Structured Decision Making (SDM)

0070-548.24 | Revision Date: 6/11/21

Overview

This policy reviews the Structured Decision Making (SDM) system, its component assessment tools, and the WebSDM (SDM Live) application.

TABLE OF CONTENTS

Policy

Goals of SDM

Key Practice Points

Understanding Households

Decision Points & Their Corresponding SDM Tools

Hotline Tools

Safety Assessment

Substitute Care Provider (SCP) Safety Assessment

Risk Assessment

Family Strengths and Needs Assessment (FSNA) / Child Strengths and Needs Assessment (CSNA)

Risk Reassessment (for In-Home Cases)

Reunification Reassessment (for Out-of-Home Cases)

Time Frames for Assessment and Documentation

Procedure

Hotline Tools

Hotline CSW Responsibilities

Safety Assessment / SCP Safety Assessment and Use of the SDM Safety Plan

CSW Responsibilities

Dependency Investigator (DI) CSW Responsibilities

Risk Assessment

CSW Responsibilities

Family Strengths and Needs Assessment / Child's Strengths and Needs Assessment

CSW Responsibilities

Risk Reassessment (For In-Home Cases)

CSW Responsibilities

DI CSW Responsibilities

Reunification Reassessment (For Out-of-Home Cases)

CS CSW Responsibilities

DI CSW Responsibilities

SCSW Responsibilities

ARA Responsibilities

Approvals

Helpful Links

Attachments

Forms

Referenced Policy Guides

Statutes

Version Summary

This policy was updated from the 11/27/19 version to incorporate recommendations from Evident Change (formerly the National Council on Crime and Delinquency Children’s Research Center) SDM Fidelity Review Part 2, and to add SDM responsibilities for Dependency Investigation (DI) Children’s Social Workers (CSWs).

POLICY

 

Structured Decision Making (SDM) is a comprehensive decision support system for Child Protective Services (CPS). CPS social workers employ objective assessment procedures at major case decision points -- from intake to reunification -- to improve child welfare decision-making. SDM targets agency services to families and children at high risk of maltreatment and helps ensure that case plans accurately reflect the strengths and needs of such families. When effectively implemented, it can increase the consistency and validity of case decisions, reduce subsequent child maltreatment, and expedite permanency. SDM assessments also provide data that help agency managers monitor, plan, and evaluate service delivery operations.

Goals of SDM

 

Overall Goals System Goals Process Goals

Safety

Reduce the rate of subsequent abuse / neglect referrals and substantiations. Improve assessments of family situations to better identify the protection needs of children.

Permanency

Reduce the severity of subsequent abuse / neglect complaints and allegations. Increase consistency and accuracy in case assessment and case management among child abuse/neglect staff within a county and among counties.

Well-being

Reduce the rate of foster care placement. Increase the efficiency of child protection operations by making the best use of available resources.
  Reduce the length of stay for children in foster care. Provide management with needed data for program administration, planning, evaluation, and budgeting.

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Key Practice Points

The Structured Decision Making System is a suite of research-based assessment tools that are designed to assist child welfare staff at critical decision points throughout the life of a child abuse/neglect case. SDM does not make these case-related decisions for workers, but rather provides a structured framework for information gathering and critical thinking that helps guide them to make better decisions.

 

The SDM system is built on the foundation of a common set of definitions to support consistency, accuracy and equity in conducting these assessments. Staff are strongly encouraged to carefully read each SDM definition in its entirety when completing assessments. The definitions can be quickly accessed by clicking the question mark icons throughout WebSDM, or by consulting the Evident Change SDM Policy and Procedures Manual or by going to https://ca.sdmdata.org/definitions on a mobile phone or tablet. Workers are advised of the following practice points:

 

 

Successful implementation of the SDM system requires staff understand the difference between safety threat and risk; the difference between behavior and underlying needs; the "household" as the unit of analysis; and that assessments are prompts for family engagement.

Understanding Households

Structured Decision Making® (SDM) assessments are completed on “households.” For assessment purposes, a household is not simply a dwelling; it is a group of people living under one roof who have significant in-home contact with the child. In SDM, a “household” includes all persons who have contact with the child, including those who have a familial or intimate relationship with any person in the home.

 

When a child’s parents do not live together, the child may be a member of two (2) households. When completing a Risk Assessment, staff should always assess the household of the alleged perpetrator. This may be the child’s primary residence if it is also the residence of the alleged perpetrator, or the household of a non-custodial parent if it is the residence of the alleged perpetrator. The most common practice error with the Risk Assessment is completing it on the wrong household. Assessing risk on a household that is not of concern in the current referral often yields a Low or Moderate Risk level, which suggests the referral should be closed. This can mistakenly cause a missed opportunity to intervene in a way that can protect the child.

 

In SDM, a “caregiver” is defined as an adult, parent, or guardian in the household who provides care and supervision for the child. SDM assessments further distinguish between primary and secondary caregivers. A primary caregiver must have legal responsibility for the child. If two caregivers in the home have legal responsibility, the one providing the most care is the primary caregiver. It is possible that there will not be a secondary caregiver.

DECISION POINTS & THEIR CORRESPONDING SDM TOOLS

Decision Point SDM Tool

 

Accept referral for in-person response?

 

How quickly to respond?

 

Path of Response?

Hotline Tools:

• Screening Tool

 

• Response Priority Tool

 

• Path Decision Tool

Can the child remain safely at home?

Safety Assessment

Can the child remain safely in their out-of-home placement?

Substitute Care Provider (SCP) Safety Assessment

Should an ongoing case be opened?

Should there be an ongoing post-investigation intervention of some kind?

Risk Assessment
What is the focus of the Case Plan? Family Strengths and Needs Assessment (FSNA) / Child Strengths and Needs Assessment (CSNA)¹
Can case be safely closed? Risk Reassessment, and, if case action recommended is case closure, case closing Safety Assessment

Can child be returned home, or should reunification efforts continue?

 

Should permanency goal be changed?

Reunification Reassessment

 

¹ Los Angeles County will be implementing the Child and Adolescent Needs and Strengths (CANS) Assessment. Upon implementation, CANS will replace the FSNA and CSNA tools.

