Placer County wraparound support model
Placer County Permanency Support Services, in California, works to prevent out-of-home placements and increase the changes that children achieve permanency by providing wraparound services to families, primarily in-home. These include therapy, school consultation, skills training, and crisis services.
The program is a collaboration of Sierra Forever Families and Placer County Children’s System of Care.
This is one of 31 profiles that appears in Support Matters: Lessons from the Field on Services for Adoptive, Foster, and Kinship Care Families.
Publication date: 2015
Families of children and youth adopted from foster care or placed in kinship care in Placer County, CA.
In 2013, the program served the families of 35 children, most of whom were adopted.
Theory of change
By providing adoption-competent, home-based wraparound services, we can prevent out-of-home placements and increase the chances that children and youth achieve permanency.
Placer County Permanency Support Services is a collaboration of Sierra Forever Families and Placer County Children’s System of Care as part of a joint recruitment, licensing, and support initiative called Placer Kids. Sierra is a nonprofit agency providing adoption and foster care services in 12 California counties. Placer County Children’s System of Care is an integrated team of county agency staff from the Departments of Children’s Mental Health, Child Welfare, Probation, Alternative Education, Substance Abuse Services, and Public Health.
Role of public child welfare agency
The Placer County Department of Health and Human Services is a partner in the Placer County Children’s System of Care. The agency also refers families to the program.
Key service components
The Placer County Permanency Support Services program offers adoption-competent, mostly in-home wraparound services to families provided by a team of a clinician, a permanency specialist, and a family partner who is typically an experienced adoptive parent. Services include:
- Individual therapy — Offered for the child or youth and family, therapy can include Parent-Child Interaction Therapy (page 222 of Support Matters (2 MB PDF) ), Dialectical Behavior Therapy, and other psychotherapy. The treatment plan often involves working with the entire family.
- Information and referral — Staff share information and direct families to relevant community resources, including support groups provided by Placer County that offer training, discussion, and support.
- School consultation — Staff may help parents write the child’s individualized education program, consult with teachers, and provide in-classroom support to help with communication and develop problem-solving and social skills.
- Skills training and coaching — Depending on the child’s or youth’s specific needs, the service team may provide skills training and coaching to the child or to the entire family.
- Crisis services — Staff are on call 24 hours a day, and can go to the family’s home, school, or other settings depending on the nature of the crisis. Clinicians may also help family access immediate psychiatric services.
- Staff share information about the program through support groups, the adoption helpline, and local schools.
- Adoptive parents share information with other families about the program.
- Placer County child welfare and mental health departments refer families to the program.
Staffing and training
- 1 full-time therapist
- 1 full-time permanency specialist
- 1 part-time parent partner (4 hours per week)
- 1 part-time clerical staff member (4 hours per week)
Staff attend monthly trainings on topics such as attachment, motivational intervention, and trauma. In addition, they can access 24 hours of electronic training on various issues in adoption. The two full-time staff have been through the Training for Adoption Competency curriculum created by the Center for Adoption Support and Education.
Evaluation and outcomes
Children and youth are assessed using the Child and Adolescent Needs and Strengths instrument, with follow-up assessments at 60 days, six months, and case closure.
For fiscal year 2014:
- 91 percent of children and youth served showed improvement in the scores on the Child and Adolescent Needs and Strengths assessment.
- 93 percent of children and youth served showed improvements on an outcome screening tool.
- 95 percent of children remained in the family home. Two children were placed in group care for additional services.
Budget and funding
Approximate annual budget: $198,000
- The primary funding source is MediCal’s Early Periodic Screening, Diagnostic, and Treatment (EPSDT) program.
- Other funds come from individual and organizational donations.
Partnerships required or recommended
- The program is a public/private collaboration between Placer County and Sierra Forever Families.
- Other partners include Placer Community Foundation, which has supported events, and the Placer County Youth Empowerment Program.
- It was difficult to secure funding for the program in the beginning.
- It was initially a challenge to connect families with the services.
Glynis Butler-Stone, program director, Sierra Forever Families: 916-368-5114, ext. 316
Glynis Butler-Stone, interview, July 17, 2013.