1,648 Matching Annotations
  1. Sep 2023
    1. Dennis Desparrois Placement Services Unit Manager-State - DCW
    2. Kit Thompson Family &, Children Services Division Director-Boulder County Housing and Human Services
    3. Alison Young Family Law Program Manager-State Court Administrator's Office
    4. Andrew Gabor Director of Child and Adolescent Services-State - OBH
    5. Kari Daggett Deputy Director Division of Child Welfare - DCW
    1. Rules governing QRTPS are still pending, so guidance available now may be revised in the future. Email pauline.hoekstra@state.co.us with questions about licensing.
    1. Andrew Gabor at andrew.gabor@state.co.us.
    2. The information in this section was developed by the Colorado Department of Human Services and the Colorado Human Services Directors Association for Colorado's Family First Implementation Guide for County Directors.
    1. Mobile:303-927-8786Jon.Steinmetz@State.CO.US
    2. Trauma-informedServices are provided under a trauma-informedorganizational structure and treatment framework

      Find more on trauma informed care, because requires inclusion of whole family, necessary expertise, constantly argues it's necessary for misdiagnosis/treatment resulting in damage, danger, no-reunification (destruction of family), and inclusion of whole family

  2. www.blueprintsprograms.org www.blueprintsprograms.org
    1. For more information, contact:Susan CaskeyIMPACT Executive Directorscaskey@bouldercounty.org303-441-1511
    2. Dave Bonaiuto, Manager – Assessment, Quality Assurance, &Process Improvement, Boulder County IMPACT Lane Volpe, Ph.D., Vice President, The Implementation Group Susan Caskey, Executive Director, Boulder County IMPACT

      Caskey is now BCDHHS Director

    3. BOULDER COUNTY IMPACT:Building and Sustaining Policy, Practice and Improvement Standardsfor a Multi-Program, Multi-System Collaborative
    4. immediate & ongoing data-driven case planning Moving away from always least restrictive to matching
    1. Child Protection Review Teams -- CPRT The final CPRT meeting has taken place. No additional reviews will be scheduled. Recent legislation, Concerning the Optional Creation of a Child Protection Team by a County, http://statebillinfo.com/bills/bills/17/2017A_016_signed.pdf was enacted to address the evolution of the child welfare system and to recognize the multiple layers of review that now exist across child welfare systems.

      For further information or questions, contact Terrie Ryan-Thomas, tryan-thomas@bouldercounty.org .

    1. Colorado Community Response (CCR) is a voluntary prevention program working with familiesthat have been screened out or assessed and closed without child welfare services. The program wasdeveloped around the Strengthening Families Protective Factors Framework to strengthen families andprevent child maltreatment. Program components include strength-based case management, family-driven goal setting, education, and support to improve financial well-being, flex funding, and resourcereferrals to support goal attainment. The program is awarded through a competitive solicitation. Awardshave been granted for the next five-year funding cycle (FFY 2022-2027), which began in July 2021. Thenext solicitation will be released in 2026. Reach out to Aaron Miller (aaronc.miller@state.co.us) for moreinformation.
    2. Caseworkers must be familiar with evidence-based programs and services available to children, youth,and families that reside in your community. Caseworkers not only need to know what services areavailable, but also the target population and desired outcomes of these services so they can makeappropriate referrals. Family First eligibility should not be a driver of these decisions, but rather theneeds and goals of the child, youth and family

      ALL OF THIS BOLD - Caseworkers must be familiar with evidence-based programs - not only need to know what services are available, but also the target population - so they can make appropriate referrals - eligibility should not be a driver of these decisions, but rather the needs and goals of the child, youth and family

    1. BEHAVIORAL HEALTH TASK FORCEIn April 2019, Colorado Governor Jared Polis directed CDHS to spearhead the Governor’s Behavioral Health Task Force. The Task Force was charged with authoring a statewide strategic plan to transform Colorado’s behavioral health system with the goal of enabling every Coloradan with a behavioral health condition or in crisis to receive the services and support they need to live safe, productive lives in their own communities.
    2. elivery of Child Welfare Services Task Force.

      In May 2018, Colorado’s General Assembly showed significant support for Family First with the passage of the Child Welfare Reform Bill, which created the Delivery of Child Welfare Services Task Force.

    3. The CDHS Division of Child Welfare (DCW)’s Training Unit was recently renamed the Learning and Development (L&D) team.
    4. Child Welfare Prevention Task Group (“Prevention Task Group”) was created in Summer 2021. The purpose of the Prevention Task Group is to act as the child welfare prevention practice advisory group,
    5. Best Practice Court Team (BPCT)
    6. CDHS hired a Family First-dedicated Training & Development Specialist.
    7. ASSURANCE ON PREVENTION PROGRAM REPORTINGSee the Attachment for assurance that CDHS will report to the Secretary such information and data as the Secretary may require with respect to the Title IV-E prevention program, including information and data necessary to determine the performance measures
    1. Citizen Review Panel What is The Citizen Review Panel? The Citizen Review Panel (CRP) is an independent group of Boulder County citizens who review complaints regarding unresponsiveness or unprofessional conduct by Boulder County Housing and Human Services’ Family and Children Services employees. Panel members are appointed by Boulder County Commissioners. No employees of the Boulder County Department of Housing and Human Services or the Colorado Department of Human Services are on the panel

    1. Senator Stephen FenbergSenate District 18E-mail: stephen.fenberg.senate@coleg.govWebpage: Stephen FenbergRepresentative Judy AmabileHouse District 49E-mail: judy.amabile.house@coleg.govWebpage: Judy Amabile

      Boulder, Colorado; State Senator and Rep: Senator Stephen Fenberg

      Senate District 18 E-mail: stephen.fenberg.senate@coleg.gov Webpage: Stephen Fenberg Representative Judy Amabile

