SOUTH DAKOTA BOARD OF SOCIAL SERVICES Meeting Agenda Tuesday, October 22, 2019 1:30pm – 3:30pm CT Teleconference Dial in: 1-866-410-8397 Conference Code: 986-314-4547 Kneip Building, 1st Floor Kneip Conference Room #3, Pierre _____________________________________________________________________________________________________ 1. Call to Order and Declaration of Quorum 2. Adoption of Agenda 3. Approval of Minutes from April 16, 2019 Board Meeting 4. Medicaid Constituent Services- Teresa Campbell 5. Child Care Services- Program Overview and Enhancements- Carroll Forsch 6. Primary Care Innovation Grants- Brenda Tidball-Zeltinger 7. Behavioral Health Initiatives- Tiffany Wolfgang/Bill Snyder/Amy Iversen/Pollreisz - South Dakota Opioid Response Prevention and Treatment of Methamphetamine Use Legislative Summer Study Updates 8. Foster Parent Recruitment and Trends/Other Updates- Virgena Wieseler 9. Board Roles/Responsibilities 10. Future Agenda Items 11. Public Comment 12. Establish Next Meeting Date 13. Adjourn SOUTH DAKOTA BOARD OF SOCIAL SERVICES Meeting Minutes Tuesday, April 16, 2019 1:30pm – 3:30pm CT Teleconference Dial in: 1-866-410-8397 Conference code: 986-314-4547 Kneip Building, 1st Floor Kneip Conference Room #3, Pierre _____________________________________________________________________________________________________ Board Members Present: Hugh Grogan; Patricia Johnson; Linda Wordeman; Barbara Garcia; Holly Bodenstedt Board Members Absent: Cecelia Fire Thunder; Jesse Ronning Others Present: Greg DeSautel, Department of Social Services (DSS) Cabinet Secretary; Brenda Tidball-Zeltinger, DSS Deputy Secretary; Amy Iversen-Pollreisz, DSS Deputy Secretary; Carrie Johnson, Director of Economic Assistance; David Gall, Administrator of Energy Assistance & Weatherization; Bill Snyder, Director of Medical Services; Tiffany Wolfgang, Director of Behavior Health; Marilyn Kinsman, Senior Policy Analyst, DSS Call to Order and Declaration of Quorum: The meeting was called to order by Hugh Grogan, at 1:45 PM (CDT) and a quorum was determined. Adoption of Agenda: Motion to approve agenda by Patricia Johnson, seconded by Linda Wordeman. Motion carried. Approval of Minutes from October 23, 2018 Board Meeting: Motion to approve minutes by Barbara Garcia, seconded by Patricia Johnson. Motion carried. 2019 Legislative Session Update: Amy Iversen-Pollreisz provided an update regarding bills the Department was involved in during the 2019 Legislative Session. SB 30 removed unnecessary federal references and dates for certain statutes related to DSS. HB 1029 was a bill that required criminal background checks for all adults working in child care institutions as a result of changes to federal law. Per federal law - Family First Prevention Services Act - the bill added any adult working in a child care institution, including a group home, residential treatment center, intensive residential treatment center, or shelter care facility to the statute requiring background checks. Both bills passed. Licensing Boards overseen by the Department also had bills they brought before the Legislature. SB 31 removed Federal Bureau of Investigation (FBI) criminal background check requirements for assistant behavior analysts and paraprofessionals. Current law was intended for private agencies who employ certified assistant behavior analysts and paraprofessionals to conduct background checks through the Division of Criminal Investigations (DCI). However, the current statute also requires an FBI background check, which cannot be requested by a private agency. This bill amends the statute to reflect current practice. SB 32 amended the board composition for the Board of Social Examiners, so the membership reflects the needs of the Board. Both bills passed. HB 1028 was brought forward by the Counselors and Marriage and Family Therapists Examiners to revise provisions related to professional counselors and marriage and family therapists. Statutes pertaining to this Board had not been comprehensively updated in over 20 years. The majority of the revisions and updates were aimed at correcting inconsistencies and making general clean up amendments. Additionally, counselors are currently licensed under a dual-tier system. The Board’s proposed changes would have created one level of licensure for applicants after July 1, 2019, and would have transitioned to one level of licensure, making the practice act consistent with neighboring states to allow for easier portability of licenses. HB 1028 was amended, and HB 1250 was brought forward; however, neither bill passed. Career Connector: Carrie Johnson discussed progress made with the Career Connector program. The Department submitted a waiver in July 2018 which would require Medicaid adults in the Low Income Families group to participate in the work component (unless they qualify for an exemption) and meet monthly milestones. The Career Connector program will be piloted in Minnehaha and Pennington counties. These two counties were identified as pilot locations to operate the program based on population and access to employment and training. Both Minnehaha and Pennington counties have a Department of Labor and Regulation office that will provide supports for individuals in the program. The intent is for each participant to have an individualized plan, unique to the barriers and skill sets they have or need. There are transitional benefits