One Per Detail Code

Service Description Schedule

(One per Detail Code)

Initiated In:03/16/09

Organization Name:Child & Youth Wellness Centre of Leeds & Grenville on behalf of membership of Every Kid in Our Communities of Leeds and Grenville (EKIOC -the MCYS Children’s Planning Table of L&G)

TPR#:

TP Subline and Name: B074-B156 Child Welfare Transformation Fund

Detail Code and Service Name:A771 – Community Capacity Building

Legislation:CFSA

The Service Description Schedule is part of the contractual agreement between the Ministry and the transfer payment agency. This Schedule outlines the services that the Ministry is purchasing, with public funds, on behalf of the citizens of Ontario including specific expectations and conditions that apply, as defined in this document.

The objectives, descriptions, and features outlined below represent the ideal delivery of this service, which is subject to contract negotiations between the ministry and Service Provider/ Delivery Agent.

Service Providers/Delivery Agents unable to fulfill the ideal delivery of this service are required to provide an explanation in the Agency Completed section of this document

MINISTRY COMPLETED SECTION

Service Objectives:

The funding flowed to community based transfer payment agencies to provide services to CAS clients and those community clients deemed at risk of CAS involvement.

Service Description:

People Served:

Children and youth with an identified social, emotional, behavioural or psychiatric need, through population health approach

Children and youth - up to the age of 18 years

Program / Service Features:

(The program / services contracted by the Ministry will reflect the following features.)

Community based accommodation and supports.

Support up to 24-hours per day and may include a staff or treatment foster care model focus.

Intensive counselling and multi dimensional services and supports for children and youth who are experiencing social, emotional or behavioural difficulties at home, in school or in the community.

Counselling and parenting skill development training for families to better enable them to manage and support their children.

Individual Planning and Goal Setting

Each child and youth will have a current plan of care that reflects an assessment of his/her needs and preferences. The plan of care will identify the specific services/supports received by the child/youth, the expected outcomes and be based on the principles of person centred planning, self-determination and choice.

Services will be:

Reflective and responsive to child/youth, family and community strengths and needs.

Accountable to the child/youth, family and community.

Sensitive to the social, linguistic and cultural diversity of families and aboriginal communities.

Staffed by individuals with the appropriate range of skills and abilities necessary to respond effectively to the needs of children, youth and families.

The support is based on the child's and youth's assessed needs, preferences and available individual, agency, community and contracted Ministry resources.

Admission to service is obtained through the Ministry designated access to service mechanism, which identifies individuals for priority access to service by means of a process, which is objective, equitable and transparent.

Governance, Accountability and Service System Requirements:

The agency will deliver the programs and services in accordance with the requirements as outlined in:

the legal, financial and service target data portions of the service contract;

the Making Services Work for People and Board of Directors Capacity service description schedules;

Governance and Accountability: Transfer Payments to Community Agencies framework;

any service/program specific guidelines provided; and

in keeping with evidence based and emerging practice for the delivery of services.

Agency Completed Section

Plan to Achieve Service Objectives (standard term):

Provision of the Positive Parenting Program (Triple P) throughout Leeds and Grenville, by multiple partner agencies, to eventually reduce the number of referrals to Family & Children’s Services. Parents/caregivers will have access to an evidence based suite of programs covering the spectrum of need.

Description of how Service Objectives will be implemented:

Implementation of the Service Objectives outlined above, is optimized through the overall direction, monitoring and financial support of Every Kid in Our Communities of Leeds and Grenville (EKIOC), a local collaboration made up of those agencies who serve children, youth and families, and representatives from other coalitions including Healthy Communities, Community Justice and Safe Communities and community leaders. Implementation of the Service Objectives is carried out by the Triple P Working Group which represents those agencies who provide the suite of individual programs that make up Triple P and who oversee the day to day work of the Triple P Facilitator. Specific descriptions of how each of the service objectives outlined above will be implemented are as follows:

-Reflective and responsive to child/youth, family and community strengths and needs.

Implementation of a range of intervention levels from broad media campaigns and universal web content, designed to share key universal positive parenting messages,to more targeted brief group interventions such as seminars, and more intensive one on one supports enhance parenting capacity across the communityand ensure that information is delivered to every family, at levels appropriate for their needs.Media campaigns are designed to bring reluctant parents to greater supports, including access to mental health services for children and youth,through reducing stigma. Continued development and dissemination of radio, newspaper, website, and social media campaignswill be aimed atfurther reducingthe stigma of requesting parenting support, in order to increase the number of at risk children who are positively affected by an increase in parenting capacity, with the ultimate goal of decreasing the number of children supported by CAS

-Accountable to the child/youth, family and community.