 

Evident Change has a Document Library (password: training) containing numerous guides and case reading tools for WebSDM, such as:

Hotline Tools - Screening and Response Priority Assessment

The purpose of the Hotline Tools is to assess whether or not a referral meets the statutory threshold for an in-person investigatory response, and if so, how quickly (e.g., Immediate Response/Response Within 5-Days) a social worker needs to respond. If a referral does not require an in-person response, the Hotline Tools help screeners determine whether a community response is more appropriate.

Safety Assessment

The purpose of the Safety Assessment is: (1) to help assess whether any child is likely to be in immediate danger of serious harm/maltreatment (which requires a protective intervention) and (2) to determine what interventions should be initiated or maintained to provide appropriate protection. This tool helps staff assess the child's present danger of immediate/serious harm and the interventions currently needed to protect the child. The result of the Safety Assessment is either Safe, Unsafe, or Safe with Plan. If Safe With Plan is the Safety Assessment's determination, a Safety Plan is required.

 

The process of assessing for child safety during an investigative interview should follow the structure of the SDM Safety Assessment tool (staff are encouraged to use the safety assessment field guide to assist them in this practice). This parallel practice can facilitate the most accurate, consistent and timely completion of the tool.

Substitute Care Provider (SCP) Safety Assessment

The purpose of the Substitute Care Provider (SCP) Safety Assessment is: to help assess whether any child is likely to be in immediate danger of serious harm/maltreatment by a caregiver other than a parent, which may require a replacement, and (2) to determine what interventions should be initiated or maintained to provide appropriate protection if no replacement is deemed necessary. The items on the tool are very similar to the items on the SDM Safety Assessment for child protective service investigations.

 

The SCP Safety Assessment must be used for investigations of alleged abuse/neglect by a substitute care provider

(excluding group homes/STRTPs, institutions, and residential treatment facilities), including:

Risk Assessment

The SDM Family Risk Assessment helps child welfare staff identify households with characteristics associated with a greater likelihood of future system involvement to the child in the next eighteen (18) to twenty-four (24) months and supports case promotion/intervention decision making. The tool is based on research of substantiated abuse/neglect cases. The research specifically examined the relationships between family characteristics and outcomes of subsequent substantiated abuse/neglect allegations. Although the tool does not predict recurrence of maltreatment, it assesses whether a family is more or less likely to have future system involvement without agency intervention, and provides recommendations regarding whether or not intervention should be initiated. The Risk Assessment identifies families with either Low, Moderate, High, or Very High probabilities of future abuse or neglect. The difference between risk levels is substantial; families classified as High Risk have significantly higher rates of subsequent referral and substantiation than families classified as Low Risk. The Risk Assessment is completed based on conditions that exist at the time the incident is reported and investigated, as well as the prior history of the family.

Family Strengths and Needs Assessment (FSNA) / Child Strengths and Needs Assessment (CSNA)

The purpose of the Family Strengths and Needs Assessment (FSNA) is to help child welfare staff to determine the focus (i.e., priority strengths and needs) of the case plan. The FSNA is used to collaboratively identify critical family needs that underlie safety and helps staff to plan effective interventions with families. The priority strengths and needs identified by the tool can be directly correlated to the most appropriate CWS/CMS Case Plan service objectives and contributing factors by consulting the Family Strengths and Needs Assessment/Case Management System Service Objectives Map located in the Appendix of the Evident Change SDM Policy & Procedures Manual. The FSNA serves several purposes: it ensures all social workers consistently consider each family's strengths and needs in an objective format; it provides a guide to support the collaborative development of case plans; it permits families and staff to assess changes in family functioning over time; and, in the aggregate, it documents the problems that families face so that child welfare managers may develop resources to address those problems. For PP cases, the Child's Strengths and Needs Assessment (CSNA) may be used, as it omits the parents' portion of the tool.

 

Los Angeles County will be implementing the Child and Adolescent Needs and Strengths (CANS) Assessment. Upon implementation, CANS will replace the FSNA and CSNA tools.

Risk Reassessment (For In-Home Cases)

The purpose of the Risk Reassessment is to help assess whether risk has been reduced sufficiently (e.g., Low/Moderate) to allow a case to be closed, or whether the risk level remains High/Very High and services should continue. The tool assists staff in evaluating whether behaviors and actions of the family have changed as a result of the case plan, thereby lowering the risk level. The Risk Reassessment combines items from the original Risk Assessment with additional items that evaluate a family’s progress toward case plan goals.

Reunification Reassessment (for Out-of-Home Cases)

The purpose of the Reunification Reassessment is to help assess whether children in placement who have a reunification goal should be returned home to the removal household (or another household with a legal right to placement); be maintained in placement while reunification services continue; or have a permanency alternative implemented and reunification services terminated. This SDM tool helps staff assess and document a family's progress with their identified case plan objectives, and also provides a useful comparison between the family's initial safety threats and initial risk level with current circumstances. Research indicates that children are less likely to suffer subsequent harm and re-enter care when the recommendations of the Reunification Reassessment are followed.

Time Frames for Assessment and Documentation

Since WebSDM is web-based, its tools can be completed by CSWs in the field using a smart phone or tablet with internet access at https://ca.sdmdata.org. The tools in WebSDM cannot be back-dated, so timely completion is essential. Each tool has different timelines for completion, as summarized in the table below:

 

SDM Tool Purpose and Guidelines Time Frame for WebSDM Documentation
Hotline While conducting the referral assessment, CSWs should use the tool as an available structure for gathering information from the reporting party. The Hotline tools must be documented in WebSDM before the end of the shift.
Safety Assessment

This SDM tool's definitions and structure should inform the CSW's initial face-to-face contact and interviews with the child and family.

 

Besides the Initial Safety Assessment completed for each ER referral, an additional, updated Safety Assessment is required whenever:

• Terminating an SDM Safety Plan

• Closing an open case

• Circumstances in the household change

The Safety Assessment tool must be documented in WebSDM within two (2) business days of initial contact with at least one (1) child victim..
Substitute Care Provider (SCP) Safety Assessment² This SDM tool's definitions and structure should inform the CSW's initial face-to-face contact and interviews with the child and foster/resource family. The SCP Safety Assessment tool must be documented in WebSDM within two (2) business days of initial contact with at least one (1) child victim.

