Iowa Admin. Code r. 441-151.30 - Community-based interventions
"Community-based interventions" means individual or group
instruction which includes, but is not limited to, supervised educational
support, treatment and outreach services to an
(1)
Service eligibility.
Children shall be eligible for community-based intervention services without
regard to individual or family income when they are adjudicated delinquent or
are determined by a juvenile court officer to be at risk and to be in need of
the service provided by a community-based intervention program. Juvenile court
services shall maintain in the child 's case record or case file documentation
of the child 's adjudication or at-risk status as well as the child 's need for
services.
a. The chief juvenile court officer
shall establish written procedures for screening and approving referrals for
community-based intervention services and make the procedures available to the
district's juvenile court officers.
b. The juvenile court officer shall determine
the child to be in need of services as evidenced by one or more of the
following situations:
(1) Schools, parents or
community organizations, due to complaints of delinquent activities, indicate
the need for monitoring and guidance of the child .
(2) A petition has been filed alleging
delinquent behavior.
(3) Juvenile
court services action has been initiated including, but not limited to,
diversion, informal adjustment agreements, adjudication and disposition
proceedings.
c. The
chief juvenile court officer may approve community-based intervention services
for up to six consecutive months at a time, except that service approval shall
not extend beyond the current fiscal year unless a contract is in effect to
assume the cost for the services provided in the next fiscal year. The officer
shall reevaluate the child 's eligibility and need for these services in
accordance with procedures established by the respective juvenile court
services district.
d. Referrals
shall not be made or accepted when funds for the program are not
available.
e. The child shall not
require more extensive treatment than is provided in the community-based
intervention program.
(2)Service components.
a. Community-based interventions provide
treatment to an eligible child as well as an opportunity for the eligible child
to participate in state-funded educational programming. Therapy or counseling
and skill development services may be provided through this program to the
child 's family; components include specific training to develop and enhance:
(1) Personal skills, including anger
management, stress reduction, and self-esteem.
(2) Child and parent relationships.
(3) Problem solving.
(4) Accountability and acceptance of
responsibility.
(5) Victim empathy
and self-advocacy.
(6) Activities
of daily living and time management.
(7) Job skills including job-seeking skills
as well as training for specific jobs and on-the-job training
experiences.
(8) Parenting
skills.
b. The contract
must specify what is required of the provider .
c. Services may be co-located with school
programs. Although the costs of the state-funded educational programming shall
not be funded through the graduated sanctions appropriation, programs shall be
developed so that there is close coordination between the treatment and the
state-funded educational components.
d. Services shall include one or more of the
following components:
(1) Skill-building
services focusing on social skills, recreation activities, employment
readiness, independent living, and other areas related to a child 's treatment
needs.
(2) Individual, group and
family therapy and counseling as determined appropriate by the program director
and referral source. Staff that provide individual, group and family therapy
shall meet applicable state licensing standards.
(3) Snacks and meals as necessary during the
non-state-funded educational portion of the program day.
(4) Supervision and support services, such as
transportation to the non-state-funded educational program, family outreach,
telephone contact, and electronic monitoring of the eligible child .
(5) Transition service planning upon
admission so that timely transition services are available upon discharge, if
needed.
(6) Supervision and support
services when necessary to help the eligible child transition out of the
program.
e. Community
support services are directed toward the child 's maintaining accountability and
may include multiple daily contacts with the child through direct face-to-face
contact, telephone or technology.
f. Outreach activities provide guidance and
advocacy for the child and may include individualized interventions with the
child 's family as well as assistance in accessing the following types of
resources:
(1) Referral to community
organizations.
(2) Health services
(physical and mental).
(3)
Education.
(4)
Employment.
(5) Legal.
(6) Case conferences and services
planning.
(7) Diagnostic assessment
services.
