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  DFCS Online Policies & Procedures

  DFCS Online Policies & Procedures

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Handbook 4: Case Plans and Case Management Services
4-9  Wraparound
Case Plans and Case Management Services
4-9  Wraparound
Reference Points
Overview
Goals of Wraparound Services
When May Wraparound Services Be Recommended
Eligibility Criteria for RCL 10/11 Wraparound
Eligibility Criteria for RCL 12/13/14 Wraparound Services
Steps in Referring to Wraparound Services
Community Agency Providers
Service Provider Professional Team
Timelines for Wraparound Service Delivery
Individualized Safety Planning
Termination of Wraparound Services
Wraparound Payments regarding Youth on Runaway Status
Other References


Reference Points
Effective Date: 7/1/07
Last Updated: 3/25/14 
 Legal Basis:
Popup Window California Senate Bill (SB) 163
 Non CWS/CMS Forms:
MS Word SCC RISC Referral-Wraparound (SCZ63-WRAP)
MS Word RISC-Referral to Reopen Wraparound Services (SCZ63A)
MS Word Request to Keep Wraparound Services Open (SCZ63B)
 CWS/CMS Forms:
bullet Court Management Services: Court Reports


Overview  

Wraparound is based on a philosophy that reflects the name; services aim at surrounding high risk children and youth and their caregivers with supports from the community, from professionals and from each other.  The caregivers may be natural parents, relatives or foster parents.  The goal of the services is to keep children and youth in the community by providing therapeutic supports tot the child and youth and work together with the caregiver toward a common goal of maintaining the least restrictive placement.

The Wraparound philosophy follows the underlying principles of providing services that are strength-based, individualized, culturally relevant, community based, needs driven and family centered.  At the center of the services is the Child/Family Support Team which is made up of family, community and professionals who establish goals and strategies to help families/caregivers meet their needs and achieve their goals.  Over time, families/caregivers and the provider work together to transition from a formal "System" support to using informal community resources and supports.

There are two levels of services: RCL 10/11 and RCL 12/13/14.   Wraparound services are available 24 hours a day, seven days a week (24/7).

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Goals of Wraparound Services  

The ultimate goal of Wraparound is to help a family/caregiver gain the confidence and competency to be successful in meeting challenges and celebrating achievements independent of the Family Support Team.  The objectives to meet that goal are set by the family members/caregivers.

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When May Wraparound Services Be Recommended  

 Social workers may recommend Wraparound services:

  • To maintain a child at home under Court Family Maintenance
  • To maintain a child or youth in a relative/NREFM or  in a foster home when the child or youth is at risk of entering a higher level of care.
  • To transition a child or youth from a Relative/NERFM or foster to the parent's care.
  • To transition a child or youth from a group home or community care facility to a parent/guardian, relative/NREFM, or foster home.
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Eligibility Criteria for RCL 10/11 Wraparound Services  

To be eligible for Wraparound services in RCL 10/11, a youth must meet all of the following requirements:

  • Be a dependent child of the Juvenile Court in Santa Clara County
  • Be placed in or at risk of placement in an RCL 10 group home, as determined by the referring agency (DFCS)
  • Have an approved placement to reside in the community with a parent, relative/NREFM or foster parent who has agreed to participate in Wraparound services
  • Have court orders for Wraparound services
  • Have full scope Medi-cal or be full scope Medi-cal eligible


Children referred for 10/11 Wraparound services typically exhibit one or more of the following behaviors:

  • Frequent running away
  • Substance use disorder
  • Attachment disorder
  • Developmental disorder
  • Adjustment disorder
  • Posttraumatic stress disorder
  • Aggressive behavior
  • Minor criminal behavior
  • Oppositional/defiant behavior
  • School truancy problems
  • Beyond control of parents and/or primary care adults
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Eligibility Criteria for RCL 12/13/14 Wraparound Services  

To be eligible for a referral for RCL 12/13/14 Wraparound services, a youth must meet all of the following criteria:

  • Be a dependent child of the Juvenile Court of Santa Clara County
  • Be placed in or at risk of placement in an RCL 12/13/14 group home as determined by the referring agency (DFCS)
  • Have an approved place to reside in the community with a parent, relative caregiver, or foster parent who has agreed to participate in Wraparound services
  • Have Medi-cal or be Medi-cal eligible

 

A child or youth who is referred for 12/13/14 Wraparound services must:

  • Have a mental disorder as identified in the most recent edition of the Diagnostic and Statistical Manual (DSM) of Mental Disorders, other than a primary substance use disorder or developmental disorder, which results in behavior inappropriate to the child's age, and
  • Meet one or more of the following criteria:
    1. As a result of the mental disorder the child has substantial impairment in at least two of the following areas:
      • Self care
      • School functioning
      • Family relationships
      • Ability to function in the community

      And either of the following occurs:

      • The child is at risk of removal from home or has already been removed from home.
      • The mental disorder and impairments have been present for more than six months or are likely to continue for more than one year without treatment.
       

        2.  The child displays one of the following:

      • Psychotic features
      • Risk of suicide
      • Risk of violence due to a mental disorder

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Steps in Referrals to Wraparound  
Step
Task
Who
1.
  • Consults with the DFCS RISC Coordinator
  • Completes a RISC Wraparound Services Referral (SCZ63-WRAP)

Child's Social Worker

2.
  • Reviews the RISC referral.


