HomeMy WebLinkAboutC23-235 CDHS_CORE PlanPage 1
Eagle County Core Plan
2023-2024
Is the County submitting a Core II Plan? [ ] Yes [ X ] No
Programmatic Pieces from County Core Plan Experts
Core Services Program/Volume 7:
● List of Definitions of Services - (Link to Volume 7.3)
○ Cut & paste this into your browser to access:
https://www.sos.state.co.us/CCR/GenerateRulePdf.do?ruleVersionId=10689&fi
leName=12%20CCR%202509-4
● Eagle County Designed Services include:
○ Family Engagement Meetings
○ Trauma Informed Services, Non-traditional therapies
○ Therapeutic Supervised Visits
○ Multisystemic Therapy (MST) and Multisystemic Therapies – Contingency
Management (MST-CM)
■ The MST and MST-CM County Designed Services are provided through the
evidence-based service to adolescents earmarked funding.
● Is this service innovative and/or otherwise unavailable in this county? Yes
● Can this service be funded by Medicaid or private insurance instead of Core?
Sometimes
Which Core goal does this service best meet? (Check the box next to the selection)
Focus on the family strengths by directing intensive services that support and
strengthen the family and/or protect the child;
Prevent out-of-home placement of the child;
Return children in placement to their own home; or
Unite children with their permanent families.
Provide services that protect the child
To return children in placement to their own home or to unite children with their
permanent families” is defined as return to the home of a parent, an adoptive
placement, guardianship, supervised independent living placement, foster-adoption
placement or to live with a relative/kin if the goal for the child in the Family Services
Plan is to remain in the placement on a permanent basis.
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COUNTY DESIGN NARRATIVE SECTION
Optional services approved as a part of the county’s Core Services Plan are approved on an
annual basis.
For a County Designed Service to be extended beyond one year, this portion of the plan must
be submitted and approved annually by the State Department.
Given that County Designed programs are not standardized across counties, it is important to
provide detailed information as outlined below.
The information listed below is to be completed for each County Designed Service and included
in the County(ies)’ Core Services Program Plan.
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CORE SERVICES COUNTY DESIGNED SERVICE
Service Name: Family Engagement Meetings
Optional services approved as a part of the county’s Core Services Plan are approved on an
annual basis. For a County Designed Service to be extended beyond one year, this portion of
the plan must be submitted and approved annually by the State Department.
Given that County Designed programs are not standardized across counties, it is important to
provide detailed information as outlined below. The information listed below is to be
completed for each County Designed Service and included in the County(ies)’ Core Services
Program Plan.
1. Describe the service and components of the service; define the goals of the program.
● Eagle County Department of Human Services (ECDHS) recognizes the importance of
involving family members, their identified support systems, and professional
partners also working with the family in decision making about children and youth
who need protection or care. The Family Engagement program at ECDHS actively
collaborates with family members and their formal and informal support systems to
create and implement plans that support the safety, permanency and well-being of
children and youth.
● Family engagement meetings utilize the Consultation and Information Sharing
Framework. Risk and goal statements are used to help family members and their
support systems understand the Department’s perspective. The conversation
during family engagement meetings is focused on the three following areas: family
strengths, danger/harm and complicating/risk areas, and next steps. Action plans
are created from the next steps category. The meeting attendees plan around
issues that are identified in order to keep children in the home whenever possible
or return children to their home as soon as possible.
2. Indicate if a new Trails service detail is necessary for this County Designed Program or
that the service detail is already an option in Trails.
● Service detail for this County Designed Program is already available in Trails.
3. Define the eligible population to be served.
● The eligible population includes children and youth between the ages of 0-18 years
and their families who have open child welfare assessments or cases.
4. Define the time frame of the service.
ECDHS requires Family Engagement Meetings take place:
● During child welfare assessments when families score “High” on the Colorado risk
assessment (for both High Risk Assessments & Family Assessment Response)
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● During assessments when a safety concern has been identified and a safety plan
implemented (for both High Risk Assessments & Family Assessment Response)
● At the time of child welfare case opening (within seven business days)
● Every 3 months during a child welfare case when a child in the family is placed in
out of home care
● Every 6 months during a child welfare case when the family remains intact
● At the time of child welfare case closure
5. Define the workload standard for the program:
● Number of cases per worker: Trained employees of Eagle County DHS and/or
contracted service providers facilitate family engagement meetings.
● Number of workers for the program: There are no specific workers for the family
engagement program, but currently ECDHS has four (4) trained employees to
facilitate family engagement meetings and no contracted service providers.
