Service Array-Availability and provision of services

The chart below summarizes many of the services available to CFS clients in Orange County. A brief description of each of the services, the purpose, population served and method of service delivery are provided. Additionally, gaps in services, identified needs and systemic barriers to service provision are noted.

ORANGE COUNTY CHILDREN AND FAMILY SERVICES AVAILABLE SERVICES
PROGRAM/ SERVICE PROVIDER	PURPOSE/ OUTCOMES AFFECTED**	POPULATION SERVED	SERVICE DELIVERY	BARRIERS/ SERVICE GAPS AND NEEDS
CalWORKs/ CFS Mutual Client Program/ CalWORKs and CFS staff	· Preplacement Preventive/Early Intervention · Family Maintenance · Family Reunification	Families who are both CFS and CalWORKs clients. Includes continued CalWORKs services for parents receiving reunification services from CFS.	Identifies clients who have both an open or pending CalWORKs case and an open CFS case in order to coordinate and enhance service delivery to mutual clients. Additionally, identifies and removes barriers to coordinated services between the two Divisions of SSA.	Data integrity needs improvement --numbers of mutual clients may be underrepresented. Need increased awareness and training at the worker level in identifying and referring eligible families.
Domestic Abuse Services Unit (DASU)/ Social Services Agency-CFS and CalWORKs staff	· Preplacement Preventive/Early Intervention · Family Maintenance	CalWORKs applicants and recipients who self-identify as domestic abuse victims.	Assessment of potential exemption from CalWORKs requirements. Supportive services and referrals. Families are referred to DASU by CalWORKs eligibility staff. They are then assessed by CFS social workers, and then provided supportive services by both CFS and CalWORKs staff.
Healthy Tomorrows CFS staff-Family Maintenance Non-Court (Voluntary)	· Pre-placement Preventive/Early Intervention · Family Maintenance	School aged children and their families residing in selected Santa Ana school districts and identified as at-risk by school staff.	Assessment and intervention services provided to children and families. Bilingual/bicultural parent education provided through a community-based model. Education and consultation resources for school staff. Mobile clinic through Children's Hospital of Orange County (CHOC) provides weekly or bi-weekly mobile medical services at selected schools.	Availability of CFS staff assigned has significantly reduced over the years due to funding issues. Availability of CHOC and SAUSD staff has also reduced over time. Original grant funding through Healthy Start has discontinued.
Child Abuse Registry (CAR) CFS staff	· Preplacement Preventive/ Early Intervention	· Mandated reporters · Community and family · At risk families and children	24-7 telephone hotline staffed by SSW's. Suspected child abuse reports screened. Referrals generated in CWS/CMS and assigned for investigation, as appropriate. Response time selected utilizing SDM tool. Community referrals provided for reports not meeting criteria for investigation.	Reports of hold times of up to 45 minutes, though automated reports do not verify. Need more resources for callers to access when
Emergency Response/ Intake Services CFS Staff	· Preplacement Preventive/ Early Intervention · Family Maintenance	Families identified as at risk for abuse or neglect due to receipt of a suspected child abuse report by Orange County's Child abuse Registry	SSW's complete investigations within mandated time lines, with a goal of an initial response within 2 hours of receipt of a report indicting imminent danger. Risk and safety issues are assessed utilizing SDM tools. Findings are made regarding the allegations. Referrals to community resources and/or continued CFS services are made, dependent on the family's assessed needs and strengths. Court paperwork is completed, if applicable.	Current efforts to integrate investigative and court duties are in progress. Intensive staff training is being provided to support ER workers in their new role as ER/Intake workers. Though County Counsel reports no problems with the results of the integration, ER staff are experiencing stress regarding their new duties.
Child Abuse Services Team (CAST)	· Wellbeing · Preplacement Preventive/Early Intervention · Family Maintenance · Family Reunification	Children and families with sexual abuse allegations.	Specialized program designed to reduce the trauma for the victim of child by providing a child-friendly site in which child abuse investigations are coordinated and completed by a multidisciplinary team. Goals are to reduce the number of interviews a child must experience, coordinate multiple investigations, and provide supportive services such as child advocacy, crisis intervention and referrals for long-term therapy.
