Module 12: Ongoing Assessment and Safety Planning Time: 9 hours Module Purpose: In this module, participants review the purpose of the Safety Plan and the ways that Safety Plans may be modified based on changing circumstances. They further look at the critical thinking involved in making child placement, and the tools to use for assistance in making an informed and productive placement. Demonstrated Skills: 1. Identify the key components and reassess the Impending Danger Safety Plan at case transfer. 2. Apply specific safety considerations in cases of domestic violence, substance abuse, and mental illness. 3. Determine if the child is safe or unsafe. 4. Determine when an in-home safety plan must be modified. 5. Evaluate danger threats utilizing the danger threshold. 6. Determine the actions and criteria for modifying an existing out of home safety plan. 7. Demonstrate Present Danger Safety Planning. 1. Assess the added trauma in placement change. 2. Demonstrate the creation of a sexual safety plan. 3. Demonstrate interviewing a relative for a home study assessment. 4. Demonstrate documentation of the role play scenario. 5. Assess the caregiver's needs for managing the care of the child in their home. 6. Demonstrate interviewing a relative for diligent search information. 7. FSFN- Review the documentation of a diligent search in FSFN. 8. FSFN - Demonstrate how to create and affidavit of Diligent Search in FSFN. There are 5 units in this module. Materials: F.A.C. 65C-30, print or electronic access Flipchart paper Markers Agenda: Unit 12.1 Modification of the Safety Plan Unit 12.2 Temporary Removal Due to Present Danger Unit 12.3 Placement Considerations Unit 12.4 Unified Home Study Unit 12.5 The Ongoing Diligent Search Process Display slide 12.0.1: Modification of the Safety Plan (PG:X) Display slide 12.0.2: Learning Objectives (PG:X) Display slide 12.0.3: Agenda (PG:X) Unit 12.1: Modification of the Safety Plan Time: 2 hours, 30 minutes Unit Overview: The purpose of this unit is to provide participants the conceptual framework for ongoing safety management utilizing the safety plan during ongoing case management, based upon safety planning analysis, and managing the safety plan during treatment services. Learning Objectives: 1. Evaluate safety planning knowledge. 2. Identify the safety plan requirements, according to Chapter 65C-30, Florida Administrative Code (F.A.C.). 3. Define the need for modification of a safety plan. 4. Determine when to modify an insufficient ongoing safety plan 5. Define and craft a danger statement. 6. Demonstrate crafting a danger statement and exploring change statements with a parent/ caregiver. 7. Apply specific safety considerations in cases of domestic violence, substance abuse, and mental illness. 8. Modify the safety plan. 9. Ensure that any modifications to the safety plan is formally executed and entered in FSFN. Trainer Instructions and Script: Display slide 12.1.4: Modification of the Safety Plan (PG:X) Display slide 12.1.5: Learning Objectives (PG:X) Ask: As a case progresses, when or why will you be concerned with Impending Danger? Solicit answers Display slide 12.1.6: What Do You Remember? (PG:X) Activity #1: Safety Plan Quiz Purpose: The purpose of this activity is to review for case managers that assessment of danger threats and safety must continue throughout the life of the case. PG:X Materials: Participants Guide Trainer Instructions: Refer the participants to PG x, Safety Plan Quiz. Allow 10 minutes for individuals to complete the quiz. When individuals have completed quiz, have them compare answers at table groups. Review correct answers and further explain when needed. Activity STOP Safety Plan Quiz Answer Key Instructions: Read each statement regarding safety plans. Decide if the statement is True or False and mark accordingly. T F 1. The Safety Plan is a form created in FSFN by the Case Manager and the signed by the caregiver at the next home visit. T F 2. The safety plan must remain in effect and active until such time as the children are able to be reunified. T F 3. The Safety Plan addresses both present and impending danger. T F 4. The safety plan should contain an elaboration of the impending danger in terms that describe how the impending danger exists uniquely within the given family. T F 5. The single purpose of the safety plan is to control or manage impending danger. If any other purpose is included, it may not be a safety plan. T F 6. The Safety Plan considers separation only when necessary due to the existence of present danger threats. T F 7. A full elaboration of the protective role of others who participate in the safety plan should only be written out as it has to do with service providers with multiple programs. T F 8. The Safety Plan can address a wide range of family needs. Activity and services within the Safety Plan are dense which means there are a lot of things going on frequently. T F 9. The Safety Plan should be acknowledged and agreed to by the caretaker. T F 10. The needs identified in the Safety Plan drive the Treatment Plan. Display slide 12.1.7: 65C-30 Safety Planning (PG:X) Activity #2: F.A.C. 65C-30 Purpose: This activity allows participants to become familiar with the legal requirements of creating safety plans. PG:X Materials: Participant’s Guide F.A.C. 65C-30 Flipchart paper Markers Trainer Instructions: Refer participants to PG x, 65C-30.001 Definitions (123)(a-e); 65C30.007 Case Management Responsibilities (3)(b), (5)(a) Say: There are many references to safety and safety planning in Florida Administrative Code. Divide the class into 5 small groups. Assign each group a section of the Code to review and prepare to share with the class. Allow 10 minutes. Debrief by allowing groups to present the information from their section. Activity STOP Display slide 12.1.8: Increase or Decrease (PG:X) Say: As we discussed in