Tribal Self-Governance Study
Description of Program, Service, Function or Activity (PSFA)

INVENTORY

1. Agency Name: Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children's Bureau

2. Program Name: Abandoned Infants Assistance Program

3. CFDA #: 93.551

4. Program Objectives: To develop, implement and operate project that demonstrate how to: (1) prevent the abandonment of infants and young children exposed to HIV/AIDS and drugs, including the provision of services to family members for any conditions that increased the probability of abandonment of an infant or young child; (2) identify and address the needs of abandoned infants, especially those born with AIDS and those exposed to drugs; (3) assist these children to reside with their natural families, if possible, or in foster care; (4) recruit, train and retain foster parents; (5) carry out residential care programs for abandoned children and children with AIDS; (6) establish programs of respite care for families and foster families; (7) recruit and train health and social services personnel to work with families, foster families and residential care staff; and (8) prevent the abandonment of infants and young children by providing needed resources through model programs. This program also funds technical assistance, including training, with respect to the planning, development and operation of the projects.

5. Titles and Descriptions of at least Three Funded Grantees: Coordinated Intervention for Children Affected by Maternal Substance Abuse and HIV/AIDS
The services of the Yale Coordinated Intervention for Women and Infants Program (CIWI) and the Yale Program for HIV/AIDS Affected Children and Families (PHAC) have shown to be effective in reducing medically unnecessary hospital stay, maintaining children with their family networks and improving the rates of medical compliance for children born to parents who are actively abusing drugs or are HIV infected. Because entry into drug treatment was associated positively with improved outcomes for children affected by parental substance abuse, the project will target women in treatment and work to strengthen already existing collaborations with drug treatment programs.

Based on the results of the project's third-party evaluation and on the staff's clinical knowledge and experience, the project will extend and enhance the present program by 1) expanding the intervention to include opiate addicted women and determining the effectiveness on this population; 2) promoting parent/child communication and interaction in the service of promoting development, particularly in the areas of speech and language; 3) facilitating parent counseling and child guidance groups for mothers and support groups for children whose mothers are in recovery to provide further support for permanency and maintenance of the child's primary attachments; 4) targeting services to HIV/AIDS affected adolescents in the juvenile justice system who are rejected by their caregivers. The overarching program goals are to ensure child safety, permanence, and stability of care-giving and general well-being, promote healthy child development and provide guidance and support for caregivers.

Project Milagro
The objectives of Project Milagro, conducted by Bienvenidos Children's Center, Inc. are to provide care prevention/early intervention services to 60 at-risk women and their families; increase health and family supportive services to Latinas and their children impacted by HIV/AIDS; decrease substance abuse among mothers; improve mental health status; improve economic and living conditions and increase knowledge among health and social service professional of needs and service strategies to prevent abandonment by the target population.

The project's expected outcomes are to maintain at-risk infants and children in their own homes or those of relatives; improve the quality of life of the family; reduce parental and environmental; stress; develop a permanency plan for each participating family; increase voluntary use of community resources; decrease use of drugs and/or alcohol; reduce symptoms of anxiety and depression; increase participants' social support systems; improve housing conditions; strengthen the family's ability to become self-sufficient; and increase knowledge among child welfare professionals.

Program services include comprehensive in-home services; family support activities through the family support center; substance abuse recovery; crisis respite care; permanency planning; parenting education and health services education.

Family Options Project
The Illinois Department of Children and Family Services (DCFS) and a consortium of partner agencies conduct comprehensive permanency planning services for HIV-affected families in Chicago metropolitan area. This goals of this project are to: 1) provide a coordinated program of comprehensive, accessible permanency planning services to HIV-affected families, particularly those at risk of state child welfare involvement; 2) prevent disruption if HIV-affected families through social work services that support legal permanency planning and healthy family functioning; and 3) provide legal permanency planning service to HIV-affected families and caregivers which will promote family stability and ensure future legal permanency.

The project's objectives are 1) improved permanency outcomes, including diversion from child welfare, for HIV-affected children by providing accessible, comprehensive permanency planning services to 75 families with 175 affected children annually, or 300 families with 750 children over four year of age; 2) the provision of social work services that support legal planning and healthy family functioning to 60 families and 150 affected children annually, or 240 families and 600 children over four years; 3) the provision of comprehensive legal services to 37.5 families with 94 children per year, resulting in 150 families completing legal plans for 376 children over four years; 4) increased awareness of permanency planning's importance, of planning needs and barriers and of options available to families; 5) enhancements to laws. policies and practices which impact the family's ability to make permanency plans; 6) increased knowledge and awareness among legal and social work professional of the project interdisciplinary practice model; and 7) a longitudinal study of family stability based on the permanency planning.

The project's anticipated results are: improved permanency outcomes for HIV-affected children' increase awareness about permanency planning among professional, parents and consumers; an expanded interdisciplinary service model of permanency planning, policy enhancements; procedure and practice guides; training materials and publications.

AUTHORITY

6. Authorizing Statute(s): Abandoned Infants Assistance Act of 1988, Section 104, Public Law 101-505, as amended, Public Law 104-235, 42 U.S.C. 670

7. Regulatory/Administrative Requirements: N/A

8. Mandatory Statutory Changes Needed to Operate PSFA as a Demonstration: Authority would need to modify the grant making process, enable the Department to make self-governance funding awards, and alter federal monitoringing mandates.

APPLICANTS, BENEFICIARIES and FORMULAS

9. Type of Funding: Discretionary

10. Eligible Applicants: State or local governments, federally-recognized Tribal governments, U.S. territories and possessions; nonprofit organization and universities of higher education.

11. Allotment Formulas, Etc: N/A

12. Applicant Provisions/Allotments in Law for Indians:. N/A

13. Eligible Beneficiaries: Infants and children impacted by HIV/AIDS and/or substance abuse, their parents, families and caretakers

14. Beneficiary Provisions/Allotments in Law for Indians: N/A

15. Amount and Percent of Total that is Mandatory for Indians: None

FINANCIAL

16. Total FY 2000 Funding: $12,205,000

17. Amount and Percent of Total Funding Awarded to Indians: None specifically to tribal organization or tribes. One comprehensive service demonstration project serves an Indian population in Oklahoma City, Oklahoma.

18. For Awards to Tribes: Number, Range and Average Amounts: N/A

19. Total FY 2001 Funding and Amount for Indians, If Known: N/A

OTHER

20. -- how long assistance is funded: - Grants are made for a period up to 48 months.

-- fund use restrictions: -

-- reporting requirements: - Financial reports are required semi-annually; program progress reports are required semi-annually; a final report and an expenditure report are required no later that 90 days after the completion of the project.

-- audit requirements: - Audits are conducted in accordance with the requirements in 45 CFR 74 and 92.

CONTACTS

21. DHHS Workgroup Contact: Gerry Neal, Children's Bureau
205-2629

22. HHS Agency /Program Contact: Patricia Campiglia, Children's Bureau
205-8060

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