Northwest Region Quality Assurance Review

Transcription

1 Northwest Region Quality Assurance Review Circuit 2 Child Protective Investigations 4th Quarter

2 Northwest Region Quality Assurance July 2012 Circuit 2 CPI 4th Quarter Review Region: Northwest Circuit: 2 Circuit 2 Child Protective Investigations 4 th Quarter Date of Review: 4th Quarter of Fiscal Year Sample Period: 4th Quarter Investigations closed from April 13, April 29, Analysis of Investigative File Review Data A. Brief Description of the Type of Investigations Cases Reviewed There were five closed investigations reviewed for the 4 th Quarter CPI Review in Circuit 2. There were no removal cases reviewed. Two of the cases were closed with no indicators of physical injury. One was closed with no indicators of family violence threatens child and one with no indicators of substance misuse. One case was closed with verified findings of medical neglect. These maltreatments were listed as the most serious maltreatments in the cases. Services were offered in four of the cases. One case had no prior reports. The other four cases had five to eleven priors. Cases were open from 21 days to 47 days. B. Overall Performance in Achieving Safety Each standard is assigned a score of 9-, 7-Mostly, 5- Partially, 0-Not, or NA-Not Applicable. Scoring is based on the percentage of standards that are, Mostly, Partially, or Not. Not Applicable ratings are not considered in determining the overall level of compliance. Circuit 2 received a score of 90% for the 28 standards related to the Investigative Response Domain. There were no removal cases selected from the random sample from the fourth quarter. Circuit 2 received an overall score of 90% for the fourth quarter. *Please note the scoring methodology has changed since the first and second quarter reviews. The total score reflected for each standard as well as the 2

3 Northwest Region Quality Assurance July 2012 Circuit 2 CPI 4th Quarter Review overall scores are calculated by adding the total score received divided by the total possible score. C. Conducting thorough assessments The following standards consider whether assessments were completed throughout the investigative process to include the development of realistic safety plans when needed. An overall score of 92% was received for Assessment. REVIEW STANDARD 1. Background checks completed timely and used to assess risk 7. Safety assessment process 9. Relevant collateral contacts 10. Obtaining pertinent information from collaterals 12. CLS staffing held when warranted and a petition was filed when legally sufficient 30. Upon removal, a determination regarding ICWA was made 32. Upon removal, background checks and a home inspection were completed prior to placement. (9) Mostly (7) Partially (5) Not (0) 100% % 20% 20% - 100% % % % Areas of Excellence were noted in the following standards relating to Assessment: Background checks were completed and the information obtained was used to assess for child safety and services needs. 100% of five applicable cases. Relative collateral contacts were completed. 100% of five applicable cases. 3

4 Northwest Region Quality Assurance July 2012 Circuit 2 CPI 4th Quarter Review Pertinent information was obtained from the collateral contacts and was appropriately considered when assessing the overall safety of the child and/or need for services. 100% of five applicable cases. Opportunities for Improvement were noted in the following standard relating to Assessment: The CPI presented the case to CLS for a staffing when warranted and when the investigation was legally sufficient, a petition was filed or a valid reason for not filing a petition was documented. 50% of two applicable cases. The one case not achieving this standard involved a young mother with a history of domestic violence. The father also had an arrest for domestic violence. D. Observing and Interviewing Children, Parents, Others The following standards consider whether thorough interviews with children and other participants were conducted and substantive observations were made of behaviors and interactions between the children and family members. An overall score of 93% was received for Observations and Interviews. REVIEW STANDARD 2. Diligent attempts to see the victim were made at least daily if the victim was not seen within 24 (9) Mostly (7) Partially (5) Not (0) 100% Interviews with children 0% 100% Interviews with parents & caregivers 100% Relevant observations and interactions of children 40% 60% - - Areas of excellence were noted in the following standard relating to Family Engagement: Diligent attempts to see the child victim were made at least daily if the child victim was not seen immediately or within 24 hours of report receipt from the Florida Abuse Hotline. If the initial attempt to contact the child victim was unsuccessful, regular attempts (daily and at 4

