{"id":318,"form_id":"22","user_id":"92","question_id":null,"organization_id":"13","tab_id":null,"question_type":null,"text_answer":"{\"Multiple_Choice__291\":\"Kristine Frick\",\"Short_Answer__292\":\"Fintan Moore\",\"Date__293\":\"02\\\/15\\\/2017\",\"Multiple_Choice__294\":\"Fatality\",\"Yes_or_No__295\":\"No\",\"Multiple_Choice__300\":\"8\",\"Multiple_Choice__301\":\"Hennepin\",\"Short_Answer__303\":\"Leilani\",\"Short_Answer__304\":\"Lee\",\"Date__305\":\"08\\\/03\\\/2016\",\"Date__306\":\"11\\\/16\\\/2016\",\"Multiple_Choice__308\":\"3 Months\",\"Multiple_Choice__316\":\"1\",\"Short_Answer__317\":\"Face to face occurred after 5 day timeline\",\"Free_Text__318\":\"Information obtained during the Debrief regarding Learning Point:\\r\\n\\u00e2\\u20ac\\u00a2\\tMarch 2016 was a very challenging time for the agency\\r\\no\\tThere was a major influx in the amount of CP intakes being made and their system was being inundated with a backlog of CP intakes and screened in CP intakes waiting assignment for family assessment (FA) and family investigation (FI)\\r\\no\\tThe increased volume of reports being made was not manageable was influenced by:\\r\\n\\u00ef\\u201a\\u00a7\\tThe governor's task force recommendations and the multiple changes to the screening guidelines. \\r\\n\\u00ef\\u201a\\u00a7\\tThe agency was accepting more CP intakes for screen ins\\r\\n\\u00ef\\u201a\\u00a7\\tReporters who normally did not report were now reporting\\r\\n\\u00ef\\u201a\\u00a7\\tThe adverse media coverage increased defensive practice and fear based, CYA methods of practice\\r\\n\\u00ef\\u201a\\u00a7\\tWorkers were quitting all the time; turnover was extremely high due to the workload was not manageable\\r\\no\\tThere was one program manager to advise supervisors, whereas now there are three\\r\\n\\u00ef\\u201a\\u00a7\\tConsults with Program Manager gave minimal guidance for how to triage the backlog of FA\\\/FI's pending assignment\\r\\n\\u00ef\\u201a\\u00a7\\tPriority response was given to CP reports that involved children under the age of 2 and to reports of allegations of physical abuse and sexual abuse.\\r\\n\\u00ef\\u201a\\u00a7\\tNo other guidance on how to triage CP reports in backlog \\r\\n\\u00e2\\u20ac\\u00a2\\tProgram manager was overwhelmed; there was no way for one manager to review all the cases needing to be triaged, therefore supervisors had some discretion on method used to triage.\\r\\no\\tRoutinely, it is common in the spring for the agency to experience increased reporting from mandated reporters i.e. school social workers.\\r\\n\\u00ef\\u201a\\u00a7\\tIt is a common pattern for the agency to experience one mandated reporter make multiple reports for many children they are concerned about at the end of the school year because they will no longer have the ability to check in with the children when school is let out for the summer.\\r\\n\\u00ef\\u201a\\u00a7\\tThe time of year being March 2016, in combination with the factors mentioned above, contributed to backlogs and delays in assignment to cases, thus impacting ability to meet the face to face timeline  \\r\\n\\u00e2\\u20ac\\u00a2\\tOccurring at this time was the largest backlog of FA\\\/.FI's pending assignment for FA\\\/FI response in the supervisors unit was 90 pending cases. It was the highest backlog of all the units, with many pending being ed. neglect types of cases.\\r\\no\\tThere were not enough staff to assign the new cases\\r\\n\\u00ef\\u201a\\u00a7\\tWorkers can handle 3-4 new case assignments a week, 4 being challenging, but in March 2016 workers were taking on 4-5 a week, and that was not manageable\\r\\n\\u00ef\\u201a\\u00a7\\tThere were 10 workers in this unit, it was not uncommon to get 14-15 new screened in reports in the FA\\\/FI backlog a day.\\r\\n\\u00e2\\u20ac\\u00a2\\tWith 10 workers taking 5 reports a week, could get 50 cases assigned a week, but the volume surpassed the agency's ability to stay caught up due to staff turnover and not enough staff available to take new cases. \\r\\no\\tThis FA\\\/FI unit was a specialty unit, meaning regardless of the rotation for CP intakes being assigned to FA\\\/FI units, the supervisor's unit took all reports for a delegated city further contributing to this unit the highest number of cases.  \\r\\n\\u00ef\\u201a\\u00a7\\tThe city delegated to the supervisor's unit has a population that receives a large amount of new CP intakes and screened in reports. \\r\\n\\u00e2\\u20ac\\u00a2\\tThe CP Intake was assigned to the supervisor's unit on 3\\\/25. \\r\\n\\u00e2\\u20ac\\u00a2\\tThe CP intake sat pending under the Supervisors name from 3\\\/25 \\u00e2\\u20ac\\u201c 4\\\/7. Was pending a little over 2 weeks; this was not as bad as it could have been.