Department for Community Based Services

Standards of Practice Online Manual

12.15 Ongoing Training

Cabinet for Health and Family Services

Department for Community Based Services
Division of Protection and Permanency
Standards of Practice Online Manual
Chapter:
Chapter 12-Resource Family Recruitment, Certification and Reimbursement
Effective:
11/18/2015
Section:
12.15 Ongoing Training
Version:
4

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Legal Authority/Introduction

LEGAL AUTHORITY:

Procedure

The R&C Worker:

  1. Verifies that the training requirements are completed annually from the original month of approval;
  2. Completes the FAP-TRIS-1 on all training received by resource foster or adoptive home parents;
  3. Submits the form to the TRIS office by the first of the month;
  4. Does not count toward the required training hours the following:
    1. Attendance at the child’s case planning conference;
    2. School conferences; and,
    3. Other child-specific activity that does not meet the ongoing training requirement;
  5. Or FSOS terminates the resource foster or adoptive home’s reimbursement rate for advanced, emergency shelter, medically fragile complex, and care plus if the resource foster or adoptive home fails to meet the ongoing training requirements for their type of home. 1 

The FSOS:

  1. Approves reimbursement, to the extent the funds are available, of a resource foster or adoptive home parent who is participating in ongoing cabinet-sponsored or cabinet approved training for the following expenses:
    1. Mileage at current reimbursement rate;
    2. Babysitting for the foster child, not to exceed the child’s per diem rates; and
    3. Lodging, if training extends to the next day.
    4. Meals reimbursed at state employee travel regulation rates provided training requires overnight stay.  No receipts required. 2

The SRA:

  1. Provides prior approval for all requests for reimbursement to a resource foster or adoptive home for tuition/fees incurred for non-cabinet sponsored training before payment may be authorized; 
  2. Considers the following when approving or denying these requests:
    1. If the requested training is not otherwise included or provided in any Cabinet sponsored training; and
    2. If the training is specifically related to a medical or behavioral condition of a child placed in the resource foster or adoptive home.  Tuition or fees may be approved up to the amount of:
      1. One hundred dollars ($100) per family per year; or
      2. Two hundred dollars ($200) per year for a medically fragile complex, specialized medically fragile, or care plus home;
  3. Or designee is permitted to grant an exception to closure for a resource foster or adoptive home whose parent(s) did not meet annual training requirements where the child in their care has developed significant emotional attachment to the resource foster or adoptive home parents and whose best interest is served by preserving the placement. 3  

Practice Guidance

Prior to or during the second anniversary month of a foster or adoptive parent's initial approval, all foster or adoptive parents are required to complete a minimum of thirty (30) hours of training in the following areas:

    1. Trauma informed care curriculum provided or approved by the cabinet - twelve (12) hours;
    2. Psychotropic medications curriculum provided by the cabinet - one (1) hour;
    3. Sexual abuse curriculum provided by the cabinet - twelve (12) hours; and
    4. Behavior management and skill development - five (5) hours.

 

  • The annual ongoing training requirements for a resource foster or adoptive homes subsequent anniversary are:
    • Basic–six (6) ten (10) hours, including awaiting adoptive homes;
    • Advanced–twelve (12) hours;
    • Emergency Shelter–sixteen (16) hours;
    • Care Plus–twenty-four (24) Twelve (12) hours of cabinet-sponsored training or training approved in advance by the cabinet in the following topic areas:
    • Specific requirement and responsibilities of a care plus foster home;
    • Crisis intervention and behavior management;
    • De-escalation techniques;
    • Communication skills;
    • Skill development;
    • Cultural competency;
    • The dynamics of a child who has experienced sexual abuse or human trafficking;
    • The effect of substance use, abuse or dependency by either the child or the child's biological parent; and
    • An additional ten (10) hours of cabinet-sponsored training or training approved in advance by designated cabinet staff;
    • Medically Complex - Complete twelve (12) hours of ongoing cabinet-approved training related to the care of children with medical complexity and an additional ten (10) hours of cabinet-sponsored training or training approved in advance by designated cabinet staff and;
    • Medically Fragile Complex foster and adoptive homes must maintain-Sixteen (16) hours of ongoing and current certification in infant, child and adult CPR and first aid.
    • Degreed specialized medically complex-professional experience related to the care of a child with medical complexity substitutes for the initial and annual medically complex training requirements if approved by designated cabinet staff and the foster or adoptive parent:
      • Is a registered nurse, nurse practitioner, physician's assistant or physician;
      • Is certified in infant, child and adult CPR and first aid; and
      • Has completed twelve (12) hours of continuing education focusing on pediatrics within the past year that will assist the parent in the care of a child with medical complexity.
  • In order to be approved as a medically fragile complex resource foster or adoptive, the resource foster or adoptive family must complete both the medically fragile complex online orientation and the initial Join Hands Together training.  Health care professionals are required to attend and may receive continuing education credit if applicable. 
  • Medically fragile resource foster or adoptive parents are required to obtain their annual training at the Cabinet sponsored medically fragile complex conferences, which are offered twice a year.
  • The infant, child and adult CPR/first aid certification requirement is not a part of the medically fragile complex training conferences and must be maintained separately.  Online certification provided by American Red Cross or American Heart Association is acceptable if there are no trainings available. It is recommended that this be completed in a group setting when possible.
  • Medically fragile complex training is to be completed by the month of the DCBS resource foster or adoptive parent’s original approval, not their medically fragile complex date of approval.
  • Private agency medically fragile complex foster parents annual training is due on the anniversary of the date they became medically fragile complex approved.
  • In order to qualify for the specialized medically fragile complex per diem rate, licensed practical nurses, registered nurses, nurse practitioners, physician’s assistants and physicians must provide proof of current Kentucky licensure annually.   
  • Resource Foster or adoptive home parents will initially complete the Cabinet-approved Pediatric Abusive Head Trauma training. Thereafter, the resource foster or adoptive home parent will complete the training one time every five (5) years.

