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Appendices
Appendix 1: Vision for new quality of residential care branch/division within MCYS
Acts as integrating mechanism across all sectors to avoid silos, focus on quality of care, raise standards, encourage consistency, monitor continuum of care for individual young people, analyze aggregate data trends, and foster a culture of continuous quality improvement
Quality of residential care branch/division
Continuity of care unit
- Staffed by Reviewer positions
- Subsumes current Crown Ward Review Unit
- Monitors the continuum of care for all young people in care for 18 months or over
- Monitors all placements of young people transitioning from child welfare/children’s mental health into youth justice custodial settings
- Placement agencies notify Reviewers of placement changes
- Monitors placement changes
- Holds all data related to each young person (eg. serious occurrence reports; placement changes)
Data analytics & reporting unit
- High level aggregate data analysis
- Analyzes Serious Occurrence Report data
- Identifies trends
- Uses standardized data format
- Ensures data integrity
- Annual public reporting on progress of young persons in care
Quality inspectorate
- Replaces current licencing system
- New qualifications for position of quality inspector
- Includes assessment of quality indicators
- Includes assessment of agency concept statement
- Licensing function is subsumed in quality assessment
Advisory council
- Provide access to clinical expertise and lived experience (children and youth, families, caregivers including foster parents and front line workers).
Appendix 2: Concept statement template for service providers
Descriptive information about the organization
Name, address, contacts, programs and services offered:
Specific program to which this concept statement applies:
Mandate and vision of program:
Description of program:
Include #of clients, gender, ages, physical infrastructure, staffing ratio, #of staff, additional clinical resources, etc.
Youth profiles:
Define the profiles of young people who can best be served in this program; provide specific information about developmental and clinical profile, family constellation and need for participation, externalizing behaviours
Exclusions:
Describe who the program cannot serve well. List excluding factors (eg: fire setting, physical aggression, sexual offending)
Theoretical framework for service delivery:
What informs the design of this program? (eg: attachment theory, trauma-informed care, resilience, strength-based, narrative, etc.) Explain how this relates to the Youth profile the program seeks to serve.
Use of evidence-based practice:
List all evidence-based practices and clearinghouse references; explain how these relate to the youth profile the program seeks to serve
Use of best practices:
List all approaches and interventions that are considered best practices, and provide rationale for why these are considered best practices and references.
Youth voice and participation:
Describe all aspects of young people’s participation in the governance, design, operation and individual-level case planning in this program. Provide a list of measurable indicators for these initiatives.
Staff qualifications:
List all staff (FT/PT/Casual & One to One), their pre-service qualifications and their training and PD records for the past five years; explain how qualifications and training records relate to the client profiles the program seeks to serve and to the program and client-level objectives defined below.
Supervision:
Describe the supervision process for all front line staff; indicate the supervision model in use, and why this is the appropriate model in relation to the goals and objectives of the program and the types of young people served. Also include the qualifications and training of the supervisor.
Program objectives – program-level outputs and outcomes:
Describe what this program seeks to accomplish; what difference will it make in the lives of the young people; identify measurable indicators related to each program-level output and outcome.
Program objectives – client-level outputs and outcomes:
Describe what change is expected in clients; what areas of young person’s life will be impacted in what ways, and what indicators are used to measure this change.
Progress data from the past 12 months:
Listing each of the indicators identified for this program, provide data related to program-level and client-level outputs and outcomes.
Analysis of activity over the past 12 months:
Explain the data above in relation to what has worked and what has not worked. Provide clear explanations for any circumstances where the data does not indicate positive movement.
Children’s rights:
Describe how young people are informed of their rights and how rights reinforced on an ongoing basis. Please attach any material used in helping young people understand their rights.
Behaviour management/intervention:
Describe the approach to behavior management within the program. Include descriptions of point and level systems, token economies and frequently used consequences (withdrawal of privileges, early bed times, grounding).
Crisis management and physical intervention:
Describe the approach to crisis prevention/intervention. Include policies and practices related to the use of physical interventions, debriefing and restorative practices.
Community involvement:
Describe all community partnerships that are directly related to this program and provide a list of community involvements of every young person over the past 12 months. Provide a list of measurable indicators for these initiatives.
Unique identity:
Describe all initiatives related to support and special provisions in the context of gender identity, racial identity, cultural competence, vegetarian/ vegan lifestyles and other. Provide a list of measurable indicators for these initiatives.
Education:
Describes all initiatives and supports related to school-based performance and everyday life-based learning. Provide a list of measurable indicators for these initiatives.