Safety Plan

 

(Hard Copy Form)

When needed, a Safety Plan is created with the family during face-to-face contact. It must cite the specific, numbered Safety Threat(s) identified on the Safety Assessment and contain a description of the conditions/behaviors in the home that place any child at imminent threat of serious harm. CSWs must document the SCSW consultation/approval on the SDM Safety Plan form before leaving the home, including how it was obtained (e.g., by phone, text, or email). Safety plans are voluntary and should never be forced on the parent. Refer to Completing the Structured Decision Making (SDM) Safety Plan. A Safety Plan is required whenever the Safety Decision on either type of Safety Assessment is “Safe with Plan.” The plan must be completed by the end of initial face-to-face visit if Safety Threats exist and one (1) or more children will remain in the home; obtain SCSW approval then family signatures; valid for seven (7) days if a parent’s contact is being limited, or up to thirty (30) days. if a parent’s contact is not being limited.
Family Strengths and Needs Assessment (FSNA) / Child's Strengths and Needs Assessment (CSNA)¹ This assessment is completed prior to creating each Case Plan every six (6) months.

Initial assessments: prior to initial case plan’s in-effect date.

Updates:

Court: within sixty-five (65) days prior to “in effect date” of the case plan update; Voluntary: within thirty (30) days prior to “in effect date” of the case plan update.

Risk Assessment Using its structure and definitions, this assessment is completed for each ER referral by gathering information from the family during the investigation. The Risk Assessment tool must be documented in WebSDM within thirty (30) calendar days of first face-to-face contact, and before closing the referral or promoting to a case (regardless of allegation conclusion).

Risk Reassessment

 

(for court or voluntary in-home cases)

The Risk Reassessment supports the decision to either terminate a case or continue services. It is completed:

• Ninety (90) days from the start date of the Family Maintenance service component, and

• Prior to writing a court report for each Division 31 required status review court hearing, which occurs at least once every six (6) months

• Whenever considering closing a court or voluntary FM case. (When recommending case closure, a case closing Safety Assessment is also required).

Court: within sixty-five (65) days prior to “in effect date” of the case plan update;

 

Voluntary: within thirty (30) days prior to “in effect date” of case plan update.

Reunification Reassessment

 

(for court or voluntary out-of-home cases)

The Reunification Reassessment supports the decision to reunify a child or continue reunification services.

It is completed:

• Ninety (90) days from the removal/placement date, and

• Prior to writing a court report for each Division 31 required status review court hearing, which occurs at least once every six (6) months

• Before considering reunifying, continuing or terminating Family Reunification services.

No more than sixty-five (65) days prior to “in effect date” of the case plan update or at other times when making a recommendation to reunify or change permanency goal.

 

Staff will receive "Overdue Alert" emails when the time frame for completing the SDM Safety Assessment and Risk Assessment has been exceeded. For CSW submission/SCSW approval time frames, click here.

 

¹ Los Angeles County will be implementing the Child and Adolescent Needs and Strengths (CANS) Assessment. Upon implementation, CANS will replace the FSNA and CSNA tools.

 

² The SCP Safety Assessment tool is only used when the child resides in family-based care and not for children residing in residential or institutional care.

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PROCEDURE

Hotline Tools

Hotline CSW Responsibilities

  1. Conduct the screening assessment using the Hotline Tools as an available structure in order to ensure that all relevant questions are asked. Screen calls in accordance with Child Protection Hotline (CPH) procedures.
  2. Elicit all pertinent information known to the caller that enables accurate answering of the questions contained in the SDM Hotline Screening and Response Priority tools.

  3. Determine the Screening Decision (Evaluate Out or In Person Response), Response Priority (IR, 5-Day, 5-Day By, etc.) and Path Decision with the support of the SDM Hotline Tools.

  4. Determine if any overrides (policy or discretionary) are warranted based on the definitions contained in WebSDM (or accessed via the Evident Change SDM Policy and Procedures Manual). Obtain supervisory approvals as needed. Document any override decisions within the SDM tool and in CWS/CMS' "Determine Response" fields.
  5. In cases where a referral for in-person response is not warranted, elicit all information known to caller that is necessary to appropriately document the reported information.

Safety Assessment Tool / Substitute Care Provider (SCP) Safety Assessment Tool and Use of the SDM Safety Plan

CSW Responsibilities

Investigations should include an assessment of all safety threats and risk factors present beyond the allegations on the referral, using the structure of the Safety Assessment while in the field. If the child to be assessed resides with a substitute care provider, utilize the SCP Safety Assessment tool to support assessment and decision making related to household safety. Refer to Completing the Structured Decision Making (SDM) Safety Plan for further information.

 

  1. Before concluding the initial face-to-face contact with the child and family, conduct the Safety Assessment process to determine whether or not detention (or another intervention) may be necessary.

  2. Assess each safety threat from the Safety Assessment/SCP Safety Assessment tool (and listed on page 2 of the Safety Plan form), SDM Safety Assessment items are listed below. Staff should go to the SDM definition website to ensure they are reading definitions and selecting items appropriately:
    1. Caregiver/s caused serious physical harm to the child or made a plausible threat to cause serious harm in the current investigation, as indicated by:

      1. Serious injury or abuse to the child other than accidental
      2. Caregiver fears theywill maltreat the child
      3. Threat to cause harm or retaliate against child
      4. Domestic violence likely to injure child
      5. Excessive discipline or physical force
      6. Drug/alcohol-exposed infant
    2. Child sexual abuse is suspected AND circumstances suggest that child/ren’s safety of immediate concern.
    3. Caregiver/s not providing child’s immediate need for supervision, food, clothing, medical or mental health care.
    4. Physical living conditions are hazardous and immediately threatening to the health and safety of the children.
    5. Caregiver/s describes child/ren in negative terms or acts in negative ways that result in child/ren being in danger to self or others, acting out aggressively, or being severely withdrawn and/or suicidal.
    6. Caregiver/s unable OR unwilling to protect child/ren from serious harm or threatened harm by others. This may include physical abuse, sexual abuse or neglect.
    7. Caregiver/s explanation for injury to the child is questionable/inconsistent with type of injury, AND the nature of the injury suggests child’s safety may be of immediate concern.
    8. Family refuses access to child/ren or there is reason to believe family will flee.
    9. Current circumstances combined with previous severe maltreatment of children suggests child safety concern is high. Caregiver/s current substance abuse seriously impairs their ability to supervise, protect, or care for child/ren.
    10. Other safety concerns (specify).

