Interagency Placement Committee

1. Interagency Placement Committee Local Care Team Agency Roles and Responsibilities Understanding the agencies at the Local Care Team table and how collaborative efforts can lead to better outcomes. June 6, 2019

2. Introduction

3. Interagency Placement Committee • Effective January 1, 2018, Maryland’s Children’s Cabinet has established the Interagency Placement Committee (IPC) to serve as the State Coordinating Council. • The Council was established in the 1980s to promote interagency collaboration and development of quality educational, treatment, and residential services in Maryland, so that children with intensive needs could be served in the least restrictive setting appropriate to their individual needs. The Interagency Placement Committee is charged with: • Reviewing recommendations for out-of-state placements • Coordinating the monitoring of out-of-state placements • Providing training to the Local Care Teams • Identifying in-state placement needs

4. Purpose Coordination with local representatives is a priority to ensure that all options are exhausted before an Out-of-State placement is recommended. To best enhance coordination efforts, the goal for today is to expand your understanding and knowledge of your partner agencies on the Local Care Team. Through an understanding of what resources and opportunities are available, collaborative efforts can be more effectively developed and utilized.

5. Governor’s Office for Children • Interagency Placement Committee Member • Chair the IPC • Administer Local Care Team Coordinator Funding • Not a Child-Serving Agency • Today’s Facilitator

6. Contact Information Lauren Molineaux Policy Analyst Governor’s Office for Children 410-697-9241 Lauren.molineaux1@maryland.gov

7. IPC Member Agency Department of Juvenile Services

8. DJS Key Decision Makers in the Juvenile Justice System Maryland Department of Juvenile Services State’s Attorney Judges/ Masters Federal & Maryland Legislation Education Behavioral Health Child Welfare Youth & Family Police Public Defender

9. DJS Juvenile intake Diversion services Detention Investigation Probation Residential facilities Aftercare services Treatment service plans Roles and Responsibilities in Maryland’s Juvenile Justice System Courts • Determine whether or not it is safe for the child to remain in the home or is in need of out-of-home placement (detention) • Ensure the youth’s needs are met

10. DJS Vision & Mission Successful Youth, Strong Leaders, Safer Communities • By law, DJS is a child-serving agency responsible for assessing the individual needs of referred youth and providing intake, detention, probation, commitment, and after-care services. • DJS collaborates with youth, families, schools, community partners, law enforcement, and other public agencies to coordinate services and resources to contribute to safer communities.

11. Hallmarks of the Developmental Approach • Accountability Without Criminalization; • Alternatives to Justice System Involvement; • Individualized Response Based on Assessment of Needs and Risks; • Confinement Only When Necessary for Public Safety; • A Genuine Commitment to Fairness; • Sensitivity to Disparate Treatment; and, • Family Engagement

12. DJS Regions djs.state.md.us/facilities-and-offices.asp

13. DJS Detention Facilities • Alfred D. Noyes Children's Center​ (Montgomery County) • Baltimore City Juvenile Justice Center (Baltimore City) • Charles H. Hickey, Jr. School (Baltimore County) • Cheltenham Youth Detention Center (Prince George’s County) • Lower Eastern Shore Children's Center (Wicomico County) • Thomas J.S. Waxter Children's Center (Anne Arundel County) • Western MD Children's Center (Washington County)

14. DJS Committed Facilities Staff Secure • Backbone Mountain Youth Center (Garrett County) • Green Ridge Youth Center (Allegany County) • Meadow Mountain Youth Center (Garrett County) Hardware Secure • J. DeWeese Carter Center (Kent County) • Savage Mountain Youth Center (Allegany County) • Victor Cullen Center (Frederick County)

16. Juvenile Probation and Commitment Orders Have Declined • Maryland juvenile probation orders declined 54.2% in ten years • Juvenile commitments declined 34.0% in ten years

17. Maryland Comprehensive Assessment and Service Planning (MCASP) An integrated case management approach in the delivery of juvenile services.

