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Update recommendations.yml with 2 prevention plays
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MarinaNitze authored Feb 4, 2025
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Expand Up @@ -3488,4 +3488,84 @@ recommendations:
</div>
<p>The Prevention section is generously supported by the Doris Duke Foundation as part of the <a href="https://www.ddf-opt-in.org/">OPT-In for Families Initiative</a>.</p>
</div>
- title: create-a-plan-of-safe-care
heading: Create a Plan of Safe Care to Support New Parents and Their Infants
about:
A structured and consistent Plan of Safe Care can strengthen protective factors, promote healthy development, and prevent child welfare involvement or out-of-home placement through connections to parenting education, safety guidance, early intervention, and wraparound resources and services.

A Plan of Safe Care is required by [federal legislation](https://www.congress.gov/bill/114th-congress/senate-bill/524/text) for “infants born and identified as being affected by substance abuse or withdrawal symptoms, or a Fetal Alcohol Spectrum Disorder,” and this page includes implementation recommendations for developing them in your jurisdiction.
how: >-
* Identify your focus population. Recent legislative updates have expanded this population to infants experiencing prenatal substance exposure to any substance with abuse potential, including some prescribed medications, not only those substances that may be illegal in your jurisdiction.
* Develop talking points and materials for healthcare providers to clearly lay out criteria for a child abuse report versus a plan of safe care.
* Develop a Plan of Safe Care template. The plan must: “address the health and substance use disorder treatment needs of the affected infant and the infant's family or caregiver.”
* Collect the minimum required information for federal reporting:
* (17) The number of infants—
* (A) identified under subsection (b)(2)(B)(ii);
* (B) for whom a plan of safe care was developed under subsection (b)(2)(B)(iii); and
* (C) for whom a referral was made for appropriate services, including services for the affected family or caregiver, under subsection (b)(2)(B)(iii). ([source](https://www.congress.gov/bill/114th-congress/senate-bill/524/text))
* When possible, limit the data collected by the child welfare agency to only the information federally required, and direct other information to an upstream community-based provider who can assist the family with the Plan of Safe Care. You can collect disaggregated / anonymized data back from the delivering program to measure performance and opportunities for improvement.
who:
what: >-
### What they're doing
* Washington State has many [Plan of Safe](https://dcyf.wa.gov/safety/plan-safe-care) care resources, including:
* [Washington State’s Plan of Safe Care template](https://www.dcyf.wa.gov/sites/default/files/forms/15-491.docx), [information on the program](https://dcyf.wa.gov/safety/plan-safe-care), and [their state policy](https://dcyf.wa.gov/1100-child-safety/1135-infant-safety-education-and-intervention)
* [Plan of Safe Care online referral portal flow](https://www.dcyf.wa.gov/publications-library?combine_1=CWP_0087&combine=&field_program_topic_2_value=All&field_languages_available_value=All) (in English and Spanish).
* A codesigned [definition for infants meeting this criteria](https://www.dcyf.wa.gov/sites/default/files/pdf/WA-WorkgroupDefinitions.pdf), along with experts and community members with lived experience.
* A [fact sheet for healthcare providers](https://www.dcyf.wa.gov/safety/plan-safe-care/Healthcare-Providers) and [Bias Check pamphlet](https://www.dcyf.wa.gov/sites/default/files/pubs/CWP_0086.pdf)
* A codesigned [fact sheet for parents](https://drive.google.com/file/d/1y1ojcBl-gmLBeKb0qybQU5yntAhuYlJh/view?usp=drive_link) and [suggested scripts](https://drive.google.com/file/d/1uthZqW0xEbvKnzxsEveFJOBoAopByd_u/view?usp=drive_link) for engaging parents in the Plan of Safe Care.