  •  
  • A web based training (WBT) curriculum has been developed to educate resource foster or adoptive parents on medication administration. This training is required to be completed within sixty (60) days of initial approval as a resource foster or adoptive parent. It is recommended that this training be completed every two (2) years. Assistance accessing the online training can be provided by the R&C worker.
  • A web based training (WBT) curriculum has been developed to educate resource foster or adoptive parents on non-certified first aid and universal precautions. This training is required to be completed within sixty (60) days of initial approval as a resource foster or adoptive parent. It is recommended that this training be completed every two (2) years. Assistance accessing the online training can be provided by the R&C worker. If the resource foster or adoptive parent has certification in first aid they must provide proof of the certification to the R&C worker so that credit can be given in TRIS and they will not be required to take the non-certified online first aid training offered by the Cabinet.
  • Other than medically fragile complex, the Cabinet may provide training or through community resources , such as colleges and universities, adult education centers, comprehensive care centers, county agencies, hospitals and libraries. 
  • Training may include:
    • Participation in support groups or other associations related to foster care and adoption and approved in advance by the FSOS;
    • Attendance at workshops or course work receiving prior approval of the FSOS;
    • Individualized professional training in the field from which the child needs specialized care, with prior approval of the FSOS;
    • Workshops that are relevant to foster care or adoption, provided proof of attendance is given to the R&C worker;
    • Sessions with a doctor, therapist, school or other professional to learn a specific skill, provided families provide a signed statement from the individual who provided the training indicating the skill that was taught and the time spent;
    • Those necessary to maintain certifications for CPR and first aid as required for medically fragile complex and specialized medically fragile complex resource foster or adoptive homes;
    • College courses that are relevant to foster care or adoption, provided the resource foster or adoptive home parent provides a copy of their final grade for the course;
    • Credit for learning courses related to foster/adoptive children and parenting;
    • Training tapes (audio & video) or internet training on a topic relevant to foster care or adoption, provided the resource foster or adoptive home parent provides a written report or summary;
    • Tapes from previously held DBCS-approved training events, provided the resource foster or adoptive home parent provides a written report or summary;
    • Books, articles, pamphlets that are non-fiction and are topics relevant to foster care or adoption, provided the resource foster or adoptive home parent provides a written report or summary.
  • If the resource foster or adoptive home parent requests to attend training and is denied, the Cabinet provides written notice of the resource foster or adoptive home parent’s right to a fair hearing and a copy of the DPP-154 Protection and Permanency Service Appeal.
  • At least fifty percent (50%) of all training must be in a group setting.  One on one training provided by an Adoption Support for Kentucky (ASK) or Kentucky Foster and Adoptive Parent Training Support Network instructor using a DCBS approved curriculum is included as a group setting.  An individualized curriculum may be developed for a resource foster or adoptive or adoptive parent who is unable to participate in annual group training because of employment or other circumstances.  The SRA or designee may approve such arrangements.
  • The training record submitted with the AS/N assessment annual re-evaluation must be a current record of trainings the resource foster or adoptive parent has completed.  A printout of trainings the parent has registered for, but not completed, will not suffice.
  • If a foster/adoptive parent completes more hours than the required number of hours for the evaluation period, the additional hours completed prior to approval of the Annual Re-Evaluation will not carry over to the new evaluation period.
  • When training hours are completed in the same anniversary month following approval of the annual Re-Evaluation the hours will apply to the new evaluation period. 
 

Footnotes

  1. In these instances, the resource foster or adoptive home’s rate reverts to the regular basic rate per 922 KAR 1:350 (13).
  2. The Cabinet will only reimburse adoptive foster or adoptive resource homes pre-finalization of the adoption. 
  3. The Cabinet does not reimburse families who have finalized adoptions.
    In such circumstances, additional children are not to be placed in the home until the training requirement has been satisfactorily met.

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