LCO No. 1208 1 of 9 General Assembly Raised Bill No. 93 February Session, 2020 LCO No. 1208 Referred to Committee on COMMITTEE ON CHILDREN Introduced by: (KID) AN ACT CONCERNING MI NOR CHANGES TO THE S TATUTES OF THE DEPARTMENT OF CH ILDREN AND FAMILIES. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. Subsection (f) of section 46b-127 of the 2020 supplement to 1 the general statutes is repealed and the following is substituted in lieu 2 thereof (Effective July 1, 2020): 3 (f) The transfer of a child to a Department of Correction facility shall 4 be limited as provided in subsection (e) of this section and said 5 subsection shall not be construed to permit the transfer of or otherwise 6 reduce or eliminate any other population of juveniles in detention or 7 confinement within the Judicial Department. [or the Department of 8 Children and Families.] 9 Sec. 2. Subsection (b) of section 17a-3 of the general statutes is 10 repealed and the following is substituted in lieu thereof (Effective July 1, 11 2020): 12 (b) [(1) The department, with the assistance of the State Advisory 13 Council on Children and Families, and in consultation with 14 Raised Bill No. 93 LCO No. 1208 2 of 9 representatives of the children and families served by the department, 15 providers of services to children and families, advocates, and others 16 interested in the well-being of children and families in this state, shall 17 develop and regularly update a single, comprehensive strategic plan for 18 meeting the needs of children and families served by the department. In 19 developing and updating the strategic plan, the department shall 20 identify and define agency goals and indicators of progress, including 21 benchmarks, in achieving such goals. The strategic plan shall include, 22 but not be limited to: (A) The department's mission statement; (B) the 23 expected results for the department and each of its mandated areas of 24 responsibility; (C) a schedule of action steps and a time frame for 25 achieving such results and fulfilling the department's mission that 26 includes strategies for working with other state agencies to leverage 27 resources and coordinate service delivery; (D) strategies, informed by 28 data on referrals, substantiations, removal, placements and retention, by 29 which the department shall identify racial and ethnic disparities within 30 child welfare practice and work to eliminate such disparities; (E) 31 priorities for services and estimates of the funding and other resources 32 necessary to carry them out; (F) standards for programs and services 33 that are based on research-based best practices, when available; and (G) 34 relevant measures of performance. 35 (2) The department shall begin the strategic planning process on July 36 1, 2009. The department shall hold regional meetings on the plan to 37 ensure public input and shall post the plan and the plan's updates and 38 progress reports on the department's web site. The department shall 39 submit the strategic plan to the State Advisory Council on Children and 40 Families for review and comment prior to its final submission to the 41 General Assembly and the Governor. On or before July 1, 2010, the 42 department shall submit the strategic plan, in accordance with section 43 11-4a, to the General Assembly and the Governor. 44 (3) The commissioner shall track and report on progress in achieving 45 the strategic plan's goals not later than October 1, 2010, and quarterly 46 thereafter, to said State Advisory Council. The commissioner shall 47 submit a status report on progress in achieving the results in the 48 Raised Bill No. 93 LCO No. 1208 3 of 9 strategic plan, in accordance with section 11-4a, not later than July 1, 49 2011, and annually thereafter to the General Assembly, the joint 50 standing committee of the General Assembly having cognizance of 51 matters relating to children and the Governor.] Not later than July 1, 52 2020, the Commissioner of Children and Families shall submit, in 53 accordance with the provisions of section 11-4a, to the joint standing 54 committees of the General Assembly having cognizance of matters 55 relating to children and appropriations and to the State Advisory 56 Council for Children and Families the following reports that the 57 commissioner most recently submitted to the Administration for 58 Children and Families pursuant to federal law: (1) The Child and Family 59 Services Plan, (2) the Annual Progress and Services Report, (3) the Final 60 Report of the Child and Family Services Review, and (4) any Program 61 Improvement Plan. Thereafter, the commissioner shall submit, in 62 accordance with the provisions of section 11-4a, to the joint standing 63 committees of the General Assembly having cognizance of matters 64 relating to children and appropriations and to the State Advisory 65 Council for Children and Families said reports not later than thirty days 66 after submission to the Administration for Children and Families. 67 Sec. 3. Subsection (c) of section 17a-4 of the general statutes is 68 repealed and the following is substituted in lieu thereof (Effective July 1, 69 2020): 70 (c) The duties of the council shall be to: (1) Recommend to the 71 commissioner programs, legislation or other matters which will 72 improve services for children and youths, including behavioral health 73 services; (2) annually review and advise the commissioner regarding the 74 proposed budget; (3) interpret to the community at large the policies, 75 duties and programs of the department; (4) issue any reports it deems 76 necessary to the Governor and the Commissioner of Children and 77 Families; (5) [assist in the development of and] review and comment on 78 the [strategic plan developed by the department pursuant to] reports 79 described in subsection (b) of section 17a-3, as amended by this act; (6) 80 [receive on a quarterly basis from the commissioner a status report on 81 the department's progress in carrying out the strategic plan; (7)] 82 Raised Bill No. 93 LCO No. 1208 4 of 9 independently monitor the department's progress in achieving its goals 83 as expressed in [the strategic plan] such reports; and (8) offer assistance 84 and provide an outside perspective to the department so that it may be 85 able to achieve the goals expressed in [the strategic plan] such reports. 