\\r\\no\\tEducational neglect intakes were not considered high risk during this time and they could sit in pending for as long as six weeks waiting for assignment at times. \\r\\n\\u00e2\\u20ac\\u00a2\\tIf another FA\\\/FI unit did not have as many cases pending assignment, those units would assist and take CP reports pending from this supervisor's unit as a result \\r\\no\\tIn this case, the Supervisor assigned this ed neglect to a colleague supervisor in another FA\\\/FI unit, when an available staff to take the ed neglect case became available\\r\\n\\u00ef\\u201a\\u00a7\\tThe agency was trying to dig out of all the ed neglects pending, there were 100's of them. \\r\\n\\u00ef\\u201a\\u00a7\\tA staff was brought back out of retirement to help specifically with the backlogged ed. neglect case assignments pending.\\r\\n\\u00ef\\u201a\\u00a7\\tThe other supervisor's unit was not a specialty unit.\",\"Free_Text__319\":\"SCIR - Narrative\\r\\nLP: Face to face occurred after 5 day timeline. \\r\\nThe face to face occurring after the 5 day timeline was impacted by the face to face timeline passing before the case could be assigned to a frontline worker. In March of 2016, more report were coming into the local agency, which placed pressure on the system, due to the amount of reports being made. Tending to this production pressure, the local agency brought on a group of professionals, to assist in entering and screening intakes. An increased volume of screened in CP intakes occurred when practices became defensive at the local level as a result of increased media exposure of a high profile child death. At the state level continual changes were being made to the intake, screening and response path guidelines stemming out of the 93 governor's task force recommendations, which also required the local agency to screen in more CP intakes. Further contributing to the volume of reports being made and screened in, was the time of year (March). At this time annually, a pattern of increased reporting occurs from mandated reporters in the school system just prior to the end of the school year. Commonly reporters will make multiple reports since they will no longer have the ability to check in with the children when school is let out for the summer. Systemically, the overall increased volume of CP intakes screened in at this time created backlogs in FA\\\/FI units, contributing to delays in case assignment. Additionally, this FA\\\/FI unit was also a specialty unit, meaning in addition to being on the general rotation for CP intakes being assigned to all FA\\\/FI units, this FA\\\/FI unit also took all reports for a delegated city which receives a large amount of new screened in CP reports. This specialty FA\\\/FI unit had the highest backlog of all the FA\\\/FI units, approximately 90 FA\\\/FI's pending case assignment, many which were for educational neglect. \\r\\nA demand \\u00e2\\u20ac\\u201c resource mismatch existed which limited the amount of time one employed FA\\\/FI program manager could provide to all supervisors needing consult time for cases needing to be triaged for case assignment. As a result, direction was given from the program manager to supervisors to prioritize assignment for CP allegations that involved children under the age of 2, and allegations physical abuse and sexual abuse for all aged children. Supervisors were allowed to use professional discretion when triaging and prioritizing safety\\\/risk of all other cases pending assignment. Strategically, educational neglect cases were placed at lower priority for case assignment, and an accepted procedural drift away from meeting face to face timelines for educational neglect types of cases occurred. Further impacting the delay in face to face, was the limited resource of human capital to do the work. There were not enough FA\\\/FI frontline staff employed to assign backlogged FA\\\/FI cases to. With 10 workers in a FA\\\/FI unit, each taking 5 reports a week, supervisors could get 50 cases assigned a week, but the volume continued to flow into the FA\\\/FI unit backlog. This volume surpassed the unit's ability to stay caught up especially considering staff turnover was also high. Supervisors made the strategic trade off to keep unassigned cases in his\\\/her name in the backlog when face to face timeline had passed, as a method of protecting and retaining frontline staff.  A cyclical pattern existed between high caseload sizes per worker and the high rate of staff turnover at this time. The agency attempted to combat the production pressure of the 100's of educational neglect cases pending case assignment in backlog by re-hiring a former staff who had retired, to specifically work unassigned educational neglect cases in the FA\\\/FI unit backlog.