Category Archives: 40th Anniversary

IFPS 40th Anniversary Remarks by Charlotte Booth

Charlotte Booth - IFPS 40th Anniversary CelebrationCharlotte Booth, Executive Director of the Institute for Family Development opened the IFPS 40th anniversary celebration with a welcome and shared why the IFPS initiative is so significant in child welfare. She explained that this day was an opportunity to see how all the different aspects of the initiative wove together and the outcomes that make family preservation what it is today.


Opening Remarks by Charlotte Booth
at the IFPS 40th Anniversary Gala Event

Click here to listen to the audio »

Welcome! What an incredible gathering! Thank you for being here, especially those who traveled so far—and even bigger thanks for those who agreed to speak today.

This event is co-sponsored by the Institute for Family Development and the National Family Preservation Network. On behalf of both organizations I want to express heartfelt gratitude to the Annie E. Casey Foundation and the Institute for Family Development Board of Directors for providing funding that has made this celebration possible. Thank you so much.

We are here today to celebrate and document the most brilliantly conceived and executed system change effort I have ever seen, let alone had the honor of being part of. In fact, while I’ve been calling it an “initiative,” that’s not quite the right word. Revolution or reformation might better express the magnitude of what was done.

A major purpose of this event is to capture and chronicle the past—particularly the mid-1980s to the mid-1990s. However, in the past months while talking with all of you, I realized that not a lot of people are aware of what’s happening in Homebuilders® and Intensive Family Preservation Services today. For many people, their last contact with IFPS was the mid-nineties, which was the beginning of a somewhat dark time for IFPS due to unfortunate interpretations of some of the research.

So, although Shelley Leavitt will speak to this later, I want to say that Homebuilders® and IFPS are alive and well! In fact, with us today we have leaders from some of the states that have begun or are about to begin their own IFPS journey: Doris Tolliver from Indiana, Debra Porchia-Usher from Washington, D.C., and Nell Aucoin from Louisiana. I hope some of the old-timers will seek them out. As we’ll discuss at the end of the day, IFPS can be seen in child welfare initiatives that are in play today.

As I’ve talked with folks in preparation for this event, I also realized that almost no one is aware of all the moving parts in this effort, despite the immense coordination among players. And how could there be? There have been so many people from so many agencies, organizations and universities who have played and still play a role.

As Peter Forsythe said the other day, it is a giant multidimensional jigsaw puzzle. He also said he knew what happened at each step to make the next piece fall into place. That is something we particularly want to capture.

One thing I know we’ll talk about today is the enormous backlash that occurred against IFPS. While painful, it was also a sign of success that meant real change was happening. And these changes challenged the fundamental beliefs about practice and threatened the funding then held by large institutions in the private sector.

Looking back, we can see that in many ways, the IFPS initiative was way before its time in several significant ways.

At a system level:

  • The very concept of keeping these families together instead of rescuing children
  • Following a specific model at a time when therapy was seen as an eclectic art, not science
  • A focus on evidence-based practice
  • The importance of saturation and going to scale in order to see a true impact

At a clinical level:

  • Making family engagement the clinician’s responsibility
  • Requiring that goal setting and treatment planning be done in partnership with families
  • Professional staff going into homes on a flexible schedule with 24/7 availability
  • Delivery of hard services along with clinical services
  • Involvement of the extended family and informal support system

So, there was much that needed to change:

  • Attitudes and beliefs about keeping families together
  • Federal and state policy
  • Funding streams that incentivized placement
  • Skills of the workforce
  • Willingness to follow a model
  • The role of the judiciary in implementation of reasonable efforts

When Frank Farrow and I were talking recently about the backlash, he laughingly said, “Maybe we should have named it ‘Child Savers’ instead of IFPS!” So I think it’s important to keep letting people know that for those of us doing this work, it has always been about what’s best for the children. It’s about a child’s right to live with his or her own family if that is at all possible.

