Transition from Restrictive Placements
I. Service Description
TRP is a provision of services to assist in transition from most the restrictive to a less/least restrictive placement. A Transition from Restrictive Placement (TRP) is a court-ordered program for youth adjudicated a CHINS or JD/JS. The purpose of the program is to prevent a return of the youth to a more restrictive setting/placement. TRP must include the following kinds of services to the youth and family:
- Therapeutic/clinical interventions to address the service needs of the youth and family. Therapeutic interventions must be based on an evidence-based model such as Functional Family Therapy (FFT), Multisystemic Therapy (MST), Parenting with Love and Limits (PLL), etc.
- Home-based services including but not limited to the following:
- Home-based family therapy
- Case management services
- Home assessment
- Coordination of services, with special emphasis on education and employment services
- Educational transition services
- Vocational services
- Drug/alcohol screening & monitoring
- Conflict management
- Emergency/crisis services
- Child development education
- Domestic violence education
- Parenting education/training
- Family communication
- Assistance with transportation
- Family reunification
- Family assessment
- Community referrals and follow-up
- Behavior modification
- Budgeting/money management
- Other services as deemed appropriate based on the needs of the youth and family
- Services must include 24-hour access to crisis intervention seven days a week and must be provided in the family’s home, at a community site, or in the office.
- Services must include ongoing risk assessment and monitoring family/parental progress.
- Services must include development of goals with measurable outcomes.
- Provider must complete an intake interview with the family within five calendar days after receipt of the referral.
- Provider must provide home-based therapy services to the family during the time the youth is incarcerated to identify and address any issues that may hinder the youth’s success upon his/her return home.
- Provider must maintain monthly contact with the youth’s placement agency during the time the youth is in the more restrictive placement to ensure that the transition plan remains consistent between both agencies.
- Provider must participate in an initial meeting with the youth’s FCM or probation officer, youth, and family within 48 hours of release.
- Provider must complete the Child and Adolescent Needs and Strengths (CANS) assessment within 30 days of release from the correctional facility, if not completed at the time of discharge from the more restrictive placement, and every six months thereafter. If no CANS was completed prior to the youth being admitted to the more restrictive placement, the service provider is responsible for completing the assessment within 2 weeks of the placement in a less restrictive placement. .
- Provider must conduct a minimum of two (2) face to face visits per week with the youth during the first thirty (30) days of release from a more restrictive placement. The level of supervision after that period of time will be determined by the team but will never be less than 1 face to face visit per week.
- When appropriate the provider may require the youth to submit to at least one random drug screen within fourteen (14) days of changing from a more restrictive placement. This may be done through probation or another approved vendor.
- Provider must maintain frequent contact with the FCM/probation officer and notify the FCM/probation officer in writing of non-compliance issues. The provider must also develop a recommendation for the FCM/probation officer as to a suitable therapeutic intervention.
- The family will be the focus of service and services will focus on the strengths of the family and build upon these strengths.
- Services must be family focused and child centered.
- Services must include intensive in-home skill building and after-care linkage.
- Services include providing monthly progress reports in a format approved by the Court, participation in team meetings, and providing requested testimony and/or presence at court hearings.
- Staff must respect confidentiality. Failure to maintain confidentiality may result in immediate termination of the service agreement.
- The caseload of the therapist/case manager will include no more than ten (10) workload units per therapist. Youth being supervised in the community are weighted at 1 workload unit.
II. Target Population
Services must be restricted to the following eligibility categories:
1. Children with a status of CHINS and/or JD/JS who have been placed in a restrictive setting.
III. Goals and Outcome Measures
Goal #1: To improve the transition for youth back to their home by providing therapeutic services to the youth and family
Outcome Measures
1. Based on the CANS Assessment, 100% of participants will have an individualized service plan developed. (For Probation only)
2. 95% of families will participate in home-based counseling during the youth’s period of placement.