\",\"Multiple_Choice__346\":\"0\",\"Multiple_Choice__348\":\"3\",\"Free_Text__349\":\"-A demand \\u00e2\\u20ac\\u201c resource mismatch existed which limited the amount of time one employed FA\\\/FI program manager could provide to all supervisors needing consult time for cases needing to be triaged for case assignment. As a result, direction was given from the program manager to supervisors to prioritize assignment for CP allegations that involved children under the age of 2, and allegations physical abuse and sexual abuse for all aged children. Supervisors were allowed to use professional discretion when triaging and prioritizing safety\\\/risk of all other cases pending assignment. \\r\\n-Further impacting the delay in face to face, was the limited resource of human capital to do the work There were not enough FA\\\/FI frontline staff employed to assign backlogged FA\\\/FI cases to. With 10 workers in a FA\\\/FI unit, each taking 5 reports a week, supervisors could get 50 cases assigned a week, but the volume continued to flow into the FA\\\/FI unit backlog. This volume surpassed the unit's ability to stay caught up especially considering staff turnover was also high.\\r\\n- Supervisors made the strategic trade off to keep unassigned cases in his\\\/her name in the backlog when face to face timeline had passed, as a method of protecting and retaining frontline staff.  A cyclical pattern existed between high caseload sizes per worker and the high rate of staff turnover at this time\",\"Multiple_Choice__350\":\"0\",\"Multiple_Choice__352\":\"0\",\"Multiple_Choice__354\":\"0\",\"Multiple_Choice__356\":\"0\",\"Multiple_Choice__368\":\"0\",\"Multiple_Choice__358\":\"3\",\"Free_Text__359\":\"Maltreatment determined SUID death. Autopsy results found Manner of death to be: Undetermined with type being labelled as: Asphyxia, and Cause of Death to be: Sudden unexplained death in infancy (SUID), with other significant condition to be: Co-Sleeping on adult mattress with one adult and two children on adult bed.\",\"Multiple_Choice__360\":\"3\",\"Free_Text__361\":\"-In March of 2016, more report were coming into the local agency, which placed pressure on the system, due to the amount of reports being made. Tending to this production pressure, the local agency brought on a group of professionals, to assist in entering and screening intakes. An increased volume of screened in CP intakes occurred when practices became defensive at the local level as a result of increased media exposure of a high profile child death. At the state level continual changes were being made to the intake, screening and response path guidelines stemming out of the 93 governor's task force recommendations, which also required the local agency to screen in more CP intakes. Further contributing to the volume of reports being made and screened in, was the time of year (March). At this time annually, a pattern of increased reporting occurs from mandated reporters in the school system just prior to the end of the school year. Commonly reporters will make multiple reports since they will no longer have the ability to check in with the children when school is let out for the summer. Systemically, the overall increased volume of CP intakes screened in at this time created backlogs in FA\\\/FI units, contributing to delays in case assignment. Additionally, this FA\\\/FI unit was also a specialty unit, meaning in addition to being on the general rotation for CP intakes being assigned to all FA\\\/FI units, this FA\\\/FI unit also took all reports for a delegated city which receives a large amount of new screened in CP reports. This specialty FA\\\/FI unit had the highest backlog of all the FA\\\/FI units, approximately 90 FA\\\/FI's pending case assignment, many which were for educational neglect.\\r\\n- To combat the production pressure of the 100's of educational neglect cases pending case assignment in backlog by re-hiring a former staff who had retired, to specifically work unassigned educational neglect cases in the FA\\\/FI unit backlog.\\r\\n-Frontline staff experienced daily production\\\/efficiency pressures, goal conflicts, and competing priorities impacting their ability to do conduct work safely.\",\"Multiple_Choice__362\":\"0\",\"Multiple_Choice__364\":\"3\",\"Free_Text__365\":\"One program manager did not have time to provide support to all the FA\\\/FI supervisors needing consult time to triage each of their FA\\\/FI unit backlogs.\",\"Multiple_Choice__366\":\"3\",\"Free_Text__367\":\"Strategically, educational neglect cases were placed at lower priority for case assignment, and an accepted procedural drift away from meeting face to face timelines for educational neglect types of cases occurred.\",\"Yes_or_No__370\":\"Yes\"}","mcq_answer":null,"other_answer":"0","status":"1","created_by":"92","updated_by":81,"created_at":"5\/26\/2021 2:33:23 pm","updated_at":"5\/26\/2021 1:06:29 pm","deleted_at":null,"report_name":"Leilani Lee"}