As Maya Angelou said in her forward to the book Keeping Families Together: “How is it possible to convince a child of his own worth after removing him from a family which is said to be unworthy but with whom he identifies?”

I want to close by saying that we want to document this information not just to paint a picture of the past, but to create a blueprint for the new generation of child welfare leaders and policy makers. As Judge Richard Fitzgerald said to me recently, the “current generation needs to know the obstacles we overcame, the strategies we used and how this important change initiative was able to succeed.” And, as Peter Forsythe told me a couple weeks ago, “I’m not happy with the state of the science, or lack of it, for social change. People need to learn how to do this.”

Just a few quick things before our work sessions begin:

  • On the back table we have gathered resources and books published over the last 4 decades. If you can add to these, we’d love it!
  • As part of the Annie E. Casey funding of this event, we have created a website (www.intensivefamilypreservation.org) as a repository of what was done and what we learned. It will launch on July 23, but you can preview it today on the computer set up on the resource table. We will be adding more information.

Again, welcome! I’m so glad you are all here.

IFPS Celebrates Its 40th Anniversary

On July 17, present and past leaders in the IFPS movement from many national organizations (including Annie E. Casey Foundation, Children’s Defense Fund, Child Welfare League of America, National Conference of State Legislators, Edna McConnell Clark Foundation, National Council of Juvenile and Family Court Judges) and from many states (Indiana, Louisiana, New Jersey, New York, Kentucky, Missouri, Washington) gathered at the Talaris Conference Center in Seattle to celebrate and chronicle the history and stories of one of the most important systems reform initiatives in child welfare in this country.

Attendees shared their knowledge and experiences as the group reviewed the contribution of IFPS to child welfare, how its implementation impacted child welfare, and what it offers for the future.

Douglas W. Nelson, Retired President and CEO of the Annie E. Casey Foundation shares his thoughts on the 40th Anniversary of IFPS and its impact on the child welfare system in the U.S.:

“I am convinced that the lessons learned from the development and implementation of family preservation program models will continue to inform child welfare practice and system reform efforts in the next twenty five years. It is a timeless model that encourages and supports the fundamental belief that all children need and deserve a family.”

Read more: http://www.intensivefamilypreservation.org/40th-anniversary-celebration/

Topics Included:

  • The IFPS Journey: The First 40 Years. The beginning of Homebuilders, overview of the Clark IFPS Initiative, and current status of IFPS Implementation.
  • Social Work Education Project at the University of Washington
  • 40 years of IFPS Research
  • Creating Positive Public Opinion about Keeping Families Together
  • National Coordination of Strategy and State Implementations
  • Federal Policy Development and Implementation
  • Looking Forward: What’s moving forward now and in what ways can we all contribute

Awards

Awards were presented at the event to three individuals whose work has contributed significantly to the field of intensive family preservation services over the past 40 years.

  • Peter Forsythe, former Director of the Program for Children of the Edna McConnell Clark Foundation
    In recognition of his outstanding vision, strategic focus and extraordinary support of child welfare system change.
  • Doug Nelson, Retired CEO at Annie E. Casey Foundation
    In recognition and appreciation of his decades of outstanding leadership in child welfare system change.
  • Charlotte Booth, Executive Director of the Institute for Family Development
    Lifetime Achievement Award for exceptional leadership and dedication to Intensive Family Preservation Services and child welfare systems change.

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Posted by Peg Marcworth

Federal Family Preservation Legislation

Family Preservation Guide CoverAs part of the 40th anniversary celebration of IFPS, we are looking at federal involvement in family preservation. Advocates of IFPS were instrumental in helping to pass the first federal law on this issue, the Family Preservation and Support Services Program, enacted in 1993.