3. 90% of the youth will have a minimum of 2 face to face visits each week from their case manager/therapist during the first 30 days following their placement from a more restrictive to a less restrictive placement.
Goal #2: To reduce routine barriers by providing direct assistance with transition issues
Outcome Measures
1. 90% of all participants will have a state-issued ID or driver's license by the completion of the program.
2. 90% of all participants will actively participate in an education program.
3. 100% of participants not involved in an educational program will be employed and/or participating in a formal employment assistance program.
Goal #3: To develop a system of community supports for each youth that will continue after completion of the program.
Outcome Measures
1. 100% of the youth in the program will establish at least one community-based support that will continue to provide assistance and/or direction following completion of the program.
IV. Qualifications
Case Manager:
Bachelor’s degree in social work, psychology, sociology, or a directly related human service field required.
Therapist:
Master's degree in social work, psychology, marriage and family therapy, or related human service field and 3 years related clinical experience or a masters degree with a clinical license issued by the Indiana Social Worker, Marriage and Family Therapist or Mental Health Counselor Board, as one of the following: 1) Clinical Social Worker 2) Marriage and Family Therapist 3) Mental Health Counselor.
Supervisor:
Master's degree in social work, psychology, or marriage and family or related human service field with a current license issued by the Indiana Social Worker, Marriage and Family
Therapist or Mental Health Counselor Board, as one of the following: 1) Clinical Social Worker 2) Marriage and Family Therapist 3) Mental Health Counselor.
Supervision/consultation is to include not less than one (1) hour of face to face supervision/consultation per 20 hours of direct client services provided, nor occur less than every two (2) weeks.
The staff person must possess:
- Knowledge of community resources and ability to work as a team member
- Understanding regarding issues that are specific and unique to youth transitioning back into the community following a period of incarceration
Services will be conducted with behavior and language that demonstrates respect for socio-cultural values, personal goals, life style choices, and complex family interactions and be delivered in a neutral valued culturally competent manner.
V. Billable Units
Face to face time with the youth and/or family
(Note: Members of the client family are to be defined in consultation with the family and approved by the Juvenile Court. This may include persons not legally defined as part of the family).
- Includes client specific face-to-face contact with the identified client/family during which services as defined in the applicable Service Standard are performed.
- Includes crisis intervention and other goal directed interventions via telephone with the identified client family.
- Includes probation meetings or case conferences initiated and approved by Probation for the purposes of goal directed communication regarding the services to be provided to the client/family.
Reminder: Not included is routine report writing and scheduling of appointments, collateral contacts, court time, travel time and no shows. These activities are built into the cost of the face to face rate and shall not be billed separately.
For hourly rates, partial units may be billed in quarter hour increments only. Partial units to be billed are to be rounded to the nearest quarter hour using the following guidelines: 8 to 22 minutes = .25 billable hours, 23 to 37 minutes = .50 billable hours, 38 to 52 minutes = .75 billable hours, 53 to 60 minutes = 1.00 billable hours. All billed time must be associated with a family/client.
Translation or sign language
Services include translation for families who are non-English language speakers or hearing impaired and must be provided by a non-family member of the client. Dollar for dollar amount.
VI. Rates:
Face to Face Rate: $101.00 (Minus 10% January 01, 2010)
Translation or Sign Language Rate: Actual Cost
VII. Case Record Documentation
Necessary case record documentation for service eligibility must include:
- A completed, signed, and dated referral form authorizing services
- A court order ordering the TRP program
- Documentation of regular contact with the referred families/children
- Written reports no less than monthly or more frequently as prescribed referral by the source.
VIII. Service Access
Services must be accessed through a DCS Family Case Manager or DCS Service Consultant referral form. Referrals are valid for a maximum of twelve (12) months unless otherwise specified by DCS. Providers must initiate a reauthorization for services to continue beyond the approved time period.
Note: All services must be pre-approved through a DCS Family Case Manager or DCS Service Consultant referral form.