1	Community Resource Training
2	The Children’s Services Council An independent taxing authority created to plan, coordinate and fund services, for and on behalf of, the children of Broward County www.cscbroward.org
3	One Community Partnership Creating a comprehensive SOC driven by family voices for SED youth Ensuring a broad array of MH & other related services are available to SED children & families Increasing quality of services Improving data collection & implementing science based evaluation to monitor Attaining cultural proficiency & diversity within the system that is being developed www.broward.org/onecommunity
4	Systems in Broward County Department of Health Entitlements Broward County School Board Behavioral Health Child Welfare Department of Juvenile Justice Adult Services
5	Primary Health System How It Works! The Primary Health system encompasses all medical and developmental services as well as governmental entitlements
6	Primary Health System Department of Health Broward County Health Department www.browardchd.org Children’s Medical Services (CMS) 1-800-204-2182 (954) 713-3100 www.cms-kids.com Social Security Administration 1-800-772-1213 www.ssa.gov Department of Children and Families 1-866-762-2237 (954) 267-2000 www.myflorida.com
7	Primary Health System Developmental Disabilities, FDLRS, ChildFind & Children’s Diagnostic Treatment Center (754) 321-2204 North Broward Hospital District-NBHD (954) 759-7400 www.browardhealth.org Memorial Healthcare System (954) 987-2000 www.mhs.net
8	Providers for the Indigent & Uninsured Medicaid, Medicare & private insurance also accepted Broward Community & Family Health Centers Pompano 954-970-8805 Hollywood 954-967-0028 Memorial Health Care System Hollywood 954-985-1551 Dania 954-922-7606 North Broward Hospital District 7th Ave Clinic 954 -759-6600 Pompano Adults 954-786-5901 Children 954-786-5413 Other school based clinics
9	Department of Health: Personal Health Services Breast and Cervical Cancer Screening Dental Care for Children Family Planning- Birth Control and Pregnancy Testing Vital Statistics- Birth/Death Records Hepatitis- Prevention and Testing Teen Health Clinics Immunizations KidCare Outreach Sexually Transmitted Disease Testing and Treatment Tuberculosis Control WIC/Nutrition HIV/AIDS Care and Treatment (only primary health care service offered by BCHD)
10	Women, Infants and Children-WIC Nutrition program for women who are breastfeeding, or who have recently been pregnant (or have children under the age of 5) Healthy food, nutrition education, breastfeeding support and referrals Eligibility based on income and household size
11	Children’s Medical Services (CMS) A program of the Florida Department of Health Principal provider for children with special health care needs in Medicaid (Title XIX) and Florida KidCare State Children’s Health Insurance Program (Title XXI) Eligibility: Younger than 21 years of age & Medicaid or KidCare eligible Chronic physical, developmental, behavioral or emotional conditions Require health care and related services of a type or amount beyond the general services given to children
12	Children’s Diagnostic and Treatment Center (CDTC) An outpatient pediatric facility that provides medical & social support services Serves children with special needs, at high risk or have chronic medical problems Referral/Information (754) 321-2204 Services include: Evaluations Early Intervention Program Part C (ages 0-3) Home Based Programs Primary Medical Care Dental Clinic Research Comprehensive Family Aids Project Emergency Assistance
13	Child Find: 754-321-2204 The Florida Diagnostic and Learning Resources System (FDLRS) is part of the Broward County School District and provides support services to educators, parents, and other professionals who work with exceptional students Goal: To ensure that all children, ages 0 – 21, who need special education receive a free and appropriate education Screening for children ages 0 – 5 Entry point for Exceptional Student Education (ESE) services
14	Entitlements: Social Security Benefits Social Security, Supplemental Security Income (SSI) & SS Disability Serves the elderly, disabled & survivors Monetary & health benefits given based on age, disability or death of a spouse To apply for benefits, contact the Social Security Administration office 1-800-772-1213/www.ssa.gov
15	Entitlements: Medicaid Medicaid is a program that provides medical coverage to low income individuals and families Medicaid eligibility in FL is determined by the Department of Children and Families (DCF) or the Social Security Administration DCF determines eligibility for: Low income families with children Children only Non-citizens with medical emergencies Elderly and/or disabled individuals not on SSI
16	Entitlements: Medicaid, Food Stamps & Temporary Cash Assistance DCF Economic Self Sufficiency 1-866-762-2237 for information/application www.myflorida.com/accessflorida For information/application online or on site (assistance available) Information also given in Spanish & Creole Eligibility for 200% below poverty Rule of thumb: If your child gets free or reduced lunch, he/she qualifies for Medicaid