18. Maryland Comprehensive Assessment and Service Planning (MCASP) Initiative Engaging Youth & Families Using Standardized Assessments Community Intake Risk Assessment Risk and Needs Assessment Supervision & Treatment Service Plan Needs Re-Assessment MotivationalInterviewing Individualized Treatment Planning Integrates evidence-based tools and best practices for JJ systems Building on Strengths Using Graduated Sanctions & Incentives Service Matching & Linkage (EBPs) Coordinating & Monitoring Services

19. AIM Accountability and Incentives Management

20. The Rate of Juveniles Committed for Violations of Probation Has Begun to Decline • After increasing every year since FY2008, the rate of new commitments for violations declined 4.0% in FY2017.

21. DJS links Youth and Families • to Community Resources Local Management Boards (LMB) - Identify priorities and target resources for a jurisdiction’s communities (Community Resource Guides, Local Care Teams).  Core Service Agencies (CSA) - Plan, manage, and monitor mental health services at the local level - information and referrals, authorize mental health and support services not paid by Medical Assistance, handle consumer and provider complaints, monitor contracts and providers. Local Addiction Authorities (LAA) - Plan, manage, and monitor substance related disorder services at the local level - plan a continuum of services, and monitor provider contracts (some provide substance used disorder (SUD) services directly).

22. THE DJS RESOURCE LINKAGE PROCESS Continuum of Care

23. DJS Program/Placement Decision Making • Case Management Specialists & Supervisors • Multidisciplinary Assessment & Staffing Team • Resource Office • Central Review Committee

24. DJS’s Continuum of Care EBP Alternatives to Placement Wraparound Drug Treatment* Foster Care Group Home Residential Treatment Special Services Behavioral Placement

25. Primary Program Classification Type, N=112

26. Evidence-Based & Promising Programs in the Community • Functional Family Therapy (FFT) • Multisystemic Therapy (MST) • Family Centered Treatment (FCT) • Targeted Case Management • Youth Advocate Program (YAP) • UMBC Choice Program

27. Where are the DJS-Funded Functional Family Therapy Programs in MD? VisionQuestNational, Ltd. • Metro (Montgomery & Prince George’s Counties) • Central (Baltimore, Carroll, Harford, & Howard Counties) • Eastern Shore (all 9 counties) Center for Children, Inc. • Anne Arundel County • Tri-County Area (Calvert, Charles, & St. Mary’s)

28. Where are the DJS-Funded Multi-Systemic Therapy Programs in MD? Community Counseling & Mentoring Services, Inc. Metro (Montgomery & Prince George’s Counties) Community Solutions, Inc. Baltimore County Way Station, Inc. Frederick & Washington Counties

29. Traditional Foster Care, Treatment Foster Care • Group Home, High Intensity Group Home • Alternative Living Unit • Independent Living Level I – Community Residential DJS Residential Programs Levels • Group Home, Therapeutic Group Home with on-grounds school* • Intermediate Care Facility for Addictions • Residential Treatment Center (Medicaid) • Non-Medicaid Residential Treatment Facility • Behavioral Program (e.g., Youth Center) Level II – Staff Secure Residential • Hardware Secure Residential Treatment Facility (Medicaid) • Hardware Secure Non-Medicaid Residential Treatment Facility • Hardware Secure Level III – Hardware Secure Residential

30. Needs of the Current Committed Population • Trauma • Incarcerated parents, homelessness • Crossover Youth (multiple DSS placements) • Mental health • Substance abuse • Physical aggression • Developmental issues and educational needs - FASD

31. Engage families in case planning Re-entry Reduce recidivism rate Connect youth to local behavioral or somatic health resources Connect youth to local education resources Introduce career development resources/pay restitution

32. DJS Re-entry Goals • Reduce recidivism by providing targeted supervision to all youth returning home from committed care. • Families of committed youth are engaged at all key case planning decision points. • Youth requiring educational services upon discharge are connected to local education resources. • All youth are introduced to career development resources and meet outstanding restitution obligations after discharge. • Youth in need of behavioral or somatic health services are connected to local resources to provide continuity of care

33. Highlighted Initiatives • Behavioral Health Diversion Initiative • Crossover Youth Initiative • Family Engagement – Peer Support Specialists