    1. Item 10 (“Other”) should only be used to document safety factors that put a child at imminent risk of danger that are not identified by items 1 – 9. It is not to be used to document that there are not safety factors present, risks of future potential harm, or other non-immediate concerns.

  3. When no Safety Threats are identified, the presumptive safety decision for the household is “Safe” and the assessment is complete.

  4. When at least one (1) Safety Threat is identified, assess whether household strengths, and protective actions can be built upon for safety planning. Before leaving the home, discuss with your SCSW whether the Safety Threat(s) can be mitigated through:
    1. In-home protective interventions
    1. Intervention or direct services by CSW (not including the investigation itself). For example:

    1. Use of family, neighbors, or other individuals in the community as safety resources. For example:

    1. Use of community agencies or services as safety resources. For example:

    1. Use of tribal, Indian community service agency, and/or ICWA program resources (such as tribal family services/consortium, resource centers, health clinics, etc.).
    2. Have the caregiver appropriately protect the victim from the alleged perpetrator. (e.g., include an agreement that the child will not be alone with the alleged perpetrator)
    3. Have the alleged perpetrator leave the home, either voluntarily or in response to legal action. For example: arrest of alleged perpetrator, non-perpetrating caregiver “kicking out” an alleged perpetrator who has no legal right to the residence, or the alleged perpetrator agrees to leave.
    4. Have the non-offending caregiver move to a safe environment with the child. For example, a domestic violence shelter, home of a friend or relative, or hotel.
    5. Legal action planned or initiated—child remains in the home. This includes family-initiated actions (e.g., restraining orders, mental health commitments, changes in custody/visitation/guardianship), DCFS-initiated actions (filing a non-detained petition and child remains in the home), and includes actions taken by the child’s tribe and tribal court to intervene or take jurisdiction of the Indian child’s case.
    6. Other: The family or worker identifies a unique intervention for an identified safety concern that does not fit within items i–ix above.

  5. After consulting with the SCSW, engage the family in the process of safety planning to help determine if a safety plan can be developed that provides sufficient immediate control and monitoring of the safety threat to leave at least one (1) child in the home. Refer to Completing the Structured Decision Making (SDM) Safety Plan for more information.

  6. Safety Threats, if left unaddressed, present a type of exigency:

    1. Discuss safety threats with the SCSW before leaving the home to determine the most appropriate course of action (e.g., safety planning when possible, requesting parental consent to detain; seeking a warrant consultation, a removal order, filing a non-detained petition, etc. Refer to Obtaining Warrants and/or Removal Orders for more information).
    1. When one (1) or more safety threats are present and the development of a sufficient safety intervention is not possible using safety planning practices (e.g., no available caregiver, absence of adequate safety interventions or monitoring, or the legal caregiver does not agree to participate in safety planning), consult with the SCSW regarding actions needed to place the child protectively.
  7. When no Safety Threats are identified, the presumptive safety decision for the household is “Safe” and the assessment is complete.

  8. Within two (2) business days of the initial face-to-face contact, complete the Safety Assessment Tool (or SCP Safety Assessment Tool, as applicable) in WebSDM either in the office or on a mobile device.
  1. Indicate the date of the assessment, the household name, and whether or not there are allegations in the household.
  2. Select an Assessment Type -- Initial, Review/Update, or Referral Closing, or Case Closing.

 

  1. Indicate whether or not the caregiver has American Indian ancestry.

  2. Check all "Factors Influencing Child Vulnerability" that apply to any child in the household:

  3. In WebSDM's Safety Assessment tool (or SCP Safety Assessment Tool, as applicable), select all applicable Safety Threats by marking "Yes" for all threats that apply and marking "No" for any threats that do not apply.

  4. If any Safety Threats are marked "Yes," indicate whether any Caregiver Complicating Behaviors are also present by marking all that apply to the household in Section 1A of WebSDM. (These are conditions that make it more difficult or complicated to create safety for a child, but do not by themselves create a safety threat. These behaviors must be considered when assessing for and planning to mitigate safety threats with a safety plan). These Caregiver Complicating Behaviors include:

  5. In Section 2, select any applicable Household Strengths and Protective Actions for the caregiver and child in the following areas:
  1. Caregiver Problem Solving

  2. Household Strengths: At least one caregiver identifies and acknowledges the problem/safety threat(s) and suggests possible solutions.

  3. Protective Actions: At least one caregiver articulates specific strategies that, in the past, have been at least partially successful in mitigating the identified safety threat(s), and the caregiver has used or could use these strategies in the current situation.

  4. Caregiver Support Network

  5. Household Strengths:

    1. At least one caregiver has at least one supportive relationship with someone who is willing to be a part of their support network.

    2. At least one non-offending caregiver exists and is willing and able to protect the child from future harm.

    3. At least one caregiver is willing to work with the agency to mitigate safety threats, including allowing the caseworker(s) access to the child.

  6. Protective Actions: At least one caregiver has a stable support network that is aware of the safety threat(s), has been or is responding to the threat(s), and is willing to provide protections for the child.
  7. Child Problem Solving

  8. Household Strengths: At least one child is emotionally/intellectually capable of acting to protect him/herself from a safety threat.

  9. Protective Actions: At least one child, in the past or currently, acts in ways that protect themselves from a safety threat(s).

  10. Child Support Network

  11. Household Strengths: At least one child is aware of their support network members and knows how to contact these individuals when needed.

  12. Protective Actions: At least one child has successfully pursued support, in the past or currently, from a member of their support network, and that person(s) was able to help address the safety threat and keep the child safe.
  13. Other Household Strengths and Protective Actions (specify in text field)

  1. Complete Section 3, Safety Interventions as follows:

  2. Review available protective capacities for each identified safety threat.
  1. Consider whether the threat to safety appears related to the caregiver's knowledge, skill, or motivational issue.
  2. Assess whether the available interventions control the threat(s) to safety.
  3. Consider whether safety interventions 1-8 will allow the child to remain in the home for the present time if one or more safety threats are present, mark the item number for all safety interventions that will be implemented, and complete a Safety Plan form documenting the intervention.

  1. If there are no available safety interventions that would allow the child to remain in the home, indicate by marking item 9 or 10 (Unsafe), and follow procedures for:

  1. For Section 4, the Safety Decision will be automatically selected in WebSDM. The decision generated is based on previous responses to the safety threats and safety interventions.