5 Northwest Region Quality Assurance July 2012 Circuit 2 CPI 4th Quarter Review varying locations and times of the day) are required until all child victims are seen. 100% of one applicable case. Interviews which addressed all maltreatments with parents, other caregivers, alleged perpetrators (if other than the parents) and other adult household members were conducted. 100% of five applicable cases. Opportunities for improvement were noted in the following standard relating to Service Planning and Provision: An interview was conducted and addressed all maltreatments with the alleged child victim(s) and other child(ren) named in the report and/or residing in the home. 78% of three applicable cases. This standard considers scores from two sub-part standards to determine the overall score. Standard 4.1 considers interviews with child victims, which scored 100%. Standard 4.2 considers interviews with other children on the report or residing in the home, which scored 52%. One report involved a three year old child in the home and no interview or attempt to interview was documented for this child. The other two reports had general interviews documented with some of the other children but specific maltreatments were not addressed. E. Determining Maltreatment Findings, Family Needs and Services The following standards consider whether appropriate maltreatment findings were reached and needed services were provided to children and families to promote positive outcomes and improve child-well-being. An overall score of 87% was received for these applicable standards. REVIEW STANDARD 13. CPI worked with CPT to determine findings and service needs. 18. Maltreatment findings supported by evidence 19. CPI completed an ESI to determine if family preservation services could prevent removal. (9) Mostly (7) Partially (5) Not (0) 100% % % Service needs were 80% - 20% - 5

6 Northwest Region Quality Assurance July 2012 Circuit 2 CPI 4th Quarter Review identified 21. Referrals were made for identified services. 100% Service engagement. 75% % 29. Prior to removal, CPI made efforts to provide services to allow the child to remain in the home Areas of excellence were noted in the following standards relating to Service Planning and Provision: The CPI worked in partnership with the Child Protection Team (CPT) to identify child maltreatment, current and long term concerns and child and family service needs. 100% of one applicable case. All maltreatment findings were supported by the information gathered and appropriately documented in the investigative record. 100% of all applicable cases. If at any point during the investigation placement of the child outside of the home was a possibility, the CPI requested an Early Services Intervention (ESI) Staffing to determine if the Community Based Care (CBC) should provide family preservation services that would allow the child to remain safely in the home. 100% of one applicable case. Based on the child/family needs, the immediate services and/or ongoing supervision needs were identified for the child, mother, father, other caregiver and/or caretaker responsible, if other than the mother or father. 91% of five applicable cases. If immediate services or ongoing supervision was needed, referrals for these services were completed for the child, mother, father and other caregiver or caretaker responsible (if other than the mother or father). 100% of four applicable cases. Opportunities for improvement were noted in the following standard relating to Service Planning and Provision: If documentation reflects the need for immediate services and/or ongoing supervision, the investigation record contained evidence the services were engaged. 75% of four applicable cases. The one case that did not achieve this standard documented a daycare referral. There was no follow-up to determine if the mother had utilized the daycare referral. 6

7 Northwest Region Quality Assurance July 2012 Circuit 2 CPI 4th Quarter Review F. Planning for Safe Investigation Case Closure The following standards consider whether information gathered during investigations was appropriately shared between and among all parties including supervisors, case managers, substitute caregivers, and service providers, and acted upon as necessary. An overall score of 86% was received for Planning for Case Closure. REVIEW STANDARD (9) Mostly (7) Partially (5) Not (0) 23. Communication between the CPI and CM Thorough investigation / ensuring 80% - 20% - child safety 26. Appropriate supervisory guidance and 40% 40% 20% - direction 27. Supervisory follow up 80% 20% Notifying CM of case closure and findings % 28.1 Plan for case closure was individualized and considered long-term view for child safety 80% - 20% CPI obtained medical information for the child upon removal and shared with the caregiver Areas of Excellence were noted in the following standards relating to Promoting Case Progress: The investigation was thorough and appropriate steps were taken to ensure child safety. 91% of five applicable cases Follow through occurred on the supervisory guidance and direction provided, or there was documentation it was no longer necessary. 96% of five applicable cases. The plan for closing the investigation was individualized and matched to the families needs and present situation, preferences, and long- term view for child safety. 91% of five applicable cases. 7

