Transcript CCI PROVIDER G

CCI PROVIDER
G-FORCE MEETING
January 11, 2010
1
Agenda
• Maltreatment in Care
• Permanency Continuum
• Permanency Status Exercise for February
• DFCS Data Overview: CPS & Foster Care
• Foster Care Exit Reasons in Past 6 Months
• Foster Care Re-entry
2
Maltreatment in Care
• In February 2010, monthly discussion about
maltreatment in care (including definition,
current data, implications, etc.) will begin.
• Review maltreatment in care reports for your
agency (from July 1, 2009 to present) and be
prepared to discuss at the February meeting.
3
PERMANENCY FOCUS AT EVERY STAGE
Preserve
Safe & Thriving
Forever Families
Office of
Family
Independence
Family
Support
Investigation
IN - HOME
Safe &
Forever
Family
Children Safe &
Thriving in Forever
Families Sooner
Family
Preservation
Safety
Resource
HYBRID OF
BOTH
Foster
Family
Group
Home
CCI
OUT-OF-HOME
PRTF
Independent
Living /
Transitional
Living
IN
HOME
4
Child & Family Services Review
(CFSR)
Permanency Composite 3: Children in
Care for Long Periods of Time
Composite 3: Children in Care for Long
Periods of Time
• Measure 1: Of children in foster care for 24 months or
longer, what percent were discharged to a permanent
home prior to their 18th birthday and by the end of the
fiscal year?
• Measure 2: Of children discharged from foster care and
who were legally free for adoption at the time of discharge,
what percent were discharged to a permanent home prior
to their 18th birthday?
•
Note: A permanent home is defined as adoption, guardianship, reunification,
or living with relatives.
6
Georgia’s Performance on the Measures Related to Permanency for
Children in Care for Long Periods of Time
(Composite 3)
Measure 1: Exits to
permanency prior to 18th
birthday for children in
care 24 months or more.
Goal
National
Median
3/31/2008
3/31/2009
29.1%
25.0%
32.8%
37.1%
98.0%
96.8%
92.3%
91.3%
37.5%
47.8%
45.1%
49.4%
(Higher score desirable)
Measure 2: Exits to
permanency for children
with TPR (legally free for
adoption).
(Higher score desirable)
Measure 3: Children
emancipated who were in
foster care for 3 years or
more.
(lower score desirable)
Note: Color coded boxes for 3/31/2009 represents our progress since 3/31/2008;
green = improvement and red = decline in performance.
7
Children who will have been in care for 24 months or more
and will be 18 Years of Age by September 30, 2010
Number
Percent of Total
CCI
205
43.8%
CPA Foster Home
97
20.7%
DFCS Foster Home
91
19.4%
Other
75
16.0%
Total
468
8
Barriers to Permanency
Housing
Legitimate Permanency (job
corp, military, college /head
of household
# of Permanent
Connections
Departure reason
Anticipated Departure Date
Permanency Status
Current Diligent Search
Completed
Axis 1 diagnosis (yes/no)
Behavior Health Concerns
Special Education Needs
Educational Status
Grade Level
Concurrent Plan
February Worksheet
•Concurrent plan: primary plan is listed on the Excel spreadsheet. Please insert concurrent plan if
there is one.
•Grade level: child’s current grade (10th, 11th, etc).
•Educational status: if child does not have a grade level but is in a specialized education program,
include the type of program here.
•Special education needs: if child has specialized educational needs, please specify here.
•Behavioral Health Concerns: if child has behavioral health issues, list here.
•Axis 1 diagnosis: only need to enter yes or no to indicate whether a diagnosis exist.
•Current diligent search completed: enter “yes” if you feel DFCS is aware of and has information on
all extended family or fictive kin. Enter “no” if you do not feel this to be the case. Also, list the
relationship to child of individuals that DFCS does not appear to be aware of but who are known to
your agency and the child.
•Permanency status: child’s status based on your assessment (options to be used in the slides that
follow).
Note: Providers will receive an Excel spreadsheet with name of children and demographic information and will
complete the items listed above. Return the spreadsheet to Sharon Hill at [email protected] on or before
February 3, 2010.
9
Barriers to Permanency
Housing
Legitimate Permanency (job
corp, military, college /head
of household
# of Permanent
Connections
Departure reason
Anticipated Departure Date
Permanency Status
Current Diligent Search
Completed
Axis 1 diagnosis (yes/no)
Behavior Health Concerns
Special Education Needs
Educational Status
Grade Level
Concurrent Plan
February Worksheet, continued
•Anticipated departure date: if child has a potential exit or departure date already; i.e. possible
adoption finalization date, child already has a date to enter job corp., etc.