the beginning of this session, the more we get to know the family, the more we will find out about dangers, risks and caregiver protective capacities. We will most likely need to revise or modify the safety plan. Ask: What type of information might you obtain that then requires you to modify a safety plan? Solicit answers. Conduct a group discussion around these points. Increase Intrusiveness: Safety Plan is NOT working—children are unsafe due to plan not controlling or new threats have manifested. Decrease intrusiveness: Conditions for Return have been achieved and/or Caregivers Protective Capacities have enhanced, where they are able to control the danger threat and/or threat is no longer present. Ask participants for possible examples of these in our case scenario. Ask: What types of conditions may present that would require you to modify an in-home safety plan? Solicit responses. Potential answers: The parent or the caregiver responsible per a family arrangement is no longer following through with their commitment to allow safety services providers in the home; or One of the safety services providers is no longer available to provide in-home safety plan services; A new danger threat has been identified; or Conditions in the home are becoming too chaotic to sustain current safety plan actions. Ask: What types of conditions may present that would require you to modify an out-of-home safety plan? Solicit responses. Potential answers: Baby born into an active case. Change in service provider availability. Change in who lives in the birth home. Activity #3: Safety Plan Modification Purpose: This activity allows participants to identify when a safety plan may need to be modified and the steps involved in doing so. PG:X Materials: Safety plan step cards Participants guide Trainer Instructions: Randomly distribute the safety plan step cards to participants. Ask participants to work together to put the steps in order. Review the steps and discuss each. 1. Identify the specific danger threat that is not controlled by the current safety plan. 2. Convene a safety plan conference to revise the safety plan. 3. The safety plan conference should minimally include: the Case Manager, the parents, and any providers involved in the formulation of the original safety plan. Other participants may be invited as needed. 4. Identify whether there are ways to manage the identified danger threat with the child in the home; and if yes, 5. Contact persons or providers who can participate in providing safety services in an ongoing safety plan; 6. Consult with your supervisor if you need advice in developing a sufficient ongoing safety plan. 7. Revise the ongoing safety plan, and obtain signatures of all safety plan participants. 8. Obtain the approval of your supervisor before implementing a revised ongoing safety plan. Ask: What should be done if the Case Manger no longer believes that an in-home safety plan is sufficient to ensure safety? Solicit answers. Potential answer: If the Case Manager believes that continuation of an in-home safety plan is not viable to ensure for the child’s safety, there should be immediate actions taken to develop an out-of-home safety plan which might include sheltering the child. Activity STOP Display slide 12.1.9: The Danger Statement (PG:X) Ask: What is a danger statement? Solicit responses. Ask: What is the purpose of a danger statement? Solicit responses. Ask: When does a Case Manager create a danger statement? Solicit responses. Activity #4: Danger Statements Purpose: This activity allows participants to further practice understanding and creating danger statement. PG:X Materials: Danger Threats Table Participants Guide Trainer Instructions: Create a flip chart with the following information as a point of reference. o What is happening that requires DCF involvement? What is the threat? What has been happening? o What must be different? What must you do? What can you do? o What are you willing to do? o What will be necessary for you to do what you must do? Divide class into small groups. Instruct groups to choose a danger threat and then work together to create a scenario based on the danger threat. When they have created the scenario, they are then to create a danger statement based on that scenario. Remind class that danger threats should be family centered, child centered and conversational. The danger statements should be written out neatly on a clean piece of paper. Allow 10 minutes. Allow each group to read their danger statement to the class. Debrief by allowing the other groups to: o Identify the danger threat o Briefly describe the scenario as they understand it from the danger statement. Activity STOP Activity #5: Family Change Statements Purpose: This activity allows participants to further practice understanding and creating a family change statement. PG:X Materials: Danger Threats Table Participants Guide Danger statements from Activity #4 Flipchart paper Markers Trainer Instructions: Ask: What is the point of a family change statement? Solicit responses. Ask: What questions should the family change statement answer? Solicit responses and record on flip chart. Keep the class in small groups. Randomly redistribute danger statements that were crafted in Activity #4. Ensuring that each group has a new one to work with. Instruct groups to create a plausible family change statement based on the danger statement that they have received. Remind class that danger threats should be family centered, child centered and conversational. Allow 10 minutes. Allow each group to read their danger statement followed by their family change statement to the class. Debrief by allowing the other groups to: o Identify the direct correlation between the danger statement and the family change statement. o Explain how the strengths and needs of the statement. o Ensure that solution focused language