Appendix 3 new worker training & refreshers
Description:
A mandatory two week training course required of all direct service staff hired to work in residential care settings such as group care and foster care support, including full time workers, part time workers, relief or casual workers and workers hired to perform one to one supervision under Special Rate Agreements. The New Worker training certificate must be completed prior to deployment in any residential care setting, and a biennial (every two years) two day refresher course must be completed thereafter.
Purpose:
To ensure that all workers involved in residential care provision are informed by and committed to working from an empathy-based perspective that is framed by the theoretical and practice elements of relational practice, life space intervention, ethical decision-making and child and youth participation, engagement and rights.
Structure:
The New Worker training course is to be delivered by the post-secondary education sector in partnership with the field. It is critical that the course be neither delivered nor owned by the field or any agency within residential care systems across sectors. Instead, the course must be delivered by the post-secondary education sector with a focus on child and youth care practice in particular, as the most relevant conceptual and practice elements envisioned for excellence in residential services are elements of the discipline of child and youth care practice.
Ontario’s post-secondary education sector offers 22 diploma and two degree programs in Child and Youth Care Practice, geographically spread across the province with excellent capacity to deliver such training, where applicable in partnership with institutional continuing education units (for example, the Chang School of Continuing Education at Ryerson University). It is envisioned that the training course is available to newly hired practitioners at least once per month at an institution at reasonable distance to the new employee.
The cost of such course should not exceed $500 per person, and residential service providers should be responsible for cost-sharing this cost at a minimum 50/50 split with prospective employees who do not yet have such certification. Certification is transferable across employers and sectors. Employers can create more competitive recruitment strategies by covering the full cost of the course.
Sample curriculum:
The ten-day curriculum is envisioned to include the following elements:
- Understanding the context of young people placed in residential care
- Empathy and the development of Self
- Relational practice – theory
- Relational practice – practice elements
- Life-space intervention
- Children’s rights and child and youth participation / engagement
- Unique cultural, identity and lifestyle contexts
- Ethical decision-making, the use of supervision, team work
- Crisis Intervention certification
Refresher training:
A two day training program every two years, with a curriculum that captures the core elements of the New Worker training but seeks to incorporate the practice experiences of workers in order to bring the concepts of the new worker training to life.
Appendix 4: Supervisor certification
Rationale:
The Panel strongly recommends the development of a supervisor certification program in order to ensure that individuals with responsibility to provide supervision are qualified to do so and able to provide such supervision meaningfully and directly related to life space practice settings. Supervision is a core component of effective child and youth care practice in residential settings. The supervision process should ensure at least four continuous dynamics:
- Workers are provided with clinical guidance in their practice with children and youth in the every day context of residential care;
- The residential setting is fundamentally oriented toward relational practices and the empowerment and participation of young people in their every day experiences;
- Practitioners are supported in their experiences of working with very vulnerable young people in such a way that their resilience in relation to compassion fatigue, vicarious trauma and burnout are mitigated;
- Practitioners have real and meaningful professional development and career planning goals that ensure on-going learning and skills development.
The current approaches to appointing individuals to supervisory positions are ad hoc in most cases and across sectors, with standards and required qualifications either absent or geared solely toward positive performance in front-line positions This is not adequate given the pivotal role of supervisor positions in residential services.
Description:
A supervisor certification process must be developed that ensures that anyone appointed to such a position is trained and has demonstrated competence in the following areas of practice:
- In-depth understanding of relational practices, including clinical, therapeutic and practice approaches;
- Capacity to support and coach front line practitioners in their capacity to deliver high quality services to young people and to maintain their relational engagement within the broader context of empathy;
- A thorough understanding of leadership in the context of collaborative team-based approaches to serving young people in residential services.
Structure:
The Panel envisions a multi-module certification program offered through recognized leaders in the field of child and youth care with clear capacity to offer training for supervisors at the highest possible level.. The minimum education level for the delivery agents of the certification program should be a university-based degree in child and youth care practice. The Panel furthermore recommends that existing supervisors be required to complete the certification process within the first year of its availability; newly hired or promoted supervisors must complete the certification prior to beginning work in formal supervisory positions in any context of residential service provision.
The specific curriculum of such program should be developed in partnership between the field and recognized leaders in the field of child and youth care practice. MCYS should provide leadership in ensuring that a small group of such individuals is constituted in order to proceed with the development of this process as soon as possible.