  2. Save the Safety Assessment and request SCSW approval.

  3. If a Safety Threat was previously identified and has since been resolved, complete an updated or referral closing SDM Safety Assessment to indicate that safety threat(s) no longer exists.

    1. A child must not be left in a home when an active, unresolved Safety Threat exists and no safety intervention has been implemented that mitigates the threat to the child.
    1. If unresolved safety threats remain present at the end of the investigation, consult with SCSW to discuss a non-detained court filing, voluntary services, or initiating a warrant consult.
  4. If completing the Safety Assessment for an Emergency Response Referral, follow procedural steps outlined in Disposition of Allegations and Closure of Emergency Response Referrals.

  5. Whenever closing an open case, complete a case closing SDM Safety Assessment.

DI CSW Responsibilities

  1. Before making a jurisdictional recommendation or writing the Jurisdiction/Disposition report, log in to WebSDM and select the desired case from “My Caseload,” “My Alerts” or “My Assessments.
  1. Review the original Safety Assessment and confirm if the previously identified safety threats remain active. If circumstances in the household have changed since the completion of the initial Safety Assessment, complete an updated Safety Assessment.

  1. Locate the New Assessment panel at the upper left and choose the correct tool (if it is not there, check “Other Assessments”). If the case could not be located in a search, open the desired case in CWS/CMS, highlight and copy the case ID number, and paste the case ID number into the ID field of the new blank assessment in WebSDM.
  2. If the updated Safety Assessment results in “safe” or “safe with a plan,” consult with SCSW to discuss:
  1. If the case changes from Family Reunification (FR) to FM/VFM based on an SDM Safety Plan, monitor and update an SDM Safety Plan as needed.
  1. Review the initial Risk Assessment completed by ER CSW.

  2. Consult with your SCSW as needed to determine if the Department’s current recommendation remains appropriate.

Risk Assessment Tool

CSW Responsibilities

  1. Using the structure and definitions of the Risk Assessment, gather information from the household during the investigation that will allow for an accurate completion of the tool.
  2. Determine which household(s) requires a Risk Assessment, noting the following:
    1. Only one household can be assessed on each Risk Assessment.
    2. Always assess the household in which the child abuse/neglect incident is alleged (i.e., the household of the alleged perpetrator). This may be the child’s primary residence if it is also the residence of the alleged perpetrator, or the household of a non-custodial parent if it is the residence of the alleged perpetrator.
    3. If a child is a member of two (2) households and there are allegations in both households, complete a Risk Assessment on both households. A child may be a member of two (2) households if:

      1. They have two (2) legal parents who live separately and the child spends time with each legal parent.

      2. They reside with a legal guardian but also spends time with a legal parent.

    4. Complete a Risk Assessment for non-custodial parents who will receive reunification services. If the alleged perpetrator is a non-custodial parent, also assess the custodial parent if there is an allegation of failure to protect.
    5. If more than one (1) Risk Assessment is necessary, complete the tool on the most concerning household in WebSDM and the second risk assessment using a paper form that should be part of investigation documentation.
  3. In WebSDM, create a new Risk Assessment tool and complete the following items in the Prior Investigations section according to prior intervention history (Note: Click the green “View CWS/CMS History” button) to display prior history information from CWS/CMS):
    1. Prior Neglect investigations
    2. Prior Abuse investigations
    3. Household has previous or current open ongoing CPS case (voluntary/court-ordered)

    4. Prior physical injury to a child resulting from child abuse/neglect or prior substantiated physical abuse of a child

  4. Complete the Current Investigations section of the Risk Assessment, consisting of:
    1. Current report maltreatment type
    2. Number of children involved in the child abuse/neglect incident
    3. Primary caregiver assessment of the incident
  5. Complete the Family Characteristics section of the Risk Assessment, consisting of the following items:
  6. Age of youngest child in the home
  7. Characteristics of children in the household
  8. Housing
  9. Incidents of domestic violence in the household in the past year
  10. Primary caregiver discipline practices
  11. Primary or secondary caregiver history of abuse or neglect as a child

  12. Primary or secondary caregiver mental health
  13. Primary or secondary caregiver alcohol and/or drug use
  14. Primary or secondary caregiver criminal arrest history

  15. Complete the Risk Assessment tool as soon as the information is available or within thirty (30) days of initial face-to-face contact (whichever is sooner) regardless of allegation conclusion.
  16. Evident Change's SDM Policy and Procedures Manual recommends to close Low and Moderate Risk referrals (unless there is a current Safety Decision of "safe with plan" or "unsafe"), and to promote High and Very High Risk referrals to cases.
  17. Explain/summarize any complicating factors, protective capacities and protective actions in the comments portion of the tool.
  18. Complete the Scoring and Overrides Section. Consider whether or not there are valid reasons to override the scored risk level, and if so, document the explanation and obtain SCSW approval:
  19. Policy overrides reflect the seriousness of the incident(s) and/or child vulnerability concerns; when used, the final risk level is increased to Very High Risk regardless of the initial determination of the tool to support increased frequency of monitoring the household. The conditions are summarized as follows (Note: refer to the WebSDM definitions for complete explanations):

  1. Sexual abuse case AND the perpetrator is likely to have access to the child

  2. Non-accidental injury to a child under age 2
  3. Severe non-accidental injury
  4. Caregiver action or inaction resulted in the death of a child due to abuse or neglect (previous or current)

  5. Discretionary overrides can be used only to increase the risk level by one (1) when the CSW determines that the scored risk level is too low based upon one (1) or more unique household or caregiver circumstances that place the household at higher risk of future system involvement.

  6. When using a discretionary override, document the rationale for increasing the risk level and obtain supervisory approval.

  7. Documented rationale should include specific details of the circumstances that place the household at higher risk and these circumstances should be distinct from characteristics of the household’s history, current incident or caregiver or child characteristics already included in the Risk Assessment tool.

  1. Review the Scored Risk Level, apply any approved overrides to obtain a Final Risk Level, and review the Recommended Decision.
  2. WebSDM’s risk-based case open/close guide will recommend promoting to cases all High and Very High Risk referrals, and closing all Low and Moderate Risk referrals (except when there is one or more identified safety threats) -- therefore:

  1. Before promoting a Low or Moderate Risk referral to a case, consult with the SCSW regarding the appropriateness of referring the family to Community-Based Resources (e.g., Alternative Response Services, Prevention & Aftercare) as an alternative.