17	"Eligibility" Eligibility: Florida resident, under age 19, in the care of an adult, must have social security number (or have applied for a SS#), US citizen or qualified non-citizen, must be 200% below federal poverty limit Families over 200% income guideline can have an option to “buy in” at the full premium for Healthy Kids and Medikids Monthly premiums and co-pays may apply Enrollment open all year 1-888-540-5437/www.floridakidcare.org
18	KidCare History 1929- Florida Crippled Children’s Commission 1935- Title V of the Social Security Act 1965- Title XIX of the SSA (Medicaid) 1970- Florida Implements Medicaid 1997- Title XXI of the SSA (SCHIP) 1998- Florida KidCare
19	KidCare Eligibility
20	Broward County Schools Exceptional Student Education (ESE) Services The Individuals with Disabilities Education Act (IDEA) ensures students with disabilities and their parents of certain rights, including: the right to a free and appropriate education, the right to the least restrictive environment, the right to confidentiality and to due process
21	Broward County Schools Exceptional Student Education (ESE) Services The Identification Process for ESE eligibility The problem solving process is initiated by a parent, teacher, mental health professional, school personnel or anyone concerned about the child Parent conferences are held Observations are made and anecdotals are documented Interventions are attempted
22	ESE Services: The Process A child study team is convened to review all information. If services are needed: Additional interventions are implemented when appropriate The need for additional evaluation is determined. If so, parental consent is sought, and a referral packet is sent to the evaluation specialist
23	ESE Services: The Process The student is assessed by a multi-disciplinary team Staffing committee and parent review assessment findings Eligibility and placement determinations are made
24	ESE Services 504 Accommodations – individualized educational interventions for any disability (including ADHD) Individualized Education Plan (IEP) – Any student with ESE services has an IEP which is reviewed and updated annually. Parents and involved professionals participate in these staffings ESE eligible, in mainstream classes – Some students receive special accommodations, but are in regular class settings, or receive special services during the day
25	ESE Services Emotionally Handicapped cluster – Small, self-contained class settings within mainstream schools SED Centers – Schools for Severely Emotionally Disturbed students (Whispering Pines, Sunset and Cross Creek) OHI – Other Health Impaired – another ESE classification typically related to chronic or acute health problems Part C Program – Special services for young children, including those with developmental delays
26	Behavioral Health System “The system that looks out for our mental health and substance abuse needs”
27	Behavioral Health System Provider agencies offer a wide array of services to meet the community’s needs Agency type & funding Federal government State of Florida Broward County Children’s Services Council United Way Nonprofit organization Private foundations
28	Behavioral Health System Levels of Care Community-Based Therapeutic Foster Care (Medicaid funded) Therapeutic Group Home Residential Treatment -Statewide Inpatient Psychiatric Placement (SIPP) (Medicaid funded) -Community based substance abuse program -Private pay
29	Behavioral Health & Substance Abuse Resources 211- First Call for Help 24/7 information/referral line Dial 211 or (954) 537-0211 www.211broward.org Henderson Mental Health Center (954) 677-3113 Behavioral health resources CM for children with complex needs Wraparound intervention Individual provider agencies Primary care physician referral
30	Behavioral Health & Substance Abuse Resources Mental Health Association (954) 746-2055 SETH Line (954) 578-5640 Community websites & resource books OCP www.broward.org/onecommunity MHA www.mhabroward.org Connections for Kids (free book!) First Call for Help of Broward Pathfinder
31	Crisis Intervention Services Call 911 Henderson’s Mobile Crisis or Youth Emergency Services (YES Team) (954) 677-3113 Family Services Planning Team (FSPT) Interdisciplinary team meetings Access to behavioral health residential services Flex funding
32	The Baker Act Chapter 394 of the Florida Statute-governs MH services including Voluntary admissions Involuntary examinations Involuntary placement Person can be compelled into a local hospital or crisis unit for an involuntary examination for up to 72 hours Must have a mental illness & be dangerous to themselves or others
33	The Baker Act 3 ways to begin process Any person may sign an affidavit explaining why the individual meets criteria Circuit Judge makes decision Court order issued called Ex Parte Police officer takes person to crisis unit Police officer decides if person meets criteria & takes person to crisis unit Doctor or specified health care provider decides that person meets criteria Police officer takes person to crisis unit
34	The Baker Act Broward receiving facilities Memorial Healthcare System Fort Lauderdale Hospital University Pavilion Henderson Mental Health Center’s YES Team 24/7 on call & provide assessments
35	The Baker Act Within 72 hour period the following may occur Person may be released Person released for outpatient treatment Person voluntarily agrees for longer inpatient treatment Receiving facility may petition for involuntary placement