Appendix 5: Residential services review panel consultations
August 20th, 2015 – January 25th, 2016
Overview
The Panel consulted with:
- 264 Youth
- 18 Secure Treatment E.D.’s, Managers & Supervisors
- 25 Mental Health Treatment Agencies Managers & Directors
- 169 Frontline Staff
- 47 Facilities & Centres E.D.’s, Managers & Directors
- 38 Secure Custody E.D.’s, Managers & Supervisors
- 9 Open Custody E.D.’s, Managers & Directors
- 56 Foster Parents, Parents & Family Members
- 26 Associations/ Organizations/ Representatives E.D.’s, Managers & Executive
- 82 CAS Agencies E.D.’s, Managers Directors & Staff
- 123 MCYS Staff & Licencing Specialists
- 8 Regional and Corporate Directors
Cities
Across 12 cities in Ontario
Panel consultations - youth
264 Youth - 30 associations/organizations/representatives
| Associations/Organizations | Number of youth |
|---|---|
| Tungasuvvingat Inuit, Ottawa | 4 youth |
| Peel Children’s Centre, Mississauga | 4 youth |
| Ottawa Youth Engagement | 23 youth |
| J.J. Kelso, Thunder Bay | 4 youth (Lunch & 1-1 conversation) |
| Kairos Community Resource Centre, Thunder Bay | 2 youth |
| Thunder Bay Youth Engagement | 16 youth |
| LGBTQ2S Youth Engagement Toronto | 4 youth |
| Syl Apps, Oakville | 5 youth (1 Treatment / 4 Secure Custody) |
| Roy McMurtry Centre, Brampton | 7 youth |
| Child & Parent Resource Institute (CPRI), London | 8 youth |
| Genest Secure Facility, London | 1 youth |
| London Youth Engagement | 22 youth |
| Sudbury Youth Engagement | 29 youth |
| Toronto Youth Engagement | 37 youth |
| Sundance (St. Lawrence Youth Association), Kingston | 2 youth |
| Kingston Youth Engagement | 10 youth |
| Youth Amplifiers (PACY) | 11 youth amplifiers (two consultations) |
| YouthCan Consultation (OACAS) | 8 youth |
| PACY Round Table (Bayfield) | 45 youth |
| Murray McKinnon, Oshawa | 1 youth |
| Harold McNeil (SRR) Integration Centre, Oshawa | 2 youth |
| Enterphase, Oshawa | 6 youth |
| Child in Care by teleconference | 1 youth |
| Arrell Youth Centre (Banyan Community Services), Hamilton | 5 youth |
| New Mentality (CMHO) | 1 youth |
| The Village (Peel CAS) | 3 youth |
| Former Child in Care | 1 (Teleconference) |
Panel consultations - Frontline staff
169 frontline staff
| Associations/Organizations | frontline staff |
|---|---|
| Tungasuvvingat Inuit – Youth in Transition Worker – Ottawa | 1 staff |
| Peel Children’s Centre, Mississauga | 8 staff |
| Ottawa/Cornwall Region CAS/OPR’s | 8 staff |
| Dilico Anishinabek Family Care – Thunder Bay | 6 staff |
| CAS Thunder Bay | 25 staff |
| Thunder Bay Children’s Centre | 1 staff |
| Syl Apps, Oakville | 4 CYW |
| Roy McMurtry Centre, Brampton | 12 YSO & YSM |
| Child & Parent Resource Institute (CPRI), London | 8 staff |
| London CAS | 7 staff |
| Genest Secure Facility, London | 4 (Youth Service Officers, Two Teachers) |
| Sudbury Group Home | 3 staff |
| Sudbury CAS & Kina Gbezhgomi Child & Family Services, Sudbury | 4 staff |
| Peel CAS | 11 staff |
| Sundance (St. Lawrence Youth Association), Kingston | 1 staff |
| Frontenac CAS, Kingston | 21 staff |
| Murray McKinnon & Harold McNeil (SRR), Oshawa | 5 staff |
| Durham CAS, Oshawa | 13 staff |
| Toronto CAS | 7 (Children Service Workers, Foster Care Resources Workers & Resource Support Worker) |
| Toronto Catholic Children’s Aid Society | 8 (Placement Worker, Residence Worker, Short Term Child in Care worker, Child in Care Workers) |
| Hatts Off, Hamilton | 11 staff |
| Peel CAS – 1 staff | Diversity Manager |
| Nurse Practitioner from Secure Custody | 1 Nurse Practitioner |
Panel consultations - facilities & centres
47 E.D.’s, managers & directors
| Location | Number of managers & directors |
|---|---|
| Ottawa Inuit Children’s Centre | 4 (ED, Coordinator, Recreation Coordinator, Coordinator of Youth Carving & Art Program) |
| Tungasuvvingat Inuit, Ottawa | 1 (Coordinator) |