There has been a key focus by the Work Group and Facilitator on ensuring consistent messaging from all community partners when assisting parents of children and youth and their extended families through the implementation of Triple P. Now whichever children’s services are involved with a family are speaking the same language and have the same expectations and approaches regarding parenting, which is high quality and evidence based.

-Sensitive to the social, linguistic and cultural diversity of families and aboriginal communities.

Triple P is appropriate for various cultures, and has resources in various languages.

-Staffed by individuals with the appropriate range of skills and abilities necessary to respond effectively to the needs of children, youth and families.

An ongoing process of staff training across all levels of Triple P has been implemented, beginning with the training to deliver core programs designed for parents experiencing significant parenting difficulties and extending to practitioner training for staff who support those at risk of abusing or neglecting their children and/or of drug/alcohol abuse. Practitioner training has also been provided to staff who have the opportunity to intervene early in parenting issues such as Healthy Babies Healthy Children Program Nurses and Lay Home Visitors. As we provide more and more messages and build community awareness of the potential of Triple P, the number of interventions is increasing. Our wish is to continue to provide additional trainings at all levels to meet the growing demand by parents of children 0-12 and build on the small number of staff trained to provide support to parents of youth, particularly at Level 5 which supports children who live in families where abuse and neglect have occurred. Increasingly, there is a necessity to provide this in the wider community service sector beyond C.A.S.Achieving this means continuing to build coordination of service agencies across systems, including fund raising, determination and expenditure of budgets, implementation and promotionthrough the joint implementation committee (work group made up of leaders from multiple agencies and the community) and ongoing work of a half time facilitator provided through a partner agency.

-The support is based on the child's and youth's assessed needs, preferences and available individual, agency, community and contracted Ministry resources.

Agencies continue to provide in-kind support at a level past year’s which was approximately $12 for every dollar received from the Community Capacity Building Fund, throughout the geography, in a variety of settings. This means families have a choice in where, how and when they access Triple P services.

-Admission to service is obtained through the Ministry designated access to service mechanism, which identifies individuals for priority access to service by means of a process, which is objective, equitable and transparent.

Implementation of Triple P Levels 2 (seminars and one to one brief supports), 3 (4 half hour sessions), 4 (10 one hour group sessions) and 5 (focused on abuse, drug addiction etc) across agencies throughout Leeds & Grenville has occurred, including peer support programs for practitioners, through a single access point (1-800 and website

Description of the specific services and service capacity:

The Triple P parenting system is founded on more than 25 years of clinical research at the University of Queensland’s Parenting and Family Support Centre. It is a suite of programs, each of which has been thoroughly trialed and proven, and together form the continuum of programs known as the Positive Parenting Program or Triple P. Triple P offers evidence-based principles and advice that are effective for allparents. The potential of Triple P is evident through research including one recent population-based study from the United States related to conduct problems. This study demonstrates that Triple P has the potential to prevent 26% to 48% of cases of severe conduct problems, situations that would normally come to the attention of a child protection agency or children’s mental health service. Other studies are showing similar impacts on rates of abuse.

The descriptions of the components of Triple P are extensive and can be found at Components of Triple P range from early intervention training designed to universally enhance parenting capacity thereby reducing the need for more specialized services, including referral to a child protection agency, to specific programs designed to help parents who have or are at risk of abusing their children.

In the coming year we anticipate an increasein the number of practitioners trained to provide individual and group support, as well as providing training for a component related to childhood obesity, increasing the number of practitioners trained to support parents of teens, and increasing the media component which will inform our community of positive parenting practices and the benefits of Triple P, and at same time will recruit additional practitioners from the community.

Triple P helps every child by giving parents the skills and knowledge to:

Create a stable, supportive, harmonious family environment.

Teach their children the skills they need to get along with others.

Deal positively, consistently and decisively with problem behaviors that arise.

Encourage the behaviors that they like.

Develop realistic expectations of their children and themselves.

Take care of themselves as parents.

Triple P teaches parents broad principles that may be applied positively in most parenting situations. Its aim is to prevent problems in the family, school and community, and to create family environments that encourage children to realize their potential.

Triple P is a cross-sectoral inter-agency approach that reduces the stigma of asking for help and promotes cooperation and collaboration in the children’s services sector. Triple P is meeting the goal of “Building Community Capacity”, and with continued support will result in a measurable reduction of the number of children who are at risk of abuse or neglect and decrease the likelihood of repetition of abuse or neglect.