* Healthcare providers in Washington use an [online Plan of Safe Care tool](https://safecarewa.communityos.org/safecareWA) to submit data and make a reporting decision. The portal first collects deidentified aggregate data around all instances of prenatal substance exposure and then offers screening questions that direct the provider to the child abuse hotline if required; otherwise, it will prompt the provider to gain a family’s consent to make a referral to community partner Help Me Grow. This referral, in conjunction with the wrap-around resources and supports offered through [Help Me Grow](https://helpmegrowwa.org/), makes up the Plan of Safe Care while generating a notification to DCYF (as required per legislative data collection requirements).
* This portal helps providers consistently refer families to community-based services instead of the child abuse hotline when possible, while also meeting federal legislative data collection requirements.
* [Slides describing Washington’s Plan of Safe Care](https://drive.google.com/file/d/1Y1SY_Toqf9cAo-1EExCsY2FtEkhW7J0e/view?usp=drive_link)
extraContent:
<div class="doris-day">
<div class="doris-day-logo">
<img src="/images/doris-duke.svg" alt="Logo for the Doris Duke Foundation" />
</div>
<p>The Prevention section is generously supported by the Doris Duke Foundation as part of the <a href="https://www.ddf-opt-in.org/">OPT-In for Families Initiative</a>.</p>
</div>
- title: tribal-coaches
heading: Tribal Family Coaches
about:
A tribal family coach works closely and culturally with Native American and Alaska Native families who may need support to safely avoid child welfare involvement. This is similar to a family coaching program, with cultural identity/needs coming to the forefront of all our interactions.
how: >-
* Determine how you will identify an individual or family’s tribal status. Remember that someone calling the hotline may have no or inaccurate information about a family or child’s status, so it’s always best to ask families directly when possible. In Oregon all screened out Hotline calls who have a tribal member from one of Oregon’s nine tribal nations are automatically sent to the tribal social services.
* Work with local tribes to co-design a referral system that works best for the tribal nation. For example, one tribe may want to receive and handle all screened-out calls for members of their tribe, while another may want notification but accept the assistance of a tribal family coach. Not all tribes have navigation capacity which is a key to serving tribal families.
who:
what: >-
### What they're doing
* Oregon’s District 11 Klamath/Lake Counties started a tribal family coach program in 2020 as a response to the Klamath Tribe’s concern about families having multiple screened out calls that eventually led to a removal of their tribal member. The Klamath Tribes concern was the lack of support to families addressing issues that caused the call to the hotline despite the call not raising to the level of a CPS investigation. Screened-out reports related to Native American and Alaska Native families are shared with the ODHS tribal family coach by the tribe, for potential assistance. The coach reaches out to the family together with a Klamath Tribal support person, to offer assistance, and has the flexibility to assist them with a wide range of needs.
In Oregon’s D11, the Klamath Tribes support their own members in collaboration with an ODHS Family Coach. The ODHS tribal family coach can support all other Native American and Alaska Native families who may be from any tribe nationwide as well as tribal members from any of Oregon’s nine federally recognized tribes.
The ODHS tribal family coach works closely with the Klamath tribal TANF team to support families in a coordinated way.
Here is Oregon’s [position description](https://docs.google.com/document/d/1MXpOaBL2_cesoR42pI1NZxf6BNzKnWrX/edit?usp=drive_link&ouid=103308794074606378631&rtpof=true&sd=true) and [logic model](https://drive.google.com/file/d/1W8Q1M14JaWD0rOd37XmFD48QQ879ay0-/view?usp=drive_link) for jurisdictions looking to create their own coach program.
outcome: With the collaboration and hard work of the Klamath Tribes and the ODHS tribal family coach, Oregon’s D11 has become the only district in the state to both significantly reduce the number of Klamath Tribal children in foster care, and the only district to have zero and or minimal over-representation of Native American or Alaska Native children in foster care.
extraContent:
<div class="doris-day">
<div class="doris-day-logo">
<img src="/images/doris-duke.svg" alt="Logo for the Doris Duke Foundation" />
</div>
<p>The Prevention section is generously supported by the Doris Duke Foundation as part of the <a href="https://www.ddf-opt-in.org/">OPT-In for Families Initiative</a>.</p>
</div>

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