CWLA National Conference 2022: Chapin Hall Spotlight Track - Re-Imagining a Prevention-Focused and Equitable Child Welfare System for the 21st Century
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CWLA National Conference 2022:
Chapin Hall Spotlight Track
Re-Imagining a Prevention-Focused and Equitable
Child Welfare System for the 21st Century
#CWLA2022
April 27 – 29, 2022
CWLA: Chapin Hall
Spotlight Track
Evidence Based Program (EBP) Exploration
and Cost Tool: A Family First Planning and
Implementation Tool for Effective Selection
of EBPs (E-1)
Kristen Gore, Chapin Hall
Jason Brennen, Chapin Hall
Katrina Dorse, Chapin Hall
April 28, 2022; 2:30pm
Economic Supports Technical
Innovation
Measuring economic risk for
SYSTEM RE-DESIGN child welfare involvement and
increasing access to economic
Technical solutions and
strategies for expanding
Levers of Change and concrete supports prevention services, estimating
costs, and tracking referrals
The Chapin Hall spotlight track
describes four key levers for
system redesign.
These levers, taken together,
provide a powerful set of tools
Community CQI
that participants can use to
Pathways
reimagine and transform their Engaging stakeholders in CQI
Building community pathways processes and ensuring
child and family serving systems. to prevention and creating a improvement efforts are
new service experience for driven by those most
families impacted by the results
SPOTLIGHT TRACK Re-Imagining a Prevention-Focused and Equitable Child Welfare System for the 21st Century A6: Re-Imagining a Prevention-Focused and Equitable Child Welfare System for the 21st Century Wednesday, 1:45 pm – 2:45 pm B1: How Continuous Quality Improvement (CQI) is Being Used to Transform a Child Welfare System Wednesday, 3:00 pm – 4:00 pm C2: Operationalizing a Community Pathway to Prevention: Partnering with Families to Strengthen Communities Wednesday, 4:15 pm – 5:15 pm D1: An Analytic Framework to Address Economic-Related Risk Factors in Child Welfare Thursday, 1:15 pm – 2:15 pm E1: Evidence Based Program Exploration and Cost Tool for Effective Selection of EBPs in Family First Thursday, 2:30 pm – 3:30 pm F1: Service Array Transformation: Leveraging a Service Referral Application to Build Cross-System Collaboration Thursday, 3:45 pm – 4:45 pm and Improve Outcomes for Communities in Washington, DC G1: Flexible Funds in Kentucky to Increase Well-being: Operationalizing the Evidence on Economic and Concrete Supports Friday, 8:30 am – 9:30 am
PRESENTERS & ACKNOWLEDGEMENT
Kristen Gore, MSW Jason Brennen, MPPA Katrina Dorse, MSW, MPA
Associate Policy Analyst Senior Policy Analyst Associate Policy Analyst
Co-Lead Developer Co-Lead Developer Supporting Developer
A special thank you to other Chapin Hall contributors to the tool:
Samantha Steinmetz, Charlotte (Halbert) Goodell, Olivia Wilks, Amber Blatt, and Miranda Lynch Smith
FAMILY FIRST IMPLEMENTATION AND SERVICE ARRAY
DEVELOPMENT CHALLENGES
Family First is an important opportunity for child welfare agencies to further build a prevention
service array
At the same time, child welfare agencies have been challenged in identifying which interventions would be
most impactful to include in the state’s prevention plan based on fit, feasibility, and cost.
• Existing service exploration and readiness tools
o Useful frameworks for planners to determine the fit and feasibility of a specific program or
intervention
o Limitations in the Family First context given that the rating systems do not include many important
considerations when implementing a service as part of a Title IV-E prevention plan
• Cost
o Lack of available information in the public domain for many programs; requires outreach to model
developers for consultation
o Some of our partners did not engage the model developers to understand the fiscal implications
before selecting a service
WHAT IS THE EBP EXPLORATION & COST TOOL
Resource intended to assist public child welfare agencies
with the selection of evidence-based programs or
practices (EBPs) for their Family First prevention plans.
