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V. D. Selection of Substitute Care Placement Effective 8/8/2008 |
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INTRODUCTION Children in the care or custody of the Department are placed in the home or facility available which is best able to meet their needs and to facilitate progress toward the case goal and objectives, using the philosophy of concurrent planning for all outcomes. Concurrent planning involves identifying and working toward a child's primary permanency goal (such as reunification with the birth family) while simultaneously identifying and working on an alternative plan as a secondary goal (such as adoption or guardianship with a relative). Concurrent planning shortens the time to achieve permanency, because progress has already been made toward the secondary goal if efforts toward the primary goal prove unsuccessful. Effective implementation of concurrent planning requires comprehensive and early assessment of families, determining the need for out-of-home care and the need to place the child or youth with a resource family who can support family reunification and commit to providing an alternative permanent home if reunification is impossible. The selection of the type and specific home or facility is based on state and federal statutes and regulations, on accepted social work practice in the field of child welfare, program policy of the Office of Child and Family Services, and the resources available to the Department of Health and Human Services.
PHILOSOPHY The child’s placement in an out-of-home placement should be within the child’s home community to reduce the sense of loss and separation experienced by the child and should be with family members whenever possible. Placement must be in the least restrictive (most family like) setting possible. The placement decision relies upon careful consideration of the prospective caregiver’s ability to meet the child’s specific needs and reflective of the concurrent goals of the child. Matching of the child’s needs and the caregiver’s ability to meet those needs is done through careful planning, involvement of the child to understand who they may identify, and team collaboration. The Department recognizes the importance of input from the child’s parent, caseworker, most importantly the child, and other significant adults in the child’s life, who have the most relevant information about that child’s behavior, likes, dislikes, talents, strengths, reasons for placement, and permanency goals. Placement decisions are done consistent with concurrent planning to meet the goal of reunification or alternate permanency plan and are consistent with the Indian Child Welfare Act, and other cultural considerations.
LEGAL BASE The following statutes and regulations apply to placement of children in the care and custody of the Department in substitute care living arrangements:
A. TYPES OF CARE
Parental care and supervision which is provided within a family setting in a private dwelling on a regular, 24-hour a day basis by qualified foster parent(s). The foster parents hold a license as a family foster home for children required by state law.
Family foster care utilizes the foster home setting and the foster parents as primary agents in improving the behavioral and emotional functioning of foster children
Family foster care provided to children in the care or custody of DHHS who are related by blood, marriage, or adoption to the caretakers. Relative placement is a preferred placement. (By Department of Health and Human Services policy, foster parent(s) caring for relatives who are in the care or custody of the Department of Health and Human Services must meet the licensing standards as a family foster home for children.)
Fictive Kin refers to individuals that are unrelated by birth, adoption, or marriage, who have an emotionally significant relationship with another individual that would take on the characteristics of a family relationship. Fictive Kin may also be referred to as "alternate caregiver" in this section. Fictive Kin are also a preferred placement, but are not recorded as relative placement in MACWIS.
Residential child care facility whose employees provide care and supervision of children and who may, but are not required to, provide either education or mental health treatment.
Residential child care facility staff provide care and supervision of children as well as mental health treatment and education to children with emotional, intellectual, or behavioral handicaps. Placement is not to occur in a residential setting without a team review prior to placement. A child in the custody of the Department will not be placed in a group or residential program where there are more than 25 residents. While the total population of a facility or multi-program agency may exceed 25, placement will not be made in a program/cottage that exceeds 25 residents. Residential Treatment Centers must be fully licensed and meet and abide by the Standards for Residential Treatment as developed by the Department.
This type of care and treatment utilizes a professional parent model of community- based residential treatment. The "parents" are specially trained and/or experienced caretakers with a comprehensive system of supportive services and respite care built into the placement. Ongoing training and professional mental health support are an integral part of these services. Depending on the number of children placed, either one or both of the "parents" are employed as full time caregivers. This model utilizes a community mental health center or private, non-profit agency to administer, oversee and provide back-up and support for the professional homes under its auspices. (A P.E.T. recommendation may be required if there is a day treatment component.)
