Conducting a Quality Visit

1. Assessing Risk and Safety. What do you pay attention to know if a child is safe? /Child Welfare Children’s Developmental Disabilities Child’s environment (e.g. sleeping Child’s physical body (e.g. new SIB marks, All areas from the Child Protection/Child arrangements, general environment) weight gain/loss, medication reactions etc.) Welfare assessment of risk and safety Child’s interactions with caregivers Child’s interactions with care givers (the should be completed Child’s interactions with others living in caregiver has a workable crisis Review progress of short term and long- the residence plan/behavior plan on file and term goals related to the child’s assessed General appearance of the child level efficacy is known) needs documented in the ISP/CSP. Developmental progress of the child Child’s interactions with others living in Assure Health and Safety Needs are met Conversation with the child the residence (what is the conflict Risk Management Plan Balance individual time with management/crisis de-escalation and bully Emergency Back-up Plan child/observations with caretakers prevention plan) Identifying people that the child can talk to Developmental progress of the child if they don’t feel safe Conversation with the child Safety-focused interview tools

2. Assessing Needs. What do you pay attention to conduct ongoing assessment of a child’s needs? Child Protection/Child Welfare Children’s Mental Health Developmental Disabilities Use the same strategies listed under Interview with the child about treatment DD Screening Document- Rule 185 Case “safety” – different focus progress and skill acquisition Management/DD Waiver Prepare for the visit with the child Staff are intervening in an LTCC Assessment- CAC/CADI Waivers o Identify the priorities for the visit effective/teachable manner PDN Assessment Re-evaluate whether the services the child Assessing for behavior, side effects and PCA Assessment is participating in continue to meet their physical changes due to medications 2013 the MnChoices will be the needs Reviewing behavior plan and incident assessment tool utilized for all of these o Ask the child where they see reports to assess for effective interventions programs progress, where they see needs and discuss frequency of report review and Assessments are required to be completed o Review of case plan notification annually or sooner if the child has had a Observe/discuss well-being needs Treatment plan is tailored to the child’s significant change in condition. o Physical health needs and diagnosis and fits IFCSP/OHP Evaluation of the services identified in the o Education and parent’s expectations support plan o Mental health Child is able to demonstrate new skills in Review standardized assessment tools with facility and on home visits and a plan for the child gathering feedback data o Family Strengths and Needs Clear discharge criteria is set and o Child Well-Being tool measurable outcomes are known to child, family and case manager. Review treatment plan and DA to assess if child’s treatment is addressing individual cultural needs of the child Review physical health and medical treatment needs are documented in facility treatment plan

3. Engaging: How do you develop relationships/engage children and their caregivers so they have a voice in case planning? Child Protection/Child Welfare Children’s Mental Health Developmental Disabilities Schedule visits at times that are convenient Parents attend meetings and actively Coordinate a meeting with all team for children and caretakers participate in family therapy members (Parents/Guardian, Service Prepare for the visit Are the parent and child’s concerns heard Providers, School and child) every 6 o What do you need to accomplish at and then reflected in the treatment plan? months (twice annually) to review child’s the visit? There is evidence of participation from the progress and services o How will you prepare for questions family in the treatment plan and that it is Reviewing the Support Plan with the the child might ask? signed by all parties Family/Guardian & child to discuss their Build relationships - doing things with the Discussion of transition home next steps satisfaction with their current services. child that they like to do for caregiver and child occur at meetings Have ongoing dialogue with o E.g., playing, coloring, out for ice Conversation with child about parental family/guardian & child to assure that cream interaction services are being provided in the least Consider use of specific tools for engaging Meetings are conducted WITH the child restrictive environment. children in conversations and family not just about them Contacting the Family/Guardian after o E.g., Safety-focused interview monthly face-to-face visit with the child to tools discuss the visit. In addition, provide them Include child in processes specifically the opportunity to discuss their designed to support family engagement observations and experiences during visits, o Family Group Decision Making phone contacts, etc. they have had with the o Case Planning Conferences child during the past month. o Youth in Transition Conferences Listen, follow-through and be honest in conversations

4. Supervision. As a supervisor, what/how do you know whether are having quality visits with children, and how do you support quality visits? Child Protection/Child Welfare Children’s Mental Health Developmental Disabilities Relay a clear expectation for monthly Review case notes and process visit in Review case manager’s case notes in SSIS caseworker visits and hold people supervision sessions to assure that all components of a quality accountable Discuss visits and treatment process visit have been covered and documented. o Utilize available data reports to evaluation during staffing meetings Review ISP or CSP for documentation of monitor whether caseworkers are Document that the paperwork from the identified needs and goals related to those having at least monthly visits facility are in the file identified needs. Create environment that supports monthly Review and assess level of care Discuss with the Case Manager the visits instruments demonstrate continued need progress the child has made on the long- o E.g., ensure coverage/back-up for for placement and a “good fit” term and short-term goals. workers if needed Require monthly visits while child is in o Establish group norms for placement conducting monthly visits Talk with the caseworker about o How they’re scheduling visits o How they’re planning for visits o Length of visits o Individual time with children Consider going with caseworkers on visits Develop a plan for how monthly caseworker visits will happen before selecting placement settings that area geographically far away Have conversations about potential barriers to caseworker visits Feedback surveys/reports from foster parents or others regarding their observations of caseworker visits