Drug Endangered Services Program/ CFS Staff with Law Enforcement	· Wellbeing · Preplacement Preventive/Early Intervention	Children and families with a child abuse report alleging manufacture of methamphetamine.	Interfaces with local law enforcement regarding needs of needs of children exposed to methamphetamine labs. involvement.
Alternative Response Services CFS staff-Family Maintenance Non-Court	· Preplacement Preventive · Family Maintenance	Families identified as at risk due to receipt by the Child Abuse Registry of a report of suspected child neglect.	Strength-based emergency response investigations and supportive services and referrals, followed by voluntary Family Maintenance services provided by the investigating SSW, when applicable. Risk and safety issues, as well as the family's strengths and needs are assessed utilizing SDM. When on-going CFS services are provided, a case plan is developed with the family.	Legislation and changes in current practice and CWS/CMS requirements are needed to fully implement a differential response system that will allow strength based assessments for low-risk families that do not involve allegations against specific offenders that have to be recorded and reported to the California DOJ.
Team Decision Making (TDM) CFS staff Family Resource Centers	· Preplacement Preventive · Family Maintenance · Family Reunification · Permanency	Orange County is in the process of implementing TDM meetings. Services are currently available on a voluntary basis, with meetings to be required for all key safety and placement decisions upon full implementation. TDM meeting types, as defined in Orange County, are: · Pre-removal · Emergency removal · Placement preservation · Emergency placement change · Reunification · Permanency
First Step Assessment Center CFS staff at Orangewood Children's Home (OCH)	· Preplacement Preventive/Early Intervention	Children removed from their parents, pending placement.	Provides a warm and friendly environment for children while relatives and non-related extended family members are evaluated for placement. Children may remain in the center for up to 23 hours. If there is no approved relative or NREFM located, other placement options are also considered during this time period in order to locate a family-like placement setting for the child.
Placement Coordination Program-Diversion and Placement Units CFS Staff	· Preplacement Preventive/Early Intervention	Children in out of home care needing either an initial or subsequent placement.	Diversion (emergent placement need). Services provided by SSWs daily from 8:00 a.m. to 8:00 p.m. to assess relatives/NREFMs for out of home placement when an emergency placement is needed. Goal is to assess and make a placement decision that same day, diverting the child from congregate or unrelated care. Placement Coordination (non-emergent placement need). Explores relative/ NREFM, or when necessary, other placement resources including temporary shelter facilities or long term county/foster family agency homes located in and out of Orange County.
Family Maintenance Non-Court (Voluntary) and Informal Supervision Services (301)/ CFS staff-FMNC	· Family Maintenance · Wellbeing	Children and families who have been identified as at risk through investigation of a child abuse report, when it is determined that the children can be safely maintained in the home with services.	Voluntary services designed to help strengthen the family's ability to appropriately care for their children. Services are provided for six months at a time, or according to the needs of the family. Services are based on the agreed upon case plan, and include referrals to contracted and community services providers.
Conditional Release Intensive Supervision Program (CRISP)/ CFS staff	· Family Maintenance · Family Reunification	Children and families following a removal.	SSW's provide intensive in-home supervision (2-5 times per week) and referrals to parents and children to meet the orders of Juvenile Court. Goal of these efforts are to help solve family problems and permit the family members to remain together in the home.
Concurrent Planning (CP)/ CFS Staff	· Family Reunification · Permanency	CFS dependents and their families, immediately following a removal.	CP services are provided throughout the case as needed, however they are intensive in the first 90 days of a case involving dependency. If the initial prognosis for reunification is low, a concurrent planning worker is assigned, and the child is placed in a concurrent planning home. The goal of concurrent planning services is to provide for permanency.
ICWA Unit/ CFS staff	· Family Reunification · Permanency · Wellbeing ·	Dependent children and families when Indian heritage is identified or possible.