available for a year and potential premium assistance for another year after that (e.g. if the individual continues to be active in the program and meets certain milestones such as preventive health visits.) The Department began operating the work requirement in July 2018 as a voluntary program. Once the Centers for Medicare and Medicaid Services (CMS) approves the waiver, the work component will be implemented as mandatory. Since starting the volunteer program, the Department has made over 1,100 referrals to the Department of Labor for the two counties. Of the 124 appointments that were scheduled, 35 participants attended and 14 are currently actively participating. As we have been working with the individuals in the volunteer program, we are learning about barriers and challenges they face – they may have moved, their phones get shut off, etc. South Dakota’s waiver is unique from other states in the individualized plan approach. The program will also focus on improving health outcomes for participants by increasing identification and treatment of behavioral health conditions including substance use disorders and through promoting the utilization of preventative services. Participants are given multiple opportunities to comply before losing Medicaid eligibility. Failure to comply will result in a 90-day ineligibility period of the participant’s Medicaid coverage. Weatherization State Plan: David Gall presented information about South Dakota’s Weatherization State Plan. The Weatherization Assistance Program is100% federally funded. The US Department of Energy oversees the program and sets the guideline for eligibility at 200% of the federal poverty level. Dave provided an overview of the breakdown of the $2,136,561 total budget. The Department contracts with four agencies that complete weatherization work throughout the state – Inter-Lakes Community Action Partnership; Northeast South Dakota Community Action Program, Rural Office of Community Services, Inc., and Western South Dakota Community Action Agency, Inc. The funding formula is based on 90% of low-income households in their service area; 10% is based on square miles in their service area. The average cost per home weatherized is $9,538. Priority is given to the elderly, individuals with disabilities, and families with children. Federal rule prohibits homes that were weatherized after September 30, 1994, to be weatherized again. Refer to the Application for Federal Assistance SF-424 handout. Medicaid Community Health Worker: Bill Snyder shared information regarding Medicaid Community Health Worker services. Funding for this program is made possible by care coordination between Indian Health Services (IHS) and other providers in South Dakota. A State Plan Amendment established coverage criteria and a reimbursement methodology for community health worker services that became effective April 1, 2019. Community health worker services are a preventive health service to prevent disease, disability, and other health conditions or their progression for individuals with a chronic condition or at risk for a chronic condition who are unable to self-manage the condition or for individuals with a documented barrier that is affecting the individual’s health. A community health worker agency is required to be enrolled in Medicaid to be reimbursed for services. Individual community health workers must be employed and supervised by an enrolled community health worker agency. Covered services include resource coordination, health system navigation, health promotion and coaching, and health education to teach or promote methods and measure that have been proven effective in avoiding illness and/or lessening its effects. These services are available both on and off the reservation. Refer to the Community Health Worker (CHW) Services handout. Primary Care/Nursing Home Innovation Grants: Bill Snyder presented information regarding the Department of Social Services publication of RFP #1661 Primary Prenatal Care Innovation Grants and the Department of Human Services plan regarding nursing home innovation grants. One-time funding ($5 million for nursing homes and $1 million for primary prenatal care) was appropriated to develop new and innovative approaches to care. The grant will test innovative service delivery models and evaluate outcomes over the length of the projects. The goal will be to identify cost effective strategies that could be sustained over the long term and for primary/prenatal care that reduce costs and achieve positive birth outcomes and increased preventive care. A grant application for nursing homes is in process by the Department of Human Services. A Request for Proposals for primary prenatal care grants was published on April 1, 2019. The requirement of a letter of intent was extended to Thursday April 18. The anticipated award decision/contract negotiation date is July 1, 2019. Refer to the Innovation Grants handout. Behavioral Health - New Initiatives: Amy Iversen-Pollreisz shared information regarding the Division of Behavioral Health’s new initiatives that support Governor Noem’s priority to address the meth crisis in South Dakota. Funding was requested and approved by the legislature related to this initiative, including one-time funding in the amount of $1.3 million for the development of a meth prevention media campaign plus ongoing funding of $250,000 to support the