| Youth Services Bureau of Ottawa | 5 (ED, 3 Directors & 1 Assistant Director) |
| Dilico Anishinabek Family Care, Thunder Bay | 4 (2 -Assistant Director, 2 Program Managers) |
| Child & Parent Resource Institute (CPRI), London | 3 (Managers) |
| Sudbury Group Home Operators | 5 (Owners/Operators) |
| Kerry’s Place, Brampton and Mississauga Community Living | 7 (Directors and Service Managers) |
| Hatts Off, Hamilton | 11 (ED, Supervisors & Directors) |
| Stewart Homes | 1 (Teleconference) |
| Pioneer Youth Services | 1 (Teleconference) |
| Enterphase | 1 (Teleconference) |
| Community Living Toronto | 1 (Teleconference) |
| Carpe Diem Residential Therapeutic Treatment Homes for Children | 1 (Teleconference) |
| Good Shepherd Centre | 1 (Teleconference) |
| Batshaw Youth and Family Centres | 1 (Teleconference) |
Panel Consultations - Mental Health Treatment Agencies
25 E.D.’s, managers & directors
| Location | Number of managers & directors |
|---|---|
| Robert Smart Centre, Ottawa | 3 Rep (ED/Service Mgr & Coordinators) |
| Peel Children’s Centre | 4 (Manager, 2 Supervisors & 1 Clinical Director) |
| Thunder Bay Children’s Centre | 3 (ED and 2 Program Managers) |
| Syl Apps, Oakville | 15 (Directors, Coordinators, Managers, Psychiatrist, Psychologist, Clinical Director, Nurse, Recreation Therapist, Guidance & VP Program Services) |
Panel consultations - Open custody
9 E.D.’s, directors, managers & supervisors
| Location | Number of directors, managers & supervisors |
|---|---|
| Kairos Community Resource Centre, Thunder Bay | 1 (Manager) |
| Northern Youth Services, Sudbury | 4 (ED & Management Staff) |
| Murray McKinnon & Harold McNeil, Oshawa | 4 (ED & Directors & Supervisor of Harold McNeil) |
Panel consultations - secure custody
| Location | Number of managers & supervisors |
|---|---|
| J.J. Kelso, Thunder Bay | 2 (ED & Manager) |
| Syl Apps, Oakville | 15 (Directors, Coordinators, Managers, Psychiatrist, Psychologist, Clinical Director, Nurse, Recreation Therapist, Guidance & VP Program Services) |
| Roy McMurtry Youth Centre | 13 (YCA, DYCA, Managers, Coordinators, Nurse, Psychometerist, Social Worker, Chaplain) |
| Genest Secure Facility | 2 (Director & Assistant Director) |
| Sundance (St. Lawrence Youth Association), Kingston | 3 (Management) |
| Brookside Youth Centre | 1 (Teleconference) |
| Arrell Youth Centre (Banyan Community Services) | 2 (Program Director and CEO Banyan) |
Panel consultations - secure treatment
18 E.D’s, managers & directors
| Location | Number of managers & directors |
|---|---|
| Robert Smart Centre | 3 (ED/Service Manager & Coordinator) |
| Syl Apps, Oakville | 15 (Directors, Coordinators, Managers, Psychiatrist, Psychologist, Clinical Director, Nurse, Recreation Therapist, Guidance & VP Program Services) |
Panel consultations - children’s aid societies
82 E.D.’s, managers, supervisors & directors
| Location | Number of managers, supervisors & directors |
|---|---|
| CAS Ottawa | 3 (ED, Service Director & Manager of Services) |
| Family & Children’s Services of Renfrew County | 1 (Director of Services) |
| CAS Thunder Bay | 10 (Managers) |
| CAS London | 10 Staff (3 Service Directors, 7 Supervisors: Native Services, Resources, Recruitment, Kinship, Placement and Ongoing Services, Service Director of Resource & Permanency) |
| Sudbury CAS & Kina Gbezhgomi Child & Family Services, Sudbury | 8 (Managers) |
| Peel CAS | 4 (ED and 3 Managers) |
| Frontenac CAS, Kingston | 7 (Managers) |
| Durham CAS, Oshawa | 12 (ED, Directors, Supervisors: Family Care program, Kinship, Foster, Placement, Quality Assurance) |
| Toronto CAS | 8 (Directors and Managers) |
| Toronto Catholic Children’s Aid Society | 9 (Managers & Supervisors) |
CAS – Consultations by phone
| Location | Number of staff |
|---|---|
| Toronto Catholic Children’s Aid Society | 1 staff |
