DFCS Online Policies & Procedures

  DFCS Online Policies & Procedures

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Handbook 4: Case Planning and Case Management Services
4-9.1 Intensive Treatment Foster Care (ITFC)
Case Planning and Case Management Services
4-9.1  Intensive Treatment Foster Care (ITFC)
Reference Points
Overview
ITFC Services
Eligibility Criteria
Case Assignment
ITFCS - Placement
Initial ITFCS-Referral Request Approval
6-Month Renewal Procedures
Contact


Reference Points
Effective Date: TBA
Last Updated: 9/30/10
 Legal Basis:
Popup Window Welfare and Institutions Code (WIC) § 18358, 18358.05, 18358.10,18358.15, 18358.20, 18358.23, 18358.25, 18358.30, 18358.37
Popup Window All County Letter (ACL) 09-18: Revisions and Various Eligibility, Operational, Reporting, and Foster Parent Training Components of Intensive Treatment Foster Care Programs
 Non CWS/CMS Forms:
MS Word Intensive Treatment Foster Care Services Referral (SCZ 688)
MS Word Intensive Treatment Foster Care Services Rate Schedule (SCZ 685)


Overview   Intensive Treatment Foster Care Services (ITFCS) are intended to move children with severe emotional disorders from group home care (Level 9-14) to family-based care by providing intensive in-home therapeutic and behavior-management services.  Some children may receive these services as an alternative to placement in group home care at Levels 9-14.  A full description of ITFCS programs is contained in Welfare & Institutions Code 18358.
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ITFC Services  

Children placed in the ITFCS Program receive the basic Foster Family Agency (FFA) range of services, as well as additional services individualized to the child's needs which may include:

  • Assessment and diagnosis
  • An emergency safety plan
  • Therapy
  • Behavior modification services
  • Support counselor services
  • Psychotropic medication and monitoring
  • Individual/family therapy for child and foster family
  • Family therapy for child and birth parents/adoptive parents/legal guardians to facilitate reunification
  • Court-ordered supervised visitation
  • Education liaison services to maintain the child in the classroom
  • Respite services for foster families
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Eligibility Criteria  

The general criteria for referral are:

  • Children currently placed in Community Care Facilities (CCF) at Level 9-14

  • Children who have successfully completed the Level 9 or higher CCF program

  • Children at imminent risk of placement in a Level 9-14 CCF

  • Children at imminent risk of psychiatric hospitalization


  • ITFC services and Wraparound cannot be open at the same time.

  • Wraparound services must be closed before ITFC services begin.  There cannot be any overlap in services.

  • The start date of ITFC services must be after the end date of Wraparound services.

  • No more than two (2) children receiving ITFC services can be placed in the same fosterhome.

 

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Case Assignment   The child's primary social worker completes the ITFCS referral, and the case remains with the primary worker.  The primary social worker works with the FFA in developing the treatment service plan.  Every six months, the plan is reviewed and modified, as necessary.

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ITFCS - Placement  

The social worker:

  • Contacts a participating Foster Family Agency (FFA) service provider to identify an ITFCS home.

  • The social worker participates with the service provider in developing a treatment service plan to assure that the child receives appropriate services to meet his/her needs.

  • Completes the Services Rate Schedule (SCZ685) with a representative of the FFA based on the services identified in the service plan.
    • Determine the start date and rate level for ITFCS.
  • Signs the SCZ685.


  • Has a representative from the FFA sign the SCZ685.


  • Requests from the FFA the ITFCS Request and Justification of Services letter, which outline the hours and services provided for the child.

 

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Initial ITFCS-Referral Request Approval  

The referral to request initial and subsequent ITFC services must be approved by the Resource and Intensive Services Committee (RISC). 

Step
Task
Who
1.
  • Completes a referral packet which includes:
    • ITFCS Referral (SCZ688)
    • ITFCS Request and Justification of Services Letter (provided by the FFA )
    • ITFCS Rate Schedule (SCZ685)
  • Submits the packet to the unit supervisor.


    ITFCS placement may proceed while the social worker awaits the approval of the SCZ688 and SCZ685 by RISC.
Social worker
2.
  • Review the ITFCS referral packet.
  • Signs the SCZ688 and SCZ685, if approved.
  • Forwards the packet to the SSPM.
Social Work Supervisor
3.
  • Reviews the ITFCS referral packet.
  • Signs the SCZ688 and SCZ685, if approved.
  • Forwards the packet to the DFCS RISC coordinator.
SSPM
4.
  • Reviews the ITFCS referral packet.
  • Submits the packet to RISC for approval.
    • Pre-placement activities may continue, while the social worker waits for the RISC approval.
  • Returns the ITFCS Referral form and ITFCS Rate Schedule to the social worker.
  • Forwards a copy of the Service Rate Schedule (SCZ685) to the Foster Care Eligibility Bureau's SSPM.
DFCS RISC Coordinator
5.
  • Sends a copy of the Service Rate Schedule to the service provider.
  • Files the original in the case file.
Social Worker
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6-Month Renewal Procedures  

An eligible child may be initially placed in an ITFCS program at any one of the five Service and Rate Levels A to E.  E is the lowest need level.  The intent of the ITFCS legislation is that as a child's need for services decreases, the child will be "stepped down" to lower levels. In order to maintain a child at the same level, decrease the level, or move a child to a higher level, the ITFCS request and Justification of Services Letter must be submitted by the FFA to the social worker.  In order for ITFC services to continue, RISC must approve a new ITFCS Rate Schedule.

At each 6-month renewal, the social worker:

  • Reviews the Services Rate Schedule and treatment service plan with the service provider.
  • Updates the Service Rate Schedule and treatment plan in collaboration with the service provider.
  • Renews or modifies the treatment service plan.
  • Completes a new Services Rate Schedule (SCZ685).
    • The DFCS RISC Coordinator is available for consultation.
  • Signs the Services Rate Schedule.
  • Has the FFA Coordinator sign the Services Rate Schedule.


  • Attaches the ITFCS Request and Justification for Services Letter, and most recent quarterly report from the FFA provider to the packet.

  • Submits the packet to the unit social work supervisor for review and approval.

  • Submits the packet to the SSPM for review and approval.

  • Forward the packet to the RISC Coordinator for approval.



Upon RISC approval, the DFCS RISC coordinator:

  • Returns the original, approved Service Rate Schedule to the assigned social worker.

  • Forwards a copy of the Service Rate Schedule (SCZ685) to the Foster Care Eligibility Bureau SSPM.

 

The social worker and the FFA worker must renew the child's eligibility for continued ITFCS placement every six months, or sooner if needed, by submitting a new Service Rate Schedule and ITFCS Request and Justification for Services Letter and most recent quarterly report to RISC after approval by the supervisor and SSPM. 

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Contact  

Mary Bianchi, SWC II

373 W. Julian, 5th floor
Tel: 975-5188

Mary.Bianchi@ssa.sccgov.org

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