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Resource Management Process (RMP)

The Resource Utilization Process (RMP) addresses the Court’s November 2006 recommendations of developing a system to transition children out of congregate care settings by developing a better system to utilize and monitor resources/outcomes for children. All RMP members will also be members of the CSAT and will receive referrals through Family Centered Services (FCS) Referral Tracking System.

The RMP is a family centered, multi-departmental, integrated approach to identifying, coordinating and linking appropriate resources/services to meet the needs of children currently in, or at risk of a RCL 6 through 14 placement. The RMP will consist of four major elements. First, it will enhance the TDM process for children at risk of a potential placement move. Second, the child’s strengths and needs will be assessed using the Child and Adolescent Needs and Strengths (CANS) tool by a Resources Utilization Management (RUM) staff member and a DMH clinical psychologist. Third, the family will be informed of the services available to them before the meeting and are encouraged to help make the decision. Fourth, the services identified by the family and the team will be approved and linked by a team member and the CSW.

The RMP will utilize existing and planned DMH intensive in-home mental health services programs, including Multidimensional Treatment Foster Care (MTFC), Multisystemic Treatment (MST), Comprehensive Children’s Services Program (CCSP), and DCFS’ intensive services, including Wraparound, Intensive Treatment Foster Care (ITFC) and RCL 6 and above group home care. Additionally, the RMP will link children and families with intensive mental health service needs to planned Child and Family Teams and intensive home-based services programs.

The RMP will be integrated into the TDM process, so whenever a child (who is currently in a RCL 6 through 14 placement or at risk of such placement) is identified as being at risk of a placement move, the CSW will call for a RMP TDM. The process will follow the current TDM policy by which the child's family, support staff, and treating agency staff will be invited to attend.

In order for the RMP to be effective, the information provided at the TDM is crucial.  Thus, the RUM staff will be responsible for conducting the CANS before the meeting and will discuss the results of the CANS at the meeting.

The Child and Adolescent Needs and Strengths (CANS) is the universal assessment tool utilized by the RUM staff to identify the strengths and needs of children in their school, home, and community environments. The CANS evaluates the child or youth’s functioning in terms of school performance, conduct and behavior, social relationships, moods and emotions, substance use, aggressive and self-harmful behaviors. The CANS also assesses the child’s primary and substitute caregivers’ ability to provide a safe and emotionally nurturing environment, including their ability and willingness to participate in recommended services. The CANS will help inform the decision about the level of intensity of services and/or the level of placement.

In addition to reducing the number of subsequent meetings, paperwork and linkage work for the CSW, the RMP will shorten the timeframe to services for the family. Currently, a CSW attends the TDM and then must fill out another referral form for the service recommended in the TDM. They then need to attend a subsequent meeting to determine if the child meets referral criteria. The RMP will eliminate second “screening” meetings. The TDM will “authorize” services so the CSW will not need to attend another meeting for approval6. Additionally, no services can be provided without going through the RMP (DCFS finance will not process payment for any new group home placement, or Specialized DMH/DCFS service unless it has the appropriate documentation/signatures from the RMP). The DMH intensive in-home mental health services will require a parallel process, integrated into the RMP via the DMH staff member, to provide authorization and enrollment through the DMH Child Welfare Division for tracking purposes. All Structured Decision Making (SDM), HUB, MAT, education, medical and other relevant information will also be provided at the TDM to make the best possible decision.

The RUM and DMH staff will also be responsible for bringing a current list of all services and placements in the County. If the decision is to place the child, it will be within thefamily’s community, as appropriate. Once a service/placement is identified, the RUM and/or assigned DMH staff will support the CSW with the recommended service/placement linkages.

 

 

Presented by
Los Angeles County Department of
Children and Family Services

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