RISC Coordinator

3.
  • Assigns Wraparound services, if appropriate.
  • Assign Wraparound provider.
RISC Committee Members
4.
  • Submits recommendations (RECS 150-161) to the court for Wraparound services at the next Hearing or on an Application for Order.
  • Participates in Child/Family Team meetings a minimum of once a month during the course of services to the family.

Child's Social Worker

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Community Agency Providers  

Five community based organizations provide wraparound services in Santa Clara County:

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Service Provider

Professional Team

 

 The team of professionals who support the family as part of wraparound services consists of a:

  • Clinical Program Manager
    • The CPM conducts orientation meetings, provides oversight of the services and handles customer service needs.
  • A Facilitator
    • The facilitator leads each Child Family Team Meeting, facilitates the development of Treatment Plans and Individualized Child Family Plans and initiates the Family Finding process when needed.
  • Family Specialist
    • Family Specialists are responsible for all the direct work with the child on each team, and they provide intensive in-home and community based services. 
  • Program Supervisor
    • The Program Supervisor oversees the Family Specialists to ensure fidelity to the wraparound process.
  • Family Partner
    • The Family Partner provides support specifically to the parents or caretakers.
     
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Timelines for Wraparound Service Delivery  
 
Step
Action
Timeline
1.

RISC assigns the referral for Wraparound services.

Initiation of services.
2.

The service provider receives the referral.

The day the assignment is made.
3.

The facilitator contacts the family and the case carrying social worker.

Within 24 ours of the assignment.
4.

An initial face-to-face meeting between the family and the services provider occurs.

Within 24 hrs but not longer than 72 hours of the assignment of the referral  or at the family's earliest convenience.
5.

The first family team meeting occurs.

Within 1week of the assignment.
6.
        The safety plan is developed.
Within 1 week.
7.

Individualized child and family plan is developed.

Within 60 days of the assignment of the referral to a provider and at 6 month intervals thereafter.
 
8.

The mental health assessment and treatment plans are completed and implemented.

Within 60 days of the initial face-to-face contact.
9.

The Quarterly Report regarding the development and implementation of the individualized child and family plan is completed and submitted.

Within 90 days of the assignment of the referral to a provider and quarterly thereafter.

10.

The discharge plan is developed and presented to the Community Oversight Committee.

30 days prior to graduation from the Wraparound program.
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Individualized Safety Planning  

The process for individualized safety planning and case management of Wraparound services includes:

  • Conducting a comprehensive, strength-based assessment of each child and family member

  • Developing individualized child and family service plans as an adjunct to the DFCS case plan that identifies needed services and incorporates a transition plan.

  • Resource identification, coordination, and access

  • Configuring Child and Family Teams to include language and culture
    • Identify staff to meet cultural and language needs of the child or youth and/or family/caregiver.

  • Provision of direct home-based and community-based services and supports, which includes assisting the family and child or youth with:
    • Basic needs
    • Social environment
    • Family environment
    • School/vocational success
    • System involvement
    • Mental health needs
    • Legal referrals
    • Crisis management
    • Respite care
      • The agency providers are responsible for having viable options for respite care, including working with the social worker to have the adults cleared thorough LiveScan fingerprinting.


  • Monitoring services

  • Interagency service coordination

  • Supervision and monitoring of community participation

  • Parent coaching and support

  • Planning for discharge or graduation from services
  • Making approapriate referrals to community agencies such as family/individual family therapy and or psychiatry


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Termination of Wraparound Services  

Graduation and transition out of Wraparound occurs when the family/caregiver has achieved the goals developed in collaboration at the beginning of services with the referring agency.  Planning for discharge or graduation from the program starts upon the initiation of service delivery.  The plan is presented at community oversight meetings, prior to a child leaving services.  The plan includes aftercare and appropriate community-based services to support the family. 

In the event of a child or youth and family/caregiver withdrawing from services, or leaving services prematurely, a discharge summary is presented at a community oversight meeting. 

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Wraparound Payments regarding Youth on Runaway Status  
  • Youth is on Runaway Status Two (2) Days or Less
    • If the child or youth on runaway is absent for two days or less, the child's social worker has the discretion to enter into an agreement with the Wraparound service provider to keep the Wraparound services open for the youth with no interruption in funding.

  • Child or Youth on Runaway
    • If the child or youth on runaway status is absent for three days or more, the social worker must have the social work supervisor and the Social Services Promgam Manager (SSPM) approve the continued payment for Wraparound services, while the youth remains on the run.

    The DFCS social worker:

      • Completes a Request to Keep Wraparound Services Open for a Youth on Runaway Status (SCZ63B).
      • Has the supervisor and SSPM sign the SCZ63B.
      • Submits the SCZ63B to the RISC coordinator.


  • Youth's Runaway Status beyond 14 days
    • Beginning the 15th day of the runaway episode state and federal funding cannot be used to pay for Wraparound services. Services must end on the 15th day of the youth being on the run.   
  • Youth Returns after Being on the Run
     
    • When a youth returns to placement and the social worker wants to reinstate Wraparound services, the social worker submits a Request to Reopen Wraparound Services (SCZ63A) to RISC approval.
    • If the youth returns after being on the run longer than six months, the social worker must submit a new RISC Wraparound Services Referral (SCZ63-WRAP).


 

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Contacts   Cynthia Elkins, SW Coordinator II/DFCS RISC Coordinator

Tel: 408-501-6813

Email: Cynthia.Elkins@ssa.sccgov.org

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Other References  
bullet2 OPP Chapter 8-6: Ex Parte Application for Order (App and Order)
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