Budget worksheets for each EBP to help determine
program cost
Questions and ratings designed to assess fit, feasibility,
and readiness to implement an EBP
KEY COMPONENTS OF THE TOOL
Structure of the tool leads the user through 3 stages of service consideration
Model Exploration Cost Calculators Model Selection*
Customizable worksheets to Questions and ratings intended for
Quickly review and compare
calculate startup and ongoing larger set of stakeholders to assess
programs side by side
program costs fit, feasibility, and implementation
readiness before choosing an EBP
The three key components of the tool assist stakeholders in better understanding the range of
EBPs for implementation that are feasible and fit the jurisdiction’s context.
*Adapted from: (1) Metz, A. & Louison, L. (2018) The Hexagon Tool: Exploring Context. Chapel Hill, NC: National Implementation Research Network, Frank Porter Graham Child Development
Institute, University of North Carolina at Chapel Hill. Based on Kiser, Zabel, Zachik, & Smith (2007) and Blase, Kiser & Van Dyke (2013); (2) Capacity Building Center for States (2019). Change and
implementation readiness assessment tool. Washington, DC: Children's Bureau, Administration for Children and Families, U.S. Department of Health and Human Services.
1. Brief Strategic Family Therapy
2. Child First
3. Child-Parent Psychotherapy
4. Family Check-Up
5. Family Spirit
6. Functional Family Therapy
THERE ARE 7. Healthy Families America
CURRENTLY 8. Homebuilders
9. Intercept
18 EBPS IN 10. Incredible Years
THE TOOL. 11. Motivational Interviewing
12. Multisystemic Therapy
13. Nurse Family Partnership
With more to 14. Parents as Teachers
come… 15. Parent Child Interaction Therapy
16. SafeCare
17. Trauma-Focused Cognitive Behavioral Therapy
18. Positive Parenting Program (Triple P)
Review and documentation Collaboration with
of model information developers to create
TOOL from evidence model overview
DEVELOPMENT clearinghouses, EBP
websites, and other sources
information and cost
calculator templates
PROCESS
Pilot of the tool to gather
Ongoing refinement based
feedback on usability in
on user feedback
the field.DEMO: JURISDICTION EXAMPLE
In this example, the Child Welfare Agency has an approved Title IV-E Prevention Plan.
• Target Populations
o Candidate groups at risk for foster care:
o Families receiving in-home program services
o Recently reunified from foster care families
o Post-adoption support families
o families with a child at risk for dual system (CW & JJ) involvement
o Pregnant & parenting youth in foster care
• Service Array
o Healthy Families America (HFA)
o Child Parent Psychotherapy (CPP)
o Trauma Focused CBT (TF-CBT)
o Multisystemic Therapy (MST)DEMO: JURISDICTION EXAMPLE
The Child Welfare Agency would like to amend their plan to fill an identified service array gap
for children and families in need of parenting skill services.
• Needs addressed:
o Caregiver that needs support in areas such as parental knowledge, discipline, supervision, low social support
o Children with an identified emotional/behavioral need that leaves them at risk of out of home placement
• Target age of children: 4-17 years old
• Program intensity:
o Eligibility will be for families who are indicated for a moderate or high rating on the established risk assessment tool
o Special consideration to programs that are considered “intensive” interventions
• Evidence Rating:
o Most of the jurisdiction’s current Family First service costs to date have been for CPP and TF-CBT, both are non-well-
supported EBPs.
o Special attention to choosing a Well-Supported parenting EBP to ensure that 50% of overall claimed expenditures are for
Well-Supported services.Demo of the EBP Exploration & Cost Tool
Questions and Insights
WHERE TO FIND
THE TOOL
You can download the tool on the
Chapin Hall website!
https://www.chapinhall.org/ebp-cost-
tool/Thank you!
Partner jurisdictions and field experts who provided feedback
during the pilot of the tool
&
Model DevelopersQuestions or comments?
Please reach out to:
Kristen Gore
kgore@chapinhall.org
Chapinhall.orgYou can also read