      House District 49 E-mail: judy.amabile.house@coleg.gov Webpage: Judy Amabile

    1. Boulder County Commissioners Appoint Susan Caskey as Director of Housing & Human Services Boulder County, Colo. -- On Tuesday (August 23),

      scaskey@bouldercounty.org

    1. Division Director, Susan Grutzmacher This division administer benefits eligibility and renewals for basic needs programs including

      Boulder County benefits eligibility division

    1. using the best availablescience, to maximize physical and psychological safety, facilitate the recovery of thechild and family, and support their ability to thrive.”

      trauma-informed treatment model

    1. F742*, §483.40(b)(1), treatment/service for mental/psychosocial concerns (1) A resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder, receives appropriate treatment and services to correct the assessed problem or to attain the highest practicable mental and psychosocial well-being;

      services to correct the assessed problem or to attain the highest practicable mental and psychosocial well-being;

      42 CFR § 483.40 - Behavioral health services.

    2. Trauma-Informed Care Regulations and F-tags   The regulations and F-tags that apply to trauma and trauma-informed care
    1. A trauma-informed approach to care acknowledges that health care organizations and care teams need to have a complete picture of a patient’s life situation — past and present — in order to provide effective health care services with a healing orientation.

      Trauma-informed care seeks to: * Realize the widespread impact of trauma and understand paths for recovery; * Recognize the signs and symptoms of trauma in patients, families, and staff; * Integrate knowledge about trauma into policies, procedures, and practices; and *** Actively avoid re-traumatization.**

      https://hyp.is/go?url=https%3A%2F%2Fwww.aapacn.org%2Farticle%2Ftrauma-informed-care-what-it-is-and-isnt%2F&group=world

    1. food intake and vasoconstriction

      Is this why eating is causing instant sleepiness? Non-digestive vessels vasoconstrict and shut off too much cerebral blood flow, then nerves instantly have reduced firing/waste and CO2 build up/diminished mitochondria output/oxidative buildup/ &or then resultant inflammatory triggering cytokine increase?

      Vessel endothelial enormous surface area, manipulator of blood flow vasoconstrictor system, and cytokine producer/influencer, and high vulnerability sensitivity to viral infection/corruption...and then it's role or adjacent system and the immediate available Google research on COVID affecting> the vascular elastin system and corrupted elevated production of destructive elastases resulting in reduced vascular compliance then resulting too narrow "pulse pressure" band essentially creating arteriosclerosis.

      Also, make sure to be thinking of the entire vascular system not as one system, but subsided by dynamic changing gated sections and inspect signaling creating changing locations and amounts of high/low pressure zones. Also, keep in mind 3 things about BP: 1, when taken with a cuff it is only measuring a reading at the elbow. 2, is a reading from the artery and not giving any direct data from vein part of the system. 3, BP is not the same as blood flow. So I conceive that you could read a good BP, but actual flow could be completely inadequate.

      Remember analogy, vascular system is just like car AC system, or any pressurized hydraulic system, or even actually electric circuits. Meaning that there is a high pressure side, the load component(s), and a low pressure side. Also remember veins act as the reservoir tank, and when they constrict it is injecting more blood into the system to, if functioning correctly, allow higher performance and meet increase load demand. It also, therefore has less direct effect on whole system BP vs artery constriction because it's downstream of the load. Arterial constriction conversely has immediate direct effect on systolic BP as it is essentially putting a wall directly downstream of the heart. Therefore, regardless if diastolic pressure is zero or high, when the heart contacts, the pressure shoots straight up.

      A working theory component: my pulmonary vein is inappropriately constricting too much. That causes high back up pressure at alveoli. Exercise then induces veinous reservoir injection and increased blood volume into the "working system" further increasing pressure. Possibly arterious had already been fully dilated at rest in order to compensate and then when exercise happens, it can't be dilated further to increase blood flow throughout and BP increases further all behind the pulmonary vein "dam". However it doesn't present as right side heart failure like might initially be guessed (with leg and belly edema) because the right side heart is not failing...yet. So it contains any further backflow and the alveoli are the weakest point and taking the most abuse and pressure is relieved as pulmonary edema. And therefore what may be present is if we look for it, we'll find that actual blood throughput output exiting the heart is too low. And this can exist with a normal ejection fraction because the heart is functioning correctly and pumping the right percentage of what is a low starting volume. And also this can support why right ventricle is showing first signs of enlarging because it's being overpressured and stretching out (enlarging). And this can support why normal BP readings are measured at the arm because it can completely handle the abnormally low blood volume being received in the downstream location it's at. And then therefore this further supports why BP is normal but HR is riding the high limit at rest and then instantly jumps on exertion AND why dizziness happens because the artery system was already maxed out dilation at rest and for any amount of exertion, increasing HR because of the immediate too fast rise in tissue hypoxia due to too low blood supply the brain keeps driving up HR to meet demand. Total result upon exercise: supply continues to more and more not meet demand, HR rises faster and faster to try to inadequately compensate, physically become weaker especially after high output anaerobic every supply deleted in 1-3 minutes and there is no aerobic capacity cavalry with it's O2 rushing in to take over and that's when I fall off the cliff> HR spikes even faster, chest pain immediately jumps, lung edema turns on full tilt as the HR spikes and the resulting pressure is forced to "spray out of the gaskets (alveoli), and brain blood O2 supply immediately becomes super inadequate and the dizziness and need to fall over is the instant result effect. And since dysfuntioning cerebral vasoconstriction is likely the cause or highly involved in migraines, this also supports why the headaches come. ... And perhaps this explaining the rest pain and how it increases with dex and exertion because blood flow o2 becomes inadequate. Then causing lactic acid waste and CO2 buildup... (ie pain). And then it, like all body tissues being deprived necessary blood flow trigger cytokine inflammation response. ... And then, fuck it, maybe this IS chronic fatigue syndrome, and IS long covid explaining PEM, explaining why every symptom imaginable in any combination permutation is being shown, is explaining the observed elevated varing soups of cytokinesis, explaining all variety of tissue damage depending on any person's unique amount of total hit and their particular systems vulnerabilities and ultimately how far down they went on the increasing spiralling cascading systems failure towards total shutdown, and explains why measures at addressing the variety of manifestations are all somewhat helpful, but inadequate and varing efficacy from patient to patient because they are all too downstream of the root cause trunk of the symptom tree where the need to relieve vascular over constriction is the root or next to the root of the symptom tree that is common to all patients. If this were all to be accurate, then the seed would be what caused the break in vasoconstrictor system and repairing/killing it, or perhaps it's a PC bootstrap phenomenon where the simple uncomplex virus was just enough bios code to place innocuous wrenches in any of machines of the systems and then those malfunctioning systems took over control in their new malfunctioning patterns and became the new bosses that are infact the disease, you become your disease, and the initial virus seed has long been killed/departed (they're the ultimate down the road end game that is the totally corrupted bcdhhs that will then exist now as a new monstrous organism slowly lingering and depleting itself and eventually all resources at which point it will have finally killed itself after it destroyed the once thriving self sustaining world it lived in. COVID then is the teenage abusive bf or mean drunk father from their past, that put in motion what would become decades and generations of monsters, years and years after they had been long since gone). And maybe this explains the phasing leaving and returning it symptoms. Because when enough if the symptoms start to be reset/repaired, that starts spiraling the spread of the shutdown of the corruption back to health, but if the spiral up isn't strong enough to overcome the consequential reactive spiral down response, the monster returns and the rebellion is quashed. And so explains why the overall, in every system, stronger less vulnerabilities less armor chinks youth are able to quash with ease the spiral down with their incumbent exceptional spiral up response. .... And aside, this explains why dysautonomia has become a top suspect. And explains why POTS has become almost synonymous with long COVID and CFS.