This is a small (2-4 bed) residential child care facility specifically designed for children transitioning from an in-patient hospital program into a community placement. The facility has a strong therapeutic component and education is provided primarily through day treatment programming. This is a 6-9 month transitional placement geared to stabilize behavior in preparation for a less restrictive, community-based placement.
This is a living arrangement where no adult (other than the Department) has responsibility for the youth's daily care and supervision.
These facilities provide health related care, supervision and services to individuals who do not require the hospital or skilled nursing care and treatment but do require care and services above the level of room and board. These facilities must meet the state licensing and federal certification requirements for Intermediate Care Facilities.
These facilities must meet the appropriate state licensing and federal certification requirements.
Emergency Shelter Homeless Shelter Special Purpose Schools Independent living
B. STANDARDS FOR SELECTION OF PLACEMENT
Prior to any removal, children must be asked about where they believe they would feel safe to be sure all options are explored. Relative options should be the primary resource first explored when an out-of home placement is considered. A Family Team Meeting is a preferred way to help identify relatives. Children in out-of-home placement deserve to have their need for family and community connections respected. OCFS requires placing (or returning) children in their home or school community or home DHHS district as best practice. Such placements facilitate reunification and better enable children to maintain family and community connections. If a child cannot be placed in his/her home or school community, the child should be placed within the home DHHS district (or ‘border/neighboring’ towns of adjacent district, if appropriate). The child’s initial placement in an out-of-home placement relies upon careful consideration of the prospective caregiver’s ability to meet the child’s specific needs. Matching of the child’s needs and the caregiver’s ability to meet those needs requires not only careful planning, but also team collaboration. Utilizing information shared by the child’s parent, the child, the caseworker, and other significant adults in the child’s life, the team reviews information about the child’s behavior, likes, dislikes, talents, strengths, reasons for placement, and permanency goals. Deliberate thought is given to which resource family could best meet this child’s needs and facilitate the highest level of family and community connections and promotion of the concurrent permanency goals.
The placement decision and matching process for each individual child should be clearly documented in the child’s narrative record. When a relative is not selected for placement there should be a justification documented in MACWIS for that decision.
The child’s initial placement in out-of-home placement should be the only out-of-home placement experienced by the child as or until legal permanency is achieved. Additional changes in placement increase the risk that a child may experience further trauma due to additional losses and possible feelings of rejection.
A child may be placed out-of-district only if there is no relative or community resource available. If the out-of-district resource is a regular family foster home, the foster parents may be called directly to assess their interest in the child but will be informed that this call is preliminary as the caseworkers of children currently placed in the home need to be consulted. If the out of district resource is a therapeutic foster family the agency will be contacted; the caseworker is not to call the agency foster family directly. If the agency states the family is a possible resource, the caseworker will then consult with the caseworkers of other children placed in the foster home. In the emergency placement, attempts will be made to contact the caseworkers of the other children placed in the home, however if not possible in the emergency time frame, these necessary contacts should occur as soon as possible after the placement is made. If the resource is a therapeutic foster home, the agency must always be contacted and approve the placement before it occurs. A child should be placed in a therapeutic foster home only when it has been determined that level is appropriate to the need of the child and coordination with APS Healthcare has occurred. District Program Administer approval is required from the receiving district for out-of-district placements.
If the child is placed out-of-district, the caseworker and supervisor will make a plan within two weeks, outlining how to bring the child back to his/her own home or school community (priority goal) or district (secondary goal) as soon as possible. This plan should include how connections to the child’s home community currently are being maintained and what efforts are being made to locate/recruit a placement for the child. If the child is placed in a therapeutic foster home, this plan should be developed in consultation with the therapeutic agency staff. This plan will be e-mailed to the PA in the receiving district. It is recognized that a home may not be immediately available in the child’s home or school community so the caseworker, in conjunction with their supervisor, will review this plan quarterly to ensure that work to place with child within their home community/district is continuing. If returning the child to their home or school community is not currently in the best interest of the child’s permanency or well being these reasons will be documented in the placement section of the case plan. The plan will be forwarded to P.A. of child’s district and P.A. of district where the child is currently placed.
