DHR Partnerships with Children, Their
Families, and Providers
I. Introduction
A. Purpose
This policy identifies ways in which
partnerships will be developed among families, children,
B. General Principles
These policies have been developed to comply with the following operating principles or standards of the R.C. Consent Decree:
VIII.38. Class members and their families shall be encouraged and supported to access services. To this end, the "system of care" shall develop and implement strategies to promote the utilization of services by class members and their families. These strategies shall include the use of community aides, the provision of transportation services, the development of ethnically and culturally sensitive services, and referral to peer support groups. When class members or their families refuse or fail to access services, the reasons for their doing so shall be assessed and the services that have been offered shall be modified or alternative services shall be offered to encourage acceptance of services.
42. Class members, parents, and foster parents shall be accurately and timely informed, in language understandable to them, concerning: rights under the decree (including the right to be treated in accordance with the "principles" or "standards"); the goal for the class member; individualized service plans, including objectives; services, including placements; and options.
43. Class members, parents, and foster parents shall be encouraged and assisted to articulate their own strengths and needs, the goals they are seeking for themselves, and what services they think are required to meet these goals.
44.
Class members, their parents, and foster parents shall be involved in
the planning and delivery of services, in accordance with paragraphs (a)-(d)
below. The right of class members,
parents, and foster parents to participate in treatment planning and delivery
may be restricted only according to a specified administrative process.
a. The class member shall be treated as a partner in the planning and delivery of services if the class member is age 10 or older and, if the class member is under the age of 10, when possible.
b. The class member's parents shall be treated as partners in the planning and delivery of services if the class member is living at home or if the goal is for the class member to return home.
c. Foster parents shall be treated as partners in the planning and delivery of services whether or not the goal for the class member is to return home.
d. When necessary, services shall be provided class members and parents to enable them to participate as partners. Such services shall include transportation assistance, advance discussions, and assistance with understanding written materials.
59. Class members, parents and foster parents shall be made aware, in an effective manner, of the availability of advocacy services to assist them in protecting and advancing their rights and entitlements.
C. Glossary
Administrative Review - A review of the child and family case plan for each child in a foster care placement completed every six months by a panel comprised of:
1. Age appropriate child and his or her parents.
2. Other individuals involved in the planning and delivery of services.
3. Individual not directly involved in the direct line of service planning or delivery for the child and family.
Age Appropriate Child - A child age 10 and older (except a child with severe mental retardation), or a child under age 10 who is intellectually capable of understanding and communicating ideas and opinions concerning the subject matter being discussed or considered.
Appropriate Member of the System
of Care - A
Child and Family Planning Team
- The individuals involved in planning services with the child and family. The team should include the parents, the
child, if age appropriate, others requested by the family or child, the
Child's Home - The physical environment or location of the family unit in which the child (a) resides or (b) was residing with a caretaker in a significant relationship prior to removal or transfer of custody.
Cultural Competence - The ability of individuals and systems to provide services effectively to people of different cultures, races, ethnicity, backgrounds and religions in a manner that recognizes, values, affirms, and respects the worth of individuals, and protects and preserves their dignity.
Emergency Situation - A
situation where the child is at imminent risk of serious harm and action to
protect the child must be taken before a child and family planning team can be
convened to develop an
Family - A biological, adoptive or self-created unit of people residing together consisting of an adult(s) and child(ren) with the adult(s) performing duties of parenthood for the child(ren). Persons within this unit share bonds, culture, practices and a significant relationship. Biological parents, siblings and others with significant attachments to the child living outside of the home are included in the definition of family.
Foster Care Provider - A provider of out-of-home care for a child in any of the following settings; the home of relatives (kinship care) or neighbors, a foster family home, a therapeutic foster family home, a group home, a shelter home, a child care institution, a hospital or other residential facility.
Foster Parent - A foster care provider delivering care in any of the following settings: the home of a relative (kinship care) or neighbor, a foster family home, or a therapeutic foster family home.
Parent - A father or mother, an individual appointed as legal custodian or guardian or an individual acting as a father or mother. This may include but is not limited to a relative rearing the child for an absent family member, a godparent assuming a parent's role when the parent is deceased, etc.
Permanency Goal- The
permanent living situation for the child that the child's
(a) child will remain at home
(b) child will return home
(c) child will live permanently with relatives
(d) adoption, independent living, or a long-term placement with an identified foster family.
Provider - Foster care provider, including a residential provider, or service provider.