    1. 2019 CB issued revised and new policies that allow title IV-E agencies to claim federalfinancial participation (FFP) for administrative costs of independent legal representationprovided by attorneys representing children in title IV-E foster care, children who are candidatesfor title IV-E foster care, and their parents for “preparation for and participation in judicialdeterminations” in all stages of foster care legal proceedings.
    2. In April 2020, CB issued a new policy clarifying that administrative costs for paralegals,investigators, peer partners, or social workers may be claimed as title IV-E foster careadministrative costs to the extent they are necessary to support an attorney providingindependent legal representation to prepare for and participate in all stages of foster care legalproceedings for candidates for title IV-E foster care, youth in foster care and his/her parents andfor allowable office support staff and overhead expenses
    1. irst, judges do not receive sufficient information to make aninformed decision regarding reasonable efforts. Usually, the only information comes from the agency

      Haylie is not providing any information to the judge, e.g.: - harboring not addressed - intake lied - intake failed to meet promise - intake actually DROVE removal, as in "negative reasonable efforts" - intake did not provide allegations at first contact or ever; and also therefore, 2., did not collect response, and necessary danger data and necessary services/needs data - intake did not provide, therefore, a credible report informing court of true nature - intake offered no FFPSA designated services nor Core Services Program services - intake provided no list of services offered/provided, no list of identified needs, no explanation of how it succeeded or failed - magistrate did not examine, inquire, or document specifically and detailed the reasonable efforts in "The Prevention Plan"...I've seen no Prevention Plan and certainly not filed with the court - Visitation scheduler: 1) not competently trained in youth or resist and refuse; only 1.5 years licensed (probably no clinical practice) and self identified adult addiction, 2)provided no scientific backing for recommendations, omitted context to misrepresent truth, did not identify needs, provided no plan to resolve/address those needs especially science-backed (and found to be an intern), 3)was 3+ weeks late for 1wk due date - caseworker was assigned over a month later and is mandated to be immediate at time of 1st hearing - CASA was not assigned until 4 months later and i've still never heard from them - caseworker was told must provide allegations report and still did not and would not - family needs assessment was never done, certainly not in my presence, nor with my collaboration and agreement, if in the background there is one it is a lie or of completely insufficient quality and was not reported to me when asked for. It was not done even close to 60 day (therefore also does not meet mandate of "timely") deadline (and if it's dated as such it is a complete BS non-assessment only for the purposes of making it show up on a log as done). It does not identify needs/problems (most importantly resist/refuse) that brought forth D&N, it does not identify services that address the particular needs (most importantly a resist/refuse doctor; also actively blocked FUP) (and therefore nothing is science based "trauma informed" as mandated), it does not mandate what must be changed/achieved and the marker for that achievement; I still was not given Service Plan when I pried and pried for clear list of items that brought forth D&N-what was needed to change/achieved to end State's involvement-what services were/could/wanted to be done - DHS has failed to investigate it's actions of abuse to confirm/deny; which in the case that abuse did not happen 2. has failed to meet "timely" mandate of services to medically assess and treat resist/refuse and 3. failed "reasonable efforts to reunify" mandate - DHS has not only 1. failed mandate to offer/make available/refer & monitor and ensure execution of services/ (e.g. Core, FFPSA, "unique to family needs", "public or private/community bases", "evidenced based", "trauma informed...further defined in CCR as "complete situation assessment/treatment, whole family") they 2. made ME responsible for REFERRING THEM and with an expectation it likely WOULD NOT BE PURSUED, 3. was essentially told Core Services wasn't real (was ignored and then simply would not answer when i asked directly in-person about "Core Services" and changed the subject) when I specifically asked, 4. mocked when I gave science backed warning of imminent and severe risk and necessary doctor services needed - court did not set adjudication until 2+ months past federally mandated 90 day MAXIMUM (and is written as "should be much sooner and ASAP", and 2. almost 4 months after 20th District's filed D&N management commitment plan - Independent Assessment: did not meet many many mandates (see email to Haylie on objection to recommendation) - QI did not include family, claims 6 attempts to call but did not as mandated provide evidence of attempts, State did not meet mandate to make sure family was included in the process and ACTIVELY KEPT MOM & DAD & ATTORNEYS as mandated of the mandated Family and Permancy Team Meeting; did not complete in 10/14 day CDHS mandate nor did complete in 30 day federal requirement (which is also contractually owed by ASO); never held a 2nd Team meeting as requested (which resulted in a ruling based on false argument that would have been quashed in the meeting and also the QI realizing and changing her recommendations with the knowledge that the false claim was not only indeed false but that the credibility of information provided by state & CYF was now in question; and ultimately a result of a QI would have full & true understanding of medical need and severity and harm befalling child and family and would have urgently recommended necessary interventions which had so long been failed to be recognized/provided by State) - Court nor State was informed of fundamental FFPSA law as is absolutely expected to be known by a Child Welfare Judge and Child Welfare Attorney and Child Welfare Agency, at QRTP Assessment Review Hearing and made ruling on completely false law justification that child is not legally allowed to remain at the QRTP [b/c of course she is, which is the whole point of the hearing, b/c it's up to judge to determine if she should stay or not regardless of IA summary report recommendations