36	The Marchman Act Court ordered assessment for substance abuse services & includes recommendations for care Petitions filed at the Broward County Courthouse, 2nd floor, room 250 201 SE 6^th Street Fort Lauderdale, FL 33301
37	The Marchman Act Hearings are heard every Tuesday Petitioner must provide proof of substance use to the General Master GM decides on consenting for assessment
38	The Marchman Act If child refuses to comply with recommendations the family must complete a petition for treatment within 90 days of the initial assessment Provider receives Ex Parte for child’s treatment
39	System Liaisons Broward County OCP Behavioral Health Services Specialists (formerly SPOAs) Provide expertise regarding behavioral health issues to ChildNet Child Advocate School Board of Broward County Childnet Court Administration Public Defender Liaision DJJ Henderson Mental Health Center
40	Child Welfare System “The system that protects children” The Child Welfare systems in the State of Florida have been contracted to local community based care providers In Broward County, that agency is Childnet Handles all case management services Handles contracts with community agencies for other services provided within the child welfare system
41	Community Based Care-Childnet ChildNet’s 5 facilities in Broward County: SafePlace Intake & assessment, eligibility determination (954) 414-6005 Child Advocacy Service Centers Central Service Center & Administration (954) 414-6006 North Service Center (954) 414-6002 West Service Center (954) 414-6004 South Service Center (954) 414-6003
42	Child Welfare System
43	Child Welfare System BSO CPI Investigation Has specific timelines Abuse Hotline determines allegations & timelines Risk assessment & investigation completed
44	Child Welfare System Any of the following actions are conducted: No findings of abuse, abandonment or neglect & close the investigation Provide informal referrals for voluntary services & close the case Staff the case for formal voluntary protective services agreement Request a petition for adjudication while the child remains in the home Remove the child from the home & request a shelter hearing within 24 hours
45	Child Welfare System When BSO CPI finds a child to be at imminent risk of harm child removed 2 options available Protective Supervision: If the family identifies an appropriate & willing relative/non-relative to care for the child, a home study and background checks are completed & with Court permission, the child is placed in their temporary custody, while the parents are offered services to remedy the issue causing the removal to occur when appropriate
46	Child Welfare System Foster Care: When no appropriate or willing relative is available, the child is placed into a foster home or a group home, while the parents are offered services to remedy the issue causing the removal to occur when appropriate (A last option when there are no available or willing relatives) A Child Advocate assigned to case immediately
47	Child Welfare System When BSO finds the child not at imminent risk of harm: BSO CPI may choose to allow the child to remain in the home with their parents But file a petition for adjudication with the Dependency Court for parents to complete services to remedy their issues
48	Child Welfare System Shelter hearing Occurs within 24 hours of removal If probable cause is found by the Judge, then child placed on shelter status After shelter hearing Arraignment hearing occurs Parent (s) will either deny, consent or admit to petition
49	Child Welfare System If parent (s) consents or admits to petition Disposition takes place Case plan developed Disposition hearing Court will rule on placement for the child Case plan tasks to be completed by the parent (s)
50	Child Welfare System If at arraignment, parent (s) denies allegations & mediation agreement not reached Case set for adjudicatory hearing (trial)
51	Child Welfare System
52	Child Welfare System Case Plan Developed in conjunction with all parties & parents Parents receive referrals for services in an effort to remedy the issue that caused the child to be at risk
53	Child Welfare System Child Advocate Ensures that the needs of the child are being met Works with the parents on their case plans Is a party to all legal proceedings Federal regulations Suggest that reunification or permanency should occur within 12 months of removal
54	Child Welfare System Case Plan Developed in conjunction with all parties & parents Parents receive referrals for services in an effort to remedy the issue that caused the child to be at risk Child Advocate Ensures that the needs of the child are being met Works with the parents on their case plans Is a party to all legal proceedings Federal regulations Suggest that reunification or permanency should occur within 12 months of removal
55
56	Guardian Ad Litem Program State organization designed to look out for the best interest of children involved in the legal system Over 300 volunteers, staff & attorneys provide a strong voice for the abused, neglected & other children involved in the legal system
57	Guardian Ad Litem Program Judge appoints the program to every child in the dependency system Volunteer gets involved when available or necessary GALs report to the court Look out for the child’s best interest