Information for this post is taken from the publication Making Strategic Use of the Family Preservation and Support Services Program: A Guide for Planning. The Guide, developed by the Center for the Study of Social Policy and the Children’s Defense Fund, was published in 1994 with readers encouraged to reproduce and disseminate it. The following are some of the highlights from the Guide:

The goals of the Family Preservation and Support Services Program are to:

  • Protect children’s safety.
  • Strengthen families’ ability to promote their children’s healthy
    development.
  • Contribute to the development of a more responsive, collaborative, family-centered child and family service system.

The program authorizes resources for states to meet these goals
through broad-based and extended planning and through the strategic expansion of family preservation and family support services. Approximately $900 million will be distributed to states over the course of five years (FY 1994 through FY 1998) for planning and program expansion.

The legislation recognizes that family preservation and family support are not “stand-alone” services; they are part of a larger child and family service system. They stress that planning and implementation should not be limited to expansion of family preservation and family support services, but should seek to apply the principles underlying these services—family-centered, collaborative, and communitybased service delivery—to all child and family services. Family preservation and family support services should be expanded in ways that encourage, facilitate, and leverage improvements in all child-serving systems.

Here’s how the legislation described family preservation services:

  • Often offered to families as an alternative to their children’s placement in out-of-home care.
  • Designed to maintain children safely in their homes and prevent the unnecessary separation of families.
  • Characterized by small caseloads for workers, short duration of services, 24-hour-a-day availability of staff, and the provision of services primarily in the home or in another environment familiar to the family.

The federal government intended that the family preservation and support legislation would serve as a catalyst for improving service delivery. States were required to develop plans with five critical steps:

  1. Determining in detail the needs of children and families as well as state and local capacity to respond to these needs.
  2. Envisioning a more effective service system—one that responds earlier, more comprehensively and with greater flexibility—with the aim of strengthening families and promoting healthy child development.
  3. Developing policy and programmatic strategies that will enable states and communities to build this more effective system.
  4. Identifying all of the resources—federal, state, and local, public and private—available for child and family services.
  5. Determining how best to allocate (or reallocate) those resources so that they support state and local reform agendas.

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Posted by Priscilla Martens, Executive Director, National Family Preservation Network

Family Preservation Journal

Family Preservation Journal Cover

Image used by permission

This is the first of two posts on the role of academia over the 40 years that IFPS has been in existence. From the beginning, IFPS has been one of the most researched and written about models of human services. Frequently this work was undertaken by faculty at colleges and universities across the nation.

In 1995 the Family Preservation Institute within the Department of Social Work, New Mexico State University, released the first issue of the Family Preservation Journal. Printing costs were covered by subscriptions. Professors John Ronnau and Alvin Sallee stated the purpose of the Journal: “to provide a forum in which practitioners, administrators, researchers, and educators in family preservation may present and critically review their findings, issues, and concerns. In the process, the family preservation culture and approach will be refined and invigorated.” Over twenty additional college and university professors served on the Editorial Board.

Articles in the first issue included:

  • A proposal that universities adopt a family preservation and support agenda as one of their missions in surrounding communities and regions.
  • A conceptual framework for reunification. A case example was analyzed using a conceptual framework that included social learning theory, client-centered approach, and ecological systems theory.
  • In a research study article, four assessment scales were used to determine change in family functioning based on the IFPS intervention. The results indicated that IFPS had a positive effect on family functioning.
  • The Journal also included a review of books and training materials. A professor commented on a 43-minute video of HOMEBUILDERS® IFPS training in which eight vignettes were presented to demonstrate behavioral-cognitive skills.

