Dodge County Minnesota Child and Family Service Review Program Improvement Plan I. General Information County/Tribal Agency: Dodge Address: 22 East 6th Street, Mantorville, MN 55955 Telephone Number: 507-635-6239 Primary Person Responsible for PIP: Scott Maloney, Stephanie Burton E-mail Address: [email protected] [email protected] Telephone Number: 507-635-6239 DHS Quality Assurance Contact: Shari Kottke To be completed by DHS: Date of Agency/DHS PIP Meeting: 2/24/12, 6/1/12 Due Dates for PIP Updates: Update 1: 10/15/12 Update 2: 1/15/13 Update 3: 4/15/13 Update 4: 7/15/13 PIP Completion Date: E-mail Address: [email protected] Telephone Number: 651-431-4706 Date PIP Approved: 7/18/2012 Date PIP Progress Reviews Received/Occurred: II. MnCFSR PIP Recommendations (as identified in the MnCFSR Report) PIP RECOMMENDATIONS Safety Finding 1: The Timeliness of Child Contact report indicates a need for improvement in making face-to-face contact with children in response to child maltreatment reports. Conduct timely face-to-face contacts with children in response to child maltreatment reports (MnCFSR Item 1) Safety Finding 2: The thoroughness of risk assessment and safety management practices varied across cases; 62.5 percent of cases reviewed were rated as a Strength. Address barriers to comprehensive assessment of risk and safety on an ongoing basis (MnCFSR Item 4) Permanency Finding 1: Annual performance data indicates a need for additional efforts to reduce foster care re-entry. Reduce the rate of children entering foster care for reasons other than safety (MnCFSR Item 3) Permanency Finding 2: Annual performance data and case review findings indicate additional efforts are needed to promote placement stability, and more timely achievement of permanency, for older youth and children in care for extended periods. Analyze and address factors contributing to foster care re-entry (Federal Data Indicator C1.4) Analyze and address barriers to placement stability, focusing on children/youth that are in care less than 24 months (MnCFSR Item 6, and Permanency Composites C4.1 and C4.2) Address barriers to achieving permanency for older youth and children in care for extended periods of time (Permanency Composites C.2.3, C2.4, C2.5, C3.1, C3.2 and C3.3) Conduct ongoing comprehensive relative searches to ensure placement with kin is fully explored and utilized (MnCFSR item15) Well-Being Finding 1: Additional efforts are needed to assess and address all family members’ needs, including non-resident parents, and to engage all appropriate family members in case planning. Ensure that all parents’ receive visits by caseworkers and their needs are assessed and addressed, ensure all family members are engaged in case planning 1 (MnCFSR Items 17, 18 and 20) Well-Being Finding 2: Case review findings and broader child welfare performance data indicate a need for additional efforts to ensure frequent caseworker visits with children at least once a month while in foster care. Conduct face-to-face visits with children at a frequency sufficient for ongoing assessment of risk and safety, and ensure caseworker visits with children in foster care occur each and every month they are in placement (MnCFSR Items 4 and 19) Systemic Factor: Strengthen the Quality Assurance System to ensure that case reviews occur consistently, and that a feedback loop exists with child welfare stakeholders. SAFETY Goal #1: • Improve timely face-to-face contacts with children in response to child maltreatment reports. Barriers: Data entry expectations and knowledge of CP rules regarding timely contact. Baseline (Performance at the time of the review): Case Review Data (if applicable to PIP development) Annual/Quarterly Performance Data (if applicable to PIP development) Q3, ‘11 Q4, Q1, ‘12 Q2, ‘12 Q3, ‘12 Q4, ‘12 ‘11 SCE 66.7% -0% (0/1) NSCE-INV --FA 83.3% 70% 16.7% (1/6) Performance Goal/Method of Measurement: Performance Goal/Method of Measurement: 90% of child maltreatment reports will be responded to within statutory timeframes, CW Data Dashboard quarterly updates. Action Steps (include persons responsible) Supervisors will review MN Statutes and CP Rules regarding contact timeframes and will review data entry expectations with staff. Date Completed Q1 Supervisors or designee will pull SSIS “Timeliness to First Contact” report on a monthly basis. Supervisors will review and share group and individual data with child protection staff. Q1, Q2, Q3, and Q4 Supervisors will develop and utilize a monitoring tool to capture information for investigations and assessments that has the capacity