HOMEBUILDERS Sample Site Development Plan ... - Institute

1 HOMEBUILDERS Sample site Development plan Public Agency Activities Prior to Program Implementation Timeline Administrative Activities Quality Enhancement Activities Nine months Provide State Level Coordination Develop Outcome Evaluation Process prior to Identify a state level HOMEBUILDERS Coordinator (FTE based on program Decide how the state will define placement program start size). Responsibilities include: prevention and re-referral outcomes ( , up o Coordination with training and QA provider; does unofficial placement with kin count o Working with local offices to ensure referrals; as a service failure; does respite care count o Monitoring budget utilization; and as placement). o Acting as the champion for the program. Develop a system for measuring placement Determine whether HOMEBUILDERS will be implemented within one state prevention, re-referral, and other outcomes.

2 System or across multiple systems. Develop a system for providing individual Identify barriers to model fidelity and implementation ( , courts, current case outcomes to providers and contracts and contracting procedures, providers, local politics), and develop consultants. plans to overcome them. Assess geographic areas to be served based on placement rates/need and amount of funding available. Develop a plan for implementation, including sites and timeline. Six to nine Arrange Funding months prior Provide funding to support required team sizes. to program start up Provide stable funding for teams in order to maintain required therapist capacity. Provide start-up funding to cover training time and travel costs. Six months Provide for Appropriate Referrals prior to Define appropriate referrals for placement prevention including method for program start meeting the imminent risk standard.

3 Up Define appropriate referrals for reunification. Develop referral processes and pathways, including those for after-hours referrals. Link the referral process to placement decision-making processes. Identify and engage critical stakeholders ( , public agency staff, legislators, judges, local public agencies, community agencies). HOMEBUILDERS Sample site Development plan Page i Sept, 2008 Institute for Family Development Four to six Develop Contracting Procedures months prior Develop provider selection process. to program start up Develop a solicitation and contract that require model adherence and participation in required training and consultation . Three months Select and Contract with Providers prior to program start up Three months Prepare for Referral Procedures prior to Provide technical assistance and training to referents and contracts program start managers.

4 Up Develop a system for monitoring utilization and intervening when problems occur. HOMEBUILDERS Sample site Development plan Page ii Sept, 2008 Institute for Family Development HOMEBUILDERS Sample site Development plan Provider Agency Activities Prior to Contract Start Date Timeline Administrative & Clinical Activities Quality Enhancement Activities Three months Hiring Preliminary Activities prior to Contracted agencies assign program managers and recruit supervisors. Start HOMEBUILDERS consultants meet with therapists full date for supervisors must be no later than two months prior to full program program managers and administrators at program start start up. each contracted agency (1 day per agency). up to: Statewide startup / orientation meeting for provider agency administrators, o Review model and expectations with program managers, and supervisors (if hired).

5 At a minimum, the program agency administration;. manager responsible for the HOMEBUILDERS program must attend; other o Provide hiring materials and information administrators and managers are strongly encouraged to attend. The about hiring process; and meeting will include the basics of the HOMEBUILDERS model, as well as agency o Develop plan for hiring supervisors and requirements and expectations. therapists. Supervisors start work and participate in provider agency orientation. Consultants assist with hiring supervisors. Consultants assist with other start-up activities, as needed. As needed Hiring State expedites background clearances for new staff, as needed. During the Hiring two months Supervisors recruit therapists. Start date for therapists must be prior to two prior to full weeks before full start up program start up HOMEBUILDERS Sample site Development plan Page 1.

6 Sept, 2008 Institute for Family Development Year One Administrative & Clinical Activities Ongoing Quality Enhancement Activities Training During the two Supervisors months prior to HOMEBUILDERS Core full program start Curriculum (4 days). up Fundamentals of Supervision Pt 1: Hiring process; NCFAS;. Client Records; Online Data Manager (3 days). Six weeks prior Client Services State-wide supervisor consultation team to full program Supervisors each accept a Supervisors form a statewide consultation team. start up referral. Consultant leads weekly consultation via conference call for 4-5 weeks (until supervisors have team consultation with their own teams). Beginning six Hiring Year One Quality Enhancement Activities weeks prior to Therapist interviews begin using During the supervisor's first intervention, the full program start HOMEBUILDERS hiring process.

7 Consultant participates in at least 1 home visit, up and ongoing Consultants assist in the hiring and reviews video/audio recordings of 1-2 more. process. ODM clinical documentation review and feedback (review and provide feedback regarding referrals, service logs, assessments, service plans, exit summaries, etc.). Record reviews (3 full records per therapist). Crisis consultation and support telephone consultation available 24/7 for additional support and crisis consultation on an as needed basis. ODM technical support telephone consultation available (up to 8 hours per site per year). Three weeks Supervisors and Program prior to full Managers program start up Fundamentals of Supervision Part 2: Roles of Supervision;. Referral Issues (2 days). Supervisors Ethics (1 day).

8 HOMEBUILDERS Sample site Development plan Page 2. Sept, 2008 Institute for Family Development Administrative & Clinical Activities Ongoing Quality Enhancement Activities Training Two weeks prior Hiring to full program Hiring of therapists is completed. start up Two weeks prior Therapists to full program HOMEBUILDERS Core start up Curriculum (4 days). One week prior Local Relationships Therapists to full program Regional kick-off meetings: Client Records; NCFAS;. start up consultants, supervisors and Online Data Manager ( therapists meet with referents to days). begin building relationships. Support Staff Use of web-based Online Data Manager (1 day). First month of Client Services Year 1 Quality Enhancement Activities full program start Therapists shadow the supervisor Weekly clinical and program support provided up (when or a senior therapist by the consultants, which includes attending the therapists begin team case consultation meeting by phone or on- accepting Therapists take their first referral.)

9 site (up to 2 hours per week), and providing referrals) Supervisors attend intake session feedback and support to the supervisor (up to 1. with each therapist. hour per week). Supervisors begin facilitating Consultants help identify which therapists the weekly case consultation supervisor will accompany initially for a full meetings with the team. intervention, and what the supervisor role should be with each of the interventions. Supervisors begin accompanying each therapist on one full intervention (first one therapist, then another, etc.). The supervisor's role during the initial training intervention varies depending upon the therapist's skills and training needs. HOMEBUILDERS Sample site Development plan Page 3. Sept, 2008 Institute for Family Development Administrative & Clinical Activities Ongoing Quality Enhancement Activities Training First month Professional Development Plans Professional Development Plans Supervisors develop an initial Consultants assist supervisors in developing initial professional Development plan professional Development plans for each with each therapist, including a therapist.

10 Timeline for taking 2nd referrals. Consultants and Children's Administration staff Client Services meet quarterly via conference call to address When approved by consultants, implementation issues. therapists take a 2nd referral. Fourth month Year 1 Quality Enhancement Activities site visits (2 visits per site ; 2 days per site ). The initial site visit must be completed within 4 moths of full start up. The second must be completed by the end of the first year. During the site visits the consultants will: o Accompany each therapist on at least one home visit;. o Attend case consultation ;. o Meet with the supervisor and program manager; and o Produce HOMEBUILDERS site Visit Report;. o Assist site in developing a Quality Enhancement plan . Consultants develop Quality Improvement Plans as needed for therapists, supervisors, and agencies.