The URL can be used to link to this page

Home My WebLink About38-Public Comment '�----- -- GROUP HOME PROGRAM STATEM PART 11. PROGRAM POPULATION,$ ENT EI�Vi(,EJr&CAPABILITIES S ( ECTIUN 2) A,SUMMARY t PROGRAM PROVIDES: (citarAk one) Emergency shelter care Q Average length of stay less than le months Short term diagnostic care Q Average length of stay more than 18 months Othe (expla�)_ Program needs have been met. or attained age 18 . r _ o 2. PROGRAM ACCEPTS: (check all that apply) 6 to 1 7 R] Males F1 Females Age Range(s):_ — R1 Dependents(WIC 300) ( Special Education Pupils Requiring Out-of-Home Placement (GC 7572.5) �I Wards/Delinquents(WIC 602) ® Status Offenders(WIC 60i) Children with Developmental Disabilities � Private Placements (Regional Center Clients) i " 11 [] Other(explain) mothers/infants,substance abusers.gays/lesbians, 3. TARGET POPULATION/TYPE OF CHILDREN/FAMILIES SERVED: (e.g., -' Behavior Problems, mental Health ethnicity)_ !S E' l Education, ��_ - 4. PROGRAM PROVIDES OR CAN ACCOMMODATE. (check all that apply) (Describe in detall in Section 3 or 5) [� Services to families V1 Tutoring placements {� Sibling p [.] Special education classes � Special ethnic%utturat services vocational training [_ Emancipation/independent living 1 Primary language other than English (including American Sign Language) [ 1 Medical needs or conditions [ } Chronic runaways (other than mental health) ❑ Follow-up services �-- C_{ Other(explain)._...-------- [� Other(explain)_ 8. CHILD CHARACTERISTICS AND BEHAVIORS Rank all of the characteristics or behaviors in this section using the following scale: i a program designed to treat; ( will NOT accept.) 2= program will accept;3=program 4. PHYSICAL/SENSORY/HEALTH CONDITIONS I. AHUSE/NEGLECT 1 Asthma 1 Physically abused 2 Epilepsy Sexually abused 3 HIV/AIDS t Abandoned i Allergies _.1 Fmot{onaliy abused Diabetes Neglected 2_ Eating disorders Severely medically neglected _2 Other chronic medical conditions(describe --1- L 1 Ritualistically abused _ .--- cuss 2. DtrL.jW0tJFNCY 3 glind/vl P irment 1 Offenses against persons _3 Deai/hearing impairment Offenses against property -- - Developmentally disabled Drug&far alcohol related offenses ^ Require medication 11se of Weapons Require special diets Arson Pregnant 1 Physical limitations (ambulatory or nanamhu{atory} l 3. DFVFLOPMENTAL DISA131LITIE Some deiicits in self-help skills 3_ Severe deficits in self-heap skills —.—_----__- -- °'�� Page 7 B. CHILI) CHARACTERISTICS AND SE14AVIORS (Continued) scale: 1 �program designed to treat; IRank at1 ni the characteristics or behaviors in this section using the following 2 r program will accept;3-program will NOT accept.) 1o. BEHAVIORS 5. DR'UG1A1[-00H0I-USE ! Acts disobediently at home Q� Drug use 1 Acts disobediently at school 4j� Previously treated for drug abuse _1 - Demands attention o Alcohol use Swears,uses obscene provocative language � Previously treated for alcohol abuse Does not bond with parental figures _3 High riskldelinquent/anti-social activity �- Does not get along with other children when under Influence of drugs/alcohol L-- Does not accept authority . High risktdelinquent behavior to Is manipulative of adults procure drugs/Alcohol Gets into fights �_ is cruel or mean to others 6. c>EXUAI.ADJUSTMENT/FUNCTIONING Acts impulsively without thinking Sexual victim �3- Runs away from placement _3 Sexual perpetratortexploits others Has temper tantrums,is volatile 3._. Confusion with sexual identity Verbally threatens peers/adults Inappropriate sexual behavior physically threatens peersladults Physically assaults peers/adults 7. MENTAL HEALTH Intentionally damages/destroys property J Requires psychotropic medication 3_. Commits violence or harm toward self 1 _ Previous psychiatric hospitalization Acts depressed and/or withdrawn Emotionally disturbed(DSM,current revision,diagnosis) _�. persistent mood swings Exhibits frequent and/or �___ Talks about suicide(has plan and/or exhibits R. MENTAL-HEAI_THIEpUCATION self-destructive behavior) / Special education pupil, certified _ Attempts suicide Seriously Emotionally Disturbed& requiring Hallucinates,has delusions or bizarre thoughts out-of-home placement 3 Sets fires Is cruel fa animals 9. GANG INVOI-VEMENT _ Exhibits bizarre behavior Gang member Other ---- Associates with gang members Other(explain)_.- _---- L im gang affiliates program will not accept:—..&_e--_------ - toss Other(explain)-.