Okla. Admin. Code § 340:75-7-301

Current through Vol. 42, No. 7, December 16, 2024

Section 340:75-7-301 - Enhanced foster care (EFC) general

(a)EFC purpose. EFC is a service category developed to respond to the complex behavioral, medical, developmental, and mental health needs of children by stabilizing placement for a child in a family-based setting or by supporting children who need additional services to be successful in a family-based settings. EFC services are:

(1) child-specific services provided to kinship or traditional resource homes for children already placed in those settings; and

(2) designed for traditional homes in which additional training is provided to the family to support the placement of children transitioning from congregate care, acute or residential treatment, or children who are placed in shelter care or are at risk of placement in shelter care.

(b)Eligibility. EFC is available to any child in Oklahoma Human Services (OKDHS) or tribal custody meeting service criteria. Information obtained during the referral process is used to determine eligibility and to support individualized service planning for the child.

(1) A child meets at least one of the following eligibility criteria to receive EFC, the :

(A) Child and Adolescent Needs and Strengths (CANS) Assessment indicates the child would benefit from EFC. The CANS Assessment is conducted by a third-party qualified person, per Oklahoma Administrative Code (OAC) 340:75-13-16 and 340:75-14-1;

(B) onset of frequent placement moves from family-based settings due to the provider requesting change of placement or because the provider cannot meet the child's behavioral health needs;

(C) child has a minimum of two elevated Child Behavioral Health Screeners;

(D) child has a provisional or primary diagnosis from the most recent edition of "The Diagnostic and Statistical Manual of Mental Disorders," except for V codes and adjustment disorders, with a detailed description of the symptoms supporting the diagnosis;

(E) child's conditions are directly attributed to a primary medical diagnosis of a severe behavioral and emotional health need and may also be attributed to a secondary medical diagnosis of a physical, developmental, intellectual, or social disorder that is supported alongside the mental health needs;

(F) child's conditions are directly attributed to a mental illness or serious emotional disturbance, a medical issue, or a developmental or intellectual delay;

(G) evidence the child's presenting problems require full integration of a 24-hour crisis response, behavior management, or intensive clinical interventions from professional staff to prevent the child from having to move from a family-based placement or to transition to a family-based setting from a higher level of care; or

(H) the child has specific needs or factors that pertain to the child's permanency, safety, and well-being, as approved by the EFC programs administrator.

(2) The resource parent caring for the child agrees to participate in the child's treatment needs and planning actively.

(c)Training. All resource parents receiving EFC services are required to complete a supplemental EFC training determined by OKDHS and any child-specific training dependent on the child's individual needs, in addition to the agency required pre-service training.

(d)EFC homes. EFC homes are approved, per OAC 340:75-7-10.1 through 340:75-7-18, and after:

(1) undergoing assessment;

(2) finishing the supplemental EFC training;

(3) demonstrating a willingness and capacity to provide the level of supervision the child requires or needs on an ongoing basis;

(4) agreeing to participate in a child's treatment needs and planning actively; and

(5) receiving approval from the regional field manager.

Okla. Admin. Code § 340:75-7-301

Adopted by Oklahoma Register, Volume 39, Issue 24, September 1, 2022, eff. 9/15/2022

Adopted by Oklahoma Register, Volume 40, Issue 22, August 1, 2023, eff. 9/15/2023