86 Sec. 4. Section 17a-22bb of the general statutes is repealed and the 87 following is substituted in lieu thereof (Effective from passage): 88 (a) [(1)] The Commissioner of Children and Families, in consultation 89 with representatives of the children and families served by the 90 department, including children at increased risk of involvement with 91 the juvenile justice system, providers of mental, emotional or behavioral 92 health services for such children and families, advocates, and others 93 interested in the well-being of children and families in this state, shall 94 develop a comprehensive implementation plan, across agency and 95 policy areas, for meeting the mental, emotional and behavioral health 96 needs of all children in the state, and preventing or reducing the long-97 term negative impact of mental, emotional and behavioral health issues 98 on children. In developing the implementation plan, the department 99 shall include, at a minimum, the following strategies to prevent or 100 reduce the long-term negative impact of mental, emotional and 101 behavioral health issues on children: 102 [(A)] (1) Employing prevention-focused techniques, with an 103 emphasis on early identification and intervention; 104 [(B)] (2) Ensuring access to developmentally-appropriate services; 105 [(C)] (3) Offering comprehensive care within a continuum of services; 106 [(D)] (4) Engaging communities, families and youths in the planning, 107 delivery and evaluation of mental, emotional and behavioral health care 108 services; 109 [(E)] (5) Being sensitive to diversity by reflecting awareness of race, 110 culture, religion, language and ability; 111 [(F)] (6) Establishing results-based accountability measures to track 112 Raised Bill No. 93 LCO No. 1208 5 of 9 progress towards the goals and objectives outlined in this section, 113 sections 17a-22cc, 17a-22dd and 17a-248h and section 7 of public act 13-114 178; 115 [(G)] (7) Applying data-informed quality assurance strategies to 116 address mental, emotional and behavioral health issues in children; 117 [(H)] (8) Improving the integration of school and community-based 118 mental health services; 119 [(I)] (9) Enhancing early interventions, consumer input and public 120 information and accountability by [(i)] (A) in collaboration with the 121 Department of Public Health, increasing family and youth engagement 122 in medical homes; [(ii)] (B) in collaboration with the Department of 123 Social Services, increasing awareness of the 2-1-1 Infoline program; and 124 [(iii)] (C) in collaboration with each program that addresses the mental, 125 emotional or behavioral health of children within the state, insofar as 126 they receive public funds from the state, increasing the collection of data 127 on the results of each program, including information on issues related 128 to response times for treatment, provider availability and access to 129 treatment options; and 130 [(J)] (10) Identifying and addressing any increased risk of 131 involvement in the juvenile and criminal justice system attributable to 132 unmet mental, emotional and behavioral health needs of children. 133 [(2) Not later than April 15, 2014, the commissioner shall submit and 134 present a status report on the progress of the implementation plan, in 135 accordance with section 11-4a, to the Governor and the joint standing 136 committees of the General Assembly having cognizance of matters 137 relating to children and appropriations. 138 (3) On or before October 1, 2014, the commissioner shall submit and 139 present the implementation plan, in accordance with section 11-4a, to 140 the Governor and the joint standing committees of the General 141 Assembly having cognizance of matters relating to children and 142 appropriations. 143 Raised Bill No. 93 LCO No. 1208 6 of 9 (4) On or before October 1, 2015, and biennially thereafter through 144 and including 2019, the department shall, in collaboration with the 145 Department of Education, Department of Social Services, Department of 146 Developmental Services, Office of Early Childhood, Department of 147 Public Health and Court Support Services Division of the Judicial 148 Branch, submit and present progress reports on the status of 149 implementation, and any data-driven recommendations to alter or 150 augment the implementation in accordance with section 11-4a, to the 151 Governor and the joint standing committees of the General Assembly 152 having cognizance of matters relating to children and appropriations.] 153 (b) Emergency mobile psychiatric service providers shall collaborate 154 with community-based mental health care agencies, school-based health 155 centers and the contracting authority for each local or regional board of 156 education throughout the state, utilizing a variety of methods, 157 including, but not limited to, memoranda of understanding, policy and 158 protocols regarding referrals and outreach and liaison between the 159 respective entities. These methods shall be designed to (1) improve 160 coordination and communication in order to enable such entities to 161 promptly identify and refer children with mental, emotional or 162 behavioral health issues to the appropriate treatment program, and (2) 163 plan for any appropriate follow-up with the child and family. 164 (c) Local law enforcement agencies and local and regional boards of 165 education that employ or engage school resource officers shall, 166 provided federal funds are available, train school resource officers in 167 nationally recognized best practices to prevent students with mental 168 health issues from being victimized or disproportionately referred to the 169 juvenile justice system as a result of their mental health issues. 