Children In Foster Care cws/cms child Welfare Children In Group Homes Current Issues in California



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Presentation Overview

  • California Perspective

  • Agency History

  • Our Residential Program Today

  • Key Issues in Change

Children In Foster Care
CWS/CMS

Child Welfare Children
In Group Homes

Current Issues in California

  • State Residentially Based Services (RBS) stakeholders workgroup
  • Legislation – Allowing up to four Counties to do Demonstration Rates
  • Under funding of Foster Care – FFA’s & Residential
  • Lawsuit on Inadequate Rates
  • Title IV-E Waiver – Los Angeles & Alameda Counties
  • Opportunities with the Waiver
  • Federal eligibility at point of entry not an issue
  • Prevention
  • Reduction of group care to produce cost savings
  • Los Angeles

  • RBS Workgroup
  • Rate reform – IV-E Waiver

Current Issues continued

  • Mental Health Services Act

  • Prop 63

  • Implementation

  • FSP – Children & TAY
  • Prevention & Early intervention - EBP’s in Los Angeles
  • Housing
  • Katie A Lawsuit

  • Mental Health Services for Foster Children

  • Treatment Foster Care
  • Wraparound Services
  • Sued LA County & State

  • LA settled

  • State appealed & special master working on a settlement

Pasadena’s First Orphanage
Founded in 1902


The Sycamores’ History

At the beginning of the 20th century, a visionary named Fannie Rowland met with 30 of her friends to address a troubling social ill – homeless children – and together in 1902 these women took action to found Pasadena’s first orphanage, The Pasadena Children’s Training Society.

A two-story yellow Craftsman bungalow at the corner of Wilson Avenue and Del Mar Boulevard served as a welcoming place for babies and children who needed a home. For six decades The Pasadena Children’s Training Society remained at the same location. In the mid-1960s a larger, more residential setting was required to care for the increasing number of displaced children and adolescents in the community. An ideal site was found in Altadena and in 1967 The Society relocated and became The Sycamores.

Today this site, with mountains nestled in the background, provides residential treatment, special educational, and mental health services.


History of Program Development

1902 Founded as the first Orphanage in Pasadena – boys & girls

1960s Evolved into Residential Treatment Facility

  • Relocated to Larger Campus in Altadena – began serving only boys

1976-87 Expanded From 30 to 60 Boys

1985 Developed Nonpublic School

1987 Began DMH Day Treatment Program

1990 Became an RCL 14

  • Began providing Aftercare

  • Board Initiated a Strategic Planning Process ($5.8M operating budget – 150 staff)

1995 Opened First Community Group Home

1996 Opened Community School

1996 Opened Second Community Group Home


History of Program Development

1997 Opened Foster Family Agency

1997 Developed Intensive In-Home Services – wraparound-like MH funded services

1998 Opened Third Community Group Home

1998 Opened Family Resource Center

1998 Began School Based Mental Health Services

1998 Approved for Intensive Treatment Foster Care - never successfully implemented in LA until 2010

1999 Began Hospital Diversion Program

1999 Opened Adoption Agency

2000 Opened RCL 14 group home in community – on grounds of a psychiatric hospital

2000 Began Transitional Living Program

  • Selected for County Wraparound Program - SPA 3 with Vista Del Mar – Connections

2000 Became JCAHO Accredited

  • Selected for County Wraparound Program – SPAs 4 & 5 with Vista – Connections

  • Selected to Expand Transitional Living Program

  • Became a Founding Member of the Los Angeles Training Consortium

  • Began ResWrap (Homeward Bound) Project

The Sycamores Profile in 2004

Organizational Size

  • $30,000,000 budget

  • 425 Staff

Services

  • Residential and Day Treatment

  • Family Resource Center

  • Special Education Services

  • Wraparound

  • Transitional Living Program

  • Psychological/Psychiatric Services

  • Community Services

  • In-Home Services

  • Foster Family Agency/Adoption Agency

  • Therapeutic Behavioral Services

  • School-Based Services


Hathaway History



In 1919, the Kiddie Koop orphanage was founded in the rapidly growing metropolitan area of Los Angeles to meet the needs of children whose mothers were deceased, or incapacitated either physically or financially.

This home, originally located on East 28th Street, moved in 1924 to more spacious quarters on South Catalina Street in Los Angeles and again in 1928 to an almost two-acre site in Highland Park. “Paradise Ranch” became home to these children in 1963 when the Trust of legendary filmmaker, Cecil B. DeMille, bequeathed his 300-acre estate, located in Sylmar, to what had become Hathaway Children and Family Services.

The ranch – renamed the “Children’s Village” – offered a scenic setting in the Angeles National Forest for children to receive residential treatment, mental health services, and special education in a nurturing environment.