  2. Before closing a High or Very High Risk referral, engage with the family to strongly consider whether there are interventions or services to address their risk factors.

 
  1. Enter the Planned Action (i.e., promote to a case or do not promote to a case); if the recommended response in WebSDM differs from the actual disposition, provide an explanation and obtain SCSW approval. Examples of explanations include, but are not limited to, the following:
  2. Not promoting a High or Very High Risk referral to a case (i.e., closing the referral – with no active, unresolved safety threats present):

  1. Complete the Supplemental Questions (for data collection only; responses will not impact risk level or recommended decision):
  2. Either caregiver demonstrates difficulty accepting one or more children's gender or sexual orientation.

  3. Alleged perpetrator is an unmarried partner of the primary caregiver.

  4. Another adult in the household provides unsupervised child care to a child under the age of 3.

  5. Either caregiver is isolated in the community.

  6. Caregiver has provided safe and stable housing for at least the past 12 months.

  7. Enter comments in the Staff Person Comments box, save and click Request Approval to submit for SCSW approval.

 

Family Strengths and Needs Assessment (FSNA) / Child's Strengths and Needs Assessment (CSNA)

Los Angeles County will be implementing the Child and Adolescent Needs and Strengths (CANS) Assessment. Upon implementation, CANS will replace the FSNA and CSNA tools. In the interim, if a CANS assessment is completed prior to the development of the Case Plan, the FSNA or CSNA does not need to be completed.

 

For both initial and updated case plans, ensure the parents understand how progress will be assessed in either the Reunification or Risk Reassessment. For FR cases, connect the reunification reassessment domains (safety, visitation and progress on case plan) to the development of the case plan.

Initial Case Plans

CSW Responsibilities

  1. Engage with the family in a collaborative case planning process to review and discuss the domains of the FSNA. Help the family to connect their unique strengths and barriers to specific case plan goals, interventions, and objectives. This discussion may occur in a setting such as:

  2. A “strengths and needs assessment interview,”

  3. A Family Engagement Meeting (or other type of family meeting)

  4. A Child and Family Team Meeting

  5. Complete the Family, Strengths and Needs Assessment prior to creating the Initial Case Plan and requesting approval.

  6. Domains and behaviors identified as "d" in each section must relate directly to a Safety Threat identified on the most recent SDM Safety Assessment. If there are no safety threats currently identified, do not rate any of those domains as "d."

    1. Items scored as "a" represent family strengths, while items scored as "d" or "c" represent barriers/needs.

    2. Any “a” responses are automatically listed in the Strengths section, and any items with "c" or “d” responses are automatically listed in the Needs section.

    3. If there are no “d” responses, select at least one “c” item as the Priority Need.

  7. Once the FSNA is complete, request SCSW approval.
  8. Consult the Family Strengths and Needs Assessment/Case Management System Service Objective Map in the Appendix of the SDM Policy and Procedures Manuall to correlate the FSNA Priority Strengths and Needs with specific CWS/CMS case plan service objectives, contributing factors, and CWS/CMS strengths. In each Service Objectives Description section, describe the desired objective in behavioral terms wherever appropriate.

Case Plan Updates

CSW Responsibilities

  1. Engage with the family in a collaborative case planning process to review and discuss the domains of the FSNA. Help the family to connect their unique strengths and barriers to specific case plan goals, interventions, and objectives. This discussion may occur in a setting such as:

  2. A “strengths and needs assessment interview,”

  3. A Family Engagement Meeting (or other type of family meeting)

  4. A Child and Family Team Meeting

  5. Prior to creating the Case Plan update and requesting approval, complete the Family, Strengths and Needs Assessment (or, for PP cases, the Child's Strengths and Needs Assessment).
  6. Domains and behaviors identified as "d" in each section must relate directly to a safety threat identified on the most recent SDM Safety Assessment. If there are no safety threats currently identified, do not rate any of those domains as "d." Items scored as "a" represent family strengths, while items scored as "d" or "c" represent barriers/needs.
  7. Once the FSNA is complete, request SCSW approval.
  8. Consult the Family Strengths and Needs Assessment/Case Management System Service Objective Map in the Appendix of the SDM Policy and Procedures Manual to correlate the FSNA Priority Strengths and Needs with specific CWS/CMS case plan service objectives, contributing factors, and CWS/CMS strengths. In each Service Objectives Description section, describe the desired objective in behavioral terms wherever appropriate.

Risk Reassessment (For In-Home/FM Cases)

CS CSW Responsibilities

  1. During home visits (or other contacts/meetings with the family), engage the family in a discussion about the progress they have made on their case plan goals and document in monthly case contacts using behavioral and family-centered language.
  1. Based on a review of the initial Risk Assessment, and considering the definitions for each item; prior interviews with household members (child, caregivers, and others) and collaterals; observations; reports and case records; and any other reliable sources detailing the family’s progress in demonstrating behavioral change and meeting case plan objectives; complete the Risk Reassessment tool according to the following timelines:
    1. Complete the Risk Reassessment ninety (90) days from the FM start date, and:


    1. For Voluntary Family Maintenance (VFM) cases, complete the Risk Reassessment prior to recommending case closure or completing a Case Plan Update and every six (6) months from the FM service component start date


    1. For Risk items R1-R4, score these items the same as the first four (4) items on the initial Risk Assessment, unless new information has become available about conditions that existed at the time of the initial Risk Assessment.
    2. For Risk items R5-R10, score these items based only on observations made since the most recent assessment or reassessment. Complete item R10 based on observed/documented behavioral change during this period.
    3. Considering only the most recent review period, assess whether or not overrides are warranted:
    4. Policy overrides (if any condition is applicable within the review period, override final risk level to Very High):
    1. Sexual abuse case and the perpetrator is likely to have access to the child
    2. Non-accidental injury to a child under age two (2)
    3. Severe non-accidental injury
    4. Caregiver action or inaction resulted in death of a child due to abuse or neglect

    5. Discretionary overrides (if a discretionary override is made, mark yes, mark the override risk level, and indicate the reason; the risk level may be overridden one level higher or lower).
    1. Determine the final risk level and obtain SCSW approval.
    2. Note the Recommended Decision and enter the final case disposition (i.e., close the case or provide continued services). If the response recommended by WebSDM differs from the actual final disposition, provide an explanation.
    3. If recommending closure of the case, complete a SDM Safety Assessment tool.

