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Stakeholder Engagement Workshop on Care Arrangement Services

In November 2016, a stakeholder engagement workshop was held to discuss the draft preferences for market design, service system models, and indicative costings for care arrangement services. The workshop aimed to refine service specifications, outcomes, and measures, as well as to gather input on contract provisions and potential outcome payments.

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Stakeholder Engagement Workshop on Care Arrangement Services

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  1. TitleArial28 SubtitleArial Narrow18 StakeholderEngagementWorkshop CareArrangementServices November2016 Ben Whitehouse GeneralManagerStrategy andReform RochelleBinks AssistantDirectorStrategy and Reform AmandaMcCurry SeniorContractandGrantsManager

  2. Welcome • AcknowledgementofCountry • Introduction

  3. Agenda Purposeoftheworkshop CommunityFosterCare,GroupFosterCare,TemporaryCare Houses,ComplexCommunityCare Outcomesandmeasures(Reunification,Carers) FosterCareModel Partnerships Childrenwithdisability Outcomepayments Close

  4. Purposeofworkshop • Purposeof Today: • Informkeystakeholdersondraftpreferencesformarketdesign, servicesystemmodelsandindicativecostingsforcarearrangement services. • Engagewith keystakeholderstofurtherdevelop andrefineservice specifications,outcomesandmeasuresforcarearrangementservices. • Consulton contractprovisionsandpotentialforoutcomepaymentsto bebuiltintocontracts

  5. Whyout-of-homecarereform? • Objectivesofthe out-of-homecarereform • Betterlifeoutcomes forallchildren inout-of- • homecare. • Early certaintyandpermanencyforchildren in • out-of-homecare. • Amorefinanciallysustainable system.

  6. Procurement-contextsetting • Allout-of-home care fundinghas beenalignedto be recontracted on or around January2018. • Opportunity toconsidertheout-of-home care system as a whole. • Open tender process. • NeedsAssessmentTool– December2016– February 2017.

  7. Current carearrangementswiththecommunityservices sector – 2016/17 **Approximatefigures

  8. Nov Doc ...1'1111 llllr ,..........lui Alii ....01:1 ...DK Jan ..... .......,EI.ILIInlllll Jul Aug Sop Oct Fob Mar Apr May Jun Jul Aug Sop Oct Nov Do c 19J<Ay2016 • _.._ liD. all 2016 2018 CommunitySectorBriefing • AboriginalCommunityControlledBriefN'lg 19September2016 -..- AcMsoryServices ChildAdva<:acyandSupport *• -•• • ... ParentAdvocacyandSupport 1 1Jul17 - carerAdvoc:acy.andSupport TransitionandExit Planning(PlacementServicesonly, ... t---+--+---11--+---i .. • • •• t---+--+---1.. • • ..._._nt__ .. •

  9. Fundedservicesystem(phasetwo) Childenterscare Childleavescare Complex Leaving care services Temporary Group After care support SGOor adoption Community

  10. Key Temporary carehouse TCH Communityfoster care CFC Groupfoster care GFC Complexcommunitycare CCC ResidentialGroupHomes RGH

  11. TheHub • Carerandchildconnectionhub(theHub) • ReferredwhencarearrangementunavailableinDistrict. • Bringingcommunitysectorcarearrangementsearlierintoreferralpathway • Clearandconsistentinformationonneedsofchildandcapacityof carer(individualandpermanency). • Real-timeknowledgeof allcarearrangementsavailableinthesystem • Intentionalreferralof childrenbasedonchildneedsandcarercapacity Carerandchild connectionhub (theHub)

  12. Futurecarearrangements withthecommunityservicessector Phase2– Carearrangements

  13. Keymessages– market design • Thereis demonstratedefficiencyin economiesofscalein out-of-home • careinWesternAustralia. • Developa systemwith flowthrough. Abilitytotransitionchildren throughdifferentelementsofthesystem. • Preferencefortenderresponsesthatdemonstrateprovisionforthefull spectrumofcareneeds(excludingcomplexcommunitycare). Step-up, step-downmodels. • Modelstoprovideflow throughandfullspectrumofcareneedscan include,butarenotlimitedto: • Singleorganisationtenders; • Partnershipsinvolvinglead agencywith subcontractingand/orMOU arrangements. 13

  14. Key messages–countrycarearrangements • Seekingtendersthatcan provideall carearrangement optionsinonegeographic area. Singlecountrygeographicarea • Typicallyprovidedinlarge regionalcentres. Community Temporary • Demonstratedabilityto provide culturallycompetentand responsivecarefor thelocal context. Group

  15. AboriginalChildreninCare • Aboriginalchildren represent52%of childreninout-of-home- care. • SinceJanuary 2011the numberofAboriginal childreninout-of-home- carehasgrownby 55%, comparedto14%for non-Aboriginal children. • 11% ofallAboriginal childreninPerthmetro areinthecareofthe DepartmentforChild ProtectionandFamily Support

  16. Keymessages • Aboriginalchildrenandfamilies • Further developinga culturallycompetentand responsivesystemis a key priority. • Demonstratedabilityto provideculturallycompetent andresponsivecarein the localcontext. • Onemethodfordemonstratingthis is being,or workinginpartnershipwithan Aboriginalcommunitycontrolledorganisation(ACCO). • Trauma-informedcare • Responsesmustdemonstratetheevidencedbasedtrauma-informedtherapeutic modelof carethey willuseandhowthis complementstheDepartment’s frameworks–Signs ofSafety,SanctuaryFramework,Circleof Securityetc

  17. Fundedservicesystem(phasetwo) Childenterscare Childleavescare Complex Leaving care services Temporary Group After care support SGOor adoption Community