(8) Family
competency-building services.
g. Outreach activities may also include
recreation and transportation when guidance and advocacy are a part of the
service component.
h. Providers of
community-based interventions shall submit progress reports on each child
receiving services to the assigned juvenile court officer at intervals
specified in the contract. The contractor shall complete progress reports not
more than one month after services are initiated and within 30 days of the
termination of service. Progress reports shall describe the child 's school
attendance and progress toward desired goals identified by the provider and
referral source. Progress reports shall also describe the specific instruction
provided to the child and the child 's response to the instruction.
i. The juvenile court officer shall file the
provider progress report in the child 's case file. Providers of community-based
intervention services shall prepare an initial treatment plan in consultation
with the referral source within 30 days of the child 's admission and shall
prepare a minimum of quarterly progress reports on each child receiving
services.
(1) Additional reports may be
prepared when requested by the juvenile judge or the child 's juvenile court
officer .
(2) All reports shall be
submitted to the juvenile court officer responsible for monitoring the child 's
progress. All reports shall, at a minimum, describe the child 's attendance,
adjustment, and progress in achieving the desired goals and objectives
established in the treatment plan.
(3)
Service referral and
follow-up. The juvenile court officer shall:
a. Determine which service provider can best
meet the child 's needs.
b. Refer
the child to the provider .
c.
Assist in the child 's transition to receive the service.
d. Follow up after the service has been
provided.
(4)
Monitoring of service delivery. The juvenile court officer
shall monitor the delivery of community-based intervention services to children
for whom the officer is responsible.
a. The
juvenile court officer shall review provider progress reports and maintain
contact with the child , the child 's family, the provider , and other community
agencies to adequately assess the child 's progress and need for
service.
b. The juvenile court
officer shall report problems in service delivery to the chief juvenile court
officer .
c. The provider , the
child , or the child 's representatives may report problems in service delivery
to the chief juvenile court officer .
(5)
Billable unit and rate
setting. Rates for community-based intervention services shall be
established through an agreement between the provider and the chief juvenile
court officer based on the provider 's proposed budget. Rates may vary among
providers for various types of community-based intervention services. The
billable unit and unit costs shall be specified in the contract.
a. Community-based intervention service shall
be billed on the basis of units of instruction provided to eligible children
during specified time frames.
b.
The community-based intervention instruction may be provided on an individual
or group basis. See paragraph 151.35(2)"c " for rate-setting
requirements when more than one child is served at a time.
c. The provider may incorporate the expenses
for instructional materials into the service unit cost or may identify the
expenses for instructional materials in an attachment to the contract to be
billed separately from the unit cost.
d. Rescinded IAB 11/9/05, effective
1/1/06.
(6)
Provider standards. Providers shall have a contract with
juvenile court services and the department for community-based intervention
services and agree to abide by all required instructional, reporting,
rate-setting, and billing and payment procedures for community-based
intervention services. The chief juvenile court officer shall review provider
staff qualifications and training activities. Providers of community-based
intervention services shall meet all of the following conditions. Providers
shall:
a. Be selected and approved by the
chief juvenile court officer or designee within each judicial district to
provide community-based intervention services.
b. Use staff who, in the opinion of the chief
juvenile court officer , have the necessary training and qualifications to
provide quality services on the topic about which they will be delivering
instruction.
c. Use a curriculum
approved by the chief juvenile court officer for community-based
interventions.
d. Have the
educational and instructional ability, as determined by the chief juvenile
court officer , to deliver community-based intervention services to eligible
children in the settings most suited to each child 's needs.
(7)
Outcome
measures. Each contract for purchase of community-based intervention
services shall contain a section to inform the provider that juvenile court
services and the department shall track the outcome of the service provision
following each child 's discharge from the service received through the
contract.
a. Juvenile court services and the
department shall collaborate to determine the criteria and data needed to track
and record the outcomes.
b. The
provider shall report data as requested by juvenile court services.
c. Juvenile court services shall determine
whether the child has reoffended within the six-month period following the date
of discharge from community-based interventions. Service to a child shall be
considered successful if the child has not been referred to juvenile court
services for a law violation during the six-month period following discharge
from community-based interventions.
d. The data shall be used to develop
information to make decisions regarding service provision and
contracting.
Notes
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