campaign. Additionally, $731,000 will be used to implement school-based meth prevention activities, targeting middle school age youth and bringing educational information to youth across the state to help them understand the dangers of meth as well as other substances. In addition, funding of $547,500 will be available to support sober living environments for individuals with substance use disorders. The Department will also receive funding to expand on school-based mental health services and is partnering with the Department of Education in this area. $351,000 will be available to allow the addition of five more system of care coordinators to be placed in schools across South Dakota to screen and identify students who may need treatment and link them to treatment. Additionally, $220,000 will be available to support activities previously funded through the Youth Suicide Prevention grant. Funding will be used to follow up on individuals hospitalized due to suicidal ideations, help make sure they are getting to appointments, provide suicide training, and continue to support the Be the 1 campaign. SB 8 passed and will allow the Department of Social Services to partner with counties to implement a statewide call in resource network. Featured Program - DSS Opioid Grants: Tiffany Wolfgang shared information regarding ongoing work the Department has done to address the opioid crisis. Enough doses of opiates were prescribed to South Dakotans in 2017 to medicate every South Dakota adult around-theclock for 15 straight days (17 days in 2016 and 19 days in 2015). As shared during the last meeting, although South Dakota is not experiencing the opioid crisis other states are, we want to raise awareness so that South Dakota does not become a national statistic. We remain focused on being proactive in assessing the impact of the opioid epidemic in South Dakota and have been providing coordinated efforts in the areas of education, prevention, treatment and recovery. Tiffany provided an overview of the Department’s work with the Federal State Targeted Response to the Opioid Crisis grant as well as the State Opioid Response Grant. Activities include supporting evidence-based prevention and treatment across the state of South Dakota including community and school-based educational events; professional development and training; and raising awareness and access to Medication Assisted Treatment. Information can be found at https://www.avoidopioidsd.com/. Refer to the two Avoid Opioids handouts. Additional Agenda Items: Greg DeSautel shared the Department’s highest priorities include updating the MMIS system and the Medicaid Eligibility and Enrollment System in addition to suicide prevention and responding to the meth and opioid use/abuse in South Dakota. Public Comment: No one appeared for public comment. No public comments were heard. Establish Next Meeting Date: The next meeting date is set for Tuesday, October 22, 2019 from 10:00 to noon (CDT) in Pierre. Adjourn: The meeting was adjourned at 2:55 PM (CDT). DSS SHDIIQ families - llalmta's Foundation and Future Constituent Liaison Services (800)597-1603 2019 Services Provided • Request Medicaid replacement card • Provide and update information regarding Medicaid Primary Care Provider(PCP) or Health Home • Provide Medicaid coverage detail information • Provide Medicaid claim detail/status information to recipients • Act as an advocate for recipients with Medicaid billing issues • Receive complaints about services provided by DSS and ensure they receive a timely response • Serves as an independent source of information and explanation for the public about services provided by DSS Calls for last Fiscal Year CALLS LOGGED • • • • • • • • Total calls = 8,644 Claims = 1625 Eligibility = 1622 Coverage = 3812 Dental = 317 Pharmacy = 587 Vision = 192 PCP/Health Home = 705 Claims Eligibility Coverage Dental Pharmacy Vision PCP/Health Home 8% 2% 18% 7% 4% 18% 43% 3 Other Resources Contact your local office DSS Benefits Specialist for questions regarding: • Determining eligibility • Add or remove recipients from plan • Change information (i.e. address, DOB or name) Contact Delta Dental of South Dakota (877)841-1478 for questions regarding: • Medicaid dental benefits • Dental claim or Prior Authorization status information The Constituent Liaison is unable to provide prior authorization for upcoming treatment, legal advise or answer questions regarding private health plans. 4 DSS families - llakota's Foundation and Child Care Services About Us Sum mums-Sum 'sFoInIItlnI Outcomes Partners Customers About Us ., ., ?g?g?r?f In sm a About Us 24 1. 2. 3. 4. 5. 6. 7. 8. 