Open Case - A family and/or a child being served by the Department because of an identifiable risk of harm to the child.
Residential Provider - A
foster care provider other than a foster parent, including any provider
delivering care in any of the following licensed or licensed exempt
settings: group home, child placing
agency, child care institution,
Safety - Protection from physical injury or sex-related abuse.
Safety Plan - A plan for protecting a child in an emergency situation, developed in partnership with the family and the age appropriate child when possible.
Service Providers - Individuals, families, agencies, or organizations that provide or could provide a service or services to children and families.
Summary Withdrawal of Service, Summary Discharge From A Placement - Removal of a service or discharge from a placement without opportunity for the child and family planning team to plan and provide an appropriate alternate service or placement.
D. Court Orders
Court orders must be followed.
Sometimes there will be an existing court order (often
from a divorce proceeding) in place at the time an
Sometimes, after an
If the court refuses to modify or lift an order as
requested, the
II. Partnerships in Planning and
Evaluating Services
A. Overview
Partnership means both (a) genuinely
collaborative decision-making shared by family members, the child,
Children, parents, and other family
members will be treated as partners by
Every meeting held to develop or
update an individualized service plan (
B. Facilitating Participation in Child and Family Planning Team Meetings and Other Meetings to Plan and Evaluate Services
Every effort will be made to have family members and the age appropriate child attend and participate fully in all child and family planning team meetings and other meetings to plan or evaluate services. They shall be notified in advance of meetings, offered assistance needed to enable their participation, and helped to articulate their strengths, needs, and the interventions that best suit their individual circumstances.
In the
Families and children shall be
prepared and supported to participate in the service planning and evaluation
process by the
1. Meeting
times and locations will be arranged with the participation of the parent, the
age appropriate child,
2. Services, including transportation, child care and meals, will be provided as needed to enable attendance and participation of the age appropriate child and family members in meetings. Transportation, child care, and meals may be directly provided, or may be prepaid or reimbursed as appropriate.
3. Families and age appropriate children will be consulted regarding the persons to be invited to attend meetings.
4. Families and children will be given advance preparation for meetings including:
a. Assistance
in: articulating their strengths and needs and the goals they are seeking for
themselves, identifying interventions best suited to their individual
circumstances, evaluating the effectiveness of current services and identifying
needed modifications to the
b. Assistance in identifying sensitive or volatile subjects that might be raised in the meeting and in developing effective ways of addressing these subjects at the meeting .
c. Assistance
with understanding written material.
Such assistance may be provided by
5. Families and age appropriate children will be
encouraged to bring whomever they choose to meetings without advance notice
unless a restriction is imposed by the child and family planning team. Restrictions must be identified and justified
in the child's case record. A person may
not be restricted from attending a meeting because of his or her views about
strengths, needs, or services, or his or her displeasure with
6. Sources of advocacy and support will be discussed with the family, including:
a. The family's and child's informal support network, (e.g., extended family, neighbors, friends).
b. The family's and child's formal network of associates, (e.g., health clinic social worker, AA or NarcAnon volunteer, Guardian Ad Litem, personal attorney, or teacher).
c. Other families or children who have participated in the service planning and evaluation process.
d. Formal advocacy organizations, (e.g., Alabama Parents' Support Network, Alabama Disabilities Advocacy Program, local Mental Health Association, legal services program).
The family and child will be helped to link up with advocates in whom they express interest. Names of individuals from other families who have previously participated in the process will not be shared without release of information statements signed by those individuals who are to be referred as advocates.
The
parents or children may request to have an advocate of their choice as a
participant in any meeting that involves planning and the delivery of
services. Guardians Ad Litem shall be notified in advance of
7. Assistance will be provided to afford individuals with disabilities the opportunity to meaningfully participate in meetings. Locations for meetings will be selected that allow easy access for individuals who are physically handicapped. Additionally, assistance shall include signers for individuals who are hearing impaired, interpretation for individuals with a mental disability, reading of written materials for those who cannot read, and written and verbal translations for non-English speaking persons.
