SunCoast Region Transformation Implementation Team November 2, 2012

1. SunCoast Region Transformation Implementation Team November 2, 2012

2. Vision • To implement the Florida Safety Decision Making Methodology successfully and with sustainable fidelity throughout the system of care in the SunCoast Region

3. What are we trying to solve? Compliance based practice model Non-integrated system of work 37% Child Protection Investigator (CPI) turnover 55% Re-investigations Lack of data integration and access to other sources Inefficient tools and processes Technology driving practice 3

4. ‘As- Is’ CPI Time Allocation 4

5. Current State Decision Tree • Subjective Decision Making • No Definitions for Risk Levels • Lack of Decision Supports • Maltreatment Driven Decisions Risk High Risk Low Risk Moderate Risk In-Home Non-Judicial In-Home Judicial Out of Home Placement No Services Prevention Diversion “Family Support”

6. Current State Process Overlaps Hotline Statutory Criteria for CA/N, Response Priority, Searching/Linking, Background Screening Process Overlap Investigations Searching/Linking, Background Screening, Safety Assessment, Assess Service Needs, Refer for Services Process Overlap Case Management Family Assessment, Case Plan, Refer for Services, Case Evaluation 6

7. Florida Safety Decision Making Methodology • Consistent Decision Making • Efficient Decision Supports • Decisions Based on Present and Impending Danger • Teaming Model Safety Management Safety Decision Safe Unsafe Protective Actions In Home Safety Plan Out of Home Safety Plan Safe Home No Services Prevention Diversion “Family Support” In-Home Non-Judicial In-Home Judicial Out of Home Placement 7

8. Future State Minimize Process Overlap Hotline Statutory Criteria for CA/N, Response Priority, Searching/Linking, Background Screening Investigations Information Collection, Safety Determination, Family Functioning Assessment Case Management Protective Capacity Assessment, Case Plan, Refer for Services, Case Evaluation

9. In order to really know if a child is safe or unsafe, we need to understand how the family functions. To do that, we have to understand what is happening in the six domains listed below: Nature of maltreatment? Circumstances of maltreatment? Child’s day to day functioning? General Parenting Views? Adult Functioning? Disciplinary Practices?

10. Safety Decision Making Threats of Danger (Out of Control, Immediate, Observable, Severe Consequences) +/- Vulnerable Child (Lacks ability to self protect) +/- Parent Protective Capacities (Vigilance, preparation and power to protect) = Safe or Unsafe

11. Statewide Implementation Team • Policy and Practice • Data and Performance • Communication • Training and Coaching • Field Readiness • Ongoing Services

12. Proposed Statewide Roll-Out Plan Phase I: • Region - Northwest • Duration - Two months A single Region will implement first and the team would evaluate issues that surface and resolve as appropriate prior to the start of Phase II. • Phase II: • Regions - Southeast and Southern • Duration - One Month • Phase III: • Regions - Central, SunCoast and Northeast • Duration - One Month

14. Stages of ImplementationCore Activities Adapted from Implementation Research: A Synthesis of the Literature (2008) The National Implementation Research Network

15. Stages of ImplementationCore Activities (cont’) Adapted from Implementation Research: A Synthesis of the Literature (2008) The National Implementation Research Network

16. Evaluating Readiness Factors to Consider Training Staffing Technology Business Process Community Integration Sustainability Performance Expectations Updated Tools available In FSFN Communication Crisis Management Plan Have staff Been trained Working Agreements Recruitment Selection Hiring Equipment Replacement Evaluation Processes Train-the-trainer Contract Stability Identified Stakeholders Workforce stability IT Accessibility Resources and Service Array Media Relations Supervisory Training Caseload management Budget Allocation QA Plan Ongoing Training Staff Retention

17. Contact Information Kimberly Williams (813)558-5629 Kimberly_A_Williams@dcf.state.fl.us