is evaluated. Activity STOP Activity #6: DV, SA and MH Purpose: The purpose of this activity is to allow participants to review the safety considerations involved in domestic violence, substance abuse and mental health. PG:X Materials: Participants Guide Flipchart Markers Trainer Instructions: Say: Let’s review a few of the topics that will give us special concerns when drafting a danger statement, a family change statement and assessing safety in general: domestic violence, substance abuse and mental illness. Have participants count off from 1 – 3. Ask participants to join the group with their number. Distribute flipchart and markers to each group. Assign the groups as follows: 1. Domestic violence 2. Substance abuse 3. Mental illness In their groups, participants are to recall every possible safety consideration for their topic and write them on the flipchart paper. Allow 10 minutes. Ask each group to create 3 danger statements connected to 3 of their safety concerns identified. Allow 15 minutes. Have each group present their list of safety considerations and danger statements to the class. Debrief. 1. Remind participants that alleged batterers need to be held accountable regarding domestic violence incidents. 2. Review techniques and tools from the Mandel Safe and Together Model. 3. Are there any discernible patterns of ‘out-of-control’ behaviors in prior maltreatments (i.e., domestic violence, substance abuse, unmanaged mental health condition, etc.)? Click hyperlink on PPT 9 and display safety plan eLearning course. 27 min http://centervideo.forest.usf.edu/fsfnenduser/caselifesafe/start.html Unit 12.2: Temporary Removal Due to Present Danger Time: 1 hour, 30 minutes Unit Overview: In this unit, participants analyze the factors that determine that a child is in present danger and the actions to be taken as a result. Learning Objectives: 1. Determine when a child is in present danger, or when there must be immediate actions taken to remove the child. 2. Describe the actions to be taken by Case Manager when there is uncontrolled present danger and the child must be temporarily removed from their home. 3. Identify the legal basis for emergency removals under Chapter 39. 4. Review the Case Manager responsibility for establishing reasonable efforts. 5. Explain the benefits of working together as a team with the Child Protective Investigator. 6. Define ‘Child Resource Record’ & Statute. 7. List and explain each of the required documents of the Child Resource Record. Trainer Instructions and Script: Display slide 12.2.10: Unit 12.2: Temporary Removal Due to Present Danger (PG:X) Display slide 12.2.11: Learning Objectives (PG:X) Say: In this module we will: 1. Determine when a child is in present danger, or when there must be immediate actions taken to remove the child. 2. Describe the actions to be taken by Case Manager when there is uncontrolled present danger and the child must be temporarily removed from their home. 3. Identify the legal basis for emergency removals under Chapter 39. 4. Review the Case Manager responsibility for establishing reasonable efforts. 5. Explain the benefits of working together as a team with the Child Protective Investigator. 6. Define ‘Child Resource Record’ & Statute. 7. List and explain each of the required documents of the Child Resource Record. Display slide 12.2.12: Present Danger (PG:X) Ask: When may a Case Manager be face with present danger? Solicit responses. Ask: What do you think a Case Manager would need to do in such a situation? Solicit responses. Display slide 12.2.13: Actions to Shelter a Child (PG:X) Say: When an in-home safety plan is no longer sufficient to manage the identified danger threats to keep a child safe, and the Case Manager has determined there are no other actions possible to strengthen the safety plan, they must act immediately to shelter the child. As Case Managers are not authorized to take children into custody, there is a set of actions that must be followed. Refer participants to PG:X, Present Danger and the Case Manager, and review each section thoroughly. Present Danger and the Case Manager When the Case Manager determines that a child is in present danger, there must be immediate actions to remove the child. A report to the child abuse hotline will only be made when there are new incidents of harm. An insufficient safety plan does not constitute a new incident of harm. A child protection investigator must be called to the home to assist the Case Manager in developing an out-of-home safety plan to protect the child. Both the investigator and the Case Manager will collaborate to follow the requirements in Chapter 4, Present Danger Safety Planning. When the Case Manager determines that a child is in impending danger, there must be a staffing with an investigator and CLS to develop a placement plan and petition for shelter. A child may only be taken into custody: When there is sworn testimony, either before or after a petition is filed, provided by the Case Manager; By a law enforcement officer, or an authorized agent of DCF, if the officer or authorized agent has probable cause to support a finding: o That the child is in imminent danger of illness or injury as a result of abuse, neglect, or abandonment; o That the parent or legal custodian of the child has materially violated a condition of placement imposed by the court; or o That the child has no parent, legal custodian, or responsible adult relative immediately known and available to provide supervision and care. If the facts are sufficient and the child has not been returned to the custody of the parent or legal custodian after removal in response to present danger, DCF shall file the petition and schedule a hearing, and the attorney representing DCF shall request that a shelter hearing be held within 24 hours after the removal of the child. While awaiting the shelter