Full Text of HR0422 101st General Assembly
HR0422 101ST GENERAL ASSEMBLY |
| | HR0422 | | LRB101 12627 MST 61097 r |
|
| 1 | | HOUSE RESOLUTION
| 2 | | WHEREAS, The Department of Children and Family Services is | 3 | | required by the Children and Family Services Act [20 ILCS | 4 | | 505/7] to place children in its care in safe and adequate | 5 | | placements consistent with each child's health, safety, and | 6 | | best interests; and
| 7 | | WHEREAS, The Department of Children and Family Services has | 8 | | adopted rules, entitled "Placement Selection Criteria", [89 | 9 | | Ill. Adm. Code Part 301.60] that provide that "all placement | 10 | | decisions will be made consistent with the safety, best | 11 | | interests and special needs of the child" and that | 12 | | consideration shall be given to, "the least restrictive setting | 13 | | appropriate for the child which most closely approximates a | 14 | | family"; and
| 15 | | WHEREAS, The Department of Children and Family Services has | 16 | | adopted procedures, entitled "Psychiatric Hospitalization, | 17 | | Basic Premises Regarding Psychiatric Hospitalization" [DCFS | 18 | | Procedures 301.110(b)], that provide that "a psychiatric | 19 | | hospitalization is not a placement" and that "discharge and | 20 | | placement planning shall begin from the moment of admission"; | 21 | | and
| 22 | | WHEREAS, The Department of Children and Family Services is |
| | | HR0422 | - 2 - | LRB101 12627 MST 61097 r |
|
| 1 | | the party to a federal court consent decree [B.H. et al., 88 C | 2 | | 5599, N.D. ILL] that provides that emergency shelter placements | 3 | | "shall be limited to 30 days"; and
| 4 | | WHEREAS, Children in the custody of the Department of | 5 | | Children and Family Services are being left in psychiatric | 6 | | hospitals after their treatment is complete because there is | 7 | | insufficient in-state capacity in the types of the programs the | 8 | | children need, including residential treatment centers and | 9 | | specialized and therapeutic foster homes; and
| 10 | | WHEREAS, The cost of leaving children in psychiatric | 11 | | hospitals is significantly higher than providing the care the | 12 | | children actually need and is not subject to federal | 13 | | reimbursement pursuant to Title IV-E; therefore, be it
| 14 | | RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE ONE | 15 | | HUNDRED FIRST GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, that | 16 | | the Auditor General is directed to conduct a performance audit | 17 | | of the Department of Children and Family Services to review and | 18 | | assess the Department's ability to meet the placement needs of | 19 | | the children in its custody and its compliance with its | 20 | | obligations to place children in its care in placements | 21 | | consistent with their best interests and to make | 22 | | recommendations regarding how the Department can develop a | 23 | | responsive behavioral health continuum of care process that |
| | | HR0422 | - 3 - | LRB101 12627 MST 61097 r |
|
| 1 | | produces good outcomes for children and families in Illinois; | 2 | | and be it further | 3 | | RESOLVED, That the audit include, but not be limited to, | 4 | | the following: | 5 | | (1) A review and analysis of systems issues impacting | 6 | | the timely and appropriate placement of children in the | 7 | | custody of the Department of Children and Family Services, | 8 | | including, but not limited to: | 9 | | (a) The current referral and admission process for | 10 | | children and youth requiring placement in a residential | 11 | | treatment center; | 12 | | (b) The role of residential treatment centers in | 13 | | the continuum of care; | 14 | | (c) The evidence-based models currently utilized | 15 | | in residential treatment settings; | 16 | | (d) Identification of any gaps in the continuum of | 17 | | care from psychiatric hospitalization to traditional | 18 | | foster care/home settings; | 19 | | (e) The status of the Department's progress toward | 20 | | achieving appropriate and timely step-down placements for | 21 | | children at any stage in the continuum of care; and | 22 | | (f) How priorities should be changed to ensure | 23 | | timely access to appropriate residential and foster care | 24 | | resources;
| 25 | | (2) A review and analysis of how youth enter and exit |
| | | HR0422 | - 4 - | LRB101 12627 MST 61097 r |
|
