The family preservation program in Tennessee, HomeTies, began in October of 1989. State funding ($1.71 million in FY 90) for the program was provided through a joint legislative resolution signed by the Governor directing the Departments of Human Services, Mental Health, and Youth Corrections to proceed with an inter-departmental family preservation program. Eight teams, serving 24 counties, including Shelby County, were funded in 1989 (FY90) as pilot projects. The program initially served families with children diagnosed as seriously emotionally disturbed and adolescents charged with delinquent acts or status offenses who were at imminent risk of placement in substitute (i.e., out-of-home) care. Referrals were made by staff in the three state agencies who could place or cause the placement of children. HomeTies was, and is, based on the Homebuilders model of family preservation services--serving multi-problem families for 4-6 weeks using behavioral and cognitive therapeutic interventions and concrete services in order to prevent placement. Services are delivered through contracts with private and public agencies, most often community mental health agencies. This structure changed in 1998 when the state moved to a managed care model of purchasing and delivering services in one-half of the state.
|Number Investigated||Percentage Indicated||Number Investigated||Percentage Indicated||Number Investigated||Percentage Indicated||Number Investigated||Percentage Indicated|
|Types of Maltreatment|
|Minor physical abuse||1,415||26||1,438||26||1,101||30||1,057||30|
|Severe physical abuse||95||41||120||53||88||67||67||70|
|Failure to thrive||27||74||27||85||26||80||21||76|
|Lack of supervision||630||48||541||42||409||47||480||46|
|Sexual Abuse/ Exploitation||954||40||1,063||35||956||41||755||37|
|Substantial Risk of physical injury||43||72||93||65||68||78||115||64|
|Substance affected infant||48||96||78||90||61||97||45||89|
|12 years and older||1,577||33||1,657||36||1,283||40||1,090||35|
The FPS and family reunification programs offered by HomeTies constitute one of the state's four programs designed to preserve families. Wraparound services (i.e., individualized services purchased to prevent placement, reunify families, or support community/family based placements) are also available statewide.4 Community intervention and intensive aftercare programs are also available in selected counties for families with youth in the correctional system.
4 Wraparound services are not available to families receiving services in the Home Ties program, but they are available for use following intensive family preservation services as aftercare services.