hearing, the authorized agent of DCF may place the child in licensed shelter care, or in a short-term safe house if the child is a sexually exploited child, or may release the child to a parent or legal custodian or responsible adult relative or the adoptive parent of the child’s sibling who shall be given priority consideration over a licensed placement, or a responsible adult approved by DCF if this is in the best interests of the child. Placement of a child which is not in a licensed shelter must be preceded by a criminal history records check as required under s. 39.0138. When a child is taken into custody pursuant to this section, the Case Manager shall request that the child’s parent, caregiver, or legal custodian disclose the names, relationships, and addresses of all parents and prospective parents and all next of kin of the child, so far as are known. Twenty-four hours, after removal from home to a non-relative placement, the investigator must appear in court, to allow a judge to review and approve the nonrelative placement. A non-relative placement must be for a specific and predetermined period of time, not to exceed 12 months, and shall be reviewed by the court at least every 6 months. If the non-relative placement continues for longer than 12 months, DCF shall request the court to establish permanent guardianship or require that the non-relative seek licensure as a foster care provider within 30 days after the court decision. Failure to establish permanent guardianship or obtain licensure does not require the court to change a child’s placement unless it is in the best interest of the child to do so. The court may withhold adjudication on a petition for dependency and find that supervision in the child’s home is required. The court may enter an order briefly stating the facts upon which its finding is based and withhold an order of adjudication, placing the child’s home under the supervision of DCF. If the court later finds that the parents of the child have not complied with the conditions of supervision imposed, the court may, after a hearing to establish non-compliance, but without further evidence of the state of dependency, enter an order of adjudication. In such situations, the Case Manager must: o Modify the in-home safety plan to manage the diminished caregiver protective capacities that are creating impending danger for the child. o Ensure that withholding of adjudication occurs for no longer than 6 months by: Actively working with parents to achieve the outcomes stated in the case plan; Keep CLS appraised of case plan progress or lack thereof; Request a team meeting with CLS when case plan progress is not occurring at a pace that will lead to timely permanency resolution for the child. Display slide 12.2.14: Reasonable Efforts (PG:X) Say: When it has been determined that a child is not safe at home, Section 471(a)(15)(B)(i) of the Social Security Act requires a State to make reasonable efforts to prevent a child's removal from home by providing appropriate protective actions and services to improve family protective capacities. Reasonable efforts requirements include: a. Identifying dangers to the child, and the family problems precipitating those dangers; b. Selecting services specifically relevant to the family's problems and needs; c. Diligently arranging services; d. Providing appropriate services on a timely basis. Activity #1: Reasonable Efforts Purpose: This activity allows participants to review their knowledge of reasonable efforts and practice skill application of what the law requires as reasonable efforts prior to a removal. PG:X Materials: Participants Guide Trainer Instructions: Divide the class into small groups. Refer participants to PG:X, Activity #1, Reasonable Efforts. Ask groups to complete Activity #1 and prepare to share their answers. Allow 20 minutes. Debrief Activity Answers : Reasonable Efforts Describe the grounds for removal that apply to this scenario. Child has been abused, neglected, or abandoned or in imminent danger of injury. Child has spiral fracture, other evidence of physical abuse; signs of neglect. Child has no parent, legal custodian, or responsible adult relative immediately known or available. Child’s grandmother is unable to care for the child long term, has medical and family issues; mother’s location is unknown; father’s location is unknown; alleged perpetrator remains unknown. Parents cannot be located to initiate services. Generally, the health and safety of the child cannot be ensured, even with preventive services. Neither parent has been located to assess for cooperativeness, etc. The grandmother advises that she cannot provide a permanent placement for the child. List the alleged maltreatment. Next to each, record the evidence/information that you would gather and document to prove each of the alleged maltreatments. Physical abuse – child has spiral fracture of the arm and evidence of previous fractures of the upper arm and ribs (CPT referral; medical records from hospital) Malnutrition – the hospital report stated that Buddy was low weight for his age, malnourished, and showed evidence of developmental delays (hospital records; CPT evaluation). What reasonable efforts must be documented in the shelter petition? Reasons no services were offered or provided, refer to 39.521(1)(d)9. and (f)3. a.