| Grey Bruce Children’s Aid Society | 1 staff |
| Waterloo Children’s Aid Society | 2 staff |
| Muskoka/Simcoe Children’s Aid Society | 1 staff |
| Windsor/Essex Children’s Aid Society | 2 staff |
| Hamilton Children’s Aid Society | 1 staff |
| Prescott (Vailor) | 4 staff |
| York Region Children’s Aid Society | 1 staff |
Panel consultations - Associations/Organizations
26 Associations/Organizations
| Location | Number of staff |
|---|---|
| Ontario Association of Residences Treating Youth (OARTY) – | 2 Meetings9 (August – 4 members and October – 5 members) |
| Centre of Excellence for Children and Youth Mental Health (OCE) | 1 (Executive Director) |
| Ontario Residential Care Association (ORCA) | 3 (1 by teleconference) |
| Ontario Association of Children’s Aid Societies (OACAS) | 5 (E.D., Analysts & Specialists) |
| Provincial Advocate (PACY) | 1 Group Consultation with Advocate, Youth & PACY Staff |
| Association of Native Agencies (ANO) | 4 Executive Directors of 4 agencies |
| LGBTQ2S Advisory Group – Group Consultation/Meeting | 1 Group Consultation with LGBTQ2S Youth & Agency Staff |
| CMHO/Kinark Forum – Toronto | Conference and Meeting with CMHO/Kinark Staff |
| Kinark | 4 Management |
| Ministry of Education | 1 Staff |
| Ministry of Health & Long Term Care | 3 Staff |
| Youth Justice Ministry Representatives | 1 meeting with YJ Staff |
| Children’s Mental Health Ontario (CMHO) | 4 (CMHO CEO, Kinark CEO, Windsor Hospital VP, Turning Point ED) |
| ANCFSAO | 5 (ED’s from 5 agencies) |
| Métis Nation of Ontario | 2 Staff |
| Ontario Native Women’s Association | 1 Staff |
| Ontario Federation of Indigenous Friendship Centres | 1 Staff |
| Ontario Association of Child & Youth Care | 3 (President & Board Members) |
| Youth Justice Ontario | 1 member |
| OACAS | 1 (OACAS Project Manager of “One Vision, One Voice”) |
| African Canadian Legal Clinic | 2 Staff (Policy & Research Lawyer) |
| Alberta Child & Youth Service | 1 Staff |
| University of Toronto | 1 Staff |
| Ontario Ministry of Training Colleges & Universities (TCU) | 3 Staff |
| Health Quality Ontario (HQO) | 1 (Director of Policy & Strategy) |
| Covenant House Toronto | 1 (Executive Director) |
Panel consultations - Foster Parents/Parents/Family
56 foster parents, parents & family
| Location | Number of forste parents, parents and family |
|---|---|
| Ottawa CAS hosted | 14 |
| Child & Parent Resource Institute (CPRI), London | 10 (9 Family & Parents & 1 CYW Worker/Advocate) |
| London CAS hosted | 5 Foster parents |
| Kingston CAS hosted | 12 Foster Parents |
| Foster Parents Association of Ontario | 3 Members/Foster Parents |
| Hatts Off | 8 Foster Parents |
| Foster Parents | 2 (Teleconference) |
| Adoptive Parent | 1 (Teleconference) |
| Family Member | 1 (Teleconference) |
Panel consultations - regional and corporate directors
8 regional and corporate directors
| Location | Regional and Corporate Directors |
|---|---|
| Regional and Corporate Directors | 8 |
Panel consultations - MCYS & licencing specialists
123 licencing specialist/program supervisors
| Location | Licencing Specialist/Program Supervisors |
|---|---|
| Licencing Specialists | 67 specialists |
| Program Supervisors | 29 (28 in person and 1 Teleconference) |
| Field Worker Application for Licencing | 3 staff |
| MCYS Staff | 2 staff |
| Crown Review Unit | 1 staff |
| CPIN Training | 2 staff |
| Centralized Access to Residential Services - C.A.R.S | 2 staff |
| Ministry of Education Early Learning Division | 1 staff |
| SOR Tool Demo | 1 staff |
| MCYS Corporate | 4 staff – Licencing |
| Central Region | 1 staff |
| Toronto Region | 1 staff |
| North Region | 1 staff |
| MCYS & MCSS North Region | 2 staff |
| East Region | 2 staff |
| Ministry of Community & Social Services | 2 staff |
| MCYS | 1 staff |
| ADMs | 4 ADMs |
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