Specialized capacity and expertise

Professionals across Leeds and Grenville have received training and are involved in the implementation of Triple P. Triple P has developed practitioner training and resources covering a number of levels of intervention, for helping professionals including pulbic health nurses, lay home visitors, family doctors, pediatricians, teachers, social workers, psychologists, psychiatrists, child care providers, police officers, marriage counsellors, etc. The local Medical Officer of Health has named parenting support through Triple P as a key strategic priority for service in the Health Unit’s strategic plan for the next 5 years, and has committed in kind, a half time Facilitator to ensure the best use of the Community Capacity Building Fund so as to reduce the number of children at risk of abuse. Family Health Teams and other specialized services including from the medical community are partnering.Triple P will be available across sectors within Leeds and Grenville. At present program services are provided by MCYS/MCSS, MOH and MED funded agencies, including Child and Yout Wellness Centre (CYWC), Family and Children’s Services (F&CS), Leeds, Grenville and Lanark District Health Unit (LGLDHU), Boards of Education, Community Health Centres, and others who are represented in the community planning table (as above).

Admission and discharge criteria/Access to service process

This universal program will encourage all families across Leeds & Grenville to participate and thus seeking parenting support will become the normal thing for every parent to do. The level of service required will be responsive to the scope of the individual families needs, ranging from the universal media messages to more intensive individual support at no cost to the families. Admission to group or one on one sessions occurs through a triage process, via a central intake. An algorithm guides this process, so that families receive the level of support best matched to their needs. As Triple P has a defined course, upon completion of the session(s), the families are referred to appropriate sources of support.

Individual planning and goal setting

Individual planning and goal setting will be a coordinated effort across agencies and reflect the needs of the client as well as the mandate of the agency.

Community linkages and service collaboration (where appropriate).

All agencies which comprise the children’s community planning forum/table are involved. The application of Service Integration principles and processes that Every Kid In Our Communities has implemented across all services and service agencies is applied to Triple P as well.

Service Location (standard term):

AtMCYS and MCSS funded agencies throughoutLeeds & Grenville as well as schools, day care centres, Community Health Centres, YMCA, Health Unit, etc. The media component means that the reach of Triple P services extends to everyone, everywhere across the Counties and increasingly beyond.

Method of Evaluation (standard term):

In 2008 we completed quantitative and qualitative evaluations on how many staff are trained in Triple P, what levels of training, and what and how MCYS/MCSS agencies and non transfer agencies and individuals are involved in providing Triple P to children, youth and families, and the level of success attained for each objective. This evaluation will be updated in 2013to reflect the implementation progress made in the past years(See attached logic model draft). As we move through the 3rd year of implementation we are increasingly able to provide quantitative data that the evidence based research indicates reflects directly in reduced incidence of child maltreatment. (Evaluation tools recently released by Triple P International are being examined to determine their potential in expanding the quality of an evaluation. We continue to work with the Early Years Data Analysis Co-ordinator, Health Unit Quality Improvement Department, and other areas across Ontario includingThe Provincial Centre of Excellence for Child and Youth Mental Health at CHEOto review, refine and enhance our on-going evaluation plan.

Given the evidence of the effectiveness of Triple P, over a ten year period, it is our goal to see that Family and Children’s Services of Leeds and Grenville report a reduction in referrals relative to their population.

(see Additionally, we strive to demonstrate that clients will be accessing the assistance of the Child and Youth Wellness Centre and other partner community agencies much earlier in the onset of mental health issues, due to the resultant enhanced parent capacity and the reduction in stigma in seeking help demonstrated by parents.

WE NEED TO FIT SOMETHING INTO THIS THAT DEMONSTRATES THE POTENTIAL OF THE COMMUNITY CAPACITY BUILDING FUND TO ACT AS A MAGNET FOR OTHER RESOURCES INCLUDING FROM LOCAL AGENCY PARTNERS, FROM BENEFACTORS, FROM OTHER FUNDERS SUCH AS THE CCCF FUND, AND REFERENCE THE GRANT WE GOT FROM MINISTRIES OF HEALTH PROMOTION.

summary to attach here...

18-09-28

(Authorized Ministry and Service Provider’s signatures are required if any amendment is made to this schedule.)

------

IN WITNESS WHEREOF this schedule has been signed by an authorized Ontario official on behalf of Ontario and the Service Provider by its proper signing officers.