-d. o Generally, the health and safety of the child(ren) cannot be ensured, even with preventive services. Family was previously involved with Non-Judicial In-Home services; however, the case was closed after the family moved from the area. Is the evidence sufficient to establish probable cause? List the evidence from the scenario and prepare to explain your answer. Yes, child has spiral fracture and evidence of past abuse. Alleged abuser is unknown at this time; mother has had no contact with the child for approximately 1 year and has history of mental illness; father left child and has not returned; father is possibly involved with drugs; grandparents are not capable of providing long term placement for child. Dependency Petition: Yes Evidence to CLS: Hospital records; information obtained from CPT; background checks; grandmother’s statement; prior investigation; medical records on mother. Witness List: Hospital personnel; CPT; grandmother; grandfather; school personnel; possibly law enforcement; previous providers of the mother; previous Non-judicial In-Home services. Reasonable Efforts Documentation: The home situation presents a substantial and immediate danger which cannot be mitigated by provision of preventive services; that appraisal of the home situation indicates a substantial/immediate danger, that can’t be mitigated via preventive services. These statements indicate that the Agency is advising the court that based on the circumstances reasonable efforts are not required. Locating the Parents: Diligent search; research of telephone books; local jails, hospitals; background checks; checks of local DCF programs, etc. Documents to CLS: CPT findings and recommendations; background checks; completed CSA; previous case plan; criminal background checks; previous abuse intake. Activity STOP Display slide 12.2.15: Working Together (PG:X) Say: As we all know, making the decision to remove a child from their parents care is one of the most difficult decision that we make in child welfare. This decision should never be made alone. One of our main partners in this decision is the CPI staff. We work hand in hand with them if this decision must be made after a case has been referred to services. Ask: What would be some of the benefits of working together with a CPI if you feel a child can no longer be kept safe with an inhome safety plan? Solicit responses. Display slide 12.2.16: Child Resource Record (PG:X) Trainer Notes: Be prepared to show at least one quality example of a child resource record from your area. Say: Remember we spoke briefly about the CRR in Module 9 when we were learning about the child’s medical, dental and mental health. When a child is removed, Code requires the completion of a child resource record. Say: Under Florida Administrative Code 65C-30.001 (24) a “Child’s Resource Record” means a standardized record developed and maintained for every child entering out-of-home care that contains copies of the basic legal, demographic, available and accessible educational, and available and accessible medical and psychological information pertaining to a specific child, as well as any documents necessary for a child to receive medical treatment and educational services. Ask: If your child was removed, what information would you want to travel with him or her? Solicit responses. Allow participants to take turns reviewing the example CRR while this discussion is held. Say: I’m passing around a copy of a child resource record. Refer participants to F.A.C. 65C-30.11(4) for a checklist of criteria for the CRR. Review the Child Resource Record contents. Discuss the pertinent documents that are required to be in the resource record. Remind participants of the following: All information in the CRR must be reviewed with the caregiver when the child is placed. Case Manager must ensure that the caregiver understands the importance of the CRR. It must be reviewed at each visit to ensure that the child’s appointments, medications, etc. are being recorded accurately and legibly. Unit 12.3: Placement Considerations Time: 1 hour, 30 minutes Unit Overview: In this unit, participants analyze the factors that determine that a child is in present danger and the actions to be taken as a result. Learning Objectives: 1. Discuss the protocol for placing children in out-of-home care as outlined in Chapters 65C-30 and 65C-28, Florida Administrative Code. 2. Assess the added trauma in placement change. 3. Identify the benefits of placing children in their home communities. 4. Identify the reasons to develop and maintain the child’s connections when in out-of-home placement. 5. Explain Normalcy “Let Kids be Kids” Law. 6. Define and explain the purpose of normalcy in the life of a child in out of home care. 7. Describe the placement requirements for sibling groups. 8. Describe the placement requirements and options for children who have been sexually abused. 9. Demonstrate the creation of a sexual safety plan. Trainers Instructions and Script: Display slide 12.3.17: Unit 12.3 Placement Considerations (PG:X) Display slide 12.3.18: Learning Objectives (PG:X) Say: In this module we will: 1. Discuss the protocol for placing children in out-of-home care as outlined in Chapters 65C-30 and 65C-28, Florida Administrative Code. 2. Assess the added trauma in placement change. 3. Identify the benefits of placing children in their home communities. 4. Identify the reasons to develop and maintain the child’s connections when in out-of-home placement. 5. Explain Normalcy “Let Kids be Kids” Law. 6. Define and explain the purpose of normalcy in the life of a child in out of home care. 7. Describe the placement requirements for sibling groups. 8. Describe the placement requirements and options for children who have been sexually abused. 