- ------_________ t 1. list additional characteristics and/or behaviors the program will not accept: a. b _____ �� col ss r Page e .i C. STRUCTURE/SUPERVISION 1- 01411.1)CARP WORKERICHILD RATIO: Gam-gam 9am-3pm 3pm-10pm 10pm-7am Monday-Friday when school is in session ---j,--�---- 7am-1 0M 10pm-7am Saturday, Sunday, holidays, weekdays when children are not in school 2. CHILD CARE WORKERS HAVE(OR WILL HAVE)THE FOLLOWING EDUCATION AND EXPERIENCE:(check all that apply) L� HS equivalent ® Less than one year experience F4 Some college, less than AA K One to 3 years experience ® AA,less than BAJBS Pq More than 3 years experience ($� 13A/BS and above i Other(explain) 7H.v; _.a,� 3, GROUP HOME PROGRAM PROVIDES:(check all that apply) Supervision by Ilve-in houseparents Awake night staff Capability of one-to-one supervision at any time Supervision at residence,school, in community(i.e.,24 hour) -� Plan to manage assaultive behavior Psychotropic medication management School integrated with residential program ❑ Nonpublic school or ❑ Provided by school district Other(explain) —__ - �_._� Other(explain), --- Coss 4. STRUCTUREISUPERVISION MODEL(S)USED:(Check all that apply) Point system El Other(explain) (-7 Token economy Coss C Q Not applicable Level system Contracts -- - WORK SERVICES 1. AVERAGE NUMBER OF DIRECT SOCIAL WORK HOURS PROVIDED PER CHILD PER WEEK: �-- - 2. SOCIAL.WORKER/CHILD RATIO: J;L2.-� 3. SOCIAL WORK SERVICES ARE PROVIDED BY: (check all that apply) E-1 Program employees ® Contract staff (1 Other(explain)._..�____�.� ---------.------- —–-- -- Coss__]. 4. SOCIAL WORKERS HAVE (OR WILL HAVE)THE FOLLOWING EDUCATION/CREDENTIALS:(check all that apply) (.] RS/RSW MS MSW ® MFCC/LCSW --_–_ - (. Other (explain) - – -----------..v C 5. SOCIAL WORK SERVICES PROVIDED TO CHILDREN IN THE GROUP HOME PROGRAM: (check all that apply) ® Individual counseling Intake study Group counseling Dev®lopment of needs& services plans ng [� Family counseling Assessments to identify changing needs of child Development of discharge plans ® Six month updates to needs&services plans Substance abuse counseling Aftercare Other(explain) _ — ----____---- --- - __ _ ------ Page 9 _ E. MENTAL HEALTH TREATMENT SERVICES 1. MENTAL-HEALTH TREATMENT SERVICES ARE PROVIDED: (check one) Regularly ❑ Occasionally [-7 Crisis intervention only F_1 Not applicable(skip io item t=.) EXPECTED TO BE RECEIVING ON-GOING MENTAL HEALTH TREATMENT 2. PERCENT OF CHILDREN WHO ARE SERVICES: AVERAGE NUMBER OF HOURS OF TREATMENT PROVIDED TO EACH CHILD RECEIVING MENTAL HEALTH TREATMENT 3. SERVICES EACH WEEK: 4. RATIO OF LICENSED MENTAL HEALTH PROFESSIONAL STAFF TO CHILDREN: 1:� -- 5. MENTAL.HEALTH TREATMENT SERVICES ARE PROVIDED B on contract or a Medi-Cal provider) (check all that apply) (check If person is employ y program,ir ct Medi-Cgl prey C P-Ma m emolovee �) Psychiatrist (] (�( Psychologist ❑ (] ❑El TA L_CSW �El ❑ [-] MFCC ❑ RN/Master's Degree 6. MENTAL HEALTH TREATMENT FUNDED BY: (check all that apply) �O Medi-Gal Short-Doyle L_] Other 7. MENTAL_HEALTH TREATMENT SERVICES PROVIDED TO CHILDREN IN THE GROUP HOME PROGRAM: (check all that apply) Lk� Psychotropic medication management G�_g Psychiatric evaluation ® Staff consultation with licensed mental JK Psychological testing health professional(s) Individual therapy Other therapeutic services required for Family therapy child to benefit from program(describe) Group therapy [� Crisis intervention Licensed day treatment on grounds [A Licensed day treatment off grounds F. ALCOHOL/DRUG TREATMENT SERVICES 1. ALCOHOL./DRI1G TREATMENT SERVICES ARE PROVIDED: (check one) [] occasionally C-1 Not applicable (skip to signature) Regularly 2. PFRC' N ,E T OF CHILDREN RECEIVING ALCOHOL AND/OR DRUG TREATMENT SERVICES: 3. AL.COt-ounRUG TREATMENT SERVICES ARE PROVIDED BY: (check all that apply) I Contract staff L ] Program employees %Cl /-�'J - f] ross� L Other (explain) � ` 4. PROGRAM CERTIFIED BY DEPARTMENT OF ALCOHOL.AND DRUG PROGRAMS: No S n 5, ALCOHOUDRUG TREATMENT OR REHABILITATIVE SFRVICES PROVIDED TO CHILDREN IN GROUP HOME PROGRAM: (check all that apply) Alcohol/drug education Substance abuse counseling 12 step program ` Other(explain) ( P lain ex DATE: 1ITIr E: gi4 AT F At H 17£h F Rn J t f/ —_- - _— -_ CDSS USE ONLY: KDE Date I t Initials Page 10 . I MIRORA GROUP HOME " Making a Measured Difference', MISSION STATEMENT: � Improving the lives of all of our children through a program focused on suturing and education, resulting in measurable increased knowledge and understanding. ()I►R VISION: Our vision for the future is epitomized by the expression, "Every Child is a "()r. every child is a premise in: Promise.,, a group home which cares passionately about the success of all children, be they learning disabled, possess an off-heat learning style, in thc: rninority,or gifted, - a group home where creative children master critical thinking skills t< life long learning, rr - a group home where all learning is relevant to the child's life, it group home where