 

DI CSW Responsibilities

  1. If the case has not reached adjudication and disposition by the ninetieth (90th) day from the start date of the Family Maintenance (FM) service component, consult with the Continuing Services (CS) CSW regarding:
  1. If recommending dismissal/jurisdiction termination and case closure, complete a case closing Safety Assessment.

Reunification Reassessment (for Out-of-Home Cases)

CS CSW Responsibilities

  1. Since the reunification process begins when a case is first opened, discuss the case plan and Reunification Reassessment with the family during initial home visits (and/or at a CFTM) so they are aware of what is expected and what will be used to evaluate potential reunification. In addition:

  2. Inform the family of their original risk level and explain its role as a baseline for future assessments (unless a new referral is received, in which case the new risk level will be used)

  3. Inform the family that both quality and quantity of visitation will be considered and linked to goals and activities of the Family Visitation/Bonding Plan

  4. Inform the family they must demonstrate that the safety threats that led to placement have either been resolved or can be controlled by a safety plan, and that either no safety threats are currently present or there is a safety plan in place to address any identified safety threats.

  5. Whenever possible, during home visits (or other family meetings), conduct a collaborative assessment with the family (using the structure of the Reunification Reassessment tool) to discuss:

  1. Review the case and any new referral investigations that may have occurred, and consider:

  1. Consult with your SCSW to formulate a provisional recommendation regarding reunification, continuance of services or change in permanency goal in advance of a collaborative assessment with the family.
  2. Complete a Reunification Reassessment for all ongoing cases in which at least one (1) child is residing in placement with a goal of "return home;" if more than one (1) household is receiving reunification services, complete one (1) assessment on each household. Complete the tool as follows:
  3. For Court cases:

  1. For Voluntary cases:

  1. Beginning with the household risk level from the most recent Risk Assessment, complete all risk items using the definitions; for item R3, consider all available information that addresses each caregiver’s progress in demonstrating behavioral change. Determine the scored reunification risk level, consider if any overrides are needed (Policy or Discretionary), and then determine the final risk level.

  2. Complete the Visitation Plan evaluation for each child in the household based on the participation of the caregiver demonstrating the least progress, using the definitions and considering overrides for each child.

  3. Complete the Reunification Safety Assessment section if required by the results of the reunification risk assessment and visitation plan evaluation. Risk must be either Low or Moderate and visitation must be acceptable. Consider how the safety threats that led to removal have been mitigated; whether additional safety threats have been identified since removal and if so, whether those threats have been mitigated; or if current safety threats can be controlled in-home through a safety plan.

  4. Select the appropriate decision tree based on the child's age at the time of removal (i.e., under/over age 3). Begin at the top of the tree; proceed to the left if the reunification risk level is High or Very High, and to the right if the reunification risk level is Low or Moderate. Continue following the pathway answering all questions until one of the following termination points are reached:

  5. Return Home

  6. Continue Family Reunification (FR) Services

  7. Terminate Family Reunification (FR) Services and implement a permanency alternative

  8. Consider whether any overrides are applicable, using the definitions.

  9. If no overrides apply, mark "No overrides applicable" (policy or discretionary)."

  10. If an override will be applied, indicate whether it is a policy or discretionary override and mark the specific reason; provide an explanation where required.

  11. Request online SCSW approval in WebSDM.

DI CSW Responsibilities

  1. If the case has not reached adjudication and disposition by the ninetieth (90th) day from the date of removal/placement, consult with the Continuing Services (CS) CSW regarding:

 

  1. If recommending dismissal/jurisdiction termination and case closure, complete a case closing Safety Assessment.

SCSW Responsibilities (all functions):

  1. During monthly case conferences and/or unit meetings, discuss the process and time frames by which WebSDM assessments will be approved (e.g., reviewing contact narratives, comparing tools against court reports and case plans, in individual case conferences, etc.).
  1. Consult the WebSDM Supervisor Guide as needed. (password: training)
  1. In WebSDM, check My Unit for any pending approval requests. Click to open the Approval Requests list.
  1. Click the Open Assessment icon to view an assessment.
  1. Review the pending assessment(s). Always:
  2. Review all overrides and use of the "other" category for appropriateness, proper supportive documentation (e.g., Contact Notebook, Investigation Narrative, court report) and consistency.

  3. Be sure to carefully review Risk Assessments that contain differences between the Planned Action and the Recommended case promotion Decision

  4. Compare the assessments against your own knowledge of the family, as well as what is documented in contacts/case notes, for overall consistency (e.g., the Safety Assessment shows "safe" but you are aware the child was placed in foster care).

  5. Look for obvious internal and cross-assessment consistency (e.g., a Safety Assessment lists substance abuse as a safety threat but the substance abuse item in the Risk Assessment is not selected).

  6. Look for consistency across recommendations in assessments, court reports and/or case actions (e.g., a Low/Moderate risk case was opened, court report recommends reunification while the Reunification Reassessment recommends termination of reunification).

  7. Conduct random spot checks of SDM assessments (more frequently with less-experienced WebSDM users) for inconsistencies/inaccuracies, such as:

  1. When satisfied the assessment(s) meet(s) standards, click "Approve." The assessment will now become read-only and can no longer be edited.

  2. If errors are located in the assessment, discuss the assessment with the CSW in a case conference. Make the SDM revisions together whenever possible. Document the changes in the Supervisor Comments box. If the CSW is unavailable, there are two options:

    1. Select "Close," and the unmodified/unapproved assessment will remain on your approval list. When the CSW is available, you can open it again and proceed as above. (The unapproved assessment will remain on the approval list so when the CSW is available you can open it and proceed as above), or

    2. Make the revision yourself and enter your comments into the supervisor comment box. When done, click "Approved with Modifications." The worker will also see the assessment on their My Alerts screen in the Assessment Recently Approved w/ Modifications section. Advise the worker to open the assessment to see your comments.

  3. Use the review and approval process as a coaching/mentoring opportunity to discuss individual practice areas, such as:

  4. Using and consulting the SDM definitions

  5. Households and which households to assess

  6. How to address missing, conflicting or incomplete information

  7. Documenting SDM tool findings in court reports (without referencing the tools themselves)

  8. How extensively to pursue missing or conflicting information

  9. Ways to elicit information about uncomfortable topics (e.g., paternity, substance abuse, mental health, domestic violence, etc.)