8. Service
providers and foster care providers are expected to give the
NOTE: Provisions 1-8 apply to all meetings that
involve planning or evaluating services related to the child and family's
9. Families and children will be provided necessary assistance to enable them to enroll and participate in the following entitlement programs: Food Stamp, SSI, Medicaid, Social Security, special education and Individuals With Disabilities Education Act (IDEA) early intervention programs. Assistance given may include but is not limited to the following:
a. Transportation to attend meetings, apply for programs, or obtain required medical or psychological assessments, may be directly provided or may be prepaid or reimbursed as appropriate.
b. Assistance with forms completion, letter writing, and interpreting written material will be available as needed. Forms may be completed, letters written and written material interpreted with the family members and the child when requested by them.
c. An appropriate representative of the system of care shall request to attend, with the age appropriate child and family, all scheduled Individualized Educational Planning (IEP), and Individualized Family Service Planning (IFSP) meetings.
d.
Families and children shall be made aware of advocacy
services to assist them in protecting or advancing their right to participate
in entitlement programs.
C. Confidentiality
Participants in service planning, delivery and evaluation will be made aware of the importance of maintaining confidentiality and will be asked to sign a confidentiality agreement.
No sharing of confidential
information provided by the child, family or others will take place at child
and family planning team meetings, or other meetings called by
At meetings other than team meetings
or meetings called by
Under no circumstances are
The current
Parents and their age appropriate child have the right to be informed of and attend all court proceedings and administrative reviews pertaining to the planning, of services provided by the Division of Family and Children's Services. Every effort will be made to encourage the age appropriate child and his or her parents' attendance and participation in such legal proceedings and reviews. In support of this,
1. Parents
and age appropriate children, or their attorneys, shall be notified of court
petitions that relate to them filed by
2. Age appropriate children and their parents shall be notified of the dates, times, locations and reasons for scheduled court hearings and administrative reviews and shall be provided services as needed to enable and encourage their attendance and participation, including necessary transportation, child care and meals.
3. Sources of advocacy and support will be discussed with the parents and child, including:
a. The family's and child's informal support network,(e.g., extended family, neighbors, friends);
b. The family's and child's formal network of associates, (e.g., health clinic social worker, AA or NarcAnon volunteer, personal attorney, teacher);
c. Other families or children who have participated in similar proceedings;
d. Formal advocacy organizations, (e.g., Alabama Parents' Support Network, Alabama Developmental Disabilities Advocacy Program, local Mental Health Association, legal services programs).
The family and child will be helped to link up with advocates in whom they express interest. Names of individuals from other families who have previously participated in the process will not be shared without a release of information statement signed by those individuals who are to be referred as advocates.
Advocates for the family and child will be given reasonable notice of meeting times and locations.
4. Parents
and age appropriate children shall be offered assistance in preparing for court
hearings and for administrative reviews.
They shall be informed of what to expect at the proceeding, and of what
may be expected of them. With permission
of legal counsel, the
5. Parents
and age appropriate children, or their attorneys, shall be informed in advance
of the content and recommendations of
6.
IV. Rights of Children and Their Families
A. Overview
Children and their family members are entitled to be treated in accordance with the goals and principles of the R.C. Consent Decree and to be assisted to understand their rights . They are entitled to certain case information pertaining to themselves and to make decisions regarding services they will be provided. All decisions regarding services ultimately rest with the child and family, unless the child's immediate needs for safety will not be met through those services chosen.
B. Notification
In support of advancing their rights, entitlements, and privileges, age appropriate children and their families shall be made aware of their rights and the availability of advocacy services.
Upon opening a case, the
C. Case Information
Case information will be shared with age appropriate children and their parents in a timely fashion and in understandable language and terms.
1. The
When deciding whether to release particular case information, consideration should be given to whether releasing the information would violate the provider of the information's legitimate expectations of privacy.
2. Age
appropriate children and their parents will be given a copy of their
3.
Parents in the child's home or in the home at the time
of removal have the right to be informed of all allegations of child abuse or
neglect reported to
V. Partnership Practices to Encourage Family Access to Services
The child and family planning team will consider the child and family's unique needs and circumstances when designing services with them. Services deemed unsuccessful at time of evaluation will be assessed with the child and family to identify why the service was not successful, including why the child and family may have chosen not to use the service. The service then will be adapted or a new service will be identified or developed to better accommodate the child and family.
The following strategies will be used when planning services with a child or family:
1. Identify needs through a family systems approach by using family and solution focused questions and statements.
2. Begin service planning around those needs that are most important to the family and to the safety of the child.
3. Reach agreement with the age appropriate child and family concerning the desired permanency goal (desired case outcome).
4. Emphasize family strengths and avoiding problem statements during both informal and formal planning and evaluation of services.