Family Maintenance (court-ordered), CFS social work staff	· Preplacement Preventive/Early Intervention (for a non-custody) · Family Maintenance	Children and families receiving court-ordered Family Maintenance services, both following and prior to the provision of reunification services (non-custody petition).	Supportive services designed to strengthen families to appropriately care for their children, and to ameliorate child welfare concerns. CFS SSW's provide supportive and monitoring services, including monthly face to face contact, needs assessments utilizing SDM tools and supported referrals to contracted and community resources.
Special Medical Program/ CFS staff	· Preplacement Preventive/Early Intervention · Wellbeing · Family Maintenance · Family Reunification · Permanency	Children and families when at least one child in the home requires medical supervision, treatment, therapy and/or home health care in excess of that which is appropriate for their chronological age.	Special medical services are provided by CFS staff for families who are receiving voluntary or court-ordered FM or court ordered FR services. These services are based on the court-approved case plan. Special Medical social workers provide the same range of services as social workers in other continuing departments.
Family Group Decision Making (FGDM)/ CFS Staff	· Preplacement Preventive/Early Intervention · Family Maintenance · Family Reunification · Placement preservation · Permanency · Wellbeing	Children and Families served in some capacity by CFS	Family based meeting that brings families and support systems together to develop a plan for the best care and protection of children. Based on the value that families have the desire, strengths and abilities to make healthy choices for their children and family's wellbeing.
Multi-Disciplinary Consultation Team (MDCT)/ Collaborative members CFS Staff Health Care Agency Dept. of Education	· Preplacement Preventive/Early Intervention · Family Maintenance · Family Reunification · Wellbeing	Children and families when a child abuse report has been filed, and at least one child in the family has severe mental health concerns.	A collaboration of SSA, HCA and OC Department of Education. Works with Emergency Response services to reduce the need for protective custody and out of home placement by stabilizing and strengthening the family.
Interagency Networking for Kids (INK)/ CFS and Health Care Agency staff	· Wellbeing · Family Maintenance · Family Reunification · Placement Stabilization	Foster youth who are Medi-Cal eligible and identified as needing special services, and are in the care of a licensed foster family, FFA, or relative caregiver.	To link youth to behavioral health services, develop treatment goals and implement interventions to stabilize the youth's placement.	Dependent on HCA contracted clinicians to refer and involve INK staff in foster youth's treatment plans. INK staff partially funded by Medi-Cal billable services.
Family Preservation Program, In-Home Services and Nursing Services/ Contracted service providers	· Pre-placement Preventive/Early Intervention · Wellbeing · Family Maintenance · Family Reunification	High risk families.	In-home services to support parenting skills, problem solving, household management, communication, nutrition and more. For nursing services, PHN assesses and assists with family health needs for up to 90 days.	Currently no wait for services.
In-Home Services: Parental Aides Contracted service providers	· Pre-placement Preventive/Early Intervention · Wellbeing · Family Maintenance · Family Reunification
Behavioral Health Mental Health Services/ HCA staff	· Pre-placement Preventive/Early Intervention · Wellbeing · Family Maintenance · Family Reunification	Orange county children and adults in need of mental health services who have MediCal.	Provides individual, group and family therapy, medication support, crisis intervention, supportive counseling, education and information for parents and families and case management to assist in reaching other needed services.
Counseling/ Contracted service providers	· Preplacement Preventive/Early Intervention · Wellbeing · Family Maintenance · Family Reunification · Permanency?	Children and family receiving Family Maintenance (court and non-court), Family Reunification and Permanency Placement Services.	Children and families are referred for counseling services by their assigned SSW, with preferred delivery (i.e. individual or group). Contracted sources include individual and agency providers.
Therapeutic Behavioral Services (TBS)/ HCA staff	· Preplacement Preventive/Early Intervention · Wellbeing · Family Maintenance · Family Reunification · Permanency	Children and adults in need of home-based intensive mental health services. Must be Medi-Cal recipients.	Intensive (5-15 hours a week), short term (1-16 weeks) one to one mental health services provided to clients with severe emotional problems in the client'' residence or family homes. The services are provided as part of a treatment plan developed by the client's individual therapist.	Must be Medi-Cal funded, undocumented children and adults are not eligible.