The following is an excerpt from the findings that reflected changes in parenting for families receiving IFPS:

Table 4
Child Well-Being Scales

Child Well-Being Scale

Pretest Mean

Posttest Mean

T-Value

Child well-being scale (44 items)

88.8

90.9

***-3.37

Parental disposition (14 items)

82.3

86.8

***-4.32

Children’s adequacy of mental health care

88.9

93.9

-1.95

Parental capacity of child care

88.6

88.8

-.10

Parental recognition of problems in the family

68.9

78.8

**-3.26

Parental motivation to solve problems

76.4

80.9

*-2.20

Parental cooperation with case planning

86.9

87.0

-.04

Parental acceptance of children

80.6

82.9

**-3.10

Parental approval of children

82.9

87.3

**-2.97

Parental expectations of children

81.1

97.6

***-3.39

Parental consistency of discipline

80.5

87.4

***-3.50

Teaching/stimulating children

85.7

87.0

-1.09

Protection from abuse

85.0

92.5

-1.79

Abusive physical discipline

87.9

6.51

*-2.40

Threat of abuse

89.8

94.7

**-2.73

p
* = <.05
** = <.01
*** = <.00

This brief overview of the first issue of the Family Preservation Journal indicates the role of the Journal in aiding to establish the foundation, theory, research, best practice, tools, and resources that would undergird the development and expansion of IFPS. A publication founded and supported by academia and devoted solely to family preservation lent legitimacy and credibility to the movement.

The publication’s name was later changed to the Journal of Family Strengths. Issues of the Family Preservation Journal are now available free online. Here is the link to the first issue: (PDF, 10.6 MB)
http://bit.ly/1bPGMkq

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Posted by Priscilla Martens, Executive Director, National Family Preservation Network

Implementing IFPS Nationwide

Part of the excitement of celebrating the 40th Anniversary of IFPS comes from discovering or re-discovering publications that document the history and impact of IFPS.

In this post we review a paper written in 2001 by Frank Farrow, Director of the Center for the Study of Social Policy. Mr. Farrow looked at the first quarter-century of IFPS; the following is a summary of his findings taken from The Shifting Policy Impact of Intensive Family Preservation Services.

In the 1980s, the Edna McConnell Clark Foundation funded 10 programs to determine how to keep families in crisis intact. The Homebuilders® IFPS program stood out based on clarity of service approach, quality training, and quality assurance. The Clark Foundation was convinced that the Homebuilders® program could be replicated nationwide.

Peter Forsythe, Director of the Children’s Program at Clark Foundation, developed three strategies to achieve this goal:

  1. Further development of the Homebuilders® practice model
  2. A coalition of national organizations to support IFPS
  3. Support to states that were committed to implementing the model

The most critical implementation occurred at the state level.

  • Michigan was one of the first states to implement IFPS and pioneered the use of IFPS with families involved in substance abuse. (Note: Michigan was also the site of a random assignment control group study demonstrating the effectiveness of IFPS in preventing placement.)
  • Kentucky was the first state to introduce legislation mandating IFPS, with Judge Richard Fitzgerald a key supporter.
  • Iowa’s IFPS program was established statewide with the help of a key legislator, as was Tennessee’s program.
  • Missouri had a public-private partnership for IFPS consisting of the child welfare agency, a children’s advocacy group, and the mental health agency.

Taken together, these states generated a groundswell of professional opinion in favor of IFPS.

Meanwhile, on the national front, Congress had passed legislation in 1980 requiring that states make “reasonable efforts” to maintain children in their own homes before removing them for placement in foster homes or residential care.

However, there was no clear definition or funding to implement this provision.

And so the national organizations that supported IFPS went to work to link reasonable efforts to family preservation. National organizations that supported IFPS included:

  • Child Welfare League of America (CWLA),
  • Children’s Defense Fund (CDF),
  • Mental Health Institute of the University of South Florida,
  • National Conference of State Legislators (NCSL), and
  • Center for the Study of Social Policy (CSSP).

States that had implemented IFPS provided critical testimony and onsite visits. All of these efforts resulted in passage of the Family Preservation and Support amendments to child welfare law in 1993. For the first time, a federal funding stream was available for IFPS that explicitly recognized the concept and practice of family preservation.

Mr. Farrow concludes by saying that family preservation has changed child welfare practice in ways that can never completely disappear. IFPS created a widespread professional belief that intensive interventions can make a difference to families. That belief lives on today!

