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Definition

Post-Reunification Services (also called after-care services) are defined by the CEBC as programs or services to prevent re-report to Child Welfare Services (CWS) and/or re-entry to foster care/out-of-home placement after the family has been reunified. Reunification is the most common permanency plan for children in out-of-home care and nationally, over half (53.4%) of children exiting out-of-home care in 2020 were reunified. However, some families struggle after reunification and, depending on the state, between 3% and 16% of children re-entered foster care within 12 months of reunification. When examined over longer periods, studies show that between 20% and 40% of children re-enter foster care within 5 years. There is increasing recognition that a child’s and family’s needs do not end at the time of reunification, as many of the underlying issues that led to the initial placement may still be present or at risk of re-occurring. To prevent future maltreatment and re-entry, post-reunification services need to be consistently offered, sufficiently available, and tailored to meet the specific needs of the child and family, Including racial, ethnic, and cultural needs. Post-reunification services may include clinical services (e.g., mental health therapy, substance abuse treatment, domestic violence intervention, crisis intervention, etc.), material or financial services (e.g., income support, job training, health care coverage, housing assistance, etc.); and support systems (e.g., respite care, peer support groups, family strengthening, linkages with the health and education systems and other community-based services, etc.).

  • Target population: Reunified families with children who previously have had an out-of-home placement
  • Services/types that fit: Clinical, material, financial, and support system services
  • Delivered by: CWS staff, contracted providers, behavioral health professionals, and trained paraprofessionals
  • In order to be included: Program must deliver either short-term higher level of placement services or services designed to be an alternative to placement in higher levels of care, or must train staff and/or caregivers to deliver these services
  • In order to be rated: There must be research evidence (as specified by the Scientific Rating Scale) that examines reunification-related outcomes, such as post-reunification maltreatment reports and re-entries to out-of-home care.

Definition

Post-Reunification Services (also called after-care services) are defined by the CEBC as programs or services to prevent re-report to Child Welfare Services (CWS) and/or re-entry to foster care/out-of-home placement after the family has been reunified. Reunification is the most common permanency plan for children in out-of-home care and nationally, over half (53.4%) of children exiting out-of-home care in 2020 were reunified. However, some families struggle after reunification and, depending on the state, between 3% and 16% of children re-entered foster care within 12 months of reunification. When examined over longer periods, studies show that between 20% and 40% of children re-enter foster care within 5 years. There is increasing recognition that a child’s and family’s needs do not end at the time of reunification, as many of the underlying issues that led to the initial placement may still be present or at risk of re-occurring. To prevent future maltreatment and re-entry, post-reunification services need to be consistently offered, sufficiently available, and tailored to meet the specific needs of the child and family, Including racial, ethnic, and cultural needs. Post-reunification services may include clinical services (e.g., mental health therapy, substance abuse treatment, domestic violence intervention, crisis intervention, etc.), material or financial services (e.g., income support, job training, health care coverage, housing assistance, etc.); and support systems (e.g., respite care, peer support groups, family strengthening, linkages with the health and education systems and other community-based services, etc.).

  • Target population: Reunified families with children who previously have had an out-of-home placement
  • Services/types that fit: Clinical, material, financial, and support system services
  • Delivered by: CWS staff, contracted providers, behavioral health professionals, and trained paraprofessionals
  • In order to be included: Program must deliver either short-term higher level of placement services or services designed to be an alternative to placement in higher levels of care, or must train staff and/or caregivers to deliver these services
  • In order to be rated: There must be research evidence (as specified by the Scientific Rating Scale) that examines reunification-related outcomes, such as post-reunification maltreatment reports and re-entries to out-of-home care.

Topic Expert

The Post-Reunification Services topic area was added in August 2023. Richard Barth, PhD was the topic expert and was involved in identifying and rating any of the programs with an original load date in 2023 (as found on the bottom of the program's page on the CEBC) or others loaded earlier and added to this topic area when it launched. The topic area has grown over the years and any programs added since 2023 were identified by CEBC staff, the Scientific Panel, and/or the Advisory Committee. For these programs, Dr. Barth was not involved in identifying or rating them.

