Library: Policy
340:75-7-303. Enhanced foster care (EFC) initial consultation, Service and Support Plan (SSP), and ongoing treatment
Issued 9-15-23
(a) Initial consultation for services. The initial consultation is completed with the treatment team within five-business days of determination the child meets EFC criteria. The consultation l clearly articulates the child's and family's current needs and identification of services to meet those needs. The treatment team includes:
(1) the child receiving EFC services, when age appropriate;
(2) resource parent(s);
(3) biological parent(s) or guardian, when appropriate;
(4) child's assigned child welfare specialist and his or her supervisor;
(5) resource specialist and his or her supervisor;
(6) service provider(s); and
(7) regional EFC program staff.
(b) EFC SSP. EFC is individualized to the child's and resource family's needs. The resource family's resource specialist completes Form 04EF001E, Enhanced Foster Care Service & Support Plan within 30-calendar days of the initial consultation. The EFC SSP outlines the child's and family's needs and the identified service array. The EFC SSP is updated as needed based on the child's and family's treatment goals and individualized needs to support collaboration and communication.
(c) EFC ongoing treatment. A treatment team meeting (TTM) takes place 30-calendar days after the initial consultation and every 60-calendar days from the last TTM. The TTM informs the child's ongoing need and utilization of EFC services. The TTM covers topics regarding the child's progress on treatment goals and objectives, the family's participation and engagement in EFC services, and any additional services or supports needed.
(d) EFC ongoing approval. The regional EFC program staff approves EFC services in six-month increments. Upon request from the child’s assigned child welfare specialist or resource specialist, the regional EFC program staff evaluates service progress, resource family participation, and the child’s current eligibility for EFC services.
INSTRUCTIONS TO STAFF 340:75-7-303
Revised 9-15-23
1. Enhanced foster care (EFC) initial consultation. Accommodations are made for the resource parent(s) to participate in the consultation to clearly describe the child's needs and resource parent(s)' strengths. Services offered to the family are based on the treatment team's information, supporting documentation, and input from the resource parent(s). Services are initiated within five-business days of the consultation.
(1) When an Oklahoma Department of Mental Health and Substance Abuse Services (OKDMHSAS) contracted provider(s) is involved, OKDMHSAS schedules and facilitates the consultation with the treatment team.
(2) When only private providers are involved, EFC program staff schedules and facilitates the consultation with the treatment team.
(3) EFC program staff ensures proper consultation is scheduled based on the information and completes a follow-up with the treatment team two weeks after the consultation to verify services are initiated.
2. EFC services and supports.
(1) Standard services and supports include:
(A) crisis prevention planning;
(B) access to 24 hour crisis intervention services;
(C) monthly in-home quality worker visits by the child’s assigned child welfare (CW) specialist and resource family’s resource specialist, including discussion about service progress and support needs;
(D) weekly individual therapy and treatment planning for the child;
(E) therapeutic parenting services or family therapy;
(F) Child and Adolescent Needs and Strengths (CANS) Assessment;
(G) evidence-based treatment models; and
(H) supplemental foster care rate (Difficulty of Care Level V)
(2) Additional services and supports include:
(A) service coordination;
(B) wraparound treatment;
(C) specialized services; and
(D) any other services identified in the child's Service and Support Plan (SSP).
(3) The supplemental rate is based on the child's individual needs determined by using the CANS Assessment to establish the amount to be received. The supplemental rate is added on the day of the referral approval.
3. EFC SSP.
(1) The resource family's assigned resource specialist completes Form 04EF001E with input from the child’s assigned CW specialist, resource family, and service provider. When additional information is needed to complete the SSP, the resource specialist obtains it at the first treatment team meeting (TTM). An EFC home or resource family providing EFC services only has one SSP since it is the resource family’s plan; information regarding each EFC-approved child is added to the SSP.
(2) Items in the EFC SSP include:
(A) the frequency of communication to occur between the resource parent(s) and Oklahoma Human Services;
(B) the child’s monthly visitation plan, when applicable;
(C) a schedule for every TTM;
(D) identified child and family therapy or therapeutic parenting services to be provided;
(E) the training completion plan;
(F) a respite plan;
(G) a crisis prevention and intervention plan;
(H) the contact information for the treatment team; and
(I) any other information relevant to the child's and family's service array.
(3) The family's assigned resource specialist is responsible for completing and uploading the EFC SSP into the KIDS resource contacts and the resource family’s case in the document management system.
4. EFC TTM. The EFC program staff facilitates the TTM and completes Form 04EF004E, Enhanced Foster Care Treatment Team Documentation. (1) The initial TTM is completed 30-calendar days after the consultation. The initial TTM addresses the timeliness and progress of establishing needed services and supports for the child and resource family.
(2) Each subsequent TTM is completed every 60-calendar days from the date of the last TTM. The ongoing TTM addresses progress on EFC services and supports in place, if different or additional services or supports are needed, and if EFC is furthering the child’s treatment goals.
(3) Items in the TTM include:
(A) child behavior and recent assessments;
(B) child’s treatment plan;
(C) medications;
(D) problematic sexual behavior;
(E) therapeutic parenting services;
(F) child’s monthly visitation plan, when applicable;
(G) crisis planning and intervention services;
(H) the resource family’s respite plan;
(I) EFC feedback; and
(J) EFC recommendations and follow-up.
(4) The EFC program staff is responsible for documenting the TTM in KIDS contacts in the child’s KK case and uploading Form 04EF004E into the child’s case in the document management system.
5. EFC progress reports.
(1) The EFC program staff and child’s assigned CW specialist request service providers to complete Form 04EF005E, Enhanced Foster Care Monthly Progress Report.
(2) The progress report outlines services provided, dates of appointments, and resource family engagement.
(3) The EFC program staff is responsible for documenting receipt of progress reports in KIDS contacts in the child’s KK case and uploading Form 04EF005E in the child’s case in the document management system.
6. EFC ongoing approval. The regional EFC program staff approves EFC services in six-month increments and evaluates service progress and the child’s current eligibility criteria for EFC services.
(1) The child’s assigned CW specialist submits Form 04EF003E, EFC Referral, to the regional EFC program staff 30-calendar days prior to the end of the six-month period.
(2) The regional program staff:
(A) reviews supporting documentation, including:
(i) completed treatment plans;
(ii) service provider progress reports;
(iii) TTM documentation;
(iv) completed Child Behavioral Health Screener; and
(v) quality worker visit documentation; and
(B) requests a CANS Assessment to be completed;
(C) discusses the need for ongoing EFC services and supports with the treatment team; and
(D) notifies the treatment team of the decision regarding continued approval.
