Progress on EBP Implementation

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Progress on EBP Implementation

• Cheryl Stephani
• Childrens Administration
• September 2007

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Multidimensional Treatment Foster Care
Program that serves children in Behavioral
Rehabilitation Services (BRS) through a specially
trained foster home Only one foster child per
home Foster home is supported by a case manager
that is available 24/7 Foster parents create a
behavior management plan with the case manager
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Multidimensional Treatment Foster Care

• Service began in 3 pilot sites, Spokane, Yakima,
  and Tacoma, with the program still in place in
  Tacoma
• Placements began in December 2005
• 28 youth were placed in the program in 2006 and 7
  additional youth were referred prior to July
  2007.
• Since January 2007, 8 youth have graduated from
  the program

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Multidimensional Treatment Foster Care

• Plans are underway to expand the program
• In September 2007 a new MTFC team from Tacoma is
  being trained to provide MTFC to 6 to 11 year old
  children through a modified program
• In addition, discussions are beginning with
  provider agencies in other regions to implement
  the MTFC program in new locations
• The Mental Health Division has developed an MTFC
  program in Kitsap County that serves children as
  an alternative to long term inpatient mental
  health care including to spaces specially trained
  to serve foster children

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Project KEEP

• Project KEEP is a less intensive adaptation of
  MTFC that consists of training to foster parents
  and caregivers on behavior management
• Childrens Administration has been approached by
  Patti Chamberlain to implement Project KEEP
• Discussions are underway on implementing Project
  KEEP in one location

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Functional Family Therapy

• Research-based prevention and intervention
  program for adolescents and their families which
• Targets youth between 11-18.
• Is a short-term, family-based program
• Averages 12 sessions over 4 months
• Treats a range of problems
• drug abuse/use, conduct disorder, family conflict

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Functional Family Therapy

• Available in all 6 Regions in the state
• The FFT program is serving families of
  adolescents in FRS, families needing family
  preservation, and families with children in
  relative or long term foster care
• In FFT, 68 families have completed FFT since
  January 2007

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Parent Child Interaction Therapy
PCIT is a treatment for parents and young
children (ages 2-7) which emphasizes improving
the parent-child relationship and changing
parent-child interaction patterns In PCIT,
parents are taught specific skills to establish a
nurturing and secure relationship with their
child and methods of appropriate discipline.
PCIT is provided to a parent and child pair over
approximately 20 weeks. Parents are required to
practice the new skills at home with their
child.
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Parent Child Interaction Therapy

• Available in all 6 Regions and client service
  began November 2006
• 156 cases were referred between November 2006 and
  June 2007
• Families in need of family preservation are the
  primary target population children in relative
  care or long term foster care may be offered the
  service, if caregiver is willing to participate
• PCIT is also available as a pre-adoptive service
  to families
• Currently regions are working to add PCIT
  availability in more rural locations such as
  Jefferson County, Grays Harbor County, and
  Okanogan County

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Incredible Years Program
Incredible Years is a group treatment for parents
of young children (ages 2-7) which emphasizes
improving the parenting skills and use of
appropriate discipline Incredible Years teaches
groups of parents specific skills to use in
parenting their child and methods of appropriate
discipline. The Incredible Years program groups
will last between 12 and 16 weeks. Parents are
given homework to practice at home with their
child.
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Incredible Years Program

• Childrens Administration implemented the
  Incredible Years Program in two sites with
  services beginning February 2007
• 43 CA referred families were served in the
  program since February 2007
• One site continues to provide the service, with
  the second site resuming services this fall
• Regional staff in two locations (Yakima and
  Tacoma) are involved in discussions with
  providers about implementing Incredible Years

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Nurse Family Partnership

• Nurse Family Partnership (NFP) is a home visiting
  program that has strong research indicating it
  can improve both parenting skills and outcomes
  for children
• The report completed by the Washington Institute
  for Public Policy (WSIPP) named NFP as a cost
  effective program
• To participate in NFP, women must be pregnant
  with their first child and be referred prior to
  the 28th week of pregnancy

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Nurse Family Partnership

• With new funding resources, Childrens
  Administration has provided first year support to
  the NFP program in Tacoma
• Two girls involved with CA have been referred to
  the program in Tacoma
• NFP is also available through public health
  departments in 9 locations in the state. Over
  the past several months, local CA offices have
  been renewing referral contacts with those
  programs to facilitate referrals of appropriate
  cases

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Additional EBP Activities

• Childrens Administration is referring children
  to Trauma Focused Cognitive Behavioral Therapy
  (TF-CBT) where it is available through community
  mental health services and in one location
  (Tacoma) has contracted for TF-CBT for children
  who do not meet access to care standards
• TF-CBT is a therapy for children who have
  experienced trauma and who are exhibiting
  internalizing behaviors (i.e. anxiety, PTSD,
  nightmares)

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Additional EBPActivities

• Childrens Administration is planning for
  implementation of Homebuilders in the Intensive
  Family Preservation Services (IFPS) program
  throughout the state
• Homebuilders is an intensive in home program that
  is intended to reduce out of home placement of
  children
• Childrens Administration is currently planning
  with the model developer a test of the Promoting
  First Relationships program within the
  Alternative Response Services (ARS). This
  program is currently available to young children
  in care through a research grant in Tacoma.
• Promoting First Relationships teaches caregivers
  of young children (0 to 3 years) skills to
  improve bonding and to improve child development

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Additional EBP Activities

• Childrens Administration has contracted in one
  location (Yakima) for available capacity in an
  existing Multi-systemic therapy (MST) program
• MST is an intensive family based therapy which is
  effective at reducing the need for children to be
  placed in care or at a higher level of care
• Startup of MST programs usually requires 1
  million dollars in resources. Through this
  agreement, CA is gaining the opportunity to have
  MST without the large financial commitment

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Additional EBP Activities

• Childrens Administration is planning to
  implement Aggression Replacement Training (ART)
  as part of Behavioral Rehabilitation Services
  (BRS) facility based programs. Training will
  begin in October 2008.
• ART is a skills training program for adolescents
  that improves social skills and reduces
  aggressive behavior

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Additional EBP Activities

• Childrens Administration is actively meeting
  with Family Preservation Services (FPS) providers
  to discuss whether an EBP can be identified for
  incorporation into FPS services
• Through a grant from the Paul Allen Foundation,
  the UW will be assisting Childrens
  Administration in training social workers on the
  EBP programs and the need to match children and
  families to programs