8 Northwest Region Quality Assurance July 2012 Circuit 2 CPI 4th Quarter Review Opportunities for improvement were noted in the following standards relating to Planning for Safe Closure: Appropriate supervisory guidance and direction were provided and ensured a thorough investigation was completed. 82% of the five applicable cases. Two of the reports had additional maltreatments that were discovered during the investigative process. There was no guidance and direction to address the need to add the maltreatments to the report. The other case not fully achieving the standard lacked guidance to address the need for documentation of behavioral observations and interactions with the caregivers. When the investigation was being closed, the case file documents the CPI or CPI Supervisor ensured the receiving case management agency was notified of the closure, and the transfer of responsibilities from CPI to case management was clearly communicated. 0% of one applicable case. One case was referred to Community Based Care for on-going case management services. Documentation did not support the case manager or supervisor was notified when the case was closed or the findings. 2. Requests for Action A Request for Action (RFA), either administrative or child safety, is generated when there is an unresolved concern related to child safety, permanency, or wellbeing. There was one RFA generated during the fourth quarter file reviews. The CPI obtained a copy of the Domestic Violence Injunction regarding incidents that occurred on March 20, 2012 and March 28, The petition states the child hit her head when she fell off the couch during a domestic violence incident. The father was arrested for violation of the injunction. Family violence threatens child was not added to the report and service needs were not assessed to address the domestic violence. A new report was generated regarding the domestic violence maltreatments. The RFA was resolved with the generation of the new report. 3. Recommendations Circuit 2 is encouraged to focus on the areas identified as opportunities for improvement. 8

9 Northwest Region Quality Assurance July 2012 Circuit 2 CPI 4th Quarter Review 9

10 Circuit 2 / 4th Quarter (fy ) Question 9 9% 7 7% 5 5% 0 0% NA # Cases 1 Required background checks were 5 100% 0 0% 0 0% 0 0% Diligent attempts to see the child 1 100% 0 0% 0 0% 0 0% BLANK An interview was conducted and 0 0% 3 100% 0 0% 0 0% Interviews with child victim(s) w 3 100% 0 0% 0 0% 0 0% Interviews with other child(ren 0 0% 2 67% 0 0% 1 33% The CPI made appropriate attem 2 67% 1 33% 0 0% 0 0% Interviews that addressed all mal 5 100% 0 0% 0 0% 0 0% Interview with mother; 5 100% 0 0% 0 0% 0 0% Interview with father 3 100% 0 0% 0 0% 0 0% Interview with alleged perpetrat 1 100% 0 0% 0 0% 0 0% Interviews with other adult hous 3 100% 0 0% 0 0% 0 0% The CPI made appropriate attem 5 100% 0 0% 0 0% 0 0% Substantive observations and inte 2 40% 3 60% 0 0% 0 0% The safety assessment process wa 3 60% 1 20% 1 20% 0 0% The initial safety assessment wa 4 80% 0 0% 1 20% 0 0% The updated safety assessment( 3 60% 1 20% 1 20% 0 0% The safety plan, when needed, w 1 100% 0 0% 0 0% 0 0% The safety plan was documented 1 100% 0 0% 0 0% 0 0% BLANK Relevant collateral contacts were 5 100% 0 0% 0 0% 0 0% Pertinent information was obtai 5 100% 0 0% 0 0% 0 0% BLANK The CPI presented the case to CL 1 50% 0 0% 0 0% 1 50% A Children's Legal Services staff 1 50% 0 0% 0 0% 1 50% A dependency petition was file 1 100% 0 0% 0 0% 0 0% The CPI worked in partnership w 1 100% 0 0% 0 0% 0 0% A referral was made to the CPT 1 100% 0 0% 0 0% 0 0% The CPI appropriately considere 1 100% 0 0% 0 0% 0 0% BLANK BLANK BLANK When the information and evide 0 0% 0 0% 1 50% 1 50% All maltreatment findings were s 5 100% 0 0% 0 0% 0 0% If at any point during the investi 1 100% 0 0% 0 0% 0 0% Based on the child/family needs 4 80% 0 0% 1 20% 0 0% Child (Not restricted to focus ch 5 100% 0 0% 0 0% 0 0% Mother 3 75% 0 0% 0 0% 1 25% Father 2 67% 0 0% 0 0% 1 33% Other Caregiver or Caretaker R 1 100% 0 0% 0 0% 0 0% If immediate services or ongoing 4 100% 0 0% 0 0% 0 0% Child (Not restricted to the focu 4 100% 0 0% 0 0% 0 0% Mother 3 100% 0 0% 0 0% 0 0% 2 5