● Worker to supervisor ratio: At ECDHS in the Division of Children, Family & Adult
Services, the number of workers to supervisors is five to one.
6. Define the staff qualifications for the service, e.g., minimum caseworker III or
equivalent, see 7.303.17 for guidelines.
● ECDHS employees and contracted service providers who facilitate family
engagement meetings will have attended and successfully completed a family
engagement meeting facilitation training.
7. Define the performance indicators that will be achieved by the service, see 7.303.18.
● The family engagement meeting programs prevents out of home placement for
children and adolescents and secures permanency for those in out of home
placement. Additionally, the family engagement meeting program is a 2Gen
approach to service delivery and engagement for children and their parents
identifying a plan for them to make progress together.
8. Identify the service provider.
● This is a direct service provided by ECDHS employees or various contracted service
providers.
9. Define the rate of payment (e.g., $100.00 per session/episode).
● ECDHS employees:
o Caseworker(s)- 10% of FTE
o Coordinator – 10% of FTE
o Supervisor(s)- 10% of FTE
o Manager- 5% of FTE
o Payroll worker- 5% of FTE
o Contracted service providers- $75/hour
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Service Name: Trauma Informed, Non-Traditional Therapies
Optional services approved as a part of the county’s Core Services Plan are approved on an
annual basis. For a County Designed Service to be extended beyond one year, this portion of
the plan must be submitted and approved annually by the State Department.
Given that County Designed programs are not standardized across counties, it is important to
provide detailed information as outlined below. The information listed below is to be
completed for each County Designed Service and included in the County(ies)’ Core Services
Program Plan.
Optional services approved as a part of the County’s Core Services Plan are approved on an
annual basis. For a County Designed Service to be extended beyond one year, this portion of
the plan must be submitted and approved annually by the State Department.
1. Describe the service and components of the service; define the goals of the
program:
● ECDHS uses specialized therapies to address grief, loss and trauma experienced
by children and families in the child welfare system. These specialized
therapies use an integrative healing therapeutic approach and may be very
helpful when traditional talk therapy has not led to improved symptomatology.
Trauma Informed Services may include:
● Music therapy
● Yoga therapy
● Play therapy
● Art therapy
● Dance therapy
● Equine Assisted therapy
● Talk therapy utilizing trauma informed evidence-based practices
2. Indicate if a new Trails service detail is necessary for this County Designed Program
or that the service detail is already an option in Trails:
● Service detail is already an option in Trails
3. Define the eligible population to be served:
● The population for trauma informed practices, nontraditional therapies
includes children, youth (ages 0-18) and their parents, legal guardians or
caregivers who have an open child welfare case and who meet the CORE
Services Eligibility Criteria.
4. Define the time frame of the service:
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● Children, youth and families are eligible for this service twice a month or as
recommended by the service provider.
5. Define the workload standard for the program.
● Identify the number of cases per worker:
N/A, purchased service
● Identify the number of workers for the program:
N/A, purchased service
● Identify the number of workers to supervisor ratio:
N/A, purchased service
6. Define the staff qualifications for the service, e.g., minimum caseworker III or
equivalent, see 7.303.17 for guidelines:
● ECDHS employees do not provide this service. Contracted service providers will
meet the Core Services requirements by having a bachelor’s degree or higher in
the human services field, such as counseling or social work and they will have
current licensure through DORA.
7. Define the performance indicators that will be achieved by the service, see
7.303.18:
● The performance indicators achieved by this service will often be determined
in the treatment plan written and agreed upon by the contracted service
provider, the family member and the ECDHS Caseworker. An example of a
performance indicator is increased parent competency:parent will show the
ability to provide care for their child(ren) as evidenced by providing proper
discipline.
8. Identify the service provider:
● Various contracted service providers
9. Define the rate of payment:
● $100/hour in office services and $110/hour for in home/off site/bilingual
services
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Service Name: Therapeutic Supervised Visitation
Optional services approved as a part of the county’s Core Services Plan are approved on an
annual basis. For a County Designed Service to be extended beyond one year, this portion of
the plan must be submitted and approved annually by the State Department.
Given that County Designed programs are not standardized across counties, it is important to
provide detailed information as outlined below. The information listed below is to be
completed for each County Designed Service and included in the County(ies)’ Core Services
Program Plan.
