff development and training plan? ☐ Yes☐ No

Does that plan include ongoing cross-systems training on best practices and proven interventions to improve parent, child, and family outcomes? If so, briefly describe this

plan in the space provided or include a copy of the plan as an optional attachment. If you

choose the latter, please just write “See optional attachment provided.” Limit 250 words

Data and Performance Measurement

Does the collaborative collect the following data?

Table 4: Data CollectionDo you collect? How often does the team review?

(e.g., monthly, quarterly, annually)Child welfare dataFamily reunification rates ☐ Yes ☐ NoRate for other permanency plan achieved

☐ Yes ☐ No

Time in out of home care ☐ Yes ☐ NoTime to reunification ☐ Yes ☐ NoRe-entry rates ☐ Yes ☐ NoTreatment dataTime to treatment ☐ Yes ☐ NoTime in treatment ☐ Yes ☐ No


Treatment completion rates ☐ Yes ☐ NoProgram dataNumber of child welfare petitions involving substance use

☐ Yes ☐ No

Number of families referred to FTC ☐ Yes ☐ NoNumber of families admitted to FTC ☐ Yes ☐ NoNumber of families discharged from FTC

☐ Yes ☐ No

Evidence-based program dataNumber of families to begin program ☐ Yes ☐ NoNumber of families to complete program

☐ Yes ☐ No

Permanency outcomes for families who complete program

☐ Yes ☐ No

FTC discharge outcomes for families who complete program

☐ Yes ☐ No

Other- Note other significant data collected below.Other: ☐ Yes ☐ NoOther: ☐ Yes ☐ No

Briefly describe how the team reviews and uses these data. Limit 200 words.

Sustainability and Practice Innovation

Describe a time the collaborative changed its practice or policy based on new research or data? Limit 300 words

In which areas does the program excel and in which area would the collaborative like to improve practice? Limit 300 words

PLCs receive ongoing TTA. In which areas would you like TTA support to advance practice? Limit 100 words

CCFF is always looking for collaboratives that have adopted innovative practice to respond to the complex needs of families. Highlighting an area of innovation is not a requirement but is strongly encouraged. Select all areas of innovative practice that apply.


☐ Serving veteran families

☐ Responding to domestic violence

☐ Improving outcomes for fathers

☐ Providing peer support

☐ Modeling sustainability

☐ Demonstrating collaborative practice

☐ Engaging and retaining families

☐ Partnering with school systems

☐ Preventing juvenile justice involvement

☐ Addressing housing needs

☐ Ensuring reasonable efforts

☐ Leveraging IV-E prevention funds

☐ Enhancing parenting-time

☐ Incorporating prenatal plans of safe care

☐ State and/or regional partnerships

☐ Serving adolescents

☐ No areas of innovation to highlight

☐ Other:

Please describe any of the FTCs innovative practices you would like to highlight, and reference data where possible. If information specific to the innovative practice is included in

an attachment, direct reviewers to the location within program materials. Limit 500 words


APPENDIX E: BASIC FTC MODELS

Integrated Family Treatment Courts In the integrated model, one family court judge oversees both dependency-related petitions and compliance with parents’ SUD treatment orders (recovery management). The same judge has primary responsibility for the child welfare case and may preside over each court hearing from the initial temporary custody proceeding through the final disposition of the case, including termination of parental rights and adoption proceedings.

Parallel Family Treatment Courts In the parallel FTC model, a regular, family/dependency court docket conducts dependency case proceedings regarding child abuse/neglect issues, including aspects of parenting time (visitation) and permanency. Parents are offered specialized court services before noncompliance occurs. A specialized court officer hears compliance reviews and handles the recovery management aspects of the case throughout parents’ participation in the FTC.

Hybrid Family Treatment CourtsHybrid model Family Treatment Court collaboratives operate under a mixed system. In a hybrid model, the judicial official presiding over the FTC collaborative may be one of multiple judges hearing dependency cases. As a result, the FTC simultaneously offers some families participating in the FTC with a one judge, integrated model and other families a multi-judge, parallel model.


Documents

· Web viewA fillable application form is available in Appendix D. Answer each question. Please note “n/a” for fields that do not apply. The review panel will not review applications