9. Carroll Forsch – Interim Director Joy Fisk – Improper Payments Melissa Fluckey – Quality Carol Bush – Quality Laura Nordbye – Licensing Laura Menning - Subsidy Carrie Shoop – Program Assistant Yvonne Kelley – Administrative Professional Jennifer Leichtnam – Administrative Professional 4 1. Kelly Pillen 2. Sarah Frost 3. Caysee Hall 3 4. Melissa Bobby 8 5. Jacob Fuerst CHILD CARE ASSISTANCE DISTRICTS CAMPBELL CORSON McPHERSON DEWEY POTTER FAULK SPINK CODINGTON CLARK 2 1 DAY EDMUNDS WALWORTH ZEIBACH MARSHALL BROWN GRANT SULLY HYDE DEUEL 5 HAND HAMLIN BEADLE HUGHES STANLEY JONES LYMAN BROOKINGS KINGSBURY BUFFALO BRULE JERAULD SANBORN MOODY LAKE MINER AURORA McCOOK TRIPP DOUGLAS MELLETTE BENNETT HUTCHINSON TODD CHARLES LINCOLN MIX BON HOMME GREGORY YANKTON CLAY UNION District 1 – Rapid City - Kelly Pillen District 2 – Pierre – Jacob Fuerstt District 3 - Sioux Falls – Melissa Bobby District 4 - Sioux Falls – Caysee Hall District 5 – Aberdeen /Watertown – Sarah Frost 34 TURNER 6 About Us Lori Janssen Tina Uecker Region 1 Vacant Region 2 Julie Hermansen Region 3 Rachel Holm Region 4 Denise Ferguson Shannon Terhark Rita Trager Stacie Ugofsky Region 5 Deb Bigge Region 6 7 CHILD CARE LICENSING DISTRICTS CAMPBELL CORSON McPHERSON DAY EDMUNDS WALWORTH ZEIBACH MARSHALL BROWN DEWEY POTTER FAULK 3 SPINK CODINGTON CLARK GRANT DEUEL SULLY 1 2 HYDE HAND HAMLIN BEADLE HUGHES STANLEY JONES LYMAN BUFFALO BRULE JERAULD SANBORN 6 4 BROOKINGS KINGSBURY MOODY LAKE MINER AURORA McCOOK TRIPP DOUGLAS MELLETTE BENNETT HUTCHINSON TURNER TODD CHARLES LINCOLN MIX BON HOMME GREGORY Rapid City - Lori Janssen and Tina Uecker Pierre – Becky Hurst Aberdeen - Julie Hermansen Brookings - Rachel Holm Sioux Falls - Denise Davis, Rita Trager, Shannon Terhark and Stacie Ugofsky Mitchell - Deb Bigge YANKTON CLAY UNION District 1 – District 2 – District 3 District 4 District 5 – District 6 – 5 8 About Us 24 CCS staff have 315 Years of Employment with Child Care Services Customers Still! - '8 Outcomes Partners Customers Customers Families and Children Served 2,011 families Average 3,527 children Monthly Child Care Assistance Participation SFY19 Average Monthly Statistics 11 Customers Child Care Providers 484 Family Child Care Homes 51 Group Family Child Care Centers 210 Day Care Centers 151 Before & After School Centers 24 Informal or In-home Providers 255 Relative Providers 12 Pa rtne rs 81mg all Outcomes Partners Customers Partners Statewide Early Childhood Enrichment System • Early Childhood Connections Region 1 • Rapid City area • Right Turn Region 2 • Pierre • Sanford CHILD Services Region 3 • Aberdeen • Family Resource Network Region 4 • Brookings • Sanford CHILD Services Region 5 • Sioux Falls 14 Partners • Department of Labor and Regulation • Department of Health • Department of Education • Child Care Providers 15 Outcomes 81mg all Outcomes Partners Customers Outcomes • All eligible families are served on assistance; • SD rates are at the 75th percentile; • All programs receive at least one onsite inspection visit annually. • Licensing staff know their providers by name. 17 Outcomes Providers have opportunity to obtain training and technical assistance that meets their needs of care for children. In SFY19: • 128 students went through Child Development Associate (CDA) training • 854 referrals/requests were addressed by the ECE’s • 1,370 hours of face-to-face training was provided • 360 hours of E-Learning training was provided • 563 programs/3,089 students participated in training • 2,993 providers participated in orientation training 18 Outcomes Changes made in SFY19: • Eligibility to Child Care Assistance was expanded from 175% to 209% of the federal poverty level. • Copays were eliminated for all families on Child Care Assistance at or below 160% of the federal poverty level. 19 Who We Are 955? ngiyahunqa dankenquII edehmi cnaE Iqate=lallm ?3.135336. dkan =jye Umalondn "ms 3" HIE ugra i 358; agaeniiennfahana ughelediet? ?mochchakkeIuamgz IkuIag Iaihh mailh Inhodl Bum 3. II hayaIlalaI undank1 long-acting and short-acting opioid Tighten opioid early refill threshold Oct. 2019 2 Implementation DSS staggered implementation to lessen impact to providers and recipients. ▪ Peer-to-Peer Counseling: December 2017-March 2018. ▪ South Dakota Medicaid requested and reviewed Medical records from prescribers of high utilizers or with patterns of high utilization. ▪ Held peer-to-peer discussions with prescribers and provided education about opioid prescribing guidelines, the PDMP, and other resources. ▪ South Dakota Medicaid mailed an educational letter to top prescribers with information about opioid prescribing guidelines, the PDMP, other resources, and Medicaid prescription requirements. ▪ Other P&T recommendations were implemented in the Medicaid Point of Sale (POS) system beginning in June 2018. Oct. 2019 3 Implementation Robust communication to providers and recipients: ▪ DSS worked with the Pharmacy Association, Dental Association, and Medical Association to draft and distribute communication to providers. Included information about resources for SUD treatment and Medicaid coverage of MAT. ▪ DSS outreached clinical directors of the major health systems in South Dakota to discuss the changes in advance and to encourage providers to begin tapering patients in advance of implementation. DSS also shared information regarding prescriber patterns with each system regarding Opioid use. ▪ DSS directly mailed recipients who would be affected by the changes. Oct. 2019 4 System Edits 1. Move Early Refill Threshold for Controlled Substances from 75% to 85% ▪ Lengthens amount of time between allowable refills. ▪ ▪ ▪ Example: 30 day prescription is usually eligible for a refill after 23 days, limit lengthened to 26 days. Affected all controlled substances in addition to opioid prescriptions. Implemented June 1, 2018 2. Prior Authorization for more than One Long Acting and One Short Acting Opioid Product ▪ ▪ ▪ Allows multiple strengths of medication, but not different brands dispensed together. Patients with a terminal diagnosis receive an automatic prior authorization. Implemented August 1, 2018. Oct. 2019 5 System Edits 3. Opioid Naïve Limit ▪ Recipients who have not filled a prescription for an opioid prescription within the previous 60 days will only be allowed an initial fill of a seven (7) day supply and a maximum 60 morphine equivalent dose (MED). ▪ Patients with a terminal diagnosis receive an automatic prior authorization. ▪ Implemented August 1, 2018. 