Throughout this process the caseworker should ensure the child is kept informed of the case progress toward return home or other goal changes in a way the child can understand. The adults responsible for the child should consider what they would want to know and understand if they were the child. If adherence to this policy would do harm to children, exceptions can be made with P.A. approval in both the sending and receiving district. Other exceptions to this policy are placement with kin and placement with siblings. Placing with kin and placing with siblings are priorities, which take precedence over placement in the child’s home community. In these situations the plan stating how the child will be moved back to their home community does not need to be completed. Children moving from a residential/group care setting to a foster home will still need the approval of the PA in the receiving district. However, in this situation the plan is to place the child in a family setting therefore the plan to move the child back to his/her home community does not need to be developed. Consideration should be given to the child’s permanent plan.
At the time of placement the caseworker must review the Placement Agreement with the foster parent or relative provider, which includes information on MaineCare, board rates, expectations of the resource family and the department, corporal punishment statement, and medical provider information, educational plan and needs and other health issues as necessary. A copy of the child’s health and education records should be supplied to the foster parent at the time of placement. If this is an emergency placement the Placement Agreement must be completed within 72 hours. The child is to be seen by a medical provider within 72 hours of placement for initial entry into care health screen, if this is a new placement in care.
Once the child is placed in a carefully chosen placement, the caseworker continues through regular contact and consultation with the child to assess progress made toward meeting the needs of the child, and to identify any areas in which the child or resource family may need increased support. For any new placement a face to face contact is required within the first two weeks of placement, with a phone call within one week if a visit is not made in that week.
Recognizing that the addition of a new member affects all members of the resource family, it is imperative the caseworker is alert to any subtle cues that the child or other family members may need additional support to help with the adjustment to changed family composition and dynamics. This includes following up promptly on any phone calls or other forms of contact initiated by the child or other family members to the caseworker in which any degree of anxiety, hesitation, or frustration is expressed . Prompt responses to seemingly inconsequential situations can prevent circumstances or emotions escalating to the point when a placement disruption may occur.
Placement is to be made with consideration of families where cultural, ethnic, and religious practices will be continued, valued, and advanced. If the foster family selected is not of the same ethnic heritage or general religious faith as the child, the foster family is expected to accept the child’s differences and to facilitate the child’s participation in his religious and ethnic community. The foster family may not impose their religious beliefs on the child.
For children placed out-of-state under ICPC supervision, visits are not necessary if the are conducted by the supervising agency monthly, with the majority of visits in the home, in conformity with federal and DHHS policy guidelines and timely written reports are required . Caseworkers with children in foster placement out of state must have at least one substantive phone conversation with the child monthly. The child must also have one face-to-face contact with a Maine OCFS caseworker at least once every 90 days. For children in out-of-state adoptive or permanency guardianship placements and for children placed out-of-state, with a plan to grant custody to another party, the supervising agency will conduct monthly visits, the majority in the home and include alone time with the child and the Maine OCFS caseworker will make one face-to-face contact with child once every 90 days with a final visit prior to adoption finalization or a court decision resulting in a change of custody.
When considering placing a child or a child has placed him/herself in an unlicensed placement, the following procedures are required:
The preliminary assessment will include:
Then, the following procedures will be carried out: • The caseworker will assess and document the extent to which the placement is appropriate or inappropriate. If the child is believed to be in jeopardy, the caseworker will discuss the circumstances with the Supervisor and with the Program Administrator. If a child has placed himself in an unlicensed home, and if the results of the caseworker’s assessment reveal that the placement is detrimental to the child’s safety, a plan will be made with the youth in a Family Team Meeting setting to transition to a safer placement.
C. Supervision of Out-of-Home Placements
1. Monthly Contact Required Children being placed in out-of-home settings are experiencing tremendous upheaval in their lives. Child Welfare staff has an obligation to assist children in managing and understanding transition and uncertainty. To provide appropriate support to the child and the caregiver throughout the placement process, it is important to regularly visit children in their foster homes. Also, more frequent and timely face to face contact can prevent emerging concerns/problems/needs from becoming a crisis in the future. Frequent contact will further the concurrent permanency goals. Monthly contact is the minimum standard, with the majority of visits conducted in the child’s placement.
These guidelines are offered to assist staff in their planning for providing support to children in out-of-home settings and their caregivers.
