Section 301.90 Foster Family Home Care

Section 301

Section 301.90  Foster Family

Home Care

a)         Foster family home care is provided in licensed foster family

homes for children who cannot remain in the home and who can benefit from a

family structure of care.  The Department shall have legal responsibility for

the child before the child is placed in a foster family home.  The home shall

have received a license or permit under the provisions of 89 Ill. Adm. Code 402

(Licensing Standards for Foster Family Homes) before it receives children for

foster care payment.

b)         The

Department shall provide specialized foster care services for

a child in the

custody or guardianship of the Department who requires such services due to

emotional, behavioral, developmental or medical needs, or any combination

thereof, or any other needs which require special intervention services, the

primary goal being to maintain the child in foster care or in a permanency

setting.

[20 ILCS 505/5.30(a)]

1)         A

child's eligibility for specialized foster care services, and the specific

service interventions needed, shall be determined based upon:

A)        The

results of the Child and Adolescent Needs and Strengths (CANS) assessment tool,

assessing the following child traits, domains and functioning:

i)          Trauma

experiences;

ii)         Trauma

stress symptoms;

iii)        Child

strengths;

iv)        Life

domain functioning;

v)         Acculturation;

vi)        Child

behavioral/emotional needs; and

vii)       Child

risk behaviors; and

B)        One of

the following:

i)          The

recommendation of the Child and Youth Investment Team (CAYIT) developed at a

staffing convened specifically to address the child's eligibility for

specialized foster care services; or

ii)         A

referral from the Division of Child Protection of a child new to care for an

assessment by Department Specialized Foster Care Unit staff; or

iii)        The

recommendation of Department clinical staff when a child in the custody or

guardianship of the Depart

developed at a

staffing convened specifically to address the child's eligibility for

specialized foster care services; or

ii)         A

referral from the Division of Child Protection of a child new to care for an

assessment by Department Specialized Foster Care Unit staff; or

iii)        The

recommendation of Department clinical staff when a child in the custody or

guardianship of the Department is discharged from a psychiatric hospital.

2)         Examples

of medical conditions that may require specialized foster care services

include, but are not limited to:

A)        The

child has a life threatening disease as documented by a medical professional

(e.g., brain tumor, cancer);

B)        The

child is dependent on life saving equipment (e.g., ventilator dependent,

dialysis equipment, oxygen 24 hours a day);

C)        The child

has a medical/physical condition or impairment that requires an extraordinary

level of daily supervision and/or assistance;

D)        The

child is a quadriplegic;

E)        The

child has severe physical limitations due to multiple physical conditions;

F)         The

child is currently in a psychiatric hospital or has been psychiatrically

hospitalized within 72 hours after day of intake; or

G)        The

child is an alleged sexual perpetrator confirmed by a delinquency petition

and/or an Indicated SCR report.

3)         Examples

of other behavioral and mental health issues that may warrant consideration for

specialized foster care services include, but are not limited to, sexual

victimization, sexual aggression, fire setting, juvenile delinquency,

compulsive behaviors, mental retardation, substance abuse problems or mental

illness.  Behavioral health services shall be provided as described in 89 Ill.

Adm. Code 302.390 (Behavioral Health Services).

4)         When

assessing whether a child with a condition or behavior described in subsections

e not limited to, sexual

victimization, sexual aggression, fire setting, juvenile delinquency,

compulsive behaviors, mental retardation, substance abuse problems or mental

illness.  Behavioral health services shall be provided as described in 89 Ill.

Adm. Code 302.390 (Behavioral Health Services).

4)         When

assessing whether a child with a condition or behavior described in subsections

(b)(1) through (3) requires specialized foster care services, the Department

shall also consider the following 4 factors, cumulatively:

A)        The

child's individual functioning in his or her home, school and community;

B)        The

child's current or recommended involvement in identified services;

C)        The

child's degree of need as defined by the recommended intensity and/or frequency

of services; and

D)        The

caregiver's required level of participation in activities and/or services

needed to meet the child's treatment and educational needs.

5)         When

the Department determines that a child requires specialized foster care

services, the Department shall provide the following minimum services:

A)        Develop

and implement a treatment plan in the best interests of the child that will

help stabilize, and when possible lessen or alleviate the child's special

needs.