Basic Needs Contracted services: Basic Needs Program and Community Partners Program	· Preplacement Preventive/Early Intervention · Family Maintenance · Family Reunification	Families receiving emergency response, voluntary and court-ordered family maintenance and court-ordered reunification services.
Substance Abuse Services/ Contracted through Orange Co. Health Care Agency	· Preplacement Preventive/Early Intervention · Family Maintenance · Family Reunification	Youth and parents with alcohol and other drug abuse.	Crisis intervention, assessment and evaluation, individual, group and family counseling, HIV education, pre and post test counseling, and voluntary testing. TB education, counseling and testing; referrals to other programs as necessary, outreach to schools and the general community. Specialized programs provide services for pregnant women, persons who require methadone maintenance and detoxification, adolescents, persons who have been dually diagnosed with substance abuse and mental health problems.
Families First Program/ ????	· Wellbeing · Placement stabilization · Permanency	Orange County dependent children in out of home care.	County cooperative programs designed to assist children ages 12-18 who are at risk of losing their foster or relative placement or who need assistance in transitioning from a group home into foster or relative care through educational and therapeutic services to children, parents and caregivers.	Available only to Orange County dependents in out of home placement.
Children's System of Care (CSOC) CFS/HCA-CYS, Probation, Regional Center, Orange County Department of Education (OCDE)	· Wellbeing · Preplacement Preventive/Early Intervention · Family Maintenance · Family Reunification · Permanency	Children who are severely emotionally disturbed and receiving services from two or more of the collaborative entities.	Responsible case manager refers child to the CSOC. A family presentation is held, with all involved agencies and the parents invited to participate. Action plans are made to assist the parents to meet the child's needs in a coordinated manner.	CSOC is scheduled to discontinue on 6/30/04 due to County funding cuts resulting from State budget limitations.
Wraparound SSA Health Care Agency Probation Parent Institute Wrap Providers: Olive Crest, New Alternatives, Canyon Acres, South Coast Children's Society	· Wellbeing · Family Maintenance · Family Reunification · Permanence	Dependent youth, Probation wards, and AB3632 youth who are currently placed or at- risk of placement in a level 10-14 group home.	A Social Worker, Probation Officer or HCA Clinician can make referrals. The Wraparound Review and Intake Team reviews referrals and assigns youth to one of four contracted Wraparound Provider Agencies. Each family is assigned a Care Coordinator and Parent Partner to work with the family. Together they will develop a Family Team and Plan of Care that guides them throughout the Wraparound Process.	Children's System of Care (CSOC) funding will be eliminated for FY 2004/2005. Previously, CSOC has funded the administrative costs for one Probation, one Health Care Agency and one SSA staff position for the Wraparound Review and Intake Team (WRIT). The interagency collaborative nature of Wraparound is in jeopardy without another avenue to fund these administrative positions.
Caregiver Support Services/	· Placement stabilization · Permanency · Wellbeing	Orange County dependent children placed in out of home care.	Services include tutoring, homework assistance, play activities, transportation to and from appointments and childcare when the caretaker is also present.	3-4 weeks wait for services
Foster Parent Support Services/ CFS staff	· Placement stabilization	Orange County licensed foster parents	Problem solving, information and referrals, emotional support to individual foster parents. Foster parents and CFS staff may ask for assistance from this unit.
Respite	· Placement stabilization	Orange County licensed foster parents	Provides 12-24 hours reimbursable respite each month. Respite services must be provided by another licensed foster parent or another approved caregiver.	For dependent children in out of home care only.
Respite-special medical	· Placement stabilization · Wellbeing	Relative/NREFM caregivers and Orange County licensed foster parents caring for medically-fragile children.	Provides up to 20 hours per month of respite medical care for eligible families. The CFS Medical Placement Coordinator must approve the request.	For dependent children in out of home care only.
Time out for Parents Respite Care Programs (TOPS)	· Preplacement Preventive/Early Intervention · Placement stabilization · Family maintenance	· Relative and NREFM caregivers, licensed foster parents and at-risk families.	Provides short term, voluntary respite care. At-risk families do not lose legal custody of their children by using this services. Respite visits may range from a few hours of day care up to three weeks of overnight care.
