A new approach to family welfare

Puerto Rico has achieved a significant milestone, becoming the first territory in the U.S. to have an approved child welfare prevention plan. This plan, aligned with the federal public policy contained in the Family First Prevention Services Act, not only increases the state’s capacity to recover funds from the federal government but also sets a promising path for our families, children, and youth. What does this historic achievement mean for us all?

First and foremost, the adoption of the plan implies transforming the system to offer services that have been proven effective in preserving families together, using evidence-based and trauma-informed interventions. These services focus on addressing mental health issues and substance use-related problems, promoting parenting skills, and providing support and assistance to relative caregivers.

Evidence-based practices are interventions scientifically proven to be effective and appropriate for addressing specific problems in a particular population. The selection of evidence-based practices for Puerto Rico’s plan favored relevant and suitable interventions for our cultural and linguistic context. The trauma-informed approach ensures that organizations, systems, programs, and services take into account the impact of traumatic experiences. It also recognizes the signs and symptoms of trauma in individuals, families, the workforce, service providers, and others involved in the welfare system while actively seeking to prevent re-traumatization.

Let’s look at a hypothetical example: the Department of Family Services intervenes with a family after receiving a complaint. After evaluation, it determines that the children are not in immediate danger, so they remain in the family home. The family is referred to a prevention plan that includes individual and family therapies. This plan will take into account the effect of trauma on the family, such as intergenerational trauma related to abuse. The therapy plan will use one or more evidence-based interventions to strengthen parenting skills and address any other needs.

As part of the approved plan, Puerto Rico will provide five evidence-based interventions in accordance with federal requirements. These interventions will be offered through the Department of Family Services and include Parenting Fundamentals, Motivational Interviewing, Brief Strategic Family Therapy, Functional Family Therapy, and the Kinship Support Program. These services will expand the resources available to support children, youth, and their families, and it is expected that these resources will continue to grow with the implementation of the prevention plan.

Studies show that when children and youth remain in a family setting, whether with their parents, relative caregivers, or foster homes, they experience healthier development. This transformation supports and complements that approach with interventions proven effective in promoting children’s welfare. This way, our families will receive effective family preservation and prevention services while collaborations between the Department of Family Services and community service providers expand.

(Originally published in the Opinion section of El Nuevo Día.)