Foster Care Redesign (Improving Child and Youth Placement Outcomes: A System Redesign)
DFPS is taking over direct management of foster care services in the state's initial Foster Care Redesign area after Providence Service Corp. of Texas decided to voluntarily terminate its contract.
The five-year contract has an opt-out clause for either party. Providence exercised that right on August 1, 2014.
The Providence contract has been providing care and services for about 1,100 children in state custody from 60 counties in West Texas, Midland/Odessa, Abilene, San Angelo, Wichita Falls and hundreds of smaller communities. DFPS selected this region as the state's first redesign area in 2012 and the contract with Providence took effect in Feb. 1, 2013.
A transition is now underway to assure a smooth transition of these duties back to DFPS. Care and services for foster children will not be affected as DFPS reassumes contracting directly with providers as it did before the Providence contract took effect.
The second area for Foster Care Redesign in Region 3 is unaffected by this development.
We Welcome Your Comments on the Proposed Catchment Areas
Foster Care Redesign stakeholders have recommended that DFPS develop and publish a statewide plan for implementation of Redesign. A critical element of such a plan is determining service areas, known as catchment areas. The proposed draft of catchment areas was developed within county and regional boundaries and, in as much as possible, to achieve a minimum of 500 new entries into foster care annually.
Because FCR is a community-based model, large geographic catchment areas, which in some areas are necessary to meet the minimum new entry requirement, may require population/service hubs, with the needs of communities within the catchment areas addressed individually.
DFPS has developed possible options for statewide catchments area. It is comprised of 16 catchment areas. This map does not suggest a particular implementation schedule. It's an opportunity for communities to provide input into how children, youth, and families may best be served in community-based systems.
DFPS encourages all interested stakeholders to review the map and provide comments, questions or additional input by September 15th, 2014. You may provide comments through the Foster Care Redesign mailbox at FCRedesign@dfps.state.tx.us or directly to Kaysie.Reinhardt@DFPS.state.tx.us.
DFPS awarded the first metropolitan Foster Care Redesign Single Source Continuum Contract (SSCC) to ACH Child and Family Services of Fort Worth on December 16, 2013. ACH will serve Erath, Hood, Johnson, Tarrant, Palo Pinto, Somervell and Parker counties. DFPS looks forward to seeing this partnership improve the lives of children, youth and families of Texas.
ACH Child and Family Services is a Texas-based nonprofit with extensive community involvement in the Fort Worth area since 1915, and is accredited by the Council on Accreditation. ACH will:
- Work to increase the capacity of existing providers and identify more community-based supports and services.
- Conduct a comprehensive assessment of community needs and an analysis to find gaps between the need for services and their availability.
- Do comprehensive safety and risk assessments to evaluate family strengths and needs.
- Provide service coordination based on the ten principles of Wraparound. For children and youth with complex behavioral health needs, ACH will use what is known as evidence-informed models.
- Use a trauma-informed and trauma-based care service approach. (Learn about trauma-informed care)
- Use a comprehensive continuous quality improvement (CQI) process to assess, inform, and guide how services are provided and the system improved.
- Have a centralized training department that provides evidence-based training to all providers and stakeholders in ACH's System of Care, based on CQI data and stakeholder feedback.
The contract is effective on January 1, 2014. ACH Child and Family Services and DFPS will have up to 6 months to complete a start-up phase before the first child is served through this contract.
DFPS will be hosting a scan call with the Public Private Partnership to discuss the current status of transition activities in Region 2/9 on Friday, August 22nd 2014 at 10:30AM. The public is welcome to attend and listen to the call at 701 West 51st Street, Austin, Room 121E.
Foster Care Redesign is a new way of providing foster care services that relies on a single contractor, within various geographic areas, which is responsible for finding foster homes or other living arrangements for children in state care and providing them a full continuum of services. The goals are to:
- Keep children and youth closer to home and connected to their communities and siblings.
- Improve the quality of care and outcomes for children and youth.
- Reduce the number of times children move between foster homes.
Foster Care Redesign is the result of a multi-year process that involved over 3,000 stakeholders, the consideration of numerous foster care models, and a detailed analysis of data related to how children fare in Texas foster care. Foster Care Redesign reflects DFPS' strong commitment to improving outcomes for children and youth in foster care.
The transition to this new system is happening in stages. The first area was in DFPS Regions 2 & 9, which covers a wide area of North and West Texas that is mostly rural. The second area includes seven metropolitan counties in DFPS Region 3 (See a map of the DFPS regions)
Since August 26, 2013, children and youth entering foster care from DFPS Regions 2 & 9 have been served by the first Foster Care Redesign system. Providence Services Corporation of Texas has been responsible for finding foster homes or other living arrangements for all children in paid foster care from this area of the state and for ensuring children get the services they need.
On August 15, 2013, DFPS Commissioner John Specia waived certain administrative rules to allow the flexibility to operate the new system. On August 1, 2014, Providence notified DFPS that it would exercise its right to surrender its contract.
Foster Care Redesign proposed 24 Hour Residential Child Care Rates
The Foster Care Redesign 24 Hour Residential Child Care proposed rates are now posted on the HHSC Rate Analysis webpage.
Public Private Partnership’s (PPP) Recommendations for Modifying Request for Proposal
DFPS posted a Request for Information (RFI) from December 28, 2012 through January 16, 2013, to get feedback to modify the next RFP for a Single Source Continuum Contract or contracts. We received 29 responses to the RFI.