11 21.3 Father 1 100% 0 0% 0 0% 0 0% Other Caregiver or Caretaker R If documentation reflects the ne 3 75% 0 0% 0 0% 1 25% If there was an active services ca The investigation was thorough 4 80% 0 0% 1 20% 0 0% BLANK Appropriate supervisory guidanc 2 40% 2 40% 1 20% 0 0% Initial supervisory guidance 4 80% 1 20% 0 0% 0 0% On going supervisory guidance 3 60% 1 20% 1 20% 0 0% Follow through occurred on the 4 80% 1 20% 0 0% 0 0% The CPI followed through on th 4 80% 1 20% 0 0% 0 0% The CPI supervisor ensured CPI 3 75% 1 25% 0 0% 0 0% The CPI supervisor ensured the 1 100% 0 0% 0 0% 0 0% The CPI Supervisor ensured foll 1 100% 0 0% 0 0% 0 0% When the investigation was bein 0 0% 0 0% 0 0% 1 100% The plan for closing the investi 4 80% 0 0% 1 20% 0 0% Prior to the removal, the CPI ma Upon removing the child from h Once the decision was made to r When the CPI placed the child w The required background check A physical inspection of the hom An evaluation of the prospectiv BLANK If the child was removed and pla The Child Health Check Up was If the Child Health Check Up wa The CPI obtained medical inform If the removed child was prescri The CPI visited the child in shelte

12 PERCENT ACHIEVED **Do not type in these columns; do not delete or add columns** NA Sum MPS % achieved % % % % % % % % % % % % % % % % % % % % % % % % % % %

13 % % % % % % % % % % Overall % achieved with subparts % Overall % achieved without subparts %

14 PRACTICE TRENDS Circuit 2 4th Quarter (fy ) Conducted Thorough Assessment Was a thorough assessment completed throughout the investigative process to include the development of a realistic safety plan when needed? % 92.4% Observed and Interviewed Children, Parents, Others Were informative interviews with children and other participants conducted and substantive observations made of behaviors and interactions between the child victim(s) and family members? 92.9% Determined Maltreatment Findings, Family Needs and Services Were appropriate maltreatment findings reached and needed services provided to the alleged child victim(s) and family to promote positive outcomes and improve child well being? 86.9% Planned for Safe Investigation Case Closure Was information gathered during the investigation appropriately shared between and among all parties including the supervisor, case manager, substitute caregivers, etc., and acted upon as necessary? 85.7%

15 2 1 Required background checks were completed timely and the information was appropriately used to assess immediate safety and short/long term risks to each child and the need for services. Q3 2 Q4 N= 13 N= 7 N= 5 N= 25 Q1 Q2 Annual 90% 97% 100% 94% 2 Diligent attempts to see the child victim were made at least daily if the child victim was not seen immediately or within 24 hours of report receipt from the Florida Abuse Hotline. If the initial attempt to contact the child victim was unsuccessful, regular attempts (daily and at varying locations and times of the day) are required until all child victims are seen. 76% N/A 100% 79% 3 BLANK N/A N/A N/A N/A 4 An interview was conducted and addressed all maltreatments with the alleged child victim(s) and â œotherâ child(ren) named in the report and/or residing in the home. 90% 100% 78% 91% Interviews with child victim(s) were conducted and addressed all maltreatments. Interviews with other child(ren) were conducted and addressed all maltreatments. The CPI made appropriate attempts to engage with child victim(s) and "other children" in the investigative process. 93% 100% 100% 96% 59% 100% 52% 73% 90% 100% 93% 94% 5 Interviews that addressed all maltreatments were conducted with the mother, father, other caregiver, alleged perpetrator (if other than the mother or father), and other adult household members. 97% 90% 100% 96% 5.1 Interview with mother; 98% 97% 100% 98% 5.2 Interview with father 89% 85% 100% 89% 5.3 Interview with alleged perpetrator (if other than the mother or father) and; N/A 100% 100% 100% 5.4 Interviews with other adult household members 95% 100% 100% 97% 5.5 The CPI made appropriate attempts to engage with the parents and other adults during the investigative process. 95% 97% 100% 96%