to identify patterns/themes on an ongoing basis. Q1, Q2, Q3, and Q4 Supervisors will make ongoing efforts to develop strategies to address barriers to timely contact when patterns/themes are identified. Q1, Q2, Q3, and Q4 Updates 1: 2: 3: 4: 1: 2: 3: 4: 1: 2: 3: 4: 1: 2: 3: 4: PERMANENCY Goal #2: • enter. Children will be safely maintained in their homes whenever possible and appropriate; children who are discharged from foster care will not re2 Barriers: Limited exploration of alternatives to child placement. Baseline (Performance at the time of the review): pment) Item 3: 80% of cases rated “Strength” Performance Goal/Method of Measurement: 90% cases rate as “Strength” Action Steps (include persons responsible) Continued/increased use of Family Involvement Strategies (FIS) including conferencing models. C1.4: 30.8% (4/13) 2011 Charting & Analysis Performance Goal/Method of Measurement: C1.4: 23% Date Completed Q1, Q2, Q3, and Q4 Explore existing internal decision-making processes to review cases for potential court involvement or for child placements. Q1 Develop/revise internal group decision-making processes as it relates to utilizing the leverage of the court, placing children in out-of-home care and ongoing review of placements. Q3 Develop/enhance transition strategies for children transitioning from out-of-home placement to ensure that adequate support and services are available to meet the needs of the child(ren) and parents. Each case that involves a placement will be reviewed in group consultation forums on a monthly basis Supervisors will extend an invitation to Juvenile Corrections to discuss strategies to reduce foster care re-entries. Q1, Q2, Q3, Q4 Q1, Q2 Updates 1: 2: 3: 4: 1: 2: 3: 4: 1: 2: 3: 4: 1: 2: 3: 4: 1: 2: 3: 4: PERMANENCY Goal #3: • Children who are in out-of-home placement will have stability in their placements. Barriers: Availability of relatives/kin/foster care homes in the community, attention to matching substitute provider skills to child needs Baseline (Performance at the time of the review): ble to PIP development) C4.1: 83.3% (10/12) Item 6: 60.0% cases rated as “Strength” C4.2: 50% (2/4) 2011 Charting & Analysis Performance Goal/Method of Measurement: Performance Goal/Method of Measurement: Item 6: 80% cases rate as “Strength” C4.1: 86% C4.2: 55% Action Steps Date Updates (include persons responsible) Completed Review use of Concurrent Permanency Planning (CPP) and Q3 1: clarify expectations with staff. One staff member (ZB) attended 2: a state training on concurrent permanency planning. ZB will 3: 3 provide information to the child and family team and facilitate a group discussion. 4: Utilize Family Group Conference to establish concurrent permanency plans with families in all cases where children are in out-of-home placement. Referrals for FGC will be made by 30th day of placement. Develop a training manual for foster parent recruitment, training and ongoing support and have on-going monthly/quarterly trainings for foster care staff. Q1, Q2, Q3, and Q4 Explore strategies to increase foster parent recruitment efforts in the county specifically for placement of children with special mental or behavioral health needs, specifically adolescents. Q1, Q2, Q3, and Q4 Q1, Q2, Q3, and Q4 1: 2: 3: 4: 1: 2: 3: 4: 1: 2: 3: 4: PERMANENCY Goal #4: Ongoing comprehensive relative searches will be conducted for all children in out of home placement. Further assess, identify and address barriers to achieving permanency for older youth and children in care for extended periods of time. Barriers: Lack of ongoing exploration of relatives or alternative options Baseline (Performance at the time of the review): C2.4: 0% (0/4) C2.5: 50% (2/4) C3.1: 0% (0/2) C3.2: 50% (1/2) C3.3: 40% (2/5) 2011 Charting & Analysis Performance Goal/Method of Measurement: C2.4: 10.9% C2.5: 53.7% C3.1: 29.1% C3.2: 75% C3.3: 37.5% Item 15: 50% of cases rated as “Strength” Performance Goal/Method of Measurement: Item 15: 75% of cases rate as “Strength” Action Steps (include persons responsible) FIS team will utilize recent access to Lexus Nexus to increase capacity to explore relative options. Date Completed Q1, Q2, Q3, and Q4 Supervisors will clarify “ongoing comprehensive relative/kin search” expectations and resources with staff. Q1 Supervisors will review all child placements where youth have Q1, Q2, Q3, 4 Updates 1: 2: 3: 4: 1: 2: 3: 4: 1: An internal policy has been developed that mandates each placement been in care longer than 12 months and determine if there is a need for a comprehensive relative/kin search to fully explore