B)        Assess

the foster parents with whom the child is placed or may be placed for the

ability, experience and willingness to meet the child's needs.

i)          Caregivers

shall be required to complete child-specific training, when recommended by the

Department or the child's medical/treatment provider.

ii)         Caregivers

shall complete 12 hours of training per year that is tailored specifically to

the child's medical and/or mental health needs and functioning.  This training

shall be separate from the training hours required for licensure or license

renewal

hall be required to complete child-specific training, when recommended by the

Department or the child's medical/treatment provider.

ii)         Caregivers

shall complete 12 hours of training per year that is tailored specifically to

the child's medical and/or mental health needs and functioning.  This training

shall be separate from the training hours required for licensure or license

renewal.  The agency providing case management for the child shall provide

training or identify training resources to meet this requirement and shall

ensure that the caregivers are able to meet the needs of the child.  Caregiver

training shall be documented in the case record and in the caregiver's

licensing record.

iii)        Caregivers

shall support visitation with parents, siblings or members of the extended

family.

iv)        Caregivers

for a child who has complex health problems (e.g., a child who has asthma or a

seizure disorder, uses a wheel chair, requires a feeding tube, is visually

impaired or has a speech impairment, etc.) are able and willing to provide

appropriate care for the child.

v)         Caregivers

for a child who has a developmental, emotional, psychological or mental health

disorder, such as compulsive behaviors, mental retardation, substance abuse

problems or mental illness, are able and willing to provide appropriate care

for the child.

vi)        Caregivers

are able and willing to transport the child to and from required treatment and

services.

vii)       Other

factors that shall be considered in selecting a child's placement are those specified

in this Part and in 89 Ill. Adm. Code 301 (Placement and Visitation Services).

C)        Monitor

the child's health, safety and wellbeing and the child's and caregiver's

compliance with the service plan.  The child's caseworker shall:

i)          visit

the child at least 3 times per month

s.

vii)       Other

factors that shall be considered in selecting a child's placement are those specified

in this Part and in 89 Ill. Adm. Code 301 (Placement and Visitation Services).

C)        Monitor

the child's health, safety and wellbeing and the child's and caregiver's

compliance with the service plan.  The child's caseworker shall:

i)          visit

the child at least 3 times per month.  At least one visit per month must take

place in the caregiver's home;

ii)         arrange

for all recommended support services, mental health and/or medical treatment

for the child, contact each service provider monthly, and obtain written client

progress reports from each service provider on a quarterly basis;

iii)        participate

in the quarterly Child and Family Team Meetings;

iv)        participate

in the semiannual Administrative Case Reviews; and

v)         request

a CAYIT if the child's needs cannot be met in his or her current placement

setting, even with additional services or supports.  The CAYIT team shall

develop recommendations regarding services, interventions and placement

settings best able to meet the child's needs.

6)         The

child's caseworker shall incorporate all recommended services into the child's

portion of the client service plan.

7)         The

Department staff who conduct assessments of children for specialized foster care

services in subsections (b)(1)(B) through (D) shall possess the following

minimum qualifications: a Master's in Social Work or Psychology, or be a

Licensed Clinical Social Worker (LCSW), Professional Counselor (LPC), Clinical

Professional Counselor (LCPC), or Clinical Psychologist

ent service plan.

7)         The

Department staff who conduct assessments of children for specialized foster care

services in subsections (b)(1)(B) through (D) shall possess the following

minimum qualifications: a Master's in Social Work or Psychology, or be a

Licensed Clinical Social Worker (LCSW), Professional Counselor (LPC), Clinical

Professional Counselor (LCPC), or Clinical Psychologist.

8)         The

CAYIT team in subsection (b)(1)(B) shall be comprised of the following

Department staff: a CAYIT Reviewer who is a Licensed Clinical Social Worker

(LCSW), Clinical Professional Counselor (LCPC), or Clinical Psychologist; a

CAYIT Facilitator, who convenes the CAYIT staffing; a CAYIT Implementation

Coordinator, who is responsible for monitoring implementation of the

recommendation; and the child's caseworker and the casework supervisor.  Other

persons who shall be invited to the CAYIT staffing include: providers who are

serving the child (e.g., psychologist, educational advisor, nurse), the child's

foster parents/relative caregivers, the child's guardian ad litem and the

biological parents (when appropriate).  Children over 12 years of age are

expected to participate in the CAYIT staffing unless deemed clinically

inappropriate by the CAYIT Reviewer.

9)         The

Department shall monitor implementation of the recommended services until all

of the recommendations are implemented.

A)        After

a CAYIT staffing, described in subsection (b)(1)(B), the CAYIT Implementation

Coordinator shall monitor implementation.