every child exceeds beyond his expectations, a group home that reaches for success by fostering the academic, social emotional and character development of each child, and a group home where there are no cracks to tall through. FAERY � r WE AT MIRORA GROUP HOME RELIEVE: we must live by our values we, want consistency between plan and behavior all our efficirts must always be directed with our children in mind every employee is responsible for building a better Group Home. 1P')fB�DQnlff',RtiMI 11�lE4'Q=II81l11D'll'lId➢l`� I PURPOSE, METHODS,GOALS' I Today's children and youth are experiencing unprecedented societal pressures,confusion about society's polarization of values,uncertainty about the future,and feelings of profound loneliness in a crowded world_ These fears,concerns, and uncertain dreams have constituted a new agenda ol`youth issues. Robinson House, a non-profit organization,is created to assist these at-risk children and youth to gain the skills, knowledge,and self-esteem essential to leading a well- rounded,productive life. One of the assets which distinguishes winners from losers among today's youth is the presence of a caring adult in their lives. Robinson Douse will provide this caring adult. With an increasing number of divided,dysfunctional,and diminished families in our society,this is an asset denied many children. IA's hard for children of any age to do the right thing when no adult knows or cares_ `II he itwo guiffing 1pirinea pBm whikk wiillll allidve dill alieflRvllSt es and piregiraomma ftl 118QDD1lNSON ]HOUSE mire-. 11„ ll ewelian#Mg emma flaDiaraiPlly, inniein am lly,ROCa ailllY and II hyahC111ll(y lh1LU111 rlhty a;ltniilallrrcer�, �inni>li lNin)Em QunK and srmppoiritliimg acaualleuu a success Thin JjqM n°iMiailiMim., 1,,very activity, program and effort by the staff of Robinson House will be undertaken with these principles in mind. 1fRobinson House successfully accomplishes these two goals, we will have fulfilled our mission, We at Robinson House believe: we must live by our values we want consistency between plan and behavior all our efforts must always be directed with our children in mind every employee is responsible for building a better Group Home. Our elision: Our vision for the future is epitomized by the expression, -lEveiry (i'Milld kq mi 1hroin ib%e'y,: For, every child is a promise in: a group horse which cares passionately about the success of all children„ be they learning disabled,, possess an off=beat learning style, in the mincrriiy., or gifted, a group hoarse where creative children master critical thinking skills fin 111i, long learning, a group home where all learning is relevant to the child's life, a group home where every child exceeds beyond his expectations, a group home that reaches for success by fostering the acaderic, social, emotional and character development of each child, and - a group home where there are no cracks to fall through. Robinson House provides residential care for six(6)children, in a family setting. This homt- is licensed for and accepts children ages seven to seventeen,years who have emotional and behavioral problems related to histories of abuse, neglect,and inadequate parenting and supervision. Robinson House is fully prepared to accept children with psychiatric disorders, including adjustment and identity disorders,attention deficit disorders, anxiety disorders, schizoid disorders,behavioral disorders, depression,post-traumatic stress disorders, and substance abuse disorders. The children placed in this home will exhibit deficits in educational progress. Usually these are children that are a year or more behind their peers in school, regardless of their academic ability. Since they have come from inadequate homes they have had little opportunity for academic success. We see success in school being extremely important since a child spends a large degree of their waking hours in school. We will provide the necessary assistance to effect success in school through assisted, supervised homework sessions, hiring a paid State of California Certified 'f'eaeher as a tutor, and maintaining a constant.close relationship with the schools, We also will provide a tutorial, Computer based instructional system designed to enhance the learning process and help adolescent learners reach their fullest potential in a broad rangc of academic sut?jects, such as Leading, Math, Writing, Social Studies and life Skills. This Computer Based program is Plato, which has components to diagnose,prescribe, implement and evaluate the child's level of academic achievement. Scientific use of computer technology as a delivery method for educational materials is a highlight of the Mirora Tutorial Program. The