The Public-Private Partnership reviewed lessons-learned from the first Foster Care Redesign procurement as well as feedback from the RFI and developed recommendations for modifying future procurements. The partnership reached agreement on recommendations for modifying the RFP on March 25, 2013 and submitted them to DFPS Commissioner, Judge Specia.
DFPS plans to incorporate these recommendations in future procurements as allowed by state and federal rules and regulations.
On February 1st, 2013, the first single source continuum contract (SSCC) of the Foster Care Redesign initiative went into effect with Providence Service Corporation (PSC) of Texas. The contract is for DFPS regions 2 and 9, which include Wichita Falls, Abilene, San Angelo, and Midland/Odessa.
PSC of Texas' Collaborative Partnership Model Serving Regions 2/9
Providence has been providing services in Texas since 1998 and through the SSCC contract will operate a model that includes:
- Developing a strong network of providers.
- Strong community involvement, including forming a provider council and community advisory committee, coordination with school systems, coordination with STAR Health providers, collaboration with the courts, CASA, and other stakeholders.
- Providing wraparound services designed to serve children in family-like settings in their own communities.
- A strong intake and assessment component seeking to make the first placement the best placement.
- Strategic family foster home development and training.
- A strong quality assurance component.
- The use of solution-based casework and trauma-informed care.
- More family-centered, in-home and community-based services so that fewer children with complex needs will need to be in out-of-home group or residential clinical care.
- Expansion of community based services (traditional and non-traditional)
The guiding principles of Foster Care Redesign are:
- First and foremost, all children and youth are safe from abuse and neglect in their foster-care placement.
- Children and youth are placed in their home communities.
- Children and youth are appropriately served in the least restrictive environment that supports minimal moves.
- Connections to family and others important to the child are maintained.
- Children and youth are placed with their siblings.
- Services respect the child's culture.
- That youth are fully prepared for successful adulthood and are provided opportunities, experiences and activities similar to those experienced by their non-foster care peers.
- Youth are provided opportunities to participate in decisions that impact their lives.
From a system development perspective the guiding principles of the redesign include:
- Fully informing and engaging those with an interest in foster care (stakeholders).
- Basing proposed solutions on the data and evidence.
- Providing incentives for good outcomes for children.
- Developing a foster care model that neither precludes nor requires additional funding.
The Foster Care Redesign project began in January 2010 with three objectives:
- Determine where and what kind of services are needed
- Determine how to contract for quality services, including recommended outcomes, performance measures, and procurement processes
- Determine how to pay for those services (fiscal system/payment methodologies that align incentives with process quality objectives).
Foster Care Redesign was based on input and recommendations from over 3,000 stakeholders, including youth in foster care or those formerly in foster care. Stakeholders took part in presentations, focus groups, meetings, surveys. They also had a chance to respond to a request for information (RFI) and a draft RFP to provide input for the new foster care model.
The Public-Private Partnership (PPP), a group composed largely of representatives of constituent groups, channeled information to and from their constituents. The PPP considered and evaluated:
- Options and recommendations from stakeholders and other states that have done foster care reform.
- Nationally known experts on foster-care financing.
- Others with knowledge of improving foster-care outcomes.
On December 13th, 2010, the PPP reached a consensus and submitted recommendations to DFPS, outlining a new foster care model for Texas.
Final recommendations on an overall system design plan were presented to the Texas Legislature in February 2011. These recommendations included:
- How to obtain, contract, and pay for foster-care services in a way that promotes desired outcomes for children.
- Policy, programmatic, fiscal, and practice implications of changing the system.
- A mechanism for balancing foster care services' demand and supply.
On June 17th 2011, Governor Rick Perry signed Senate Bill 218 into law. It directs DFPS to proceed with Foster Care Redesign according to the recommendations in the Foster Care Redesign Report.
- 06/19/14 - Foster Care Redesign 3-B Manual
- Accessible electronic format (Foster Care Redesign 3-B Manual)
- 02/27/2014 - Rider 29
- 12/31/13 - ACH Child and Family Services Contract
- 08/20/2013 - Foster Care Redesign Operations Manual Regions 2 and 9 (text-only version for screen readers)
- 11/30/2012 - Public Private Partnership Meeting
- 11/30/2012 - Public Private Partnership List
- 10/31/2012 - Texas Foster Care Redesign Evaluation Overview at the 2012 Texas Child Care Administrator's Conference
- 10/31/2012 - Foster Care Redesign at the 2012 Texas Child Care Administrator's Conference
- 4/4/2012 - Procurement Status Update as of March 30
- 2/17/2012 - Improving Child/Youth Placement Outcomes: A System Redesign
- 10/19/2011 - Public Private Partnership Member List
- 10/3/2011 - Improving Child/Youth Placement Outcomes: A System Redesign
- 9/13/2011 - Interagency Foster Care Committee Meeting (PDF Document)
- 8/4/2011 - Foster Care Redesign Presentation
- 3/4/2011 - Improving Child Placement Outcomes: A System Redesign - Foster Care Redesign in Texas
- 10/22/2010 - Improving Outcomes for Children and Youth: Foster Care Redesign
- 10/18/2010 - Improving Child/Youth Placement Outcomes: A System Redesign
- 8/25/2010 - Foster Care Redesign: Improving Child/Youth Placement Outcomes
- 6/14/2010 - Foster Care Redesign: Improving Child/Youth Placement Outcomes Forum Summary
- 6/14/2010 - Foster Care Redesign: Improving Child/Youth Placement Outcomes
- 4/29/2010 - Improving Child/Youth Placement Outcomes: Foster Care Redesign