  18. Flowthrough • Tendersseekingtoprovidetemporary carehouses demonstrateaflowthrough tocommunity fostercare: • Singleorganisationtenders; • Organisationpartnerships involvingleadagency with subcontractingand/orMOU arrangements; • Otherarrangement. Temp Community • Tendersseekingtoprovidegroupfoster caredemonstrateaflowthroughto community fostercare: • Singleorganisationtenders; • Organisationpartnerships involvingleadagency with subcontractingand/orMOU arrangements; • Otherarrangement. Group Community

  19. TemporaryCareHouse • Purpose–providesafeandstablecarearrangement inchild’scommunitywhilechild’sneedsarebetter assessedanda matchedcarearrangementcanbe identified. • Fostercaremodel • Children withlowto moderateneedswherethereis • noothersuitablecarearrangementavailable. • Aged0-17 years • Fourcarearrangements–withcapacity formore childrenifsiblinggroup. • Temporarycare-threemonthmaximumlengthof • carearrangement • Priorityforsiblingplacement. • INDICATIVEDRAFTCOSTING: • $320,000perfourcarearrangementspa(no CASC) Childenterscare Whenthereisnoothercare arrangementimmediately available Preferencefortendersthathaveflow throughtocommunityfostercare arrangements Typical referral out: Reunification C RGH GFC

  20. Communityfostercare Purpose– providetemporaryand permanentsafeand stablecare arrangements Typical referral in: RGH TCH GFC • Fostercaremodel • Childrenwithlow-to-higherintensity • needsthatarebest caredforinacarer’s home. • Aged 0-17years • Temporarycare-minimum 7night requirement. • Temporaryandpermanentcare-no maximumtimelimitonlengthofcare arrangement. Whena childis best placedin family setting Leavecare at 18 SGO or adoption Typical referral out: Reunification

  21. Communityfostercare Preferencefor tender responsesthat demonstrateprovisionfor thefull spectrum of careneeds(excludingcomplexcommunitycare).TheNeedsAssessmentTool • determinestheneedlevel. • Models should provide flow through and full spectrum of care. This could include,butis notlimitedto: • Singleorganisationtenders; • Organisationpartnerships • involvingleadagencywith subcontractingand/or MOU arrangements. Complex community care HigherIntensity needs Increaseinchild’sneeds Highneeds Moderateneeds Typical needs

  22. Carearrangementsupportcostmodel Childsupport costs Aged based caring allowance Care arrangement support cost Placement administrationcost 4 $$ $$ $Z $$ Childsupport costs Aged based caring allowance Placement administrationcost Care arrangement support cost 3 $Y $$ $$ $$ Childsupport costs Care arrangement support cost Aged based caring allowance Placement administrationcost 2 $X $$ $$ $$ Childsupport costs Aged based caring allowance Placement administrationcost $39,000-$42,000pa (withoutCASC) 1 $$ $$ $$ Resourceforextrasupport and intervention Cost ofraisingachildinout-of-homecare

  23. Key Messages-Communityfostercare • Temporary andpermanentCare • Demonstrateabilityto providetemporarycarers andpermanentcarers. • Temporary carers provideminimumof7 daysofcare. • Siblings • Abilitytogrouptogethercommunitycarearrangementsforgroupfoster care whereneeded(throughdiscussionswiththeDepartment). • Disability(consultationquestion) • Tenders haveabilitytotakechildrenwithdisability. • Oneor twodisabilityspecific provider

  24. Groupfostercare Purpose–providetemporaryandpermanent safeandstablecarearrangements Typical referral in: RGH TCH CFC • Fostercaremodel • Children with moderatetohighneedsthat arebestcaredforinagroupcaresetting. • Aged0-17years • Fourcarearrangements–withdiscretion formorechildrenifsiblinggroup. • Temporaryorpermanentcare • Priorityforsiblingplacement. Preferencefor tendersthatflow throughto communityfoster care arrangements Whena childis bestplaced inagroup setting INDICATIVEDRAFTCOSTING: • $280,000-$300,000perfourcare arrangementspaPLUSCASC Leavecare at 18 Typical referral out: Reunification RGH CFC

  25. Complexcommunitycare • Purpose–providetemporaryand safeand stablecarearrangementsforchildrenwith exceptionallycomplexneeds • Community carearrangementsforchildren • withexceptionallycomplexneeds • Individualand/orgrouplivingoptions dependenton needs ofyoungperson • Flexibilitytoprovidefostercaremodel and/or • residential caremodel • Recurrently‘blockfunded’ • Workwith child’sexistingtherapeuticplan • INDICATIVEDRAFTCOSTING • $350,000percare arrangementpa Typical referral in: RGH TCH CFC For childrenwiththemost complex and intenseneeds Typical referral out: Between20–30care arrangements RGH GFC CFC

  26. ResidentialGroupHomes Typical referral in: Purpose– providetemporaryand permanentsafeand stablecare arrangement TCH GFC CFC CCC • Rotating staffmodel • Childrenwithmedium-to-highneeds thatarebest caredforthroughastaffed model. • Aged 10-17years • ProvidedbytheDepartmentforChild Protectionand FamilySupport. Whenachild’s needsaresocomplex andintensethat theyrequireastaffedmodel ofcare. Typical referral out: Leavecare at 18 GFC CFC CCC

  27. OutcomePayments Some areasforOutcomePayments: •Whenlargersibling groupsaretogetherin samecarearrangement. •Aboriginal childrenprovidedcarearrangementwithAboriginal carer •Child leavescareontopermanentcarearrangement •Child transitionstoalessintensivecarelevel

  28. Activities

  29. NextSteps • Inform andConsult: • ExternalworkshopsNovember • Serviceuser focusgroupsNov/Dec • RegionalconsultsNovember • Finaliseservicespecifications IndicativeAdvertisingDate:May 2017

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