4. Morphine Equivalent Dose (MED) Maximum ▪ Beginning October 1, 2018, Medicaid patients requiring a new or renewal prescription for morphine equivalent dosing greater than 300 MEDs per day will require prior authorization with a 10% tapering schedule each month until target MED level of 90 MEDs is reached on October 1, 2019. ▪ Patients with a terminal diagnosis receive an automatic prior authorization. ▪ Implementation Ongoing Oct. 2019 6 Outcomes: 1st Quarter 2018 vs. 1st Quarter 2019 Total Opioid Claims ▪ 1Q18: 11,283 ▪ 1Q19: 8,447 Down 25% Total Utilizers ▪ 1Q18: 3,835 ▪ 1Q19: 3,253 Morphine-Equivalent Dosages (MEDs) > 180 ▪ 1Q18: 179 ▪ 1Q19: 125 Down 30% Down 15% High utilizers (3+ scripts in 120 Days) are down from 37.6% to 33.6%. Oct. 2019 7 Outcomes: 1st Quarter 2018 vs. 1st Quarter 2019 Poly-Pharmacy Shoppers 3+ Pharmacies Down 59% ▪ 1Q18: 137 ▪ 1Q19: 56 Poly-Prescriber Shoppers 3+ Prescribers Down 57% ▪ 1Q18: 399 ▪ 1Q19: 169 Medication Assisted Therapy (MAT) Ex. Buprenorphine ▪ 1Q18: 223 ▪ 1Q19: 436 Up 51% Oct. 2019 8 Ongoing Efforts Implementation: ▪ DSS continues to taper MED prior authorization to 90 MED (October 1, 2019) Monitoring: ▪ P&T monitors opioid utilization quarterly ▪ Retroactive Drug Utilization Review (DUR) monitors opioid prescriptions and provides education to prescribers and pharmacies Future: ▪ Evaluate concurrent opioid and benzodiazepines prior authorization Oct. 2019 9 Questions STRATEGIES SUPPORTING OPIOID AWARENESS, PREVENTION, AND TREATMENT1 TREATMENT More than 500 individuals have been treated for opioid addiction by partners or statecontracted agencies PREVENTION Over 5,400 individuals have participated in evidence-based awareness and education programming OVERVIEW • The Helpline Center • Answer and triage all calls to the statewide Opioid Resource Hotline (staffed 24/7). • Develop and maintain a searchable online database that includes statewide resources for opioid awareness, education, and treatment. • Connect those seeking assistance to resources through Opioid Care Coordination. • South Dakota Department of Health, Office of Rural Health • Law Enforcement and Emergency Responders Statewide • Host trainings for emergency responders to receive education about recognizing and responding to a suspected opioid overdose. • Provide emergency responders with NARCAN® (naloxone HCl) Nasal Spray, equipping them with life-saving medication to use for a suspected opioid overdose. • Project Recovery & Addiction Recovery Centers of the Black Hills • Lewis & Clark Behavioral Health Services • Center for Family Medicine and South Dakota State University • Promote capacity building efforts to develop Medication-Assisted Treatment (MAT) services. • Educate addiction treatment professionals through the SD MAT Learning Collaborative. • Develop telehealth options for MAT. • Face It TOGETHER • Provide effective, science-based peer coaching for people living with addiction, including loved ones. • Provide financial assistance to cover the cost of coaching for those impacted by addiction. For Opioid Care Coordination, contact the Helpline Center at 1-800-920-4343 To learn more, contact the Office of Rural Health at 605-773-3361 Treatment for Opioid Use Disorder To inquire about MAT or access, contact DBH at 605-367-5236 Peer Recovery Support For Peer Recovery Support, call or text Face It TOGETHER at 1-855-539-9375 If you or someone you know is struggling with opioid addiction – don’t wait. Reach out. www.AvoidOpioidSD.com South Dakota Opioid Resource Hotline 1-800-920-4343 174 patients had an ‘improved response’ after at least one dose of NARCAN® from EMS personnel KEY PARTNERS Connection to Resources Overdose Education & Naloxone Distribution LIVES SAVED For more information on any of these project areas, please contact DSS, Division of Behavioral Health at 605-367-5236. Funding for this material was made possible by 1H79TI080268 from SAMHSA. The views expressed in written materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government. As of April 2019 1 KEY PARTNERS Training & Education • Health care systems • Addiction treatment professionals • Professional associations • Offers sponsorship funding for training and education events for professionals who serve populations affected by opioid abuse/misuse. • Support training for providers seeking to obtain their DATA-waiver to deliver MAT. • Educate and inform professionals about MAT and its implementation in office-based and telehealth settings. • Avera Health • University of South Dakota • Project ECHO (Extension for Community Healthcare Outcomes): Opioid Use Disorders & Medication-Assisted Treatment, Alternative Pain Management Strategies, and Addiction Treatment for Opioid Use Disorder. • South Dakota Department of Health • Hot Pink, Ink. • KAT Marketing and GoodHealthTV® • Broadcast PSAs and other forms of media statewide, featuring treatment approaches and access. • Create and launch a Native American Opioid Abuse & Misuse Educational campaign. • Develop opioid education and prevention website and include a dashboard with up-todate data related to opioids in