Topic Expert

The Post-Reunification Services topic area was added in August 2023. Richard Barth, PhD was the topic expert and was involved in identifying and rating any of the programs with an original load date in 2023 (as found on the bottom of the program's page on the CEBC) or others loaded earlier and added to this topic area when it launched. The topic area has grown over the years and any programs added since 2023 were identified by CEBC staff, the Scientific Panel, and/or the Advisory Committee. For these programs, Dr. Barth was not involved in identifying or rating them.

Programs

Homebuilders®

Homebuilders® is a home- and community-based intensive family preservation services treatment program designed to avoid unnecessary placement of children and youth into foster care, group care, psychiatric hospitals, or juvenile justice facilities. The program model engages families by delivering services in their natural environment, at times when they are most receptive to learning, and by enlisting them as partners in assessment, goal setting, and treatment planning. Reunification cases often require case activities related to reintegrating the child into the home and community. Examples include helping the parent find childcare, enrolling the child in school, refurbishing the child’s bedroom, and helping the child connect with clubs, sports or other community groups. Child neglect referrals often require case activities related to improving the physical condition of the home, improving supervision of children, decreasing parental depression and/or alcohol and substance abuse, and helping families access needed community supports.

Scientific Rating 3

On the Way Home

OTWH is a 12–14 month reunification program developed to address the transition needs of middle and high school youths with, or at-risk of, emotional and behavioral disorders who are reintegrating into the home and community school settings following a stay in residential care. The program modifies and integrates three interventions: Check & Connect, Common Sense Parenting, and homework support to address the educational and family-based transition challenges most common for school-aged youths. Services are provided by a trained OTWH Consultant in the family home, school, and community, and primary objectives are to promote youth home stability and prevent school dropout. On average, families engage in 2 hours of direct service hours per week and consultants carry caseloads of up to 15 families. Training is manualized, service decisions are guided by weekly data analysis, and consultants are supervised in weekly individual and group consultation.

Scientific Rating 3

TASC’s Family Recovery & Reunification Program

The TASC's Family Recovery & Reunification Program (FRRP) seeks to improve the outcomes of substance abusing parents compared to those parents receiving traditional alcohol and other drug abuse (AODA) services from child welfare workers through the assignment of a Recovery Coach. Recovery Coaches are responsible for providing individualized case management services and aggressive outreach supportive of client substance abuse recovery and reunification with their children when appropriate.

Scientific Rating 3

LIFE – Live In Family Enhancement

The LIFE (Live In Family Enhancement) program offers a unique alternative to traditional out-of-home care for families involved in the child welfare system. The program provides the opportunity to keep the family together while the children are in care through the placement of the entire family in a supported and supervised setting. The parent(s) and their children live together in a foster home for a period of eight months to a year. During this time, the LIFE Caregiver mentors, guides, supports, and serves as a role model for the LIFE parents. The LIFE Caregiver focuses on building and securing the parents’ attachment to their children, developing routines, building confidence in parenting abilities, and development of both new skills and a new direction for their parenting future.

Scientific Rating NR

Michigan Family Reunification Program

The program is designed to assist in an early return to a permanent family for children in out-of-home foster care placement. In addition, it is designed to reduce repeat placement through a planned process of reunifying children in out-of-home care with their families using a variety of services. It is also designed to provide support in achieving and maintaining permanency in the family home.