| 1 | | residential treatment programs, including, but not limited | 2 | | to, the following: | 3 | | (a) The number of youth who entered a residential | 4 | | placement in the last 10 fiscal years; | 5 | | (b) The number of youth who entered residential | 6 | | settings outside of Illinois; | 7 | | (c) The number of planned and unplanned exits from | 8 | | residential treatment by type (for example, child was | 9 | | psychiatrically hospitalized, placed in a foster home, | 10 | | returned to parent, etc.); | 11 | | (d) A description of the current step-down process | 12 | | from residential treatment; | 13 | | (e) A description of how the Department determines | 14 | | appropriate clinical placements for youth needing | 15 | | residential care; and | 16 | | (f) Recommendations regarding changes that should | 17 | | be made to the process of matching children to the | 18 | | appropriate clinical setting, including timeframes; | 19 | | (3) A review and analysis of date tracking of outcomes | 20 | | for children in psychiatric hospitals longer than | 21 | | necessary, including, but not limited to: | 22 | | (a) How demographic and clinical data regarding | 23 | | children in psychiatric hospitals longer than necessary is | 24 | | collected, made available, and utilized; and | 25 | | (b) The current demographic of children in the | 26 | | residential care service continuum, including youth who |
| | | HR0422 | - 5 - | LRB101 12627 MST 61097 r |
|
| 1 | | are in psychiatric hospitals longer than necessary, on | 2 | | waiting lists for residential placements, and in | 3 | | residential placements ready for step-down, including: | 4 | | 1. Ethnicity | 5 | | 2. Gender | 6 | | 3. Age | 7 | | 4. Geographic origin | 8 | | 5. Permanency goal | 9 | | 6. Current residential placement if applicable | 10 | | 7. Case management responsibilities | 11 | | 8. Diagnosis | 12 | | 9. Length of stay | 13 | | 10. Length of stay beyond targeted discharge | 14 | | date; | 15 | | (4) A review and analysis of the following contracting | 16 | | and monitoring issues impacting the timely and appropriate | 17 | | placement of children in the custody of the Department of | 18 | | Children and Family Services, including, but not limited | 19 | | to: | 20 | | (a) An assessment of current residential bed | 21 | | capacity and utilization; what capacity and utilization | 22 | | are needed to meet the demand? Are there facilities with | 23 | | unused physical capacity that could be utilized if need was | 24 | | determined?; | 25 | | (b) Analysis of the effectiveness of the current | 26 | | funding structure, including analysis of the no-decline |
| | | HR0422 | - 6 - | LRB101 12627 MST 61097 r |
|
| 1 | | and bed hold component in contracts; | 2 | | (c) How residential specialty population providers | 3 | | are identified in the matching process; | 4 | | (d) How community-based behavioral health | 5 | | resources are identified, quantified, and evaluated; and | 6 | | (e) Whether community-based behavioral health | 7 | | organizations have adequate resources (funding, staff, | 8 | | equipment, facilities, training, etc.) to achieve | 9 | | appropriate service delivery and timely placements for | 10 | | youth; | 11 | | (5) A review and analysis of the following contracting | 12 | | and monitoring issues impacting the timely and appropriate | 13 | | placement of children in the Department's custody, | 14 | | including, but not limited to: | 15 | | (a) How residential programs are monitored. What | 16 | | dashboards are utilized? Are the outcome measures | 17 | | quantitative or qualitative? Are the measures effective? | 18 | | What outcome measures should be utilized?; | 19 | | (b) The current performance of Illinois' | 20 | | residential continuum of care and how it compares to | 21 | | generally accepted national practice standards and outcome | 22 | | measures; and | 23 | | (c) Residential continuum of care systems in other | 24 | | comparable jurisdictions in terms of costs of staff by | 25 | | type, overall costs and other cost centers; and be it | 26 | | further |
| | | HR0422 | - 7 - | LRB101 12627 MST 61097 r |
|
| 1 | | RESOLVED, That the Department of Children and Family | 2 | | Services shall cooperate fully and promptly with the Auditor | 3 | | General's Office in conducting this audit; and be it further | 4 | | RESOLVED, That the Auditor General commence this audit as | 5 | | soon as possible and distribute the report upon completion in | 6 | | accordance with Section 3-14 of the Illinois State Auditing | 7 | | Act; and be it further | 8 | | RESOLVED, That a copy of this resolution be delivered to | 9 | | the Auditor General and the Illinois Department of Children and | 10 | | Family Services.
|
|