Maryland Department of Human Services Families First Prevention Services Act

Maryland Department of Human Services Families First Prevention Services Act Purpose This proposal is to support the Maryland Department of Human Services (DHS) in its ongoing implementation of TCOM tools (CANS-F) and the Family First Prevention Services Act (FFPSA). The Center for Innovation in Population Health (IPH) team will consist of: Mark Lardner (PI), Michaela Voit, Tiffany Lindsey, and Jordan Constantine. Mark, Tiffany and Jordan are key supporters in the Family First and IPM tasks, and is primarily responsible (Mark and Michaela) for tasks relating to CANS. IPH will be responsible for developing materials related to the successful execution of tasks, participating in meetings, in person and over the phone, with Chapin Hall and Maryland Department of Human Services (DHS) stakeholders relevant to the successful execution of Task 1.1, Task 1.2, Task 2.1, Task 2.2, and Task 3.1. IPH will also be responsible for substantive contributions to Chapin Hall''s quarterly report to the DHS with regards all activities conducted under or related to Tasks. Methods Task 1: Provide capacity building and technical assistance services to further SSA’s child welfare system transformation, with a focus on advancing the opportunities reflected within the provisions of Family First 1.1 Support the refinement and execution of the strategic direction of SSA, with a focus around Family First Timeframe: October 1, 2021 – June 30, 2023 Deliverables: o Updated Kinship Navigation Program Implementation Plan; Due Date: December 31, 2021 o Meeting agendas, talking points, PowerPoint decks, and other meeting materials; Due Date: Ongoing o Training delivery for pilot; Due Date: November 30, 2021 o Implementation resources (initial and ongoing) as needed; Due Date: June 30, 2023 o Revisions to Training curriculum post- pilot; Due Date: June 30, 2022 1.2 Provide capacity-building services and technical assistance services to coordinate implementation of Family First A. Capacity Building Deliverables: Timeframe: October 1, 2021 – June 30, 2023 o Meeting agendas, PowerPoint decks, and other materials; Due Date: Ongoing B. Deliverables: o Prevention Plan Implementation Work Plan and timeline; Due Date: June 30, 2023 o QRTP Work Plan and timeline; Due Date: June 30, 2023 o Implementation supports for the out-of-home placement policy and referral process including but not limited job aides, business process maps, etc.; Due Date: June 30, 2022 o Implementation supports for the refined Family Teaming Meetings (e.g. job aides, communication talking points, etc.) to address the QI and QRTP requirements; Due Date: June 30, 2022 o Training curriculum for the QI provider; Due Date: June 30, 2022 o Timeframe: October 1, 2021 – June 30, 2023 Task 2: Promote and support a collaborative process with SSA, LDSS and Technical Assistance partners to implement and sustain the Integrated Practice Model (IPM). The IPH team will provide technical assistance for these activities: 2.1 Continue collaboration with SSA and The Institute and the Child Welfare Academy to facilitate implementation of the Integrated Practice Model (IPM) across the state A. IPM Implementation Deliverables: o Meeting agendas to support successful IPM implementation and related activities (e.g., training and coaching); Due Date: Ongoing o Implementation materials and resources (such as the Learning Collaborative and Coaching PowerPoint decks and agendas); Due Date: June 30, 2023 o Other meeting materials as needed; Due Date: Ongoing o Feedback as needed on implementation strategies to support IPM implementation; Due Date: Ongoing o Implementation supports to improve family teaming practices; Due Date: Ongoing o Timeframe: October 1, 2021-June 30, 2023 B. IPM Coaching Deliverables: o 36 coaching sessions for six jurisdictions over three-month period; Due Date: June 30, 2022 o 36 Coaching session agendas; Due Date: December 31, 2022 o Six (6) booster sessions; Due Date: December 31, 2022 o Six (6) local coaching plans; Due Date: December 31, 2022 o Booster training curricula; Due Date: December 31, 2022 o 24 consultation calls; Due Date: December 31, 2022 o Timeframe: October 1, 2021-June 30, 2022 C. Safety Culture Deliverables: o Safety Culture training content and related resources; Due Date: November 30,2022 o Safety Culture training delivery; Due Date: June 30, 2022 o Post-training consultation sessions to 24 LDSS; Due Date: Ongoing o Timeframe: October 1, 2021 – June 30, 2023 2.2 Co-develop CQI and/or evaluation strategies to assess the degree to which child welfare practice is occurring in alignment with the IPM and its values, principles and core practices A. CQI IPM Deliverables: o CQI IPM Analytic Plan; Due Date: September 30, 2022 o Timeframe: October 1, 2021 – September 30, 2022 B. IPM fidelity assessment protocol and fidelity tools deliverables: o IPM fidelity assessment protocol; Due Date: June 30, 2023 o IPM fidelity tools; Due Date: June 30, 2023 o Timeframe: October 1, 2021- June 30, 2023 C. IPM practice profiles for supervisors deliverables: o Revised IPM practice profiles for supervisors; Due Date: September 30, 2022 o Timeframe: October 1, 2021- September 30, 2022 Task 3: Increase the ability of SSA to accurately and meaningfully use assessment data to guide practice and decision-making at the case and state-wide level. 