170 (d) The Department of Children and Families, in collaboration with 171 agencies that provide training for mental health care providers in urban, 172 suburban and rural areas, shall provide phased-in, ongoing training for 173 mental health care providers in evidence-based and trauma-informed 174 interventions and practices. 175 Raised Bill No. 93 LCO No. 1208 7 of 9 (e) The state shall seek existing public or private reimbursement for 176 (1) mental, emotional and behavioral health care services delivered in 177 the home and in elementary and secondary schools, and (2) mental, 178 emotional and behavioral health care services offered through the 179 Department of Social Services pursuant to the federal Early and Periodic 180 Screening, Diagnosis and Treatment Program under 42 USC 1396d. 181 [(f) On or before October 1, 2017, the Department of Children and 182 Families, in collaboration with the Judicial Branch and the Department 183 of Correction, shall submit a plan to prevent or reduce the negative 184 impact of mental, emotional and behavioral health issues on children 185 and youth twenty years of age or younger who are held in secure 186 detention or correctional confinement, in accordance with section 11-4a, 187 to the Governor and the joint standing committees of the General 188 Assembly having cognizance of matters relating to children and 189 appropriations.] 190 [(g)] (f) On or before October 1, 2017, and annually thereafter, the 191 Commissioner of Correction shall compile records regarding the 192 frequency and use of physical restraint and seclusion, as defined in 193 section 46a-150, on children and youth twenty years of age or younger 194 who are in the custody of the commissioner at the John R. Manson Youth 195 Institution, Cheshire, and shall submit a report summarizing such 196 records, in accordance with the provisions of section 11-4a, to the joint 197 standing committee of the General Assembly having cognizance of 198 matters relating to children. Such report shall address the prior year and 199 shall indicate, at a minimum, the frequency that (1) physical restraint 200 was used as (A) an emergency intervention, and (B) a nonemergency 201 intervention, and (2) restricted housing or other types of administrative 202 segregation or seclusion were used at such facility. 203 [(h) On or before October 1, 2018, the Department of Children and 204 Families, in collaboration with the Children's Mental, Emotional and 205 Behavioral Health Plan Implementation Advisory Board, established 206 pursuant to section 17a-22f, shall submit recommendations for 207 addressing any unmet mental, emotional and behavioral health needs 208 Raised Bill No. 93 LCO No. 1208 8 of 9 of children that are attributed to an increased risk of involvement in the 209 juvenile and criminal justice systems, in accordance with section 11-4a, 210 to the Governor and the joint standing committees of the General 211 Assembly having cognizance of matters relating to children and 212 appropriations.] 213 Sec. 5. Subparagraph (B) of subdivision (1) of subsection (k) of section 214 46b-129 of the general statutes is repealed and the following is 215 substituted in lieu thereof (Effective from passage): 216 (B) (i) If a child is at least twelve years of age, the child's permanency 217 plan, and any revision to such plan, shall be developed in consultation 218 with the child. In developing or revising such plan, the child may 219 consult up to two individuals participating in the department's case 220 plan regarding such child, neither of whom shall be the foster parent or 221 caseworker of such child. One individual so selected by such child may 222 be designated as the child's advisor for purposes of developing or 223 revising the permanency plan. Regardless of the child's age, the 224 commissioner shall provide not less than five days' advance written 225 notice of any permanency team meeting concerning the child's 226 permanency plan to an attorney or guardian ad litem appointed to 227 represent the child pursuant to subsection (c) of this section. 228 (ii) If a child is at least twelve years of age, the commissioner shall 229 notify the parent or guardian, foster parent and child of any 230 administrative case review regarding such child's commitment not less 231 than five days prior to such review and shall make a reasonable effort 232 to schedule such review at a time and location that allows the parent or 233 guardian, foster parent and child to attend. 234 (iii) If a child is at least twelve years of age, such child shall, whenever 235 possible, identify not more than three adults with whom such child has 236 a significant relationship and who may serve as a permanency resource. 237 The identity of such adults shall be recorded in the case plan of such 238 child. 239 [(iv) Not later than January 1, 2016, and annually thereafter, the 240 Raised Bill No. 93 LCO No. 1208 9 of 9 commissioner shall submit a report, in accordance with the provisions 241 of section 11-4a, to the joint standing committees of the General 242 Assembly having cognizance of matters relating to children and the 243 judiciary, on the number of case plans in which children have identified 244 adults with whom they have a significant relationship and who may 245 serve as a permanency resource.] 246 Sec. 6. Section 17a-63 of the general statutes is repealed. (Effective from 247 passage) 248 This act shall take effect as follows and shall amend the following sections: Section 1 July 1, 2020 46b-127(f) Sec. 2 July 1, 2020 17a-3(b) Sec. 3 July 1, 2020 17a-4(c) Sec. 4 from passage 17a-22bb Sec. 5 from passage 46b-129(k)(1)(B) Sec. 6 from passage Repealer section Statement of Purpose: To make minor revisions to the statutes of the Department of Children and Families and to consolidate the reporting requirements of the department. [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]