•Departure reason: reunification, live with relative, guardianship, adoption, emancipation, legitimate
permanency.
•Number of permanent connections: how many individuals / families child has that are potential lifelong
connections for the child.
•Legitimate permanency: if child is not exiting to positive permanency, indicate other positive and
legitimate reasons child may be leaving care, such as college, job corp., entering military, etc.
•Housing: if child is leaving care for reasons other than positive permanency, does he/she have
appropriate housing?
•Barriers to positive permanency: list any potential barriers to positive permanency or positive
legitimate permanency for child.
Please feel free to list additional information on the spreadsheet that may be significant to permanency
outcomes for these children.
Note: Providers will receive an Excel spreadsheet with name of children and demographic information and will
complete the items listed above. Return the spreadsheet to Sharon Hill at [email protected] on or before
February 3, 2010.
10
PERMANENCY STATUS
Use for February Exercise
Current Child Permanency Status
Child has legal positive permanency (adoption,
reunification, lives with relative or legal guardian)
Positive permanency
achieved
Child has legitimate positive permanency (military, job corp., Positive legitimate
college, full-time job, etc.) and will not be signing back into
permanency achieved (or
care.
will be achieved on or before
September 30, 2010)
Child will be 18 but does not have positive permanency or
positive legitimate permanency reasons for leaving care.
Emancipation
Child will be 18; does not have positive permanency or
positive legitimate permanency reasons to leave care and
will be signing back into care.
Signing back into care
Child is in a family setting that the child, the caregivers and
the casework team believe is lifelong.
Very good permanency
status
12
Current Child Permanency Status
Child is going to a stable living situation with own parents/relatives and previously
identified safety risks have been eliminated.
Fairly good
permanency status
Child is in a family setting that the child, caregivers and case workers believe is
lifelong; a plan is in place to ensure safety and stability have been achieved; the
child, if old enough, and the caregiver's are committed to the plan; and
adoption/guardianship/reunification issues, if any, are near resolution.
Good permanency
status
Child is in a family setting that the child, caregivers and case workers believe will last
until maturity; a plan is in place to ensure safety and stability is being achieved, and
the child, if old enough, and the caregiver's are committed to the plan; and
adoption/guardianship/reunification issues, if any, are being addressed;
-ORChild is in temporary placement but transition is planned and the child is ready to
move to identified safe, appropriate, permanent home; a child and family plan for
safety and permanency is being implemented; and the child, if old enough, and
caregiver's are committed to the plan.
Fair permanency
status
13
Current Child Permanency Status
Child is in a family setting that the child, caregivers and casework team feel could
endure lifelong and they are developing a plan to achieve safety and stability;
-ORChild is in a temporary placement, and likelihood of reunification or permanent
home is uncertain; adoption/guardianship issues are being assessed; and
concurrent permanency plan(s), if any, are uncertain or problematic.
Uncertain permanency
status
Child is living in a home that is not likely to endure or is moving from home to
home due to safety and stability problems, failure to resolve
adoption/guardianship issues, or because the home is unacceptable to the child;
-ORChild remains in temporary home without a realistic or achievable permanency
plan; and concurrent permanency plan(s), if any, have stalled or failed.
Poor permanency
status
14
DFCS Data Overview: Child Protective
Services & Foster Care
• Disposition of Intakes
• Family Support Services
• Investigations
• Repeat Maltreatment
• Foster Care
15
Disposition of Intakes
• Screened – out
• Family Support Services
• Investigations
16
Disposition of Intakes / Reports during SFY 2009
60%
50.4%
There were 81,066
reports made to Child
Protective Services
during SFY 2009.
50%
35.4%
40%
30%
14.2%
20%
10%
0%
Family Support Services
Investigations
Screened Out
17
Investigation Findings for SFY 2009
42.3%
45%
40%
33.6%
35%
30%
20.2%
25%
20%
15%
10%
3.9%
5%
0%
Unsubstantiated Closed
Substantiated Open
Substantiated Closed
Unsubstantiated Open
There were 28,656 investigations conducted in SFY 2009; 53.8% were substantiated. The
substantiated / open and unsubstantiated/ open refers to families referred for Family
Preservation Services while substantiated / closed refers to families who were either closed
with no further DFCS involvement or children entered foster care.
