Title Arial 28 Stakeholder Engagement Workshop Subtitle Arial Narrow 18 Care Arrangement Services November 2016 Ben Whitehouse General Manager Strategy and Reform Rochelle Binks Assistant Director Strategy and Reform Amanda McCurry Senior Contract and Grants Manager
Welcome • Acknowledgement of Country • Introduction 2
Agenda 1. Purpose of the workshop 2. Community Foster Care, Group Foster Care, Temporary Care Houses, Complex Community Care 3. Outcomes and measures (Reunification, Carers) 4. Foster Care Model 5. Partnerships 6. Children with disability 7. Outcome payments 8. Close 3
Purpose of workshop Purpose of Today: • Inform key stakeholders on draft preferences for market design, service system models and indicative costings for care arrangement services. • Engage with key stakeholders to further develop and refine service specifications, outcomes and measures for care arrangement services. • Consult on contract provisions and potential for outcome payments to be built into contracts 4
Why out-of-home care reform? Objectives of the out-of-home care reform • Better life outcomes for all children in out-of- home care. • Early certainty and permanency for children in out-of-home care. • A more financially sustainable system. 5
Procurement - context setting • All out-of-home care funding has been aligned to be recontracted on or around January 2018. • Opportunity to consider the out-of-home care system as a whole. • Open tender process. • Needs Assessment Tool – December 2016 – February 2017. 6
Current care arrangements with the community services sector – 2016/17 Care arrangement type **Number of Type of funding care arrangements General foster care 450 Recurrent block funding Cottage care 65 Recurrent block funding Family group home 160 Recurrent block funding Specialised fostering program 110 Individualised funding Disability placement program 80 Individualised funding Transitional high needs 20 Individualised funding ARYA 6 Recurrent block funding ** Approximate figures 7
Funded service system (phase two) Child enters care Child leaves care Complex Leaving care services Temporary Group After SGO or care adoption support Community 9
Key Temporary care house TCH Community foster care CFC Group foster care GFC Complex community care CCC Residential Group Homes RGH 10
The Hub Carer and child connection hub (the Hub) • Referred when care arrangement unavailable in District. • Bringing community sector care arrangements earlier into referral pathway • Clear and consistent information on needs of child and capacity of carer (individual and permanency). • Real-time knowledge of all care arrangements available in the system Intentional referral of children based on child needs and carer capacity Carer and child connection hub (the Hub ) 11
Future care arrangements with the community services sector Phase 2 – Care arrangements Care arrangement type Type of funding Temporary care house Recurrent funding Community foster care Recurrent funding with CASC Group foster care Recurrent funding with CASC Complex community care Recurrent funding ARYA Recurrent funding Parent/baby support Recurrent funding Leaving care Recurrent funding 12
Key messages – market design • There is demonstrated efficiency in economies of scale in out-of-home care in Western Australia. • Develop a system with flow through. Ability to transition children through different elements of the system. • Preference for tender responses that demonstrate provision for the full spectrum of care needs (excluding complex community care). Step-up, step-down models. • Models to provide flow through and full spectrum of care needs can include, but are not limited to: • Single organisation tenders; • Partnerships involving lead agency with subcontracting and/or MOU arrangements. 13
Key messages – country care arrangements • Seeking tenders that can provide all care arrangement Single country geographic area options in one geographic area. • Typically provided in large regional centres. Temporary Community • Demonstrated ability to provide culturally competent and responsive care for the local Group context. 14
Aboriginal Children in Care • Aboriginal children represent 52% of children in out-of-home- care. • Since January 2011 the number of Aboriginal children in out-of-home- care has grown by 55%, compared to 14% for non-Aboriginal children. • 11% of all Aboriginal children in Perth metro are in the care of the Department for Child Protection and Family Support 15
Key messages Aboriginal children and families • Further developing a culturally competent and responsive system is a key priority. • Demonstrated ability to provide culturally competent and responsive care in the local context. • One method for demonstrating this is being, or working in partnership with an Aboriginal community controlled organisation (ACCO). Trauma-informed care • Responses must demonstrate the evidenced based trauma-informed therapeutic model of care they will use and how this complements the Department’s frameworks – Signs of Safety, Sanctuary Framework, Circle of Security etc 16
Funded service system (phase two) Child enters care Child leaves care Complex Leaving care services Temporary Group After SGO or care adoption support Community 17
Flow through Tenders seeking to provide temporary care houses demonstrate a flow through to community foster care: • Single organisation tenders; • Organisation partnerships involving lead agency with subcontracting and/or MOU Temp Community arrangements; • Other arrangement. Tenders seeking to provide group foster care demonstrate a flow through to community foster care: • Single organisation tenders; • Organisation partnerships involving lead agency with subcontracting and/or MOU arrangements; Group Community • Other arrangement. 18
Temporary Care House Purpose – provide safe and stable care arrangement Child enters care in child’s community while child’s needs are better When there is no other care assessed and a matched care arrangement can be arrangement immediately identified. available • Foster care model • Children with low to moderate needs where there is no other suitable care arrangement available. • Aged 0-17 years • Four care arrangements – with capacity for more children if sibling group. • Temporary care - three month maximum length of Preference for tenders that have flow care arrangement through to community foster care • Priority for sibling placement. arrangements INDICATIVE DRAFT COSTING: Typical • $320,000 per four care arrangements pa (no Reunification referral out: C RGH GFC CASC) 19
Community foster care Purpose – provide temporary and Typical permanent safe and stable care referral in: arrangements RGH TCH GFC • Foster care model • Children with low-to-higher intensity needs that are best cared for in a When a carer’s home. child is best placed in • Aged 0-17 years family • Temporary care - minimum 7 night setting requirement. • Temporary and permanent care - no maximum time limit on length of care Leave care SGO or Typical Reunification arrangement. at 18 adoption referral out: 20
Community foster care Preference for tender responses that demonstrate provision for the full spectrum of care needs (excluding complex community care). The Needs Assessment Tool determines the need level. Complex Models should provide flow through community care and full spectrum of care. This could Higher Intensity Increase in child’s needs include, but is not limited to: needs • Single organisation tenders; • Organisation partnerships High needs involving lead agency with Moderate needs subcontracting and/or MOU arrangements. Typical needs 21
Care arrangement support cost model Child support Aged based caring Placement Care arrangement 4 costs allowance administration cost support cost $$ $$ $Z $$ Child support Aged based caring Placement Care arrangement 3 allowance costs administration cost support cost $Y $$ $$ $$ Child support Care arrangement Aged based caring Placement 2 costs allowance administration cost support cost $X $$ $$ $$ Child support Aged based caring Placement $39,000 - $42,000 pa 1 costs allowance administration cost (without CASC) $$ $$ $$ Resource for extra support Cost of raising a child in out-of-home care and intervention 22
Key Messages - Community foster care Temporary and permanent Care • Demonstrate ability to provide temporary carers and permanent carers. • Temporary carers provide minimum of 7 days of care. Siblings • Ability to group together community care arrangements for group foster care where needed (through discussions with the Department). Disability (consultation question) • Tenders have ability to take children with disability. • One or two disability specific provider 23
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