FAM-25-039 Attachment Q Success Coach Service Implementation Plan and Budget for Virginia.pdf

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SUCCESS COACH SERVICE IMPLEMENTATION FOR VIRGINIA

Post Adoption & Guardianship Service

Theoretical Framework and Intervention Description Resiliency theory provides the conceptual framework for the Success Coach Services service. An underlying assumption of resiliency theory is resilient individuals adapt to difficult circumstances, achieving positive outcomes in the face of adversity. Resiliency theory then provides the framework for specifying the risk factors that threaten successful adaption, the criteria for successful adaptation, and the individual and environmental factors that may promote positive outcomes (Fraser and Richman, 1999).

Success Coach Service mission statement: “Success coaches, through support, education, and coordination of services, work with families to strengthen the permanent placement and enhance child wellbeing for children who exit foster care.”

The Success Coach Service is a voluntary support service for children who leave foster care by reunification, unification, guardianship, adoption, or legal custody. The primary goal of the Success Coach is to support the family in providing a stable and safe environment for their children post-permanency, to build family resiliency, and to implement support services that will have a positive long-term effect on post-permanency stability. This is done through reducing risk factors and increasing protective factors, specifically:

1. Reduce the risk of repeat maltreatment

2. Reduce the risk of reentry to foster care

3. Increase social support for the family

4. Increase family self-sufficiency

5. Increase the family’s ability to manage crises

6. Increase parent’s ability to access medical and mental health services for the child

7. Increase parenting skills

8. Increase the child’s ability to perform on or above grade level in school

9. Increase parent’s ability to advocate for and access educational services

Success Coaches understand trauma's impact on development and behavior and can integrate this understanding into their work with families to help families decrease challenges and increase strengths.

Listed below are definitions of the functions that drive the work of Success Coaches with families:

Engagement: What keeps families working and partnering in the long and slow process of positive change? It is the ongoing ability of SCs to establish and sustain a genuinely supportive partnership with families while:

Establishing and maintaining healthy boundaries

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Assessing the most effective manner and time to communicate with families

Maintaining contact as mutually negotiated.

Engagement also includes establishing and sustaining professional and ethical relationships with the agency and community partners.

Assessment Success Coaches comprehensively assess each family’s protective factors, needs, trauma history, and goals relative to parental and family functioning, resiliency, health/emotional well-being, safety, economic self-sufficiency, community/family connections, education, employment, and concrete needs throughout the case's life.

Success Coaches use the following assessment tools:

North Carolina Family Assessment Scales, General Services + Reunification (NCFAS G+R, TWB), Casey Life Skills Assessment (CLSA)

Devereux Early Childhood Assessment (DECA)/Devereux Early Childhood Assessment for Infants and Toddlers (DECA I/T)/Devereux Student Strengths Assessment (DESSA).

Goal Planning Success Coaches work with the family to develop a success plan based on the strengths and needs identified in the NCFAS G+R, DECA/DESSA, and CLSA assessments. The purpose of the Success Plan is to identify activities and steps to increase the family’s protective factors and reduce the risk of maltreatment to the children in the home. The Success Plan should identify family strengths, and the goals should reflect identified areas of need that the family wants to strengthen. If the goals do not address areas of need in the success plan, then documentation should state why the family chose different goals. The Success Plan goals should be S.M.A.R.T. goals: behaviorally Specific, Measurable, Attainable, Realistic, and Timely.

Service Coordination Success Coaches provide support and services, share information, and link families to resources. They also coordinate with multiple agencies and community services to prevent duplication of services and improve outcomes for families served.

Skill Building and Reinforcement Success Coaches build resiliency in families by increasing their protective factors through skill-building activities. Through skill building and reinforcement, the Success Coach can decrease the level of intervention/intensity of service and become less directly involved as the family becomes more empowered and shows improvement in skills, resiliency, and the ability to self-advocate. The targeted skills to increase protective factors that Success Coaches build and reinforce are:

Financial Planning Skills

Social/Communication

Parenting Skills

Employability Skills

Resiliency Building Skills

Health and Wellness Skills

Independent Living Skills

Crisis Intervention, Prevention, and Management Success Coaches help a family in crisis set priorities and effectively weather the crisis through support, education, skill building, and referrals to services. The crisis is a crucial point in the family’s life, an emotionally stressful

pg. 3 9.5.2024 situation, traumatic event, or high tension that impacts the caregiver's ability to function. The SC will complete crisis intervention plans (including but not limited to safety and relapse plans).

Plans will include triggers for and signs of crisis/relapse that have been identified with the family.

Advocacy Success Coaches support and encourage families as they build the confidence and capacity to meet their own needs.

REPLICATION AND IMPLEMENTATION PLAN

Each replication site would need to consider the four stages of implementation: exploration, installation, initial implementation, and full implementation, when considering the Success Coach Services model as the service for post-adoptive and guardianship families.

EXPLORATION STAGE

The purveyor leadership team will host up to a 3-4 hour virtual meeting for interested sites/liaisons/leadership to participate. The meeting will provide a brief overview of the Service Coach Service and review the use of an implementation team and organizational readiness and capacity.

Cost $450.00

Replication Sites:

Understanding internal and external stakeholder readiness and the organization’s capacity for replication is important before implementing a new service into your agency. Exploration into these critical areas will help in pre-planning and preparation for adding new services and will allow for more opportunity for stakeholder buy-in from the start. Three key assessments will help determine if the stakeholder and the organization are ready (goodness of fit) to implement the service and if your agency has the capacity to implement the service.