1.Describe the service and components of the service; define the goals of the
program:
● ECDHS recognizes the importance of supervised visitation to maintain and
improve the parent/child relationship when a child is placed outside of the
family home. Therapeutic supervised visitation is sometimes required when
working towards family reunification.
● During therapeutic supervised visitation, a mental health professional
supervises the visitation. The mental health professional creates a safe,
therapeutic environment, works directly with parents to improve parenting
skills and eliminate safety concerns during the visitation. The mental health
professionals have the authority to end the parent/child visit if safety concerns
arise. The mental health professionals supervising therapeutic visits submit
monthly reports summarizing the service along with their invoices.
2. Indicate if a new Trails service detail is necessary for this County Designed Program
or that the service detail is already an option in Trails:
● Service detail is already an option in Trails
3. Define the eligible population to be served:
● The eligible population includes children and youth between the ages of 0-18
and their families who have an open child welfare assessment or case.
4. Define the time frame of the service:
● This service would be provided when a child is in out of home placement and
the family is working towards reunification but active safety concerns exist
which require an extra layer of therapeutic oversight during parent/child
interactions.
5. Define the workload standard for the program:
● Identify the number of cases per worker:
○ N/A, ECDHS employees would not provide therapeutic supervised
visitation
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● Identify the number of workers for the program:
○ N/A
● Identify the number of workers to supervisor ratio:
○ N/A
6. Define the staff qualifications for the service, e.g., minimum caseworker III or
equivalent, see 7.303.17 for guidelines:
● ECDHS contracts with mental health professionals who would provide the
therapeutic supervised visitation.
7. Define the performance indicators that will be achieved by the service, see
7.303.18:
● Therapeutic supervised visitation works to reduce the length of stay in out of
home placement and supports the safety, permanency and well-being of
children and youth.
● Identify the service provider:
○ This is a direct service provided by various contracted service providers.
8. Define the rate of payment:
● Contracted service providers: $100/hour for in office visits and $110/hour in
home/off site/bilingual services.
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Service Name: MST and MST-CM
Optional services approved as a part of the county’s Core Services Plan are approved on an
annual basis. For a County Designed Service to be extended beyond one year, this portion of
the plan must be submitted and approved annually by the State Department.
Given that County Designed programs are not standardized across counties, it is important to
provide detailed information as outlined below. The information listed below is to be
completed for each County Designed Service and included in the County(ies)’ Core Services
Program Plan.
This county designed service is intended to utilize funding for Evidence Based Services to
adolescents.
1. Describe the service and components of the service; define the goals of the
program:
● MST is an evidence-based, intensive, in-home treatment for youth who are at
risk for out of home placement. Treatment is designed to be short term,
lasting 3-5 months with high frequency of sessions: 2-3 times per
week. Families have access to an MST therapist 24 hours per day through a
crisis phone.
● MST-CM is an evidence-based, intensive, in-home treatment for youth who are
at risk for out of home placement and involved in delinquent behavior and
substance use or substance abuse. Families receive 2 therapeutic visits per
week and have access to the MST therapist 24 hours per day through a crisis
phone.
2. Indicate if a new Trails service detail is necessary for this County Designed Program
or that the service detail is already an option in Trails:
● Service detail is already an option in Trails
3. Define the eligible population to be served:
● Adolescents and their families are eligible for this service.
4. Define the time frame of the service:
● Treatment is designed to be short term, lasting 3-5 months with high frequency
of sessions: 2-3 times per week. Families have access to an MST therapist 24
hours per day through a crisis phone.
5. Define the workload standard for the program:
● Identify the number of cases per worker:
○ N/A, ECDHS employees would not provide services.
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● Identify the number of workers for the program:
○ N/A
● Identify the number of workers to supervisor ratio:
○ N/A
6. Define the staff qualifications for the service, e.g., minimum caseworker III or
equivalent, see 7.303.17 for guidelines:
● ECDHS contracts with community providers who implement the program in
Eagle County.
7. Define the performance indicators that will be achieved by the service, see
7.303.18:
● Therapeutic supervised visitation works to reduce the length of stay in out of
home placement and supports the safety, permanency and well- being of
children and youth.
● Identify the service provider:
○ This is a direct service provided by Savio House through a county
specific Core contract.
8. Define the rate of payment:
● $2,354 - $2,554 per month for 2-3 therapeutic visits per week and 24/7 support
via telephone.