SD. • Prevention Resource Centers • Community-Based Coalitions • South Dakota Association of Healthcare Organizations (SDAHO) • SD Board of Pharmacy • Deliver evidence-based opioid awareness and education programming by hosting prevention and awareness events in schools and communities. • Plan and execute community-specific conversations and events that provide education and promote safe medication disposal (at take back locations or at home). • Prevention Resource Centers • Community-Based Coalitions • Boys & Girls Clubs • South Dakota State University Extension • Deliver evidence-based opioid awareness and education programming to middle- and highschool youth. • Partner with Boys & Girls Clubs to deliver Positive Action® to club members. • Create and launch a Native American Opioid Abuse & Misuse Educational campaign. • University of South Dakota • Other institutions of higher education in South Dakota • Provide funding to all interested institutions of higher learning to implement the GenerationRx University peer-led training program on campus. • Distribute DisposeRx packets to students to safely and properly dispose of unwanted, unused or expired medications. To apply for sponsorship funding, visit ‘Recent News’ at https://dss.sd.gov/ Project ECHO OVERVIEW To find out more about Project ECHO, contact DBH at 605-367-5236 Public Awareness To learn more visit www.AvoidOpioidSD.com Prevention in Communities To learn more about prevention activities contact DBH at 605-367-5236 Youth Prevention To learn more about youth prevention, contact DBH at 605-367-5236 Prevention in Higher Education Contact DBH at 605-367-5236 for information about GenerationRx If you or someone you know is struggling with opioid addiction – don’t wait. Reach out. 2019 Legislative Interim Task Forces Five mental health task forces were created by SCR 2: https://sdlegislature.gov/docs/legsession/2019/Bills/SCR2ENR.pdf During the 2019 Legislative Session, SCR 2 created legislative task forces to study, report, and develop and consider recommendations and proposed legislation regarding sustainable improvements to the continuum of mental health services available in the state. SCR 2 was a result of the 2018 Access to Mental Health Services Legislative Summer Study. http://sdlegislature.gov/Interim/Documents.aspx?Committee=205&Session=2018&tab=Detail (1) Redefine Acute Mental Health Hospitalization • http://sdlegislature.gov/Interim/Documents.aspx?Committee=218&Session=2019&tab= Detail • Redefine acute mental health hospitalizations in the areas of short, intermediate, and long-term placement, with emphasis on keeping individuals needing placement in community whenever possible (2) Reduce the Overall Use of Acute Mental Health Hospitalizations • http://sdlegislature.gov/Interim/Documents.aspx?Committee=218&Session=2019&tab= Detail • Reduce the overall use of acute mental health hospitalizations by developing and supporting existing alternatives where appropriate, create community-based short-stay alternatives, and develop day treatment options (3) Leverage Telehealth and Telemedicine • http://sdlegislature.gov/Interim/Documents.aspx?Committee=220&Session=2019&tab= Detail • Leverage telehealth and telemedicine to the full appropriate extent, with focus on the areas of acute assessment and crisis supports, along with mental health assessments and counseling (4) Redefine Nursing Home Criteria and Build Capacity • http://sdlegislature.gov/Interim/Documents.aspx?Committee=221&Session=2019&tab= Detail • Redefine Human Service Center nursing home admission criteria and build mental health nursing home capacity for persons with organic brain damage (5) Increase Community Services and Caregiver Supports • http://sdlegislature.gov/Interim/Documents.aspx?Committee=222&Session=2019&tab= Detail • Increase the capacity for transitional housing and residential services in communities to keep individuals closer to home, and develop caregiver support DSS SHDIIQ families - llalmta's Foundation and Future Foster Care and Adoption Recruitment FosterOne Launched May 2013 FosterOne invites families to: • “Be the one to open your heart” • “Take one minute to learn more about foster care” • “Be the one to make a difference in a child’s life” Materials: Posters, Folders, Brochures, Myths/Facts FosterOne Website FosterOne Website https://fosterone.sd.gov Commit to Know More Foster Parent Realities Myths and Facts Videos https://fosterone.sd.gov/videos/ (3 min) DSS website links to FosterOne website 3 DSS Licensed Foster Homes Statewide DSS Licensed Foster Homes 1000 900 817 800 700 696 738 748 FY 2016 FY 2017 854 600 500 400 300 200 100 0 FY 2015 FY 2018 FY 2019 4 Native American Foster Homes Statewide Total Native American Foster Homes 120 100 87 80 98 98 FY 2018 FY 2019 82 70 60 40 20 0 FY 2015 FY 2016 FY 2017 5 New Homes vs. Closed New Homes vs. Closed Homes 250 204 200 181 174 150 139 155 149 139 131 138 112 100 50 0 FY 2015 FY 2016 FY 2017 New Homes FY 2018 FY 2019 Closed Homes 6 Reasons for Closure 50 45 45 40 40 35 30 31 29 25 20 14 15 11 16 15 13 10 6 4 5 8 7 7 0 FY 2018 Adopted Compliance Concerns or Revocation FY 2019 Difficulty Fostering Family/ Health Changes Moved Out of State No Response Retired from Fostering 7 Licensing Process Review 2019 Goal: Quality Assessment and Timely Licensure of Foster and Adoptive Families Who: CPS Licensing, Contract Licensing Staff, Tribal Licensing, Child Placement