Select a Core Team with a lead or co-lead to facilitate completion of the Organizational Readiness and Agency Capacity Assessment. These assessments help determine if Post Care Services are a good and manageable fit for your agency. (APPENDIX A)

Organizational Readiness: Organizational Readiness is essential before any new initiative can begin and take hold within an agency. Understanding key aspects of your agency and your staff's strengths and challenges will help position a new initiative for success. Therefore, before taking on the process of implementing post-care services, it is important to have a clear understanding of:

1. The capacity of your agency and staff to replicate services with fidelity

2. The needs of your target population and data to support the needs

3. The systems and structures that need to be implemented to support the new service and assure that post-care services are seen as part of the child welfare continuum.

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Agency Capacity Assessment: This assessment is intended to help the implementation team strategically think through the issues affecting the successful implementation of services into an existing continuum of mandated child welfare services. Responses will help identify areas of strength and help technical assistants guide possible challenges to implementation. (APPENDIX C)

Catawba County will meet with each site virtually to review the following:

Organizational Readiness Survey

Capacity Assessment

Staff/ Staff Selection (Leadership Support, Supervisor, Success Coach(es), Quality Assurance)

INSTALLATION STAGE

Installation of the Success Coach Service includes training for each site as it prepares to be implemented.

Cost: $9,137.00 per training provided onsite in Virginia

Purveyor:

Once the supervisor is identified/hired, host a 3-4-hour site visit (additional cost involved for travel) or virtual training to include:

o Meeting with Catawba’s post-care supervisor and project coordinator o Training to replication site on fidelity monitoring, coaching, and providing conceptual feedback o Discussion of any hiring challenges, input, or assistance in staff selection

Replication Site: (After Staff Selection/Hiring) Success Coaches and Supervisors to complete the following training before attending the Success Coach 3-day in-person training:

o NCFAS G+R training – the agency will purchase the license and training ($500-price may vary depending on the number of authorized users) o Purchase e-DECA when success coach service is implemented (yearly license approximately $299.95) and complete online training

3-day training for staff at replication site to include Success Coach(es), Supervisor, any leadership, or quality assurance staff o Success Coach model development, conceptual framework, and history o Success Coach service practice profile, guiding principles, essential functions, and fidelity o Integrating assessment into goal planning and interventions o Engagement strategies and skill-building activities o Documentation requirements o Policies and procedures

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INITIAL IMPLEMENTATION STAGE

(After completion of training)

Purveyor & Replication Site(s):

Monthly Technical Assistance calls Each replication site will participate monthly in technical assistance calls that include:

Conduct a minimum of monthly calls with each replication site to address system-level issues for implementation

Provide a minimum of monthly case consultation virtually with each replication site to review the alignment of assessments, case plans, and services

Participate in quarterly program review meetings (all sites implementing the model)

Provide as-needed consultation on documentation and fidelity monitoring

Provide “booster” training/consultations as needed

Cost: $1,800.00 per each site/region

Quarterly All Site Technical Assistance Calls

These calls will provide ongoing training and education to support each replication site

Cost $600.00

Example cost for Virginia DHHS:

Exploration Phase $450.00

Installation Phase $9,137.00 per site/region ex. 5 sites = $45,685.00

Initial Implementation Phase

Monthly Technical Assistance calls per site/region- $1,800.00. Ex. 5 sites = $9,000.00

Initial Implementation Phase

$600.00- Quarterly All Site Calls

Total potential cost If 5 different agencies cover your 5 regions, the total cost is:

$55,735.00

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APPENDIX

EXPLORATION STAGE

Organizational Readiness and Capacity

A. Select a Core Team

Stakeholder Survey: Goodness of Fit On a scale of 1-5, with 1 being you completely disagree and 5 being you agree completely to the following:

Is there a need for continued social work services after reunified families have a child that exits foster care?

Is there a need for continued social work services after adoptive families have a child that exits foster care?

I would refer a family to enhanced case management services as they exit foster care.

Are there currently services in place that meet the needs for families to be successful and increase child wellbeing after they leave foster care?

If a service existed that provided 24/7 availability and enhanced case management services, it would decrease the number of children who re-enter foster care.

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B. Organizational Readiness

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C. Agency Capacity Assessment

1. Who is serving on the implementation team (list positions)? Which agency leaders are actively involved?

2. How invested is agency leadership in replicating the Success Coach Service? Is there support for changing referral pathways, developing policies to support post-care services, or making other systems-level changes?

3. Where organizationally will the post-care unit be housed? (Separate unit, embedded in foster care, etc..?)

4. Who will supervise the post-care unit? Is this an existing or new position?

5. What are the supervisor’s other duties, if any?

6. How knowledgeable are other child welfare supervisors about the Success Coach Service/post care services? Do they support expanding the continuum?

7. Is a Program Manager committed to participating in monthly Program Review meetings (approximately 2 hours/month) once the service is implemented?

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8. Are any staff/supervisors currently trained in Motivational Interviewing?

9. Is there a capacity to have consultation or coaching in the use of MI skills?

10. Monthly data reports are produced for Program Review meetings. What is the agency’s capacity for data collection and reporting? Will this be done by the supervisor or in a separate position?

11. Will Success Coaches have access to laptops? Will they have access to the Internet in the field? Will they have remote access to the database?