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Library: Policy

340:75-7-303. Enhanced foster care (EFC) initial consultation, Service and Support Plan (SSP), and ongoing treatment

Issued 9-15-22

(a) Initial consultation for services.  The initial consultation is completed with the treatment team within five-business days of EFC services approval.  The consultation call 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;

(3) child's assigned child welfare specialist and his or her supervisor;

(4) resource specialist and his or her supervisor;

(5) service provider(s); and

(6) 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 the EFC SSP during the service intake with the treatment team.  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 monthly family meeting (FM) takes place with the treatment team as outlined in the EFC SSP.  The FM informs the child's ongoing needs and utilization of EFC services.  The FM covers topics regarding the child's treatment plan and efforts made to accomplish treatment plan goals, including:

(1) completion of the Child Behavioral Health Screener (CBHS) and utilization of the outcome to inform ongoing treatment and supports;

(2) a monthly report from each treatment team member about the child's current functioning and treatment efforts; and

(3) any needed revisions to the EFC SSP.

(d) EFC ongoing approval.  The regional EFC program staff approves EFC services in six-month increments.  Every six months, the regional EFC program staff reviews the completed treatment plan, monthly FM documentation, completed CBHS, and discusses the need for ongoing EFC services and supports with the treatment team.


Issued 9-15-22

1.  Enhanced foster care (EFC) initial consultation.  Accommodations are made for the resource parent(s) to participate in the consultation call 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 implemented within five-business days of the consultation call.

(1) When an Oklahoma Department of Mental Health and Substance Abuse Services (OKDMHSAS) provider(s) is involved, OKDMHSAS schedules the consultation call with the treatment team.

(2) When only private providers are involved, EFC program staff schedules a family meeting (FM) to complete the consultation with the treatment team.

(3) EFC program staff ensures proper consultation is scheduled based on the information and completes a follow-up call with the resource parent(s) two weeks after the consultation to verify services are in place.

2.       EFC services and supports.

(1) Standard services and supports include:

(A) 24 hour crisis intervention;

(B) monthly in-home quality worker visits;

(C) weekly in-home individual therapy for the child;

(D) in-home family therapy;

(E) Child and Adolescent Needs and Strengths (CANS) Assessment;

(F) evidence-based treatment models; and

(G) supplemental foster care rate (Difficulty of Care Level V)

(2) Additional services and supports include:

(A) Systems of Care;

(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 child's assigned child welfare (CW) specialist and the family's assigned resource specialist participate in the services intake with the family and provider.  When appropriate, the services intake is combined with the initial consultation.

(2) Items in the EFC SSP include:

(A) the frequency of communication to occur between the resource parent(s) and Oklahoma Human Services within the first two months of initiating services and how the communication will occur;

(B) a monthly visitation plan;

(C) a schedule for monthly FM;

(D) a schedule for weekly individual and family therapy;

(E) the training completion plan;

(F) a respite plan;

(G) a crisis 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 child's KK case.

4.       Monthly FMs. The child's assigned CW specialist facilitates the FM and completes the monthly FM form.  EFC program staff does not participate in monthly FMs, but reviews the FM forms for the assessment of ongoing services and overall outcome analysis.

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