Agencies, Foster/Adoptive Parents What: Review licensing process to include recruitment, inquiry, training, and home study assessment How: Workgroup will develop strategies to enhance process and ongoing continuous quality improvement 8 \k Foster One SOUTH DAKOTA FOSTER PARENTING: Will you be the one to open your home? if you choose to become a foster parent, you will have a Team of professionals to support you. They will ensure you are informed about what To expect, prepare you for The experience, and provide you with The resources you need like parenting Techniques. Here?s what else you can expect: By low, background checks are required for all potential foster parents and anyone who is over l8 years old and living in The foster home. Additionally, representatives from The Division of Child Protection Services will make supervisory visits to your home while children are placed in your care. A Team of professionals will be in place to help make signi?cant decisions concerning children placed in your care. Children entering foster care come from dif?cuit situations. While in foster care. They may need special care and Treatment like counseling or ongoing medical attention. The Department of Social Services coordinates these appointments and pays for counseling and medical treatment. - Just like any other child, children in foster care are busy with school, extracurricular activities and friends. You can expect to be busy tool Foster care is generally a temporary placement to provide children with safety and stability while their families work to overcome challenges. Most children return home To Their families. . If?? sv, Foster One SOUTH DAKOTA FOSTER PARENTING: Will you be the one to open your heart? The posifive impacTs provided by fosTer parenTs are many. Here are some examples of how fosfer parenTs make valuable differences in The lives of children. - Providing care To a child in his or her own communify will lessen The disruplion in The child's life and help The child sTay connecfed wifh his/her family, friends, culTure. Tribe, school, and communiTy. - Caring for a child in his/her own communify allows parenTs/carefakers To sTay in close confacT wifh Their child. Family reuni?calion is more successful if The parenTs and child are able To mainTain consisfenf visifafion and confacT while The parenTs work To make necessary changes To keep Their child safe. - Caring for sibling groups provides sfabilify and helps preserve Their relafionships. To lessen Their sense of loss by mainfaining family connecfions, if is imporfanf for siblings To sTay Togefher when They are removed from Their home. - By celebrafing successes, calming nerves, and building con?dence, fosfer parenTs help Teenagers grow info independenf young adulTs. Will you be the one to change lives? FosTer parenfing is a challenge. If requires dedicafion, paTience, and compassion. Children need fosfer care because dif?culf family circumsfances cause The child To be unsafe. Regardless of The cause, These children need a safe home. They need someone To nurTure Them and provide Them wifh a secure environmenf. Rf'. Foster One SOUTH DAKOTA FosterOneSD.org 700 Governors Drive, Pierre, SD 57501 Phone: 605?773?3227 Email: FosTerOneSD?slaTe.sd.us Prinfed by The Soufh Dokofa Departmenf of Social Services AlphaGraphics 500 I .4769 each November 2013 BeThe One To Help Change Lives In communities all across South Dakota. children are in need of loving and safe foster homes. if you choose to become a foster parent. you will have a team of professionals to support you. They will ensure you are informed about what to expect. prepare you for the experience, and provide you with the resources you need like parenting techniques. ODE SOUTH DAKOTA Basic Licensing Requirements There are ?ve basic licensing standards required for every potential foster family. Families who cannot meet these standards cannot be licensed. 1. Foster parents must be at least 21 years of age. 2. Your house must be a safe place. without structural or health hazards. 3. A family must have suf?cient income to meet the essential needs of their family. The Department of Social Services provides financial assistance to support the needs of the children in foster care. 4. To ensure the safety of children in foster care. potential foster families are screened for past criminal activity and reports of abuse or neglect. 5. Attendance and completion of a 30?hour foster parent education and training program to prepare and support families for success as a foster parent. Did You Know? Foster parents work with family services specialists for training, licensing, and to determine if fostering is right for their family all at no cost. Foster parents may be single, married or divorced; parents, grandparents or people with or without children of their own. Foster parents may be either homeowners or renters. Foster families receive ?nancial assistance to help with child care and other costs of caring for the child in foster care. Children in foster care will have their own medical, dental and vision insurance. Children in foster care may share a bedroom with children of the same gender. Some foster parents choose to foster children for many years. Others choose to faster for a short period of time. The choice is yours. Keep In Mind Hundreds of South Dakota children need foster families while their own families work to overcome circumstances that make the child unsafe. The more foster families there are in our communities, the easier it is to keep siblings together and keep children in their own neighborhoods and schools. Foster families of every culture are needed to help children build and maintain positive identities. For More Information Thank you for your commitment to know more about becoming a foster family. You could be the one to change the lives of children. 