16 2 Q1 Q2 Q3 2 Q4 Annual 6 Substantive observations and interactions of the children with family members were completed and documented during the course of the investigation. 81% 90% 87% 85% The safety assessment process was completed with sufficient thoroughness to identify risks and develop a safety plan if needed. The initial safety assessment was completed with sufficient thoroughness to identify risks. The updated safety assessment(s) was completed with sufficient thoroughness to identify risks and accurately The safety plan, when needed, was sufficient and appropriately identified the immediate and long term actions required to keep the child safe from harm. 81% 84% 87% 83% 97% 97% 91% 96% 77% 84% 87% 81% 0% 0% 100% 25% 7.4 The safety plan was documented in FSFN. N/A N/A 100% 100% 8 BLANK N/A N/A N/A N/A 9 Relevant collateral contacts were completed during the course of the investigation Pertinent information was obtained from the collateral 91% 90% 100% 93% 10 contacts and was appropriately considered when assessing 100% 100% 100% 100% the overall safety of the child and/or need for services. 11 BLANK N/A N/A N/A N/A The CPI presented the case to CLS for a staffing when warranted and when the investigation was legally sufficient, a petition was filed or a valid reason for not filing a petition was documented. A Children's Legal Services staffing was held when warranted. 100% 100% 50% 83% 100% 100% 50% 83% 12.2 A dependency petition was filed or a valid reason for not pursuing a dependency action was documented, when the CLS staffing documented legal sufficiency. 100% 100% 100% 100% 13 The CPI worked in partnership with the Child Protection Team (CPT) to identify child maltreatment, current and long term concerns and child and family service needs. 89% N/A 100% 93% 13.1 A referral was made to the CPT when required. 100% N/A 100% 100%

17 2 Q1 Q2 Q3 2 Q4 Annual 13.2 The CPI appropriately considered CPT recommendations in the identification of child maltreatment, current and long term concerns, and child and family service needs. 89% N/A 100% 93% 14 BLANK N/A N/A N/A N/A 15 BLANK N/A N/A N/A N/A 16 BLANK N/A N/A N/A N/A 17 When the information and evidence gathered through interviews and observations indicated an additional alleged maltreatment might have occurred, the CPI ensured this new information was processed appropriately. 85% 0% 28% 52% All maltreatment findings were supported by the information gathered and appropriately documented in the investigative record. If at any point during the investigation placement of the child outside of the home was a possibility, the CPI requested an Early Services Intervention (ESI) Staffing to Based on the child/family needs, the immediate service and/or ongoing supervision needs were identified for the child, mother, father, other caregiver and/or caretaker responsible, if other than the mother or father. Child (Not restricted to focus child or child identified as the victim in the abuse hotline report) 100% 94% 100% 98% N/A 100% 100% 100% 96% 100% 91% 96% 100% 100% 100% 100% 20.2 Mother 100% 100% 75% 94% 20.3 Father 83% 100% 67% 83% 20.4 Other Caregiver or Caretaker Responsible (if other than the mother or father and has access or ongoing contact with the child) 100% N/A 100% 100% 21 If immediate services or ongoing supervision was needed, referrals for these services were completed for the child, mother, father and other caregiver or caretaker responsible (if other than the mother or father). 100% 100% 100% 100% 21.1 Child (Not restricted to the focus child or child identified as the victim in the abuse hotline report). 100% 100% 100% 100%