  10. Increasing the worker’s understanding of complicated topics such as substance abuse, mental health, domestic violence, developmental disability, medical issues such as osteogenesis imperfecta, diabetes management, and the meaning of various sexually transmitted diseases and their relative value as sexual abuse indicators

  11. Creativity in developing Safety Plans and case plans

  12. Knowledge of community resources and how to refer/link to them:

  13. For referrals/cases that will be closed despite a family’s High or Very High Risk score on the Risk Assessment, strongly encourage CSWs to make referrals to community resources or alternative services before closing the referral/case.

  14. Critical thinking skills
  15. Following correct policies and procedures rather than workarounds

ARA Responsibilities

  1. When appropriate, review the online referral in its entirety, including all prior referrals/cases and when appropriate, hard copy case files.
  2. Review the completed SDM tools and compare the tools against the recommendation(s) made.
  3. Within five (5) calendar days of the referral being submitted for closure or promotion to a case, approve the decision by:
  4. Signing and dating the Investigation Narrative
  5. Approving the Client Disposition for each child on CWS/CMS
  6. Returning the referral and supporting reports to the SCSW
  7. If necessary, return the referral to the SCSW for corrective action.

 

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APPROVALS

SCSW Approval

ARA Approval

HELPFUL LINKS

Attachments

Background of SDM in Los Angeles County

California Safety Threats Field Guide

Case Consultation Framework Using SDM Tools (Evident Change)

DCFS Integrated Core Practice Model and Structured Decision Making (SDM) (revised)

Email Alerts for Overdue SDM Assessments

Evident Change SDM Case Promotion Guidance (revised)

Evident Change SDM Policy and Procedures Manual (pdf) (revised January 2021)

How to Make Language Family-Centered

Linking the SDM System to Integrated Core Practice Model Behaviors and Practice Phases

SDM Caregivers and Households Guide

SDM Timeline: Referral to Case (revised)

Submission and Approval of Structured Decision Making (SDM) Tools (revised)

Forms

LA Kids

SDM Safety Plan (Spanish)

Referenced Policy Guides

0050-502.10, Child Protection Hotline

0070-515.10, Changing Response Times, Evaluating Out, and Re-Mapping Emergency Response Referrals by Regional Staff

0070-516.15, Screening and Assessing Children for Mental Health Services and Referring to the Coordinated Services Action Team (CSAT)

0070-548.00, Community-Based Resources

0070-548.01, Child and Family Teams

0070-548.04, Intensive Services

0070-548.05, Emergency Response Referrals Alleging Abuse In Out-of-Home Care Regarding Children Who Are Under DCFS Supervision

0070-548.10, Disposition of Allegations and Closure of Emergency Response Referrals

0070-548.20, Taking Children into Temporary Custody

0070-548.25, Completing the Structured Decision Making (SDM) Safety Plan

0070-570.10, Obtaining Warrants and/or Removal Orders

0080-502.10, Case Plans

0080-502.25, Court Family Maintenance and Voluntary Family Maintenance

0080-506.10, Selecting and Arranging Appropriate Services for Families

0100-510.21, Voluntary Placement

0100-520.05, Placement Prior to Resource Family Approval

0300-301.05, Filing Petitions

0300-503.10, Writing the Jurisdiction/Disposition Report

0600-500.00, Medical Hubs

0600-500.05, Multidisciplinary Assessment Team (MAT) Assessments and Meetings

0600-530.00, Public Health Nurses: Roles and Responsibilities

1200-500.05, Adopting and Serving Children Under the Indian Child Welfare Act (ICWA)

1200-500.30, DCFS Countywide Drug and Alcohol Testing Program

1200-500.80, Services Linkages Between the Department of Public Social Services (DPSS) and DCFS

1200-500.90, Model Case Format (MCF)

Statutes

All County Information Notice (ACIN) I-62-16 – Structured Decision Making: Enhancements to the Safety and Risk Assessment Tools and Integration Into New-System

 

All County Letter (ACL) 09-31 – Safety and Risk Assessments

 

California Department of Social Services (CDSS) Manual of Policies and Procedures (MPP) Division 31-084.4 – Sets forth the Emergency Response protocol and general intake requirements.

 

California Department of Social Services (CDSS) Manual of Policies and Procedures (MPP) Division 31-125 – Summarizes the protocol for the social worker initially investigating a referral to determine the potential for the existence of any condition(s) which places the child, or any other child in the family or household, at risk and in need of services and which would cause the child to be a person described by WIC Sections 300(a) through 300(j).

 

California Rules of Court, Rule 5.481 – Mandates that the juvenile court and DCFS inquire whether a child is or may be an Indian child.

 

Civil Code (CIV) 56.10 (c) – Describes when a provider of health care or a health care service plan may disclose medical information.

 

CIV 56.103 – Describes the situations in which a health care provider may disclose medical information for the purpose of coordinating health care services and medical treatment provided to a child.

 

Penal Code Section (PEN) 11165.12 – Provides the definitions of unfounded, substantiated and inconclusive reports.

 

PEN 11166.1 – Agency notice to licensing officer and attorney; alleged child abuse or death.

 

PEN 11169 – Provides regulations pertaining to the provisions of a written report to the Department of Justice.

 

PEN 11170(b)(2) -- States in pertinent part that when a report is made pursuant to subdivision (a) of section 11166 or Section 11166.058, the investigating agency, upon completion of the investigation or after there has been a final disposition in the matter, shall inform the person required to report or authorized to report of the results of the investigation and of any action the agency is taking with regard to the child or family.

 

Welfare and Institutions Code (WIC) Section 224 -- Legislative findings and declarations on the importance of maintaining Indian families together by providing active efforts to prevent the out-of-home placement of the child or to return an Indian child home.

 

WIC Section 224.3 -- States that child welfare department have a duty to inquire whether a child may be an Indian child.

 

WIC 16504 – States in part, that any child reported to the county welfare department to be endangered by abuse, neglect, or exploitation shall be eligible for initial intake and evaluation of risk services. Each county welfare department shall maintain and operate 24-hour response system.

 

WIC 18961.7 – Allows the formation of a child abuse multidisciplinary team for the purpose of investigating reports of child abuse or neglect made pursuant to Section 11160, 11166, or 11166.05 of the Penal Code, or for the purpose of child welfare agencies making a detention determination.

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