9. Demonstrate the creation of a sexual safety plan. Display slide 12.3.19: Placement of Children in Out of Home Care (PG:X) Ask: Why is it important to find the most appropriate placement for a child as opposed to just finding a “bed space”? Solicit responses. Trainer Notes: While providing the information below on placement considerations, stop frequently to ask meaningful questions and solicit responses. Say: The decision where a child is placed is as important as the decision to place. Improper placements, that do not meet the child's needs, greatly increase the likelihood of placement disruption and trauma to the child. The following principles can help assure that the most appropriate placement will be chosen for each child. Meet the child’s individual needs: o If assessment reveals that the child cannot be protected in the home, placement must be carefully planned to minimize stress and subsequent trauma to the child. o The success of the placement is greatly increased when the child's family and caregivers are involved in the planning and implementation of all aspects of the placement. o You must carefully choose a placement setting that can meet the child's individual needs and minimize the changes to which the child must adapt. o Children's needs, behaviors, and anticipated behavior problems must be carefully assessed prior to choosing the placement. Placement must be in the least restrictive, most homelike setting o Children must not be placed in group homes, receiving centers, or other institutional settings because appropriate relative and licensed homes are not available. o If no relatives or friends are available to care for the child, locating a substitute caregiver within the child’s neighborhood will allow the child to continue important relationships in the school and neighborhood. Place the child as close to home as possible. o Children must be placed as close to home as possible to minimize the number of losses experienced unless safety is an issue. o Relatives, family friends, and neighbors must be assessed to decide their willingness and ability to provide care for the child. Minimize the number of changes. o The fewer changes in lifestyle and environment, the better. o If a child must be placed into any out-of-home placement, when possible, the family must be of the same ethnic, cultural, and socioeconomic class level as the biological family to reduce the number of cultural changes and to reduce the amount of changes the child must encounter. Activity #1: Placement Purpose: This activity allows participants to assess their beliefs regarding placement changes. PG:X Materials: Participants Guide Flipcharts Markers Trainer Instructions: Create flip charts with the following labels: o Trauma of Placement Change o Close to home o Connections o Normalcy Hang papers around the room. Inform participants that they will be completing a walk about activity. Discuss the subject raised on each paper as follows to give participants a better understanding. o Trauma of Placement Change: Is it beneficial to change a child’s placement to one that better addresses the child’s needs or leave the child in the current stable placement? o Close to home: What are the benefits of placing a child close to their own homes? o Connections: Why would it be important for us to maintain a child’s connections as much as possible during a removal? o Normalcy: What does it mean to be “normal” while placed in out of home care? Invite participants to take 10-15 minutes to walk about the room and write their beliefs or thoughts about the subject on each paper. Debrief by reviewing the comments listed on each sheet Activity STOP Activity #2: Connections Purpose: This activity allows participants to visualize the number and type of connections that a child may have. PG:X Materials: Flipchart paper Participants Guide Trainer Instructions: Say: Let’s discuss connections a bit further. Identify a volunteer from the class that has at least one child. Use the information from that participant to complete a connections chart. Debrief. Activity STOP Ask: I see what we all thought it meant to be “normal” while in out of home care but how would you describe a “normal family”? Solicit responses. Ask: We have varying opinions on what a normal family looks like and what is normal at all. So, how do we know what we can consider “normal” for a child in out of home care? Solicit responses Display slide 12.3.20: Let Kids Be Kids (PG:X) Activity #3: Let Kids Be Kids Purpose: This activity allows participants to learn the requirements and allowances afforded to children in out of home care based on the “Let Kids Be Kids” law. PG:X Materials: Participants Guide Trainer Instructions: Say: The “Let Kids Be Kids” Law went into effect on July 1, 2013. This law recognizes the importance of allowing children in foster care the ability to take part in everyday activities, without the unnecessary involvement of case managers, provider agencies or the court system. Say: The “Reasonable and Prudent Parent” standard incorporated in the law allows foster parents to give foster children permission to do daily, age appropriate, activities such as joining a school athletic team, getting a driver’s license or going to the beach with friends. Refer participants to PG x, Let Kids Be Kids Law Summary. Allow 10 minutes for participants to review the information. Debrief by conducting a brief discussion of the law. Activity STOP Activity #4: Normalcy Purpose: This activity allows participants to think further into the concept of “normalcy” for children. PG:X Materials: Participants Guide DVD, “A Journey to Normalcy” Audiovisual equipment Trainer Instructions: Play the video, “A Journey to Normalcy” Ask participants to complete the chart on PG x with examples of normal activities for the various ages of children. Allow 10 minutes Debrief. o Ensure participants understand that normalcy includes ageappropriate and lie skill activities that we generally take for granted. Activity STOP Say: One way that our children in care may act in a non-age appropriate is in their knowledge and behaviors related to sexuality. Ask: What do you recall about the special needs of children who have been sexually abused? Solicit responses. Record on a flip chart. Activity #5: Reactions Purpose: This activity allows participants to assess different reactions that children may experience from their caregivers when sexually reactive behavior is seen and how those reactions affect the children. PG:X