5. Aggressively pursue "non-traditional" services to meet the child's and family's needs, including:
a. "Natural helpers," (e.g., neighborhood groups such as church groups, neighbors, relatives and friends who may function as aides, coaches, mentors, baby-sitters, respite or transportation providers, etc.).
b. Professionals or para-professionals who function outside their traditional roles.
6. Plan services with consideration to the ability of the provider to support the child's and family's racial, ethnic, cultural and religious background.
VI. Partnerships Between
Parents will retain a level of
routine parenting responsibility sufficient to sustain the parent/child
relationship and to support the attainment of the permanency goal, unless
restricted by the child and family planning team.
1. The child and family will be encouraged to identify "natural helpers", who might be available to be a placement resource or service provider. "Natural helpers" include neighbors, relatives, friends and community organizations. They are good sources of crisis intervention services, therapeutic recreational activities and other individualized services. These "natural helpers" will be given first consideration and utilized and funded whenever possible. When utilized they will be given needed training and/or supports.
NOTE: A child shall not be placed by the worker in
a foster home that is not licensed.
However, as part of a safety plan, the
2. Siblings will be placed together in accordance with specific policy on sibling placement.
3. Children will be placed in close proximity to their homes in accordance with policy on close proximity of placement. A child or sibling group will be placed in their own neighborhood or community whenever possible. Such placements will be made to facilitate planning and delivery of family focused, rather than child-focused, services.
4. Parents
and/or others significant to the child will be engaged to prepare the child for
the move from his home, as well as any change of placement. They will also participate in making the
placement if they so choose when in accordance with the
5. The child will frequently visit with family (including siblings in other out-of-home placements) and friends in accordance with the policy on visiting.
6. Telephone and mail contact will be maintained between the child and his or her family and friends in accordance with the policy on telephone and mail communication.
7. Parents and other family members will be encouraged and assisted to participate in school activities. These include but are not limited to: activities designed to smooth the transition to a new school, helping the child select courses or teachers, participating in individual teacher's conferences, Parent/Teacher Association meetings and IEP meetings, sharing in the child's extracurricular activities, and signing report cards.
8. Parents will be encouraged and assisted to participate in health and mental health service planning and delivery for their child. The parents and age appropriate child, with other members of the child and family planning team, will plan for the child's accessing all needed health and mental health services.
a. As decided upon in the child and family planning team meeting, the
b. Consent will be sought from parents for surgery, emergency medical
care, or other necessary medical care.
If parents refuse, are unavailable, or unable to give consent,
NOTE: All petitions requesting temporary
custody of a child should request that the Department be given the authority to
consent to all necessary medical care.
Without such authority the Department may only consent to "ordinary medical
care." Surgery is not included in
the definition of "ordinary medical care." Although parental consent is all that is
necessary to authorize medical care and will be sought in the spirit of
partnership with parents, an order giving
9. The age appropriate child and his or her family shall be encouraged to participate with the foster care provider and worker in the development and ongoing maintenance of the child's lifebook. Lifebook work will begin no later than the second month after the child enters care.
10. Parents will be encouraged and assisted to participate in planning the management of their child's excess personal income, for example, by determining with the foster care provider and age appropriate child which of the child's personal needs or wants should be met from his or her excess personal income.
11. Parents will be encouraged and assisted to participate in planning for the child's vacation and for extended trips. Children placed on "Agreements for Foster Care" shall make extended trips or vacations only with parental consent.
12. Parents will be encouraged and assisted to participate with the child and foster care provider in deciding whether extreme clothing and hair styles that the child wishes to wear are to be allowed. The decision reached is to be respected in all situations, except that children may not be permitted to wear clothing or hair styles to school that violate school policies.
13. Parental consent must be obtained for a child to engage in an activity involving an explicit risk (e.g. hunting, driving, football, etc.). If the parent is unavailable, unable or unwilling to give informed consent and it is felt the activity is in the best interest of the child or meets a child's needs, the court may be petitioned to make the decision or to specifically authorize the Department to do so. If the Department is authorized to give consent, the decision shall then be made in collaboration with the child and foster care provider.
14. Parents will be promptly informed of allegations of abuse or neglect of their child while the child is in out-of-home care and of the disposition of any report and the reasons for the disposition.
15. Parents will be involved in
the decision to change their child's placement.