58	Guardian Ad Litem Program Collects comprehensive information about children and families and monitors the case until formally discharged by the Judge
59	Department of Juvenile Justice (DJJ)
60	Department of Juvenile Justice Headquarters in Tallahassee Divided into 3 regions (Broward is the South) Divided into 20 circuits Broward is circuit 17 In Broward, there are 3 service centers: North (954) 969-4300 Central (954) 497-3330 South (954) 967-1417
61	Department of Juvenile Justice Juvenile Assessment Center (JAC) Located on State Road 84 Open 24/7 Accepts children ages 7-18 that have been arrested Intake and Detention screening completed Pre-PACT assessment is completed Full- PACT assessment completed when warranted
62	Department of Juvenile Justice What is PACT? Positive Achievement Change Tool Evidence- Based Assessment Tool Identifies the youth’s criminogenic risk factors and needs Child can stay at the JAC for up to 24 hours Discharge from the JAC is either to: Secure detention Home detention Released
63	Department of Juvenile Justice
64	Delinquency Process Intake conference Face to face meeting with youth & family Assessments (MH, victim & law, home & school)
65	Delinquency Process Recommendation to State Attorney Non-judicial: info from police does not warrant court intervention Judicial: charge is serious and warrants court action; or child is non-compliant or reoccurring law offense
66	Delinquency Process Court Intervention- 4 juvenile judges SAO approves judicial recommendation Dispositional Hearing Pre dispositional report Stern judicial warning Probation Commitment
67	Probation Supervision Juvenile Probation Officer (JPO) Completes & monitors supervision plan Day Treatment Florida Ocean Sciences Institute (F.O.S.I.) Juvenile contacts (determined by risk assessment)
68	Probation Supervision Ensures compliance of court ordered sanctions Required contacts Community service hours School status Victim accountability No alcohol or drug usage Obey reasonable rules imposed by parents & JPO
69	Violation of Probation Youth is non-compliant Technical Violations New Law Violations
70	Commitment Multi-disciplinary staffing Residential Level 4 (low risk) Level 6 (staff secured) Level 8 (hardware secured) Level 10 (hardware secured)
71	Conditional Release Eckerd and F.O.S.I. Provides a continuum of services and supervision for youth Designed to assist youth in the transition back to the community 2-6 months on supervision Transfer Hearing for non-compliance
72	Terminations Successfully completed court sanctions and terms of the supervision plan JPO submits court order Approved by the Judge Congratulatory Letter to the Youth
73	Adult Services for the Homeless Shelter- Coalition to End Homelessness (954) 792- BEDS Broward Partnership for the Homeless Homeless Assistance Centers (HAC) Food- The Cooperative Feeding Program (954) 792-2328 Pregnant Teens- Covenant House (954) 568-7932 General Support (food, clothes, shelter..) Salvation Army & Shepherd’s Way
74	Adult Behavioral Health Services Henderson Mental Health Center- Safe Haven & Chalet (954) 463-0911 Outpatient, Therapy, Medication Mgt, CM, Day Treatment, ACT, Supportive Employment Archways (954) 763-2030 Outpatient, medication mgt, therapy, CM, day treatment and supportive employment Bayview (945) 518-4080 Outpatient, medication mgt, therapy, CM, ACT
75	Adult Behavioral Health Services Smith Community MH (954) 321-2296 Out patient, therapy, medication mgt Jewish Family Service of BC Out patient, therapy, medication mgt
76	Family Success Centers BC Government programs- 4 locations North- (954) 786-2121 2011 NW 3^rd Ave, Pompano Beach 33060 Central (Mills)- (954) 497-1432 3500 North State Road 7, suite 351 Lauderdale Lakes, 33319 South (Carver Ranches)- (954) 985-1920 4733 SW 18 St, Hollywood 33023 Coral Springs NW Regional-(954) 761-2121 10077 NW 29 St, Coral Springs 33065
77	Services Available at the Family Success Centers Mental health counseling (individual, family and group) Community Action Agency Homeless Services Refugee Services Case Management (information & referral) Emergency Assistance Life Skills Classes
78	Child Support Enforcement Division (SED) Child Support Enforcement (540 SE 3^rd Ave, 1^st floor Fort Lauderdale (954) 357-8800) is organized to ensure efficiency into five units: Case Management Legal unit Payment unit Delinquency/judgment unit Specialty new case unit
79	Child Support Enforcement To set up a case you will need the following documentation: Final judgment and judge’s order Property settlement agreement Income declaration order Any order relating to child support *It takes 4-6weeks for a case to be opened once the paperwork is obtained
80	Child Support Enforcement What They Can Do! Enforce child support orders Enforce spousal support orders Register out of state orders Register orders from other counties in Florida Obtain monetary judgments
81	Child Support Enforcement What They Can Do! Process and monitor payments Maintain financial records Enforce penalties Schedule hearings Provide referrals for families in crisis
82	Child Support Enforcement What They Cannot Do! Enforce a case if public assistance is being received Enforce a case outside of Florida Enforce a case when nobody lives in Broward
83	Child Support Enforcement What They Cannot Do! Establish paternity Establish original orders Enforce mortgage payments Handle custody or visitation orders