Scientific Rating NR

Success Coach Service

The Success Coach Service (SCS) is a voluntary service that provides ongoing support and enhanced case management to children and families in an array of post-care services. The primary goals of the Success Coach are to support the family providing a stable and safe environment for their children, to build family resiliency, and to implement support services building a positive long-term effect on strengthening the permanent placement and enhancing child wellbeing for children who achieve permanency. Success Coaches work with the families to assess their strengths and needs, create a success plan, and achieve their goals. This is done through reducing risk factors and increasing protective factors via monthly face-to-face sessions with the family. However, these sessions can be completed through virtual means, community visits, or other settings to meet the needs of the family.

Scientific Rating NR

Programs

Homebuilders®

Homebuilders® is a home- and community-based intensive family preservation services treatment program designed to avoid unnecessary placement of children and youth into foster care, group care, psychiatric hospitals, or juvenile justice facilities. The program model engages families by delivering services in their natural environment, at times when they are most receptive to learning, and by enlisting them as partners in assessment, goal setting, and treatment planning. Reunification cases often require case activities related to reintegrating the child into the home and community. Examples include helping the parent find childcare, enrolling the child in school, refurbishing the child’s bedroom, and helping the child connect with clubs, sports or other community groups. Child neglect referrals often require case activities related to improving the physical condition of the home, improving supervision of children, decreasing parental depression and/or alcohol and substance abuse, and helping families access needed community supports.

Scientific Rating 3

On the Way Home

OTWH is a 12–14 month reunification program developed to address the transition needs of middle and high school youths with, or at-risk of, emotional and behavioral disorders who are reintegrating into the home and community school settings following a stay in residential care. The program modifies and integrates three interventions: Check & Connect, Common Sense Parenting, and homework support to address the educational and family-based transition challenges most common for school-aged youths. Services are provided by a trained OTWH Consultant in the family home, school, and community, and primary objectives are to promote youth home stability and prevent school dropout. On average, families engage in 2 hours of direct service hours per week and consultants carry caseloads of up to 15 families. Training is manualized, service decisions are guided by weekly data analysis, and consultants are supervised in weekly individual and group consultation.

Scientific Rating 3

TASC’s Family Recovery & Reunification Program

The TASC's Family Recovery & Reunification Program (FRRP) seeks to improve the outcomes of substance abusing parents compared to those parents receiving traditional alcohol and other drug abuse (AODA) services from child welfare workers through the assignment of a Recovery Coach. Recovery Coaches are responsible for providing individualized case management services and aggressive outreach supportive of client substance abuse recovery and reunification with their children when appropriate.

Scientific Rating 3

LIFE – Live In Family Enhancement

The LIFE (Live In Family Enhancement) program offers a unique alternative to traditional out-of-home care for families involved in the child welfare system. The program provides the opportunity to keep the family together while the children are in care through the placement of the entire family in a supported and supervised setting. The parent(s) and their children live together in a foster home for a period of eight months to a year. During this time, the LIFE Caregiver mentors, guides, supports, and serves as a role model for the LIFE parents. The LIFE Caregiver focuses on building and securing the parents’ attachment to their children, developing routines, building confidence in parenting abilities, and development of both new skills and a new direction for their parenting future.

Scientific Rating NR

Michigan Family Reunification Program

The program is designed to assist in an early return to a permanent family for children in out-of-home foster care placement. In addition, it is designed to reduce repeat placement through a planned process of reunifying children in out-of-home care with their families using a variety of services. It is also designed to provide support in achieving and maintaining permanency in the family home.

Scientific Rating NR

Success Coach Service

The Success Coach Service (SCS) is a voluntary service that provides ongoing support and enhanced case management to children and families in an array of post-care services. The primary goals of the Success Coach are to support the family providing a stable and safe environment for their children, to build family resiliency, and to implement support services building a positive long-term effect on strengthening the permanent placement and enhancing child wellbeing for children who achieve permanency. Success Coaches work with the families to assess their strengths and needs, create a success plan, and achieve their goals. This is done through reducing risk factors and increasing protective factors via monthly face-to-face sessions with the family. However, these sessions can be completed through virtual means, community visits, or other settings to meet the needs of the family.

Scientific Rating NR