Materials: Participants Guide Flipchart Markers Trainer Instructions: Divide class into small groups. Participants are to listen to the scenario that you will give and then write down reactions that they think the children may experience from the caregiver(s). Scenario: Sally, age 5, who enters foster care as a result of her mother’s on-going substance abuse and resulting neglect of the children along with her brother, Dan, age 11, who had been sexually abused (documented in a previous report that had been closed with no indicators ). That information had not been shared with the foster parents. One day, Dan forced Sally to perform oral sex on him. The foster mom walked in and saw this. She immediately called the Case Manager. Allow 5 minutes. Instruct participants to note the effects of these reactions on Sally & Dan. Allow 10 minutes. Debrief Activity STOP Ask: How might these effects be mitigated for the children? Solicit responses. Say: There are 3 main ways that we can mitigate these effects before they occur. 1) Ensure that all known information regarding sexually reactive behavior is disclosed; 2) Ensure potential caregivers are aware that we may not know about a child’s sexual abuse past, so even if we have no known behaviors to report, the caregivers should be prepared; 3) Work with the family to complete a sexual safety plan prior to placement. Refer participants to PG:X, Sexual Safety Plan, thoroughly review the document. Say: One of the ways we can prevent placement changes with relatives and non-relatives is by performing a well-done home study which gathers all of the information available to assess whether the child will thrive in the placement. Unit 12.4: Unified Home Study Time: 2 hours Unit Overview: In this unit, participants identify all elements of a Unified Home Study, how to complete the tool, and the requirements for inclusion in the study. Learning Objectives: 1. Identify the purpose and key components of a Unified Home Study. 2. Explain the purpose of a Home Study. 3. Identify safety issues in a potential placement. 4. Identify the requirements of the background check. 5. Demonstrate interviewing a relative for a home study assessment. 6. Demonstrate documentation. Trainer Instructions and Script: Display slide 12.4.21: Unit 12.4 Unified Home Study (PG:X) Display slide 12.4.22: Learning Objectives (PG:X) Display slide 12.4.23: Unified Home Study (PG:X) Say: The Home Study is an assessment used in a plethora of different connotations. The UHS is designed to be progressive, in that it can expand and change based on the home and the child’s circumstances. Ask: What are some of the times that we complete a home study? Solicit responses. Record on a flip chart. Potential answers: Emergency placement (completed by CPIs) Initial license for foster home Re-license Relative placement Non-Relative placement Adoption Reunification ICPC (in addition to purpose type, check if placement is for ICPC) Activity #1: The UHS Purpose: This activity allows participants to become familiar with the UHS document, content matter and allows an opportunity for skill advancement. PG:X Materials: Participants Guide Unified Home Study printout o One per participant o Include Fire Arm and Water Safety Trainer Instructions: Distribute a UHS printout to each participant. Complete a thorough review of the document, section by section, noting what is required. The below are for your guidance. o Answer the questions as completely as possible, giving details of family history, physical environment, health issues, ability to work with the professional team supporting the child, etc. o Use the sample questions provided as a guide; these questions are not a limit to what can be asked. o If there is a question that requires a more thorough evaluation than sample questions provided, the evaluator should continue questioning until the answer is complete and useful for evaluating the caregiver’s ability in that area. o Review the requirements for background checks as required by statute and rule. o Do not include social security numbers (SSN) anywhere on the home study; verification should be done by examining an official document listing the SSN of the individual. Examples: SS card, insurance policy, passport, other government document listing identifying information including SSN. o Regular visitors to the home should have a background check. Informal/infrequent babysitters do not have to be background screened. o Prospective Caregiver Attestation and Acknowledgement o CF-FSP 5343, Acknowledgement of Firearms Safety Requirements o Water Safety Advisory Activity STOP Activity #2: UHS practice Purpose: The purpose of this activity is to allow participants to practice their interviewing skills in order to gather the needed information for a UHS. PG:X Materials: Participants Guide UHS printout Trainer Instructions: Ask participants to line up according to their birthdates (Month and Day only). Pair first born with last born, then first born and last born of the rest of the class, and so on. Tell participants that they have 15 minutes to gather as much information as possible from their partner to complete a UHS. Allow 15 minutes. Switch interviewer and interviewee. Tell participants that they have 15 minutes to gather as much information as possible from their partner to complete a UHS. Allow 15 minutes. Instruct participants to complete the UHS by hand that they have with all of the information that they gained. Allow 20 minutes. Have participants give their UHS document to their person they interviewed. The interviewee is to review what is written for accuracy and thoroughness. Allow 10 minutes. Debrief. Activity STOP Refer participants to PG:# Unified Home Study How Do I Guide Participants may follow along with the eLearning using this guide. Advise participants to remove this guide and place in FSFN folder for later reference. Click hyperlink on Slide # 23 and display UHS eLearning 19 min http://centervideo.forest.usf.edu/fsfnenduser/uhs/start.html Unit 12.5: The Ongoing Diligent Search Process Time: 1 hour Unit Overview: This unit stresses the importance of initial and on-going diligent search, how to ask questions that may uncover leads, and how to document the diligent search process. Learning Objectives: 1. Describe the need for and components of an ongoing diligent search. 