Normally placement changes will be made as a result of
A. Overview
All providers will be treated
as partners with
Services will often be provided
by the family's natural support system, (e.g., relatives, friends,
neighborhood individuals or groups, civic organizations or volunteers). These "natural helpers" may need
special assistance or support to be partners with
Foster
care providers have a special role because they provide a temporary substitute
home for a child. To promote partnership
with foster care providers,
B. The Role of
The following practices will be
followed in
support of and in commitment to a successful partnership between
1. Providers will be effectively informed of the rights and entitlements of children and their families under the R.C. Consent Decree.
2. The handout entitled "Rights,
Responsibilities and Rewards of Foster Parents" will be given to the
foster parent at an early point of contact, (e.g.,
3. Providers will be informed of organizations and resources available to support and advocate for them.
4. The
5. Referrals to providers will be based upon the child's and family's strengths and needs and matching those strengths and needs to the provider's strengths, skills, and interests, and in consideration of their capacity to preserve and nurture the child's and family's cultural identity and heritage.
6. Consistent with confidentiality policy, relevant health, educational or other information as appropriate will be shared with providers to promote informed decision making.
7. Providers will be encouraged and assisted to
actively participate in
8. Foster care providers will be assisted as needed to facilitate shared parenting with the child's family, especially in the following areas:
a. Assistance in clarifying expectations with the parents and family regarding their visiting, talking on the telephone with the child, and undertaking significant parenting responsibilities;
b. Assistance in planning and supporting visits between the child and family (visits do not require the worker's presence);
c. Assistance in encouraging and supporting the child's parents as they undertake significant parenting responsibilities for the child in such areas as grooming, feeding, helping with school work and after school care, taking the child on outings, and other activities affecting the child's daily life; and
d. Assistance in collaborating with parents to develop and implement appropriate disciplinary techniques for the child.
9. Foster care providers will be informed in
writing of the specifics of any allegation of maltreatment of a child in their
care, whether or not the provider is alleged to be responsible. If the alleged perpetrator is a foster
parent, the parent will be informed of the Foster Allegations Support Team (
10. Training, evaluation and consultation will
be provided as needed to clarify and support the
a. Group Preparation and Selection (
(1) the goals and principles of the system of care,
(2) individualized needs-based planning and service delivery,
(3) the rights of children and their families,
(4) the separation and loss experienced by children removed from their families,
(5) the effects of and ways to minimize multiple placements,
(6) the role of foster parents in working with the child and family planning team to develop, implement and monitor individualized service plans,
(7) the role of foster parents in reunification of a child with his or her family.
b. Regularly scheduled re-approval conferences in which rights and responsibilities will be clarified, and strengths, needs and services to meet those needs will be identified.
c. Child and family
planning team meetings, and ad-hoc conferences as requested by foster
parents or
11. Training, evaluation and consultation will be provided as needed to clarify and support the residential provider's roles and responsibilities by among other things:
a. Regularly scheduling conferences during the license renewal process in which strengths and needs will be identified.
b. Working with staff of residential programs to identify and meet training needs concerning, but not limited to the following:
(1) the goals and principles of the system of care,
(2) individualized needs-based planning and service delivery,
(3) the rights of children and their families,
(4) the separation and loss experienced by children removed from their families,
(5) the effects of and ways to minimize multiple placements,
(6) the role of residential providers in working with the child and family planning team to develop, implement and monitor individualized service plans,
(7) the role of residential providers in reunification of a child with his or her family.
c. Working with residential programs to identify and meet training needs of their staff concerning crisis resolution, restraints and seclusion, and dispensing, storing and disposing of medication.
d. Scheduling child and family planning team
meetings and ad-hoc conferences as requested by the residential provider or
12. Training, evaluation and consultation opportunities will be provided as needed to support non-residential providers in serving children and families and to clarify their roles as partners with them.
13. The foster care provider will be encouraged
and supported to prepare the child for the move from their home or
facility. Foster care providers will
participate in planning moves of children from their care, and in carrying out
such moves in accordance with the
14. A former provider's contact with the child who was in the provider's care or who received services from the provider will be facilitated after moves or after the conclusion of service delivery if desired by the child when it is consistent with visiting and mail and telephone policy.
C. The Role of Providers in Promoting Successful Partnerships
The following practices will be followed to promote successful partnerships between providers, the child and family served, and other child and family team members. These practices support the child and his or her family in the achievement of Decree goals, including the selected permanency goal.
1. Providers will accept referrals based upon their ability to provide services to meet the identified needs of the individual(s) referred, including the family members' needs