alternatives for each child. and Q4 case require a FGDM conference 2: 3: 4: 1: 2: 3: 4: WELL-BEING Goal #5: Improve the frequency of face to face visits with children and their parents to ensure ongoing comprehensive assessments of risk, safety, overall needs and to engage all family members in case planning; ensuring caseworker visits with children in foster care each and every month they are in placement. Barriers: Gaps in social worker visits with children (some significant), inconsistent efforts to engage non-resident parents Baseline (Performance at the time of the review): Item 4: Item 17: Item 18: Item 19: Item 20: 62.5% of cases rated as “Strength” 62.5% of cases rated as “Strength” 75% of cases rated as “Strength” 62.5% of cases rated as “Strength” 66.6% of cases rated as “Strength” Performance Goal/Method of Measurement: Item 4: 80% of cases rate as “Strength” Item 17: 80% of cases rate as “Strength” Item 18: 85% of cases rate as “Strength” Item 19: 90% of cases rate as “Strength” Item 20: 80% of cases rate as “Strength” Action Steps (include persons responsible) Clarify expectations with staff that SDM contact standards will determine expected frequency of face to face visits with all children and parents (or more frequently if circumstances warrant). All children in placement will have minimum of monthly face to face contact with their worker. Staff will receive ongoing SDM training provided by Olmsted County. A social worker (AO) has been assigned to a dual county SDM fidelity team to ensure integrity of instrument completion and use in case planning. Supervisors or designee will pull “Monthly Contact with Children in Continuous Placement” and “Client Contact” reports monthly. Supervisors will review and share group and individual data with staff. Discuss data entry issues. Supervisors will review existing policies regarding non-resident parents and develop a Dodge County policy. Copies of the policy will be given to staff and expectations will be clarified. Child Welfare Data Dashboard, Caseworker has face to face visits with children in out of home care each and every month Q3, 2011 Q4, 2011 Q1, 2012 Q2, 2012 Q3, 2012 Q4, 2012 53.8% 53.8% 55.4% 41/74 contacts Performance Goal/Method of Measurement: 90% of children in out of home care will have face to face contact with a worker each and every month. Date Completed Q1 Updates 1: 2: 3: 4: Q1, Q2, Q3, and Q4 Q1, Q2, Q3, and Q4 Q4 5 1: 2: 3: 4: 1: 2: 3: 4: 1: 2: 3: A practice discussion regarding the use and value of genograms will occur with children’s services staff. Supervisors will clarify the expectation that family genograms be developed and utilized in all cases. Supervisors will provide individual (weekly or monthly depending on need) and group supervision (weekly) consults utilizing a framework that captures family strengths and risks to the children. Consults will ensure that a comprehensive assessment is completed for all family members and is utilized in case planning. 1st Q1, Q2, Q3, and Q4 4: 1: 2: 3: 4: 1: 2: 3: 4: SYSTEMIC FACTOR Goal 6: Develop/enhance/maintain an internal process for the ongoing evaluation of child welfare practices and systems, leading to program improvements. Current process/practice(s): Barriers: Action Steps Date Updates (include persons responsible) Completed Establish and maintain a process that yields valid data: Full access is established with Olmsted County to utilize their Q2 1: protocols and tools. 2: 3: 4: Will develop an internal process to review cases. Q4 1: 2: 3: 4: Develop/implement a process for analyzing and learning from the data: Collect and analyze results of internal MnCFSR case Q4 1: instruments. 2: 3: 4: Share case instruments with social workers in individual Q4 1: supervision to reinforce strong practice and consider alternative 2: actions in areas needing improvement to ensure alignment with 3: practice model. 4: Use the data to effectively implement practice and system change: Share summary information with staff on a quarterly basis as a Q4 1: means of communicating performance results and giving 2: opportunities to discuss potential solutions and clarify 3: expectations and provide guidance. 4: Share results of performance data, case reviews and strategies Q4 1: adopted to improve practice and outcomes with child welfare 2: stakeholders (i.e. CJI team). 3: 4: 6 Other: Dodge County child and family services will be reengaging the local CJI team, the child protection team, and redeveloping a child mortality review team Ongoing 1: 2: 3: 4: 1: 2: 3: 4: 7
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