2. Describe the Family Finding Philosophy. Trainer Instructions and Script: Display slide 12.5.24: Unit 12.5 The Ongoing Diligent Search Process (PG:X) Display slide 12.5.25: Learning Objectives (PG:X) Say: In this module we will: 1. Describe the need for and components of an ongoing diligent search. 2. Describe the Family Finding Philosophy. Display slide 12.5.26: Ongoing Diligent Search (PG:X) Say: After a child is removed from their home, family and neighborhood, and not placed with a relative. It is our responsibility to that child to continually search for relatives. Ask: If we have removed, and the caregivers could not or would not divulge the names or contact information to the Department, why would we need to go any further? Solicit answers. Ask: Why do you think a caregiver would not give the Department information for relatives to care for their children being removed? Solicit answers. Ask: What do you think we could do to search for relatives? What steps can we take? Solicit answers. Display slide 12.5.27: JFK (PG:X) Display slide 12.5.28: Family Finders (PG:X) Say: In Florida, we use the Family Finders strategies to assist us with locating relatives. Family Finders is a set of strategies created by Kevin Campbell to find life-long supports for children in the system of care. Every year there are approximately 20,000 young adults that age out of foster care. Many times those young adults have no connection with their biological family or other adults who can be long-term supports. Display slide 12.5.29: The Right to Know (PG:X) Say: Our right to search for relatives comes from the “Right To Know”, Article 23 of the Geneva Convention of 1947. That article states, “The primary need inevitably cited by the families of missing persons is the right to know what happened to their relatives.” Fostering Connections to Success and Increasing Adoptions Act of 2008. Also known as Public Law 110-351. Notice to Relatives of Removal - section 471(a)(29) requires that title IV-E agencies exercise due diligence to identify and notify all adult relatives of a child within 30 days of the child's removal, of the relatives' options to become a placement resource for the child. Say: As a brief overview, we are going to discuss some of the activities that we can do to assist us with helping our kids. This is a very high level overview. You will be able to practice the skills later. Display slide 12.5.30: Discovery Steps (PG:X) Say: There are 4 basic steps that we should always do if a child is not placed with a relative. They are: 1. Mining the file 2. Accurint Reports 3. Birth Certificate Searches 4. Mapping Say: Mining the file means that we go back through the entire case record from beginning to current looking for any relative or adult connection that was ever mentioned. This is completed by literally looking through the hard copy record of the case as well as reading through FSFN notes, assessments, JRs, etc. Say: Accurint reports are specialize background reports that can be obtained through authorized personnel in your agency. These reports search for a person by name, date of birth and or social security number. But the report takes it one step further and gives you information for people who may be associated with the person you are searching for (ie: neighbors, spouse, children, people who lived at the same address, etc). Ask: How would that information be useful? Solicit answers. Say: Another activity that we can do is use FSFN to search for birth certificates. A child’s birth certificate offers the name of the mother (maiden name) and father’s name if known. A case manager can then search for the mother as a child to find another level of relatives. This can be used further to find the mother’s siblings, any adopted relatives, etc. Ask: Thinking of our discussions on ethics, what do we need to be mindful of if we are doing this type of work? Solicit responses. Ask: So far, we’ve discussed asking the caregivers for information, using computer generated reports as well as FSFN to research information. What other ways can you think of to gain this information? Solicit responses. Answer: We can gain information from the child if developmentally appropriate. Say: There is a technique that we can use with children when developmentally appropriate to gain the information about relatives and previous (and sometime current) adult supports. This activity is similar to a cross between a timeline and an eco-map. It’s called mapping. Trainer Notes: If you are trained in Family Finding, you can demonstrate the mapping technique with the class using a volunteer from the class. Say: You will gain further training to these techniques and the ability to put them into practice at a later date. Ask: So, now what should we do? Solicit responses. Refer participants to PG:# for FSFN steps to document Diligent Search activities Provide a few minutes to review Remind participants to place these pages in their FSFN folder Display slide 12.5.31: Knowledge Assessment Display slide 12.5.32: Q1 Answer C Display slide 12.5.33: Q2 Answer D Display slide 12.5.34: Q3 Answer A Display slide 12.5.35: Q4 Answer A Display slide 12.5.36: Q5 Answer E Display slide 12.5.37: Q6 Answer C Display slide 12.5.38: Q7 Answer C Display slide 12.5.39: Q8 Answer A “entering out of home care” Display slide 12.5.40: Q9 Answer A
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