To read Mr. Farrow’s paper, visit:
http://bit.ly/1jxO6sU

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Posted by Priscilla Martens, Executive Director, National Family Preservation Network

Celebrating 40 Years of IFPS – Part 2

IFPS - Keeping Families Together and Children SafeIn this post we look at the target populations with which IFPS has been found to be effective and an assessment tool for use with IFPS.

IFPS is Effective with High-Risk Families

Dr. Ray Kirk from the University of North Carolina-Chapel Hill conducted a retrospective study (NC DSS, 2001) of more than 1,200 children who had received IFPS services in North Carolina and compared them with over 110,000 children who had not received these services.

IFPS outperformed traditional child welfare services in every case by reducing the number of placements or delaying placements. IFPS interventions improved family functioning and were most effective with the highest risk families.

IFPS Reduces Disproportionality

In this study, high-risk minority children receiving traditional services were at higher risk of placement than white children, but minority children receiving IFPS were less likely to be placed than white children.

Note: a future blog post will provide details of this study.

IFPS is Effective with Older Youth

A study showed that IFPS services resulted in a 92% placement prevention rate for older youth (ages 12-17) in comparison to an 88% placement prevention rate for younger children (ages 0-11). For more details of this study, visit:
http://ifpscoasttocoast.wordpress.com/2013/10/23/ifps-is-effective-with-older-youth/

IFPS is Effective with Juvenile Offenders

HOMEBUILDERS® received funding from the U.S. Administration for Children, Youth and Families to provide services to youth and families referred from the Pierce County Juvenile Court.

Twelve months after intake, 73% of youth served were not placed in out-of home care. Data from the overflow comparison group showed that only 28% of the comparison youth avoided placement. For the full report, visit:
http://ifpscoasttocoast.wordpress.com/2013/11/13/ifps-with-juvenile-justice/

IFPS is Effective with Children with Mental Health Challenges

HOMEBUILDERS® was originally developed to prevent the psychiatric hospitalization of severely behaviorally disturbed children. From January 2009 through April 2013 the program served 3014 children at risk of placement, 383 of whom were reported to have serious mental health symptoms.

In the entire population, 97.5% of children successfully avoided placement at termination of services. Ninety-six percent of the 383 youth with serious mental health issues avoided out of home placement at termination of services. For additional studies involving IFPS and mental health visit:
http://ifpscoasttocoast.wordpress.com/category/mental-health/

IFPS is Effective with Adoptive Families

Dr. Marianne Berry and NFPN conducted a study on the use of IFPS with post-adoptive families in Missouri. 83% of the adoptive families studied were preserved by the end of IFPS. At a six-month follow-up point, 76% remained intact. No families contacted at the six or 12-month follow-up checks had legally disrupted. To view the complete report, visit:
http://nfpn.org/articles/ifps-with-post-adoptive-families

IFPS is Effective with Reunifying Families

The earliest study of the use of IFPS with reunifying families was conducted in Utah in 1995.

The IFPS intervention lasted 90 days and children were returned to the families within 15 days of referral. Following IFPS services, 92% of the children were at home vs. 28% of the control group. For additional information, view the IFPS ToolKit (chapters 10 and 11) here:
http://www.nfpn.org/preservation/ifps-toolkit

Assessment Tool Created for Use with IFPS

Development of the North Carolina Family Assessment Scale (NCFAS) for use with IFPS services provided an opportunity to measure a family’s progress following an IFPS intervention. The family’s progress is also closely tied to successfully remaining intact. Here’s a chart with typical pre/post ratings from research on use of the NCFAS with IFPS families (the percentages refer to the families that are at baseline or above, meaning that no intervention is required in that domain):

NCFAS Ratings of Baseline or Above at Intake and Closing
The NCFAS tools continue to demonstrate strong reliability and validity with IFPS programs. For a more detailed report, visit:
http://www.nfpn.org/assessment-tools/ncfases-scale-development-report

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Posted by Charlotte Booth, Executive Director, Institute for Family Development
and Priscilla Martens, Executive Director, National Family Preservation Network

Celebrating 40 Years of IFPS

Keeping Families Together Title PageDid you know that the term “family preservation” did not exist 40 years ago?