    2. One conclusion this book reaches is that reasonable efforts should belitigated early,
    1. Dr. Childress Second Opinion ConsultationThis handout describes various options for incorporating the second-opinionconsultation of Dr. Childress on an assessment, diagnosis, and treatment plan for court-involved family conflict. I am able to provide second opinion consultation to the involvedmental health professionals if they or the court believe this would be helpful in theresolution of the family conflict through my HIPAA compliant online telehealth office atdoxy.me/drchildress.
    1. RPC who address ancillary civil issues earlier in a case can make a significant impact and reduce thenumber of out-of-home placements. This is because unresolved civil legal issues can drive continualchild welfare involvement in the lives of some indigent families. Indeed
      • TANF
      • Child support
      • DUI and warrant
      • Car title
      • Disability
      • FUP
    2. Providing early help with lawyers trained to address housing, immigration, domestic violence,healthcare, and public benefits issues may help “prevent children from entering foster care or helpchildren return home sooner.”93
    3. Contracting with professionals to assist in providing agency supports and to conductquality assurance, supervision, and mentoring of ORPC contractors such as attorneys,social workers, family advocates, and parent advocates; and,
    1. State Government Agency Appeals 1. What is an appeal of a state government agency decision or action?

      Colorado Judicial -self help

    1. for other good cause shown, the appellate court may, except as otherwise provided in C.A.R. 26(b), suspend the requirements or provisions of any of these rules in a particular case on application of a party or on its own motion and may order proceedings in accordance with its direction.

      26(b)"Legal Holiday" Defined.

    1. If any information obtained from the household differs from that which the State agency obtained from available information or the household provided additional changes in information, the State agency shall arrange for the household or it authorized representative to initial all changes, re-sign and date the updated application and provide necessary verification.
    2. Discrepancies. Where unverified information from a source other than the household contradicts statements made by the household, the household shall be afforded a reasonable opportunity to resolve the discrepancy prior to a determination of eligibility or benefits. The State agency may, if it chooses, verify the information directly and contact the household only if such direct verification efforts are unsuccessful. If the unverified information is received through the IEVS, as specified in § 272.8, the State agency may obtain verification from a third party as specified in paragraph (f)(9)(v) of this section.
    1. effect of the decision in Hill v. Hawes is to give the district court power, in its discretion and without time limit, and long after the term may have expired, to vacate a judgment and reenter it for the purpose of reviving the right of appeal.

      Take this in combination with my previously made arguments of ccr meeting convenience, using electronic mail, law stating lack of receipt of notice as good cause....as well as ccr rules about good cause includes homelessness and disability. *Look for precedent on good cause (hell, look for a source of precedents and law interpretation period, and then look up perfect on everything,.. reopening appeal, BCE, reparations, damages, fcs case)

      Also, at minimum for strategy to reopen: use anything as an avenue for an action to be taken, then appeal it using misconduct as a just and request an opinion on the interpretation interpretation of law (if can't just directly ask the higher court to make a ruling as part of the lessor request). Mechanism thoughts: 1. With TANF final decision, ask for a reconsider or file a motion asking for both an order to reinstate snap as well as an interpretation of the law that the household in its ENTIRETY is included under BCE. 2. Going direct to higher court- I think can choose either. Might have read that COA lacks ability to order/remand/compel, technically speaking.

    2. party may, of course, serve timely notice of the entry of a judgment upon the adverse party and thus preclude a successful application, under Rule 73(a), for the extension of the time for appeal.

      Good to know. Plus, the county did not take advantage of this

    3. Time to Appeal

      See amendments notes below

    1. Using Court Facilities

      Call it email if you want

    2. court's electronic-filing system o

      Perfectly valid serving method allowed by law, state has one, both a court e system as well as regular email.

    3. person has no known address

      I had a known address. And I had also provided an option.

    4. mailing it to the person's last known address

      Lashley was not my last known address, my email address was my last known address.

      General delivery was not my address, it was discussed that it may be used as an option, "an alternative method which I gave consent to" which mandated notifying me by phone or email.

    5. must be served
    1. although the judge may agree there are no material issues of fact remaining for trial, the judge may also find that it is the non-moving party that is entitled to judgment as a matter of law
    2. In the United States, the presiding judge generally must find there is "no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law."[2

      Really Haley?? You could not argue that,

      1) there was no genuine dispute over the material facts....over "what happened, AND what realities/possibilities/options/resources/outcomes exist" ????