Family Visitation Centers/ Transportation services In/Out of County Contracted service providers	· Family reunification	· Orange County dependent children · Parents and children with monitored visitation orders from the Juvenile Court.	Monitored or supervised visitations and transportation for in/out of county visitation, in accordance with juvenile court orders, the client's case plan or SSW request. Services provided for 2-12 weeks.	Up to a 12 week wait for services.
Relative Caregiver Services-Suddenly Parents/ Contracted service providers	· Family Reunification · Placement Stability · Permanency	· Orange County dependents placed in out of home care with a relative or NREFM caregiver	In-home educational services for first time placements.
Independent Living Program Services (ILP)/CFS Staff	· Wellbeing	Foster youth ages 16+	Basic skills training, informational classes, emancipation related group activities, vocational assessment, referrals to public and private sector resources and funding for a wide array of educational, vocational and work related expenses. Extended health insurance coverage, health care resources, counseling, job search/placement, and job/career development.	Barriers can include academic delays and resistance to participate in ILP among foster youth.
Youth Employment Opportunity Program (YEOP)/	· Wellbeing	Youth ages 15 to 21, dropped out or at risk for dropping out of high school, continuation school, vocational training or college.	Assists with achievement of educational and vocational goals. Includes peer advising, referrals to supportive services, workshops, employment and placement services, and referrals to training and community outreach efforts. Addresses barriers to school/vocational training completion.
Transitional Housing Placement Program/ Contracted providers	· Wellbeing · Emancipation services	Youth ages 16-19 who are either a dependent or ward of the Orange County Juvenile Court.	Provides transitional housing and supportive services.
FaCT Resource Centers (nine)	· Prevention · Early intervention · Family maintenance · Family Reunification · Permanency	40% of allocation designated for CFS clients 20% to time limited reunification. 20% adoption promotion and support. 60% for family support and preservation, FMNC, FMC	Provide comprehensive child abuse abuse prevention, intervention and treatment services. Also, provide services to caregivers.	Increased funding and flexible funding resources are a continuous need. Need multipcultural and multilingual staff. Obtaining appropriate space for service delivery.
Emancipation Services Program (ESP) Staff / Contracts with Orange County Department of Education (OCDE), Santa Ana College, Orangewood Children's Foundation (OCF), Foster Assessment Center and Testing Service (FACTS), Orange County and Santa Ana Housing Authorities.	· Wellbeing · Emancipation services · Preparation for adult self-sufficiency	Youth ages 14 to 21 who are current or former Orange County foster youth	Assessment and tracking of foster youth progress in reading competency, math competency, and accumulation of high school credits. Foster Youth Mentoring Project (FYMP) provides college based mentors for approximately 60 foster youth each year. Children's Trust Fund provides opportunities for extracurricular activities, high school graduation expenses, counseling, tutoring and other services. Independent Living workshops, with an incentive for attendance, active participation and completion of homework related to the workshop. Independent Living Coaches support academic, vocational and mentoring needs of 150 youth. Vocational Assessments provide current skills levels and at least career paths for which the youth is prepared at an entry level. Transitional Housing Program provides housing for emancipated foster youth. One-Stop Employment Assistance Centers to assist with resume preparation, interviewing skills, job related issues. OCF Trust Fund Application (for financial assistance with educational and vocational goals, emergency financial assistance through age 24). Guardian Scholar grants for college or trade school expenses and living expenses at 9 universities and 2 career colleges. California Youth Connection: current and former foster youth participate in policy development and legislative changes in foster care. Peer Mentor Program employs former foster youth to counsel teens residing in Orangewood Children's Home and during the 135 annual contracted ILP workshops. Medi-Cal referrals Bus passes Assistance and referral for college scholarships.
**Purpose of Services: Preplacement Preventive/Early Intervention; Family Maintenance; Family Reunification; Permanency; Placement Stabilization; Child(ren)'s special needs