18 2 Q1 Q2 Q3 2 Q4 Annual 21.2 Mother 100% 100% 100% 100% 21.3 Father 100% 100% 100% 100% 21.4 Other Caregiver or Caretaker Responsible (if someone other than the mother or father and has access or ongoing contact with the child) 100% N/A N/A 100% If documentation reflects the need for immediate services and/or ongoing supervision, the investigation record contained evidence the services were engaged. If there was an active services case when the investigative report was received, timely and appropriate communication and collaboration between the CPI and Case Manager occurred to assure mutual understanding of The investigation was thorough and appropriate steps were taken to ensure child safety. 50% 85% 75% 66% 100% N/A N/A 100% 81% 84% 91% 84% 25 BLANK N/A N/A N/A N/A 26 Appropriate supervisory guidance and direction were provided and ensured a thorough investigation was 79% 78% 82% 80% 26.1 Initial supervisory guidance 100% 100% 96% 99% 26.2 On going supervisory guidance 62% 78% 87% 72% Follow through occurred on the supervisory guidance and direction provided, or there was documentation it was no longer necessary. The CPI followed through on the supervisory guidance and direction. The CPI supervisor ensured CPI followed through on supervisory guidance and direction provided or the reason (s) the guidance and direction provided was no longer necessary was documented. 88% 89% 96% 90% 90% 89% 96% 91% 91% 89% 94% 91% 27.3 The CPI supervisor ensured the CPI followed through on the 2nd party reviewer guidance and direction, or documented justification actions were no longer necessary. 71% 100% 100% 82% 27.4 The CPI Supervisor ensured follow up communication and consensus with the 2nd party reviwer prior to determining 2nd party review recommendations were no longer necessary. 94% 100% 100% 97%

19 2 Q1 Q2 Q3 2 Q4 Annual 28 When the investigation was being closed, the case file documents the CPI or CPI Supervisor ensured the receiving case management agency was notified of the closure, and the transfer of responsibilities from CPI to case management was clearly communicated. 78% 0% 0% 26% The plan for closing the investigation case was thoughtful, individualized and matched to the child and family's present situation, preferences, and long term view for child safety. Prior to the removal, the CPI made concerted efforts to provide appropriate services that would allow the child to remain safely in his/her own home. 97% 90% 91% 94% N/A N/A N/A N/A 30 Upon removing the child from his/her home, the CPI made the appropriate inquiries to determine if the child was of American Indian or Native Alaskan descent so that the appropriate tribe could be contacted regarding the need for an alternative placement. 100% 0% N/A 50% 31 Once the decision was made to remove the child, placement priority was given to responsible relatives/nonrelatives rather than licensed care. 100% 100% N/A 100% 32 When the CPI placed the child with relatives or nonrelatives, the case file contained evidence required background checks and a physical inspection of the home were completed prior to the child s placement. 100% 100% N/A 100% 32.1 The required background checks were completed during the home study process prior to the child's placement. 100% 100% N/A 100% A physical inspection of the home was completed during the home study process prior to the child's placement. An evaluation of the prospective caregiver's capacity to protect was completed during the home study process prior to the child's placement. 100% 100% N/A 100% 100% 100% N/A 100%

20 2 Q1 Q2 Q3 2 Q4 Annual 33 BLANK N/A N/A N/A N/A If the child was removed and placed in a licensed home or with a relative or non relative caregiver, a Child Health Check Up was completed within 72 hours of removal. The Child Health Check Up was completed within 72 hours of the child's removal and a copy is in the case file. If the Child Health Check Up was not completed within 72 hours of the child's removal, the Child Health Check Up was completed at some point thereafter and a copy was in the case file. 100% 100% N/A 100% 100% 100% N/A 100% N/A N/A N/A N/A 35 The CPI obtained medical information, including prescribed medicines, and/or other needs of the child as known by the parent, guardian or legal custodian and shared the necessary information with the substitute caregiver. 100% 78% N/A 89% 36 If the removed child was prescribed psychotropic medications prior removal or prior to case responsibility being transferred to the case management agency, the CPI obtained written authorization from the parents to continue administration where appropriate and properly initiated the process to obtain written express and informed consent by the parents, or where necessary, a court order. N/A N/A N/A N/A 37 The CPI visited the child in shelter care on a weekly basis until the case was transferred to and accepted by the CBC provider who subsequently agreed to conduct the required visits. 100% 100% N/A 100%