700 Governors Drive, Pierre, SD 5750i Phone: 605.773.3227 Email: FosterOneSD?state.sd.us Website: One SOUTH DAKOTA FosterOneSD.org Printed on recycled paper by the South Dakota Department of Social Services Quality Quick Print 2,000 copies $0.]6per copy July 2018 . Go ?y i? E41 4/ [lintr/J'r" 114.! (39-), rJ-n/ run/v: . . WiltYou Be The One to Open Your Heart and Home? I 1.- tin. Foster One SOU DA KOTA Be the One to Change Lives .4 . Foster One SOUTH DAKOTA FOSTER PARENTING: and Facts about Becoming 3 Foster Family MYTH: FACT: MYTH: FACT: MYTH: FACT: MYTH: FACT: MYTH: FACT: MYTH: FACT: MYTH: FACT: MYTH: FACT: MYTH: FACT: MYTH: FACT: MYTH: FACT: Foster parents must be married and/or have children of their own. Foster parents do not need to be married or have children. Older people cannot be foster parents. Foster parents must be at least 21 years old. There are no other age requirements. People with police records are automatically ineligible to become foster parents. To ensure the safety of children in foster care, potential foster families are screened for past criminal activity. Convictions are reviewed by the Division of Child Protection Services on a case?by?case basis. If I'm on the Central Registry for abuse or neglect, I can never be a foster parent. Being on the Central Registry does not automatically disqualify a person from being a foster parent. For more information, visit dss.sd.gov To become foster parents, a family must make a certain amount of money. A family must be able to support itself ?nancially outside of foster care payments. People become foster parents just for the money. Foster parents are reimbursed to help meet the essential needs of children placed in their care. Foster care payments are intended to cover the needs of the child placed in care. Foster parents must own a large, expensive home in order to meet licensing standards. There are no licensing standards regarding the size of a potential foster parent?s home. Licensing standards that do exist are in place to help ensure the home provides a safe environment for children in foster care. Each child in foster care must have their own bedroom. Children in foster care can share bedrooms. However, children over the age of six can only share a room with a child of the same gender. Foster parents must pay for medical expenses it they are caring for a child in foster care. Children who are placed in foster care by the South Dakota Department of Social Services receive medical coverage through the Department. Foster parents are not responsible for the medical expenses of children in foster care. Birth parents can ?drop in" and visit their children in foster care at any time. The child's Family Services Specialist approves all parental visitation plans and coordinates those plans, in advance, with the parents and foster family. Foster parents who work outside of the home must pay for the child's child care expenses. If the child care is provided by a registered family daycare or a licensed child care center. child care costs can be reimbursed. The child care plan must meet reimbursement criteria as established by the Division of Child Care Services. Printed by the South Dakota Department ofSociol Services Alphagraphics 600 .20 each Jan. 2016 Children in your area need someone to open their heart and their you be the i? 0 Commit to know more about . becoming a foster parent. FOSter one Visit SOUTH DAKOTA or call (605) 773-3227. FosterOHCSD-Org DSS families - llakota's Foundation and i 0M i DSS Board Roles and Responsibilities Authorization – SDCL 1-36 Board of Social Services (SDCL 1-36-3) ➢ Members are appointed by the Governor. ➢ Board consists of seven members (not more than four of which may be members of the same political party). ➢ Subject to removal for cause only. ➢ Term of office of each member is three years. ➢ Terms expire on October 30 of the third year of appointment. ➢ A member appointed to fill a vacancy occurring other than by expiration of a term is appointed for the unexpired term. 2 Authorization – SDCL 1-36 Board of Social Services (SDCL 1-36-4) ➢ Board annually elects from its members such officers as it deems advisable. ➢ Majority of the members required to constitute a quorum. ➢ Board holds meetings at the call of the chairman. ➢ At least one Board meeting must be held every six months. 3 Authorization – SDCL 1-36 ➢ The Board of Social Services is administered under the Department of Social Services and retains advisory and non-administrative functions. ➢ The purpose of the Board of Social Services is to advise the Department of Social Services regarding delivery of social services needs and budgetary recommendations. ➢ For example, the Board provides input regarding implementation of new programs and services and advises the Department on implementation of current programs (e.g., Community Services Block Grant – Board reviewed materials and the Department sought feedback from the Board to include in the application). 4