children also have difficulty forming positive, meaningful relationships with adults and their peers. At Robinson House children will be given an opportunity to express themselves. We believe strongly that a child has to feel self-worth before they can believe and trust others. our goal is to develop socialization skills by providing corrective experiences which in turn will allow them to begin to trust. The child's world is a world of play and activities. Through play., children learn mastery of their own bodies and the physical space that surrounds theirs, as well as the conflict areas of social behaviors that support the play situation. We believe that solitary and group play are critical mediums for competency acquisition. We utilize various play experiences such as games, crafts, sports, etc., to help children acquire mastery over the internal and external environment. The living environment promotes both the means and a context for change. Teaching and learning occurs in a wide variety of formats, including small group activities with teams, individual activities,games and most importantly meaningful verbal exchange. The following is a list of the teaching formats utilized in Mirora Home: 1, Mules. Do's and Don'ts- defining what is expected and acceptable. 2. Routines - Waking up„ mealtimes, going to bed, transitions between activities. .1. planned Program Activities-_ Sports,games,arts and crafts, and informal individual and group activities in the home as well as in the community. 4. Q iroups_. Group therapy and house group meetings to facilitate help with their relationships and provide opportunities for children to participate in house decisions. "i. Individual Therapy - Private time with the social worker and/or psychologist to explore thoughts, feelings, and behaviors, 6. Incentive Program -The use of positive reinforcements for the purpose of teaching alternatives to negative behavior and rewarding positive behavior. T Psychiatric Services - To assist staff"with diagnosis and treatment planning on lbehall`of the child- R. Individual Special Treatment flans - Highly specialized interventions are designed to help the child through a crisis period. 'D. '1 worial Program - Services provided by a California state certified teacher on a regular weekly basis. Competency acquisition increases a child's self-esteem and provides him with confidence: to explore new ways of growth. The child can celebrate his progress and believe in his own work.. The~ following are specific elements of the program. I. A planned and stable home environment with stable caring adults as child care workers.. . Goal directed daily activities and positive reinforcement. 3. Specialized academic education and remedial teaching. 4.. May, loth spontaneous and therapeutically planned. `3. Consistent comprehensive medical and dental care,along with learning proper health habits, 6� ("finical program: a. Psychiatric assessment to include diagnosis, on-going consultation, treatment planning,and prescription/review of medications. h.. Psychological assessment to include acaderrcic and personality testing and weekly individual therapy. c. Neuropsychological assessment as recommended by a psychologist. d. Social work intervention to include individual therapy, group therapy.,mid family therapy. 7. Follow through with individual and family counseling. A planned termination is begun long before the child leaves Robinson House. 'Phis planning states future goals, family readiness and the child's strengths and needs, and make recommendations for appropriate care necessary for continued growth. The recommendations aunt: a collaborative effort among the Robinson House staff,the social worker, the child's family and the placing agency_ an unplanned termination occurs if it is determined that Robinson House is not meeting the needs of a child. Robinson House staff will notify the county worker of the termination and requests that the child be placed in a more suitable environment. The primary goal of the program is to produce healthy, (mentally as well as physically), socially and academically productive citizens for tomorrow. We at Robinson House believe if you spend more time nurturing resources(child's assets),and less time"fixing"problems, we can enable children to avoid,cope,and overcome sllll problems. 'l>SIe will focus on ten life essential skills., which are: 1. Confidence 2. Motivation 3. Effort 4. Responsibility 5. Initiative 6. Perseverance 7. Caring 8_ Teamwork 9. Common sense 10. problem solving s access breeds success_ acceptance promotes accepting. respect delivers respect. Some of tilt, tested and proven tips on building a child's self-Osteem are: communicate one-on-onc;with the