3.1 Provide capacity building and technical assistance services in support of Child and Adolescent Needs and Strength (CANS and CANS-F) and Transformational Collaborative Outcomes Management (TCOM) implementation and sustainability efforts at SSA A. Deliverables: o Enhanced headline/storyline indicators for well-being; Due Date: September 30, 2022 o Timeframe: October 1, 2021 – September 30, 2022 B. Decision support model development for the MD CANS to inform placement level services decision making and leverage data from all functional assessments. Deliverable: o Algorithm and algorithm outputs within CJAMS; Due Date: September 30, 2022, completion date contingent on CJAMS development schedule o Timeframe: October 1, 2021 – September 30, 2022 C. Seven (7) TCOM/assessment data reports; Due Date: Quarterly during contract period (December 31, 2021; March 31, 2022; June 30, 2022; September 30, 2022; December 31, 2022; March 31, 2023; June 30, 2023) D. Meeting agendas and related materials to facilitate understanding of CANS data; Due Date: Ongoing E. CANS modules trainings modules (e.g. Emerging Adults (EA) Modules, Early Childhood (EC) CANS, CANS Algorithm to support case level decision making). This includes developing the EA Modules and EC CANS. Timeframe: October 1, 2021 – September 30, 2022 Deliverables: o Final EA Modules; Due Date: September 30, 2022 o EC CANS; Due Date: September 30, 2022 F. CANS Training Timeframe: October 1, 2021 – June 30, 2023 Deliverables: o MD CANS training curricula; Due Date: June 30, 2023 o Delivery of MD CANS training to private providers; Due Date: June 30, 2023 o Guidance and additional MD CANS implementation supports to private providers as needed; Due Date: Ongoing Qualifications of Key Staff Mark Lardner, MSW, LCSW-C Background and experience: Mr. Mark Lardner is a Senior Policy Analyst at the Center for Innovation in Population Health at the University of Kentucky providing training and technical assistance to systems implementing Transformational Collaborative Outcomes Management (TCOM) and the Child and Adolescent Needs and Strengths (CANS). He also works with a several child welfare systems, providing support around the implementation of their Title IV-E waivers. Mr. Lardner is the former director of CANS Implementation for the State of Maryland while working at the Institute for Innovation and Implementation at the University of Maryland School of Social Work. In this role he worked closely with the child welfare system on cross-systems initiatives aimed at developing a comprehensive service array based upon the identification of youth needs and strengths. In addition, Mr. Lardner served as a liaison between the public and private sides of the child welfare system. He was awarded a Praed Foundation Outcomes Champion Award in 2013 for his work in Maryland. Prior to coming to UK, Mr. Lardner was at Chapin Hall at the University of Chicago supporting TCOM implementation within child serving systems. Mr. Lardner worked directly with children and families in the child welfare system and the education system in Maryland and New York City. He earned his MSW from the University of Maryland and his BA from Fairfield University. Position Description: Mr. Lardner will be the CANS and contract lead for this project. In this role he will consult across the team to support the use of the CANS as a foundation for trauma- informed care and a data source for continuous quality improvement (CQI) efforts. Tiffany Lindsey, EdD Background and Experience Dr. Lindsey is an Assistant Professor and Safe Systems Practitioner at the Center for Innovation in Population Health at the University of Kentucky (UK). Her work focuses on quality improvement and system reform efforts in child welfare jurisdictions. Dr. Lindsey has specific expertise in applying safety science to improve the safety, reliability, and effectiveness of organizations. Her approach leverages tools like organizational assessment, team-based behavioral strategies, and systemic analysis of critical incidents, including deaths and near deaths, to help organizations learn and improve. Dr. Lindsey has 10+ years of experience in child welfare and is co-author of Safe Systems Improvement Tool (SSIT) and TeamFirst: A Field Guide for Safe, Reliable, and Effective Child Welfare Teams which are part of the suite of Transformational Collaborative Outcomes Management (TCOM) tools. With the support of Casey Family Programs, Dr. Lindsey provides technical assistance and content expertise to the National Partnership for Child Safety—the first member-owned quality improvement collaborative in child welfare. Position Description Dr. Lindsey will be the Safety Culture implementation lead for this project.