B)        After

assignment of case by the Department Specialized Foster Care Unit staff, described

in subsection (b)(6)(C), the child's caseworker and casework supervisor shall monitor

implementation.  The caseworker and supervisor shall also incorporate in the

client service plan those services recommended as a result of the comprehensive

assessment required in 89 Ill. Adm. Code 315.100(b)

.

B)        After

assignment of case by the Department Specialized Foster Care Unit staff, described

in subsection (b)(6)(C), the child's caseworker and casework supervisor shall monitor

implementation.  The caseworker and supervisor shall also incorporate in the

client service plan those services recommended as a result of the comprehensive

assessment required in 89 Ill. Adm. Code 315.100(b).

C)        After

a recommendation of Department clinical staff, described in subsection

(b)(1)(D), Department clinical staff shall monitor implementation.

10)         The

treatment plan shall be reviewed at least annually and modified, if necessary,

to ensure that services identified in the treatment plan continue to be

appropriate to promote stability and meet the needs of the child.

A)        The

Department's Specialized Foster Care Unit shall facilitate the review of the

child's treatment plan, in collaboration with the Department's clinical and

other service divisions.

B)        Based

on the information presented at the staffing and completion of the CANS

assessment tool, staff of the Department's Specialized Foster Care Unit shall

make one of the following recommendations:

i)          Continuation

of the services in the treatment plan; or

ii)         Modification

of the treatment plan to include additional services deemed necessary to

promote stability and meet the child's needs or remove any services deemed to

be ineffective or no longer necessary to promote stability and meet the child's

needs.

11)         After

each review pursuant to subsection (b)(10), the child's caseworker shall

incorporate all recommended services into the child's portion of the client

service plan.  The caseworker and casework supervisor shall monitor

implementation of those services.

12)         Children

for whom the Department is legally responsible who are adopted and are eligible

for adoption assistance as defined in 89 Ill. Adm

eview pursuant to subsection (b)(10), the child's caseworker shall

incorporate all recommended services into the child's portion of the client

service plan.  The caseworker and casework supervisor shall monitor

implementation of those services.

12)         Children

for whom the Department is legally responsible who are adopted and are eligible

for adoption assistance as defined in 89 Ill. Adm. Code 302.310 (Adoption

Assistance), or for whom guardianship is transferred pursuant to 89 Ill. Adm.

Code 302.405 (Subsidized Guardianship Program), may be eligible to receive

services that are similar to the specialized foster care services described in

this subsection (b).

A)        The

determination that an adopted child or a child in a Subsidized Guardianship

living arrangement requires services similar to specialized foster care

services shall be based on the results from the CANS assessment tool and the recommendation

of the Department's Post-Adoption Committee.

B)        The

Post-Adoption Committee shall be comprised solely of Department staff selected

by the Director (or designee) and shall include clinical staff, a Registered

Nurse and a post-adoption worker.  Clinical staff conducting the assessment

shall possess a Master's in Social Work (MSW) or Psychology, or be a Licensed

Clinical Social Worker (LCSW), Professional Counselor (LPC), Clinical

Professional Counselor (LCPC), or Clinical Psychologist.

i)          The

Post-Adoption Committee shall identify the services, if any, needed to maintain

the adoption or subsidized guardianship placement.  This may include new

services for the child or an increase in services that the child is currently

receiving under the subsidy

al Social Worker (LCSW), Professional Counselor (LPC), Clinical

Professional Counselor (LCPC), or Clinical Psychologist.

i)          The

Post-Adoption Committee shall identify the services, if any, needed to maintain

the adoption or subsidized guardianship placement.  This may include new

services for the child or an increase in services that the child is currently

receiving under the subsidy.

ii)         When

the identified services are Medicaid-eligible or can be obtained through

available community services, the child's adoptive parents or guardians shall

be required to utilize and exhaust those services before asking the Post-Adoption

Committee to increase the amount of the subsidy to pay for the services.

iii)        When

the services are not Medicaid-eligible or cannot be obtained through community

services, or when the services have been exhausted, the Post-Adoption Committee

may amend the amount of the adoption or guardianship subsidy to pay for the

services.

13)         The Department shall conduct training of Department and

purchase of service agency staff responsible for implementing this subsection

(b).

c)         Although foster family home care is generally provided to

children whose parents are unable or unwilling to protect or care for them, it

is also available for hearing impaired children who require special education

not available in their home communities.  The Department is not legally

responsible for the children receiving this unique placement service.  Care is

provided in cooperation with the Illinois State Board of Education.