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SERVICE
Check here if
included in (PA3)
(Prevention)
Check here if included
in (PA4)
(Youth in Conflict)
Check here if
included in (PA5)
Check here if included in (PA6)
(Adoption at risk of disruption, FYIT)
1. Home-Based Intervention X X X X
2. Intensive Family Therapy X X X X
3. Sexual Abuse Treatment X X X X
4. Day Treatment X X X X
5. Life Skills X X X X
6. County-Designed Service: Family
Engagement Meeting
X X X X
7. County-Designed Service: Trauma Informed
Services, Non traditional therapies
X X X X
8. County-Designed Service: Therapeutic
Supervised Visits
X X X X
9. County-Designed Service: MST X X X X
10. SEA (Special Economic Assistance) X X
11. Aftercare Services X X X X
12. Mental Health Services X X X X
13. Substance Abuse Treatment X X X X
● Aftercare Services: Any of the Core Services provided to prepare a child for reunification with his/her family or other perma nent placement and to
prevent future out-of-home placement of the child.
● County Designed Services: An optional service tailored by the specific county to meet the needs of families and children in the community in order to
prevent the out-of-home placement of children or facilitate reunification or another form of permanence. County -designed services encompass
components of the menu of Core Services, yet are structured in their delivery and tracked uniquely to gain detailed data on evidenced -based
programs, as well as programs that are providing positive outcomes in communities around the state.
● Day Treatment: Comprehensive, highly structured services that provide education to children and therapy to children and their families.
● Home-Based Intervention: Services provided primarily in the home of the client and include a variety of services, which can includ e therapeutic
services, concrete services, collateral services, and crisis intervention directed to meet the needs of the child and family. See Section 7.303.14 for
service elements of therapeutic, concrete, collateral, and crisis intervention.
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● Intensive Family Therapy: Therapeutic intervention typically with all family members to improve family communication, functioning, and relationships.
● Life Skills: Services provided primarily in the home that teach household management, effectively accessing community resourc es, parenting
techniques, and family conflict management.
● Mental Health Services: Diagnostic and/or therapeutic services to assist in the development of the family services plan and t o assess and/or improve
family communication, functioning, and relationships.
● Sexual Abuse Treatment: Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dys function,
sexual abuse perpetration, and to prevent further sexual abuse and victimization.
● Special Economic Assistance: Emergency financial assistance of not more than $2,000 per family per year in the form of cash and/or vendor payment to
purchase hard services. See Section 7.303.14 for service elements of hard services.
● Substance Abuse Treatment Services: Diagnostic and/or therapeutic services to assist in the development of the family service plan, to assess and/or
improve family communication, functioning, and relationships, and to prevent further abuse of drugs or alcohol.
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County FTEs Funded With Core
Core Services Program
County(ies): Eagle
How many total FTEs are funded using your county’s Core
Services allocation?
100% time reporting is utilized when a percentage of Full
Time Employees are billed to numerous funding streams
Life Skills caseworkers- 1 FTE
Life Skills supervisor - 0.10 FTE
FEM caseworkers -0.10 FTE
FEM coordinator – 0.10 FTE
FEM supervisor - 0.10 FTE
FEM manager- 0.05 of FTE
Payroll worker- 0.05 of FTE
Using the list below, please subdivide your county's total number of FTEs according to what
area of child welfare they spend the most time working in.
Example: If you have an employee whose position is funded using Core and that employee
spends 25% of their time working on primary prevention efforts, 25% of their time working on
family engagement, and 50% of their time working on adoptions, then the assignment of that
FTE’s job duties toward the total number of FTEs for your county would be:
Primary Prevention .25 FTE, Family Engagement .25 FTE, and Adoptions .5 FTE.