      2) that I was not entitled to "judgment" regardless of "material facts being in dispute" OR NOT "in dispute". For starters, a for a trial review of the facts regarding the determination of grounds that have been brought forth, not brought forth, and mis-presented, and additional are due and necessitate the compelling process of discovery in order to assure provision of, and of which a collection is already known by respondent and counsel to exist which the court has not been made of and who's determined clarity resulting from the analytical vetting the trial will provide holds the potential power to not just determine whether the state had grounds, but regardless of that outcome, to help all parties determine collaboratively and aided by the authoritative might of the court how the state can best provide help and services going forward, including if appropriate removing themselves from intruding a moment further in this family's lives and liberties. .... FACTS I'VE BEEN SHOUTING AT YOU FROM DAY ONE AND IN A MILLION EMAILS TO YOU OR BEEN CCED. YOU'RE A FUCKING MORON, BY WAY OF UNLAWFUL COMPETENCY OR NEGLECT TO YOUR CASE, YOUR DUTY TO SELF INFORM, AN ENTRUSTED BY AND SWORN TO THE PEOPLE OATH, AND YOUR KNOWN DUTY TO THE DEADLY VALUE, PURPOSE, AND CONSEQUENCE OF YOUR POST, a post for which you are additionally compelled to perform by, albeit less importantly, a meaningful wage.

  3. Jun 2023
    1. In a similar study design but with a longer follow up (3 months from diagnosis of COVID-19) 16 young adults were investigated for brachial FMD, cerebral vasodilator function and arterial stiffness. Out of these 16 participants, eight were still symptomatic while the others did no longer display signs of COVID-19
    2. shedding of thrombin from endothelial cells may play a role in modulating the loss of normal endothelial cell quiescence
    3. D-Dimer levels
    4. reduced contractile function

      Higher heart rate has to compensate

    5. compared to other heart residing cells such as pericytes

      If it's destroying pericytes, then it's compounding the microclot/perfusion problem. The pericytes can't dilate to increase supply and they leak. Also they can't contact to ramp BP (POTS?)

    6. statin treatment, which is the gold standard therapy to lower cholesterol levels in CVD patients to limit hyperlipidemia, was shown to reduce in-hospital mortality in patients with diabetes mellitus and COVID-19 (Saeed et al., 2020) and its use was also independently associated with lower intensive care unit admissio
    7. D-dimer levels (a fibrin degradation product used to determine the activation of the coagulation cascade), are enhanced in acute COVID-19 cases (Zhou F. et al., 2020; Berger et al., 2020). Different reports have found a correlation between the increase of D-dimer levels and COVID-19 severity with an about 7-fold increase in critically ill patients, associated with an increased mortality risk (Zhou F. et al., 2020; Yao Y. et al., 2020)
    1. 7.605.1 CONFIDENTIAL INFORMATION PROTECTED[Eff. 1/1/15]A.County departments shall treat all information as confidential according to applicable statutes, including, but not limited to, the following
    2. County departments shall make services available to all eligible children and their families,including disabled individuals,through hiring qualified staff or through purchase of necessary services

      shall make available

      all eligible families

      qualified staff...or purchase them

    3. 7.604ANTI-DISCRIMINATION [Eff. 1/1/15]
    4. 7.605.5PENALTYFOR UNAUTHORIZED RELEASE[Eff. 1/1/15]Any person who willfully permits or who encourages the release of data or information related to abuse and/or neglect contained in the state automatedcase management system to persons not permitted access to such information, commits a Class 1 misdemeanor and shall be punished as providedin Section 18-1.3-501, C.R.S.

      ...Class Maximum Sentence class 1 - 364 days imprisonment, not more than a one thousand dollar fine, or both

    5. childwelfare program

      not on the list...they are not child welfare

    6. Internal Inquiries [

      not on the list

    1. The general assembly, however, recognizes that certain information obtained in the course of the implementation of this title is highly sensitive and has an impact on the privacy of children and members of their families. The disclosure of sensitive information carries the risk of stigmatizing children

      Reasonable Efforts - not so much RE as it's criminal malpractice. Jackie released confidential case information, purposefully AND misrepresented it. Also CCR 7.601 protect confidentiality. 12 CCR 2509-7 https://hyp.is/UaaebvvTEe2eeDeCZWyDVw/docdrop.org/download_annotation_doc/12-CCR-2509-7-43cgo.pdf

    1. Confidentialinformation that is protected from release and other documents or records which thehousehold will not otherwise have an opportunity to contest, or challenge shall not beintroduced at the hearing nor affect the hearing officer's decision
    2. 4.803.2 Determination of an IPV /Fraud [Rev. eff. 1/1/16]A. An intentional program violation shall be established only if an administrative disqualificationhearing official or a court of appropriate jurisdiction has found a household member hascommitted an intentional program violation or fraud or if a signed waiver of administrative hearingor a signed disqualification consent agreement has been obtained.

      If I intentionally did it, I'd be afforded a trial before any removal of benefits. AND

      The evidence against me, which the burden is on the agency, would need to be clear and convincing. .... “Clear and convincing” means evidence which is stronger than a “preponderance of evidence” and which is unmistakable and free from serious or substantial doubt

    3. Eligibility for Continuation of Benefits1. If a household requests a state-level fair hearing or local-level dispute resolutionconference any time prior to the effective date of the Notice of Adverse Action and itscertification period has not expired, the household's participation in the program shall becontinued on the basis authorized immediately prior to the Notice of Adverse Actionunless the household specifically waives continuation of benefits
    4. The right of a household to a DRC and state-level hearing is primarily to ensure that a proposed eligibilitydetermination or action is valid, to protect the person against an erroneous action concerning benefits,and to ensure reasonable promptness of local office action.
    5. Households that are eligible to receive TFA will have the SNAP allotment continued for five (5)months. The household’s SNAP allotment will be continued in an amount based on what thehousehold received prior to when the household’s income made them ineligible for CW basiccash assistance.