34. For Further Information DJS Website: http://www.djs.maryland.gov Find a DJS Facility or Office (left side of Home page) Data Resource Guides (Publications tab) Facebook: www.facebook.com/DJSMaryland

35. Contact Information Patricia Flanigan Director, Resource Office Department of Juvenile Services 410-230-3478 Patricia.flanigan@maryland.gov

36. IPC Member Agency Department of Health

37. Department of Health Developmental Disabilities Administration (DDA) DDA Overview for Local Care Teams

38. Developmental Disabilities Administration • We believe that ALL people have the right to live, love, work, learn, play and pursue their life aspirations in the community • We partner with people with developmental disabilities and families to provide support and resources to live fulfilling lives • We provide a coordinated service delivery system to enable children and adults with intellectual and developmental disabilities and families to work toward self-determination, interdependence, productivity, integration, and inclusion in all facets of community life across their lifespans • We are one of many resources, services and supports available to assist individuals and families as they build their lives toward their vision of the of the “Good Life”

39. Eligibility vs. Entitlement • In Maryland, a student with a disability who is receiving special education services is entitled to a free appropriate public education through the school year in which the student turns 21 years of age (Individuals with Disabilities Education Act [IDEA], 2004) or has met the requirements for a Maryland High School Diploma or a Maryland High School Certificate of Program Completion • Once a student exits school he/she must meet the eligibility criteria and funding availability to attend post-secondary education and/or receive services from adult service agencies • The DDA services are provided based upon “eligibility” for services and the availability of funding

40. Did You Know? DDA’s Eligibility and Application Process • Low Intensity Support Services (LISS) • MD resident with a developmental disability • Types of services and support include Assistive Technology, Respite, Child Care, Special Equipment, etc. • Random selection process • Round 1 – May to June • Round 2 – July to October • Up to $2,000 • Maryland Community Connections • For more information see the LISS DDA Webpage at: https://dda.health.maryland.gov/Pages/liss.aspx

41. Contact DDA or submit Application to DDA Regional Office will ask consultant to review as applicable Regional Office makes final determination & notifies applicant Application Process Regional Office assigns a CCS DDA Regional Office reviews Application Packet Applicant has the right to: *Request a Reconsideration *Case Resolution Conference *Medicaid Fair Hearing CCS performs face-to-face assessment CCS provides Regional Office with report and supporting information CCS – Coordinator of Community Services

42. The DDA accepts applications at any age and at any time of the person’s life span Eligibility for services does not mean that the DDA is able to provide funding to address a person’s needs It means that when designated funding for a priority category is available, and a person has the greatest need, the Coordinator of Community Services (CCS) will be informed and help a person explore services and provider options Application Process

43. DDA’s Regional Offices

44. https://dda.health.maryland.gov/Documents/dda_ea_application_updated.pdfhttps://dda.health.maryland.gov/Documents/dda_ea_application_updated.pdf Application Form

45. Family Supports Waiver Community Supports Waiver Community Pathways Waiver DDAWaivers • Children and adults • Meaningful Day and Support Services • Service Cap of $25,000 annually • Children birth to 21 years • Various Support Services • Service Cap of $12,000 annually • Children and adults • Meaningful Day, Support, and Residential Services Note: All DDA Waivers will have option of self-direction or traditional services delivery models

46. Assistive Technology and Services Behavior Support Services Assessment Consultation Development of Behavior Plan Brief Support Implementation Camp Environmental Assessment & Modification Family and Peer Mentoring Supports Family Caregiver Training and Empowerment DDA Services-Supports

47. Participant Education, Training, and Advocacy Personal Supports Remote Support Services Respite Care Transition Services Transportation Vehicle Modification DDA Services-Supports

48. 14 Licensed Children's ALU and Group Home Programs Licensed by DDA Contracted by Departments of Human Services and Education Monitored by Departments of Human Services and Education, Office of Health Care Quality, DDA DDA Children’s ALU and Group Homes

49. Contact Information Janet Furman Director of Children’s Services Developmental Disabilities Administration 410-767-5929 janet.furman@maryland.gov

50. IPC Member Agency Department of Disabilities