Job Duties that Align with Core Goals Total Number of FTEs
Life Skills 1.10 FTE
County Design: Family Engagement Meetings .40 FTE
Total number of FTEs funded through Core: 1.50 FTE
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80/20 Funding Summary
Core Services Program
County(ies): Eagle
Service Name: Allocation Percentage:
Home Based Interventions 12%
Sexual Abuse Treatment 15%
Life Skills (contracted) 12%
Day Treatment 1%
PA3 20%
Trauma Informed, non traditional therapies 10%
Therapeutic Supervised Visits 10%
MST and MST-CM 20%
Total 80/20 Allocation Percentage 100%
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100% Funding Summary
Core Services Program
County(ies): Eagle
Service Name: Allocation Percentage:
Life Skills 45%
County Design: Family Engagement Meetings 20%
Intensive Family Therapy 5%
Special Economic Assistance 10%
Mental Health (Regional - Garfield is fiscal agent) 15%
Substance Abuse (Regional - Garfield is fiscal agent) 5%
Total 100% Allocation Percentage 100%
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Final Budget Page
Core Services Program
County(ies): Eagle
CFMS Function
Code:
Service Name: 80/20 Allocation
Percentage
100% Allocation
Percentage
X240 1845 Home Based Interventions 12%
X240 1840 Sexual Abuse Treatment 15%
X240 1820 Life Skills 12% 45%
Day Treatment 1%
PA3 20%
Trauma Informed, non traditional therapies 10%
Therapeutic Supervised Visits 10%
MST and MST-CM 20%
1200 1800 County Design: Family Engagement Meetings 20%
Intensive Family Therapy 5%
X240 1854 Special Economic Assistance 10%
X240 1845 Mental Health (Regional - Garfield is fiscal agent) 15%
Substance Abuse (Regional - Garfield is fiscal agent) 5%
Totals: 100% 100%
*CFMS Function Codes 17xx denotes 80/20 allocation funded Core Service
**CFMS Function Codes 18xx denotes 100% allocation funded Core Service
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CORE SERVICES
STATEMENT OF ASSURANCES
Eagle County(ies) assures that, upon approval of the Core Services Program Plan the following will be
adhered to in the implementation of the Program:
Core Services Assurances:
● Operation will conform to the provisions of the Plan;
● Operation will conform to State rules;
● Core Services Program Services, provided or purchased, will be accessible to children and
their families who meet the eligibility criteria set forth in Rule Manual Volume 7, at 7.303;
● Operation will not discriminate against any individual on the basis of race, sex, national origin,
religion, age or mental/physical disability who applies for or receives services through the
Core Services program;
● Services will recognize and support cultural and religious background and customs of children
and their families;
● Out-of-state travel will not be paid for with Core Services funds;
● All forms used in the completion of the Core Services Plan will be State prescribed or State
approved forms;
● Core FTE/Personal Services costs authorized for reimbursement by the State Department will
be used only to provide the direct delivery of Core Services;
● The purchase of services will be in conformity with State purchase of service rules including
contract form, content, and monitoring requirements;
● Core Services Program expenditures will not be reimbursed when the expenditures may be
reimbursed by some other source. (Set forth in Rule Manual Volume 7, at 7.414,B);
● Information regarding services purchased or provided will be reported to the State Department
for program, statistical, and financial purposes;
● All providers of Core Services (through the purchase of service contracts) must be registered
with the Colorado Department of Regulatory Agencies (DORA). The provision of Life Skills is
the only exception to this mandate;
● County staff are responsible for monitoring their Program provider payments and for ensuring
the county and providers are following all statutory and regulatory requirements;
● All Core Services are made available, based on the need of each child/youth/family; and
● All contracts for services using Core Services Program funding will include all of the required
language of the attached contract template.
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PURCHASE OF SERVICE CONTRACT
Core Services Program
Eagle County Government Attorney’s office has created a Core contract template that is utilized for
all Core contracts. A copy of this contract is available upon request.
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Resource List:
1. Volume 7 - Child Welfare Services (12 CCR 2509-4 ) effective 03/02/2023
○ https://www.sos.state.co.us/CCR/GenerateRulePdf.do?ruleVersionId=10689&fileName=
12%20CCR%202509-4
2. Colorado Code of Colorado Regulations webpage (for future updates to this Volume 7 PDF)
○ https://www.sos.state.co.us/CCR/DisplayRule.do?action=ruleinfo&ruleId=2823&deptID=
9&agencyID=107&deptName=Department%20of%20Human%20Services&agencyName=Soci
al%20Services%20Rules%20(Volume%207;%20Child%20Welfare,%20Child%20Care%20Faciliti
es)&seriesNum=12%20CCR%202509-4
3. Volume 7 for Core Services Effective 20230302 - 12 CCR 25094
○ https://docs.google.com/document/d/12fHsbgqj3Aw-
8NXJf_jcn42UjXeDvOwJ/edit?usp=sharing&ouid=101377615796361637579&rtpof=true&sd
=true
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Signature Page
DocuSign Envelope ID: 0B053ECE-7BD9-484C-90B2-C50C2B6DC3AD
DateMegan Burch, Director, Eagle County Department of Human Services
7/18/2023
Sherri Mintz, Chair, Placement Alternatives Commission Date
7/18/2023
7/19/2023
DateKathy Chandler-Henry, Chair, Board of County Commissioners