The purpose of ongoing routine and meaningful contact is to:
Recommended Procedures
I. Pre-Placement Information Gathering
Safe, stable, nurturing placements that can meet the concurrent permanency needs of the child require that the caseworker gather as much information about the children and prospective caregivers as possible in order to increase the likelihood that the child and caregivers will be able to establish a positive relationship and that the child’s needs will be met. Whenever practical, the home study on a prospective placement resource will be read prior to the actual placement. When it is not possible to accomplish the above, the caseworker will read the home study within10 days of the placement. If the study is not available in the caseworker's District or on MACWIS, a request for a copy of the study will be made by the District where the paper copy of the study is located, to be sent inter office mail.
At minimum the caseworker will:
II. Required Frequency of Placement Visits by Caseworker
Purposeful Face to Face Contact With the goal of improving outcomes for Maine families and children, the caseworker must make at least one purposeful face-to-face contact with the child, the majority of visits should occur in the child’s home each month and visits should afford the child alone time with the worker. Monthly contact is required with the parents in reunification cases. Contact should include direct interaction with the foster parent or caregiver to exchange information about the child, evaluate safety needs and monitor service delivery as appropriate. The monthly plan for how contact will occur will take into consideration the wishes of the child and the family. In order to ensure that the child’s educational process is not interrupted the child’s school day (classes, lunch, recess, study halls, etc.) is not to be disrupted, with the exception of emergency situations. Frequent contact with parents will positively influence their children’s placement stability.
Subsequent Placements When the caseworker observes and documents a circumstance, which without team intervention, could potentially lead to disruption of placement, the caseworker applies all reasonable efforts to maintain the current placement, unless a move is warranted due to the child being unsafe in the placement. Prompt steps are taken to increase the level of support to the family to help alleviate stress. Unless an exception is granted by the Children’s Services supervisor, the first step toward positive intervention is convening a Family Team Meeting. The purpose of the Family Team Meeting is to promptly recognize that a problem exists which could potentially intensify in degree to the point a disruption in placement becomes inevitable. To reduce this risk, the Family Team Meeting members strategize about what types of support can be offered to the child and family to assist with stabilizing the situation, by helping the family and child relationship continue to develop positively as they adapt to one another’s needs and expectations.
When in exceptional situations, it appears a change in placement is inevitable, the change is well-planned and the child is adequately prepared for the transition. As in any initial placement, matching of the child’s needs and the caregiver’s ability to meet those needs is done through careful planning and team collaboration. The Department recognizes the importance of input from the child’s parent, caseworker, the child who is age 6 and older, where age appropriate, and other significant adults in the child’s life, who have the most relevant information about the child’s behavior, likes, dislikes, talents, strengths, reasons for placement, and concurrent permanency goals.
The transition planning period is no shorter than 14 days, during which time a review of the child’s adjustment to the current home takes place, and problem areas which may re-surface as issues in the subsequent placement are identified. Once again, careful deliberation and planning goes into choosing an appropriate caregiver who can meet the multiple needs of this child. It is important the child play an active role in the choice of caregiver, as the child is in the best position to articulate the characteristics of a family which would best meet his or her needs and desires.
The prospective caregiver is thoroughly informed of the child’s needs and concurrent permanency goals and is made aware of the issues which contributed to the first placement disrupting. The caseworker, caregiver, and other team members, including the child, if age-appropriate, discuss what problems they may anticipate as the child and family members adjust to one another. Plans are made for how to communicate quickly on any issues that may require re-convening a Family Team Meeting.
Planning for the next placement move involves helping the child discuss feelings about living in and leaving the current home, as well as discussing feelings about moving to a new home. The child has, in all but exceptional circumstances, the opportunity to participate in a pre-placement visit in the new home. Any exception to the 14 day transition planning period and/or to the pre-placement visit occurring may be made only with consent of the Children’s Services Supervisor.
Placement changes include those which are viewed as positive, leading towards permanency outcomes, such as moving children from residential placements to less restrictive placements; or such as reuniting siblings; or placements with relatives or fictive kin. As with placement changes precipitated by unresolved issues, these positive placement changes also require careful planning and preparation of the child and resource family.
Recognizing the extreme importance of placement stability and the necessity for careful planning around any precipitous changes in placement, Child Welfare caseworkers are required to follow careful procedures to minimize trauma experienced by the child while living in an out-of-home placement.
PROCEDURE:
The child’s education records should be shared with the new placement resource.
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