Hathaway Profile in 2004

Organizational Size

  • $ 24,770,791 operating budget

  • 375 staff

Services

  • Residential and Day Treatment

  • Family Resource Center

  • Special Education Services

  • Vocational Education

  • Psychological/Psychiatric Services

  • Community Services

  • In-Home Services

  • Foster Family Agency

  • Outpatient Services

  • Therapeutic Behavioral Services

  • School-Based Services

  • Dual Diagnosis


Programs Offered Today


Activity Since Merger

2005 Merger Effective 11/1/05

2005 Submitted Mental Health Service Act (Prop 63) RFSQ response - December

2005 Submitted Wraparound RFSQ response - December

2006 Began strategic planning process

  • Notification of Wraparound Expansion – SPA’s 1-2- 3-4-5-7-8 with Vista Del Mar – Connections

2006 Entire organization accredited by JCAHO in March

2006 Created an office in Lancaster

2006 Created an office in Commerce

2006 Board approved merger with Center for Grief & Loss for Children

2007 Exploring NPS on grounds of public school

2007 Established School-based services in Lancaster Public School

  • Began First Response Program in South Los Angeles

  • Received Funding to do Crisis Counseling in 9 Schools

2009 The Joint Commission Reaccredited Hathaway-Sycamores

2010 Opened NPS on grounds of Glendale Public School

2010 Began Performance Excellence Project – quest for state/national quality award

2010 RBS to begin shortly

And the Journey Continues

Number of Individuals Served
Fiscal Years 1994/95 – 2009/10

Revenue Change

Fiscal Break Down
in 1994 - The Sycamores

Fiscal Break Down
in 1994

Fiscal Break Down
Start of FY’ 2011

Fiscal Break Down
Start of FY’ 2011

Personnel

Our Residential Program Today

  • Closed 100 bed facility 14 months after merger

  • Philosophical shift to deliver services in community

  • Overall size of residential services needed

  • Decline in referrals – Los Angeles phenomenon

  • Location of facility and extraordinary site costs

  • Closed 24 Community Based Group Home Beds (6 bed facilities)

  • Reduced Remaining Residential Campus from 60 – 34 beds

  • Demographics/Outcome Results Today – see additional resource section

Length of Stay (LOS) Trend

Expert determined need and strategy

Problem focus

Deficits

Services

Fit family to available service

Client focus

Relatively fixed roles & service provision

React to crisis

Environmental changes

  • Lack of fiscal resources

  • Lawsuits

  • Rate Reform

  • Growth in community based services

National Accreditation – JCAHO

  • Changed our organization

  • Data driven decision making

  • Performance Improvement focus

  • 2010 began Performance Excellence Project – quest for state/national quality award

Agency-wide implementation of Wraparound Philosophy

  • Wrap started in 2000

  • Strength based

  • Families as partners

  • Development of Child and Family Team

  • No difference from kids in residential – getting better outcomes in community

Building Bridges Initiative

  • Values and Principles continued to drive change

  • Adapted by state Association

  • Adapted into RBS in Los Angeles

Introduction of Parent Partners

  • From 1 to 40

Res/Wrap – Homeward Bound Pilot

  • Combining a RTF with Wraparound Philosophy – importance of Child and Family Team

  • Implemented Res/Wrap in LA County in 2004

  • Four agency pilot

  • Each model varied slightly in approach, but contained core elements

  • Funded through agency wraparound reserves

  • Achieved LOS of 9 months

Family Search and Engagement

  • Detective to identified staff

Directive Supervision

  • Focus on precision of intervention

Contact Information

William P. Martone

President & CEO

Hathaway-Sycamores Child and Family Services

210 South De Lacey Ave. Suite #110

Pasadena, CA   91105

Phone: 626-395-7100

Fax:     626-395-7270

E-mail: williammartone@hathaway-sycamores.org

Additional Resource Information

El Nido RCL-14
Program Review/Outcome Data

Fiscal Year 2009-10
Demographic & Census

Ethnicity

Fiscal Year 2009-10
Demographic & Census

Age Range

CAFAS Client Intake Type

Residential Youth Improve Behavior Across Multiple Settings

Residential Youth are
Higher Functioning at Discharge

Residential Youth Experience
Less Symptoms by Discharge

Residential Youth Exhibited More
Pro-Social Behaviors by Discharge

Youth Leave Residential to Return Home

After Leaving Residential Services, Youth Continued to Thrive

  • Twelve Residential caregivers participated in a follow-up study and shared how their child was currently doing after receiving residential services.

  • Since discharge, 92% of caregivers reported that as a result of Residential services:

  • they noticed positive changes in their child.

  • believed their child’s mood had improved.

  • their child has had no encounters with the police.

Families Share How El Nido RCL-14 Changed their Child’s Life

I am very happy with the services that he received!”

They helped my son a lot!”

They helped my son and supported him to change. His behavior is much better.”

They gave him some tools to work with and some coping skills.”



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