      Jesus......fucking.....christ

    6. Households requesting a SNAP appeal may be entitled to continued benefits
    7. thehousehold's participation in the program shall be continued on the basisauthorized immediately prior to the Notice of Adverse Action
    8. The local office shall send a verification request notice requesting the household toprovide the specific information or verification within ten (10) calendar days plus one (1)additional calendar day for mailing.
    9. additional verificationis required in the following instances:A. Unclear Information1. If the local office receives information about changes in a household's circumstances butcannot determine if or how the change will affect the household's benefits and theunclear information is:a. Fewer than sixty (60) days old relative to the current month of participation; andb. Was required to have been reported per simplified reporting rules; orc. Appears to present significantly conflicting information about the household’scircumstances from that used by the local office at the time of certification,including changes to the household’s categorical eligibility tier, then:
    10. on reported changes
    11. If the reportedchange has not been verified, or is considered questionable, and it cannot be determined whetherbasic categorical eligibility, expanded categorical eligibility, or standard eligibility criteria should beused, a request for verification shall be initiated.

      SHALL BE INITIATED

    12. 4.504.6Information Considered Verified Upon Receipt

      Reading the case notes of a TANF meeting is not on the list of "Verified Upon Receipt".

    13. Whentalking with collateral contacts, the local office must not state that an individual or household has applied for SNAP.

      Antus told Jackie I was applying for SNAP

    14. In cases in which the information from another source contradicts statements made by thehousehold, the household shall be afforded a reasonable opportunity to resolve the discrepancyprior to an eligibility determination
    15. If written verification cannot be obtained, theeligibility technician shall substitute
    16. 4.504 Sources of VerificationThe local office shall accept any pertinent documentary evidence provided by the household and shall beprimarily concerned with how adequately the verification proves the statements on the application, duringrecertification
    17. Ifinformation is considered questionable or if an alternate source of verification was requested, the reasonfor additional verification
    18. Such statements must be sufficiently detailed to supportthe determination of eligibility or ineligibility
    19. The local office shall provide each household at the time of application for initial certification, redetermination, and periodic report form with a notice that informs the household of verification requirements that the household must meet as part of the application, redetermination, or periodic report process.

      Need for verification

    20. shall not be required unless these eligibility factors are not already collected andverified by the other PA program, are considered questionable,
    21. The household has the primary responsibility for providing documentary evidence for requiredverification and to resolve questionable information.
    22. The case record shall consist of statements and documentation regarding the sources and resultsof verification used to determine a household’s eligibility. Such statements must be sufficientlydetailed to support the determination of eligibility or ineligibility
    23. The local office must act on all changes reported by those households filing a PRF.
    24. In cases where verification is incomplete, the local office shall provide the household with astatement of required verification on the state-prescribed notice form and offer to assist thehousehold in obtaining the required verification.
    25. The eligibility technician shall not simply review the information entered on the application butshall explore and resolve with the household unclear and incomplete information
    26. 4.201 APPLICATION PROCESSINGA. Local offices shall not apply additional conditions or processing requirements that are beyondthose prescribed by State SNAP rules.
    1. ConfidentialityInformation regarding families shall remain confidential and available only for the purposesauthorized by federal or State law as described in Section 3.609.73, Protections to the Individual.
    2. In cases whereverification is incomplete, the county department shall provide the client with a statementof required verification
    3. The application form shall be used as the primary source of information
    4. 3.609.73 Protections to the Individua
    5. The countydepartment/agency must provide specific reasons for the proposed action, and theapplicable state department's rules or county policy.

      uhhhm....because um, that's our policy

    6. The person designated to conduct the conference shall be in a position which, based onknowledge, experience, and training, would enable him or her to determine if theproposed action is valid. This could include, but is not limited to, a supervisor, qualityassurance personnel, or a manager with no previous knowledge of the case

      Lauren, whomever she is, did not say a word. AND,

      She obviously had knowledge of the case because she was CCed on all the email exhibits

    7. The county worker or contractor who initiated the action in dispute shall notconduct the county conference.

      Elizabeth Antus was obviously the one who initiated because she was the one emailing FCS

    8. The county conference shall be held before a person in the county department or agency wherethe proposed decision is pending who was not directly involved in the initial determination of theaction in question
    9. The county department, prior to taking action to deny, terminate, recover, initiate vendorpayments, or modify financial assistance provided under the Colorado Works program to a client,shall, at a minimum, provide the client an opportunity for a county conference.1. The right of a client to a county conference is primarily to ensure that the proposed actionis valid, to protect the client against an erroneous action concerning grant payment
    10. The state department will not condone any actions of the county department that could bedetermined to be a violation of state or federal law. Any actions taken by a county departmentthat is determined to be in violation of state or federal law may be subject to corrective action per9 C.C.R. 2501-1 section 1.150
    11. The client shall be offered an in-person interview at redetermination
    12. The county department shall ensure that no information concerning a client is released withoutauthorization
    1. O R G A N I Z AT I O N A L C H A R T

      Boulder County Organizational Chart. The line items in each box (at least for DHHS) are the names of the divisions

  4. May 2023
    1. 2. Information secured by the county department for the purpose of determining eligibility and need is confidential.
    2. Ensuring privacy while interviewing and the continuous confidentiality of information are essential. This involves both office facilities and county worker discretion. Office procedures and facilities should be such that information is not inadvertently revealed
    3. When a county worker consults a bank, current/former employer of a client, another social agency, etc., to obtain information or eligibility verification information, the identification of the county worker as an employee of the county department will, in itself, disclose that an application for assistance has been made by a client
    1. Within three (3) working days after the effective dateof the decision, the local office shall implement necessary actions to provide benefits in thecorrect amount, terminate benefits, recover benefits incorrectly paid, and/or other appropriateactions in accordance with the rules.
    2. The certification office shall promptly inform the household in writing if the benefits are reduced orterminated pending the final agency decision.
    1. responsibility

      You don't even know what that word legally means.

    2. custody.

      custody custody custody. everyone throwing around that word like they know what it means. Tracy..."custody". Jackie..."custody". Antus...."custody.

    3. we do not foreseethis changing in the near future.

      You don't do you? ....but reunification "is the goal" right Jackie?

    4. AT ALL

      "AT ALL" ?? and all caps??