We’ve come a long way in the past 40 years! From no use of the term “family preservation” before 1974 to over 37 million Google listings for “family preservation” in 2014.

IFPS got off to a strong start, was boosted with a strong dose of private foundation and federal government support, experienced a rough patch for a period of time, and is now growing and stronger than ever.

Come along for the journey for the next 40 years!

Birth of IFPS

In 1974 the HOMEBUILDERS® program, a model of Intensive Family Preservation Services (IFPS), began in Washington State. Its goal—strengthen families and prevent unnecessary out-of-home placement.

The federal government provided impetus for nationwide replication of IFPS through the Adoption Assistance and Child Welfare Act of 1980. This act required states to provide reasonable efforts to prevent or eliminate the removal of children from their homes or make it possible for them to return home. Family preservation services were listed as an essential component of satisfying the reasonable efforts requirement.

Foundation and Federal Funding for IFPS

The private sector stepped up to provide key funding for IFPS.

  • In 1986 the Edna McConnell Clark Foundation awarded $3.3 million for development of model programs, training/technical assistance, and capacity building.
  • In 1992, the Clark Foundation funded 7 existing organizations to promote IFPS.
  • Both the Clark Foundation and the Annie E. Casey Foundation provided funding to establish a new organization, the National Family Preservation Network (NFPN). NFPN is the only national organization whose mission is to serve as the primary national voice for the preservation of families.

By 1993 IFPS programs existed in 35 states with 12 states passing specific family preservation legislation. That was also the year that federal funding first became directly available for IFPS through the Family Preservation and Support Act, later changed to the Promoting Safe and Stable Families Program (PSSF).

The program was expanded to include funding for reunification and adoption services as well as family preservation and prevention. About one-fourth of the annual federal funding goes to family preservation.

Title IV-E Waivers

In 1994, Congress passed Public Law 103–432, which established Section 1130 of the Social Security Act (SSA) and gave the Secretary of the Department of Health and Human Services (HHS) the authority to approve state demonstration projects, now referred to as IV-E waivers.

Conceived as a strategy for generating new knowledge about innovative and effective child welfare practices, waivers give states flexibility in the use of federal funds for alternative supports and services that promote safety, permanency, and well-being for children in the child protection and foster care systems.

Waivers allow funding and programs to prevent foster care, including authorization for IFPS as well as reinvestment of public funds that are saved through prevention of costly out-of-home placement. Congress is currently authorizing up to 10 new waiver projects annually.

 

Fidelity Validates IFPS

In 2001 a federal study indicated that IFPS was not effective in preventing out-of-home placements of children. Subsequent studies addressed methodological problems in the federal study. A breakthrough came in 2006 with a study conducted by the Washington State Institute for Public Policy (WSIPP). WSIPP did a meta-analysis of 14 IFPS evaluations based on fidelity to the Homebuilders® model of IFPS. The results from the combined 14 studies showed no significant effect on out-of-home placements.

But the programs with demonstrated fidelity to the Homebuilders® model reduced out-of-home placement by 31%. In addition, the high-fidelity programs produced $2.54 of benefits for each dollar of cost.

IFPS is Effective With a Variety of Families

A study conducted by NFPN found that the positive results of IFPS are not diminished when working with families of color, families involved with substance abuse, or families referred for neglect.

In the next post we’ll take a closer look at the target populations with which IFPS has been found to be effective.

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Posted by Charlotte Booth, Executive Director, Institute for Family Development
and Priscilla Martens, Executive Director, National Family Preservation Network