    5. Jackie

      Jackie (FCS) is prohibited from sharing any information about the case

      Reasonable Efforts - not so much RE as it's criminal malpractice. Jackie released confidential case information, purposefully AND misrepresented it. Also CCR 7.601 protect confidentiality. 12 CCR 2509-7 https://hyp.is/UaaebvvTEe2eeDeCZWyDVw/docdrop.org/download_annotation_doc/12-CCR-2509-7-43cgo.pdf

    1. Program Integrity (quality assurance and training)

      Program Integrity is a whole separate fraud specialist team...and they STILL don't know the laws

    1. Will my benefits continue during the appeal? If you request a hearing or a Dispute Resolution Conference any time prior to the date the action is to be taken and if your SNAP certification period has not yet ended, your benefits can continue in the amount you received prior to the action you are appealing.

      Code of Colorado Regulations 500 - Department of Human Services 2506 - Food Assistance Program (Volume 4B) Rule 10 CCR 2506-1 - RULE MANUAL VOLUME 4B, FOOD ASSISTANCE Section 10 CCR 2506-1-4.600 - ONGOING CASE MANAGEMENT Section 10 CCR 2506-1-4.606 - PUBLIC ASSISTANCE (PA) HOUSEHOLD CHANGES

      B. When there is a change in a PA case and the local office has sufficient information to make the corresponding SNAP adjustment, the local office shall follow the guidelines listed below.

      1. If the change in household circumstances requires a reduction or termination of both PA and SNAP, the following action will be required:

      b. If a household requests a fair hearing any time prior to the effective date of the Notice of Adverse Action, and its certification period has not expired, the household's participation in the program shall be continued on the basis authorized immediately prior to the Notice of Adverse Action, unless the household specifically waives continuation of benefits. Continued benefits shall not be issued for a period beyond the end of the current certification period. c. If the household appeals only a PA adverse action and is granted interim relief, SNAP benefits authorized prior to the adverse action shall continue or be restored. However, the household must reapply if the SNAP certification period expires before the hearing process is completed.

      REGARDING TANF: as stated in the state plan and no doubt somewhere in the CCR- "If the appellant is receiving financial assistance, medical assistance, social services, or basic cash assistance under the Colorado Works Program at any time a conference or hearing is requested, all benefits will continue, pending the outcome of the State level fair hearing "

    1. ar Governor Ritter:This letter is sent as a cover to the report being submitted according to the requirements of C.R.S. 26-5.5-104 (6) that are as follows:“On or after July 1, 1994, the Executive Director of the State Department shall annually evaluate thestatewide Family Preservation Program (Program)

      Letter from CDHS to the Governor of Colorado - Di, Ph, D., Malone, O., Ritter, B., Governor, K., & Beye. (2008). OFFICE OF CHILDREN, YOUTH AND FAMILY SERVICES G. [LINK]

    1. 3.604.2 Household CompositionA. A Colorado Works household consists of clients who are part of the assistance
    1. (III) The parents of a dependent child, including expectant parents, or a specified caretaker
    2. 26-2-706. Target populations.(1) (a) Subject to the provisions of this section and restrictions in the federal law, those persons or families who may receive assistance under the Colorado works program include: (I) Dependent children under the age of eighteen; (II) (A) Dependent children between the ages of eighteen and nineteen who are full-time students in a secondary school,
    1. The Colorado  Combined  State  Plan  is  effective  July 1, 2022. Colorado’s TANF program is known as Colorado Works and is designed to assist families in becoming stable and self-sufficient
    1. The TANF State Plan is a mandatory statement submitted to the Secretary of the Department of Health and Human Services by the state. It consists of an outline specifying how the state's TANF program will be administered and operated and certain required certifications by the state's Chief Executive Officer. It is used to provide the public with information about the program. Authority to require states to submit a state TANF plan is contained in section 402 of the Social Security Act, as amended by Public Law 104-193,
    1. SECTION 8. AID TO FAMILIES WITH DEPEND-ENT CHILDREN AND RELATED PROGRAMS(TITLE IV–A)
    2. States define ‘‘need,’’ set their own benefit levels, establish (with-in Federal limitations) income and resource limits, and administerthe program or supervise its administration
    1. households in which all members receive cash benefits from either Supplemental Security Income,Temporary Assistance for Needy Families (TANF), or general assistance are categorically eligible for SNAP
    1. Section 5(a) of the Food and Nutrition Act of 2008, as amended, provides that households in which each member receives benefits under a State program funded under part A of Title IV of the Social Security Act (SSA) (also known as Temporary Assistance for Needy Families (TANF) block grants [1] ) shall be categorically eligible for the Supplemental Nutrition Assistance Program (SNAP).
    1. In addition, the Child Welfare Reform Bill created a cash fund that can be used by child welfare agencies to fund prevention and intervention services
    2. raining series for judges and attorneys on specific content relevant to each phase of a case (Before a Petition is Filed, After a Petition is Filed and a Child or Youth Enters Foster Care, and During a Child or Youth’s Transition f rom Foster Care)

      Powerpoints: - Before a Petition is Filed, - After a Petition is Filed and a Child or Youth Enters Foster Care, and - During a Child or Youth’s Transition f rom Foster Care)

    3. two service tracks have been identified:1. Services designed to meet the mental health needs of the child or youth.2. Services designed to improve family functioning, which may include addressing youth delinquent behavior.
    4. Colorado’s goal is to ensure that all children, youth and families have access to the services they need regardless of where they happen to live in the state
    5. Colorado’s vision is that all children, youth, parents or kin caregivers with these risk factors will be eligible for Title IV-E prevention services—both those who are involved in the child welfare system and those who have not been the subject of a child maltreatment report but share characteristics that deem them at serious risk of out-of-home placement.

      families who ARE INVOLVED. ....AND.... NOT INVOLVED with the child welfare system

    6. Reunification, adoption or guardianship arrangements that are at risk of disruption
    7. the existing system cannot just be modified; rather, a fundamental shift in service delivery and support to families must occur.

      **annotations were started in a draft version of this document (HERE) and then continued here.

    1. •Reunification,adoptionorguardianshiparrangementsthatareatriskofdisruption
    2. Contents

      **more finished version of this document available here. I pick it up there after the annotations made on this document> CDHS Family First Prevention Services Act forms and resources Prevention Services PreventionPlan_Sept 30 2021

      https://docs.google.com/document/d/1JJD-hVPHuVaa3kX9YtrLHf8UEE5xULBOymIPImo1a6Y/edit

    3. circumstancesandcharacteristicsthatputchildrenandyouthatseriousriskofenteringorre-enteringfostercareasidentifiedbyresearchandexperience

      The definition below describes the circumstances and characteristics that put children and youth at serious risk of entering or re-entering foster care as identified by research and experience.

    4. InColorado,theintentofplacementpreventionservicesistoproactivelystrengthenandsupportfamiliesasearlyaspossible,beforetheyareincrisis,regardlessofwhethertheyareformallyinvolvedwiththechildwelfaresystemornot

      In Colorado, the intent of placement prevention services is to proactively strengthen and support families as early as possible, before they are in crisis, regardless of whether they are formally involved with the child welfare system or not.

    5. ColoradohasastrongfoundationandhistoryofprovidingpreventionandearlyinterventionservicesthroughtheuseofCoreServices,IV-EWaiverinterventions,CMPsandintegratedhumanservicesdelivery

      As previously described, Colorado has a strong foundation and history of providing prevention and early intervention services through the use of Core Services, IV-E Waiver interventions, CMPs and integrated human services delivery. In addition,

    1. The IMPACT organization.
    2. I would have preferred a “Yes/No” option for this question. I believe that Boulder County’s prevention services are better than most districts and we can do so much better at the same time. The IMPACT partnership in Boulder County should be a state and national model. Money diverted from savings by not committing clients is key to providing more services in the community. Many other districts struggle with prevention due to funding and there seems to be a gap in how this is accomplished. Providers are struggling to stay open and are constantly dealing with hardships due to funding. Great therapist and support workers often leave organizations that serve this population due to low pay. The key to making the Family First initiative a success is creating and maintaining a robust, well-funded system of care in communities. A system of care that incentivizes front line workers. These service providers are currently under funded and the work is difficult, which is a recipe for poor service delivery.

      "I believe that Boulder County's prevention services are better than most districts"

  5. www.blueprintsprograms.org www.blueprintsprograms.org
    1. Risk-sharing model that is based on a cooperative arrangement to blend staff,resources and funding between the partner agencies
    1. n the short-term, OBH guidance allows for virtual visits for the next calendar year, whileencouraging face-to-face visits whenever possible
    2. take advanced Family First andtrauma-informed care trainings.
    3. he entire assessment process fromthe time of referral to the completed assessment summary is completed within 14 days. Ideallythe process should be completed before placement, but it must be completed within 10 businessdays of placement if that’s not possible.

      14 DAYS ....BEFORE PLACEMENT.....otherwise MUST BE DONE IN 10 DAYS

    4. The Family FirstPrevention Services Actin ColoradoAN IMPLEMENTATION GUIDEFOR COUNTY DIRECTORS
    5. A child is considered to be a IV-E Prevention Candidate when:• The child is designated as being at “serious risk”of out-of-home placement (see FAQs for moreinformation);• There is a prevention/treatment plan in place forthe child/family; and,• The child and/or their family is receiving anevidence-based service (as identified throughColorado’s prevention plan)
    6. can also reach out to local providers directly.
    7. Medicaid: Coordination with your Regional Accountable Entity (RAE) and Medicaid will be vital. Whenconsidering where Medicaid may be able to pay first before other funding streams for Family Firstprevention services, a good place to start is with a conversation with the RAE and county at the tabletogether.
    8. Title IV-B Promoting Safe and Stable Families: PSSF funds are awarded via an RFP process forpurposes of providing family support services, family preservation services, reunification services, andadoption support services.
    9. Counties in many cases can use their TANFallocations and local reserves for prevention programs
    10. regarding the use of transition funds, the Department created a diverse15-member group, 6 of whom represent county human service departments, in July 2020. The group ischarged with reviewing and prioritizing funding proposals and developing recommendations for theDepartment. Funding opportunities on the prevention services side include:
    11. caseworkers in Trails will be promptedto complete an individualized prevention plan for each child or youth identified. That plan is currentlytitled the Treatment/Prevention Plan a
    12. In Trails, caseworkers must fill out the IV-E CandidacyDetermination Form (Job Aide) to determine whether a child or youth is a “candidate for preventionservices.
    1. Family First Prevention Services by Colorado Lab

      CDHS surveyed counties to understand where services rated by the Family First Clearinghouse as " promising", "supported", or "well-supported" are currently offered. Counties and providers can submit updates and corrections here: https://udenver.qualtrics.com jfe/form/SV_1X6b6p8f4jh6TJz

    1. There are two main-levelquestions in the IV-E PreventionCriteria section.10. Click a radio button for thedesired response (only oneradio button can be selected).Note: If the selections made inthe IV-E Candidacy section arechanged, all answers in the IV-EPrevention Criteria panel will bedeleted.

      CDHS DEMANDS THIS BE FILLED OUT.....so FUNCTIONAL FAMILY THERAPY, HEALTHY FAMIIES AMERICA, PARENT-CHILD INTERACTION THERAPY.....WASN'T THOUGHT APPROPRIATE????

      Referenced from the FFSPA Implementation Guide for Directors (HERE)

    1. or purchased by the county if such county does
    2. not have a placement alternative commission for the county
    3. Two or more counties may jointlyprovide or purchase alternative services to families
    4. HOUSE BILL 11-1196

      House Bill 11-1196: Flexible Funding for Families, was signed into law. The bill redefined family preservation services to serve "appropriate families who are involved in, or who are at risk of being involved in the child welfare, mental health, and juvenile