18
19
20
21
22
23
Recurrence of Substantiated Maltreatment in Georgia
from SFY 2004 to SFY 2009
10.00%
9.00%
9.20%
Recurrence of
substantiated child
maltreatment has
remained well below the
national standard since
SFY 2006.
8.00%
7.54%
7.00%
6.00%
National Standard: 5.40%
or below
5.15%
5.00%
4.00%
3.58%
3.00%
3.01%
2.54%
2.00%
1.00%
0.00%
SFY 2004
SFY 2005
SFY 2006
SFY 2007
SFY 2008
SFY 2009
Note: Recurrence of substantiated maltreatment is the percentage of children who were
victims of a second substantiated maltreatment report within 6 months of the first report. Rate
was 2.69% for November 2009.
24
25
26
Number of Entries into Foster Care Over
Time
United States
320000
310000
307,570
300000
303,235
297,551
290000
293,456
289,075
280000
Source: Casey Family Services
20
07
20
06
20
05
20
04
20
03
270000
27
The Total Number in Foster Care Over Time
United States
550000
500000
450000
3
0
20
4
0
20
Source: Casey Family Services
5
0
20
6
0
20
7
0
20
28
Percent of those in Foster Care Who Age Out
United States
10%
9%
8%
7%
6%
5%
4%
3%
2%
1%
0%
3.89%
4.10%
4.10%
2003
2004
2005
Source: Casey Family Services
4.79%
2006
5.50%
2007
29
Foster Care Entry Rate per 1,000 Children
by Calendar Year in Georgia
4.50
4.00
3.92
3.68
3.50
3.33
3.00
3.21
2.87
3.06
2.76
2.50
2.16
2.00
1.50
1.00
0.50
0.00
CY 2001
CY 2002
CY 2003
CY 2004
CY 2005
CY 2006
CY 2007
Note: The number of children entering foster care has steadily decreased since 2008. Data
Source: Chapin Hall.
CY 2008
30
Foster Care Entry Rate per 1,000 Children
by Age & Calendar Year in Georgia
14.00
12.00
10.00
All Entries
8.00
Under 1
1-5
6-12
6.00
13-17
4.00
2.00
0.00
CY 2001
CY 2002
CY 2003
CY 2004
CY 2005
CY 2006
CY 2007
CY 2008
All Entries
3.06
3.21
3.68
3.92
3.33
2.87
2.76
2.16
Under 1
10.38
11.20
11.89
12.92
10.85
10.40
10.08
8.42
1-5
3.41
3.48
4.16
4.31
3.56
3.06
3.11
2.29
6-12
2.48
2.53
2.80
3.00
2.46
2.01
1.87
1.42
13-17
2.06
2.30
2.81
3.02
2.75
2.32
2.14
1.75
Note: Children under the age of one continue to be more likely to enter care than any other
age group. Data Source: Chapin Hall.
31
Foster Care Entry Rate per 1,000 Children by
Race/Ethnicity & Calendar Year (Georgia)
6.00
5.00
4.00
All Entries
White
3.00
African- American
Hispanic
2.00
1.00
0.00
CY 2001
CY 2002
CY 2003
CY 2004
CY 2005
CY 2006
CY 2007
CY 2008
All Entries
3.06
3.21
3.68
3.92
3.33
2.87
2.76
2.16
White
2.31
2.60
2.97
3.12
2.81
2.40
2.28
1.64
African- American
4.58
4.50
5.16
5.40
4.77
4.12
3.90
3.24
Hispanic
2.22
2.47
2.99
3.99
2.48
2.12
2.49
1.99
Note: African-American children have higher foster care entry rates than other racial/ethnic
groups.. Data Source: Chapin Hall.
32
EXITS FROM FOSTER CARE (Georgia)
October 2008 – March 2009
45%
41%
40%
35%
30%
22%
25%
18%
20%
10%
15%
9%
10%
5%
0%
Reunification
Relatives
Adoption
Emancipation
Guardianship
Source: AFCARS file. 3,944 total children left care during selected time period.
33
Exit Reasons for Children who were with
Selected Providers in Past 6 Months
Exit Reason
Number of Children
Percent of Exits
Guardianship
4
1.7%
ILP Aftercare
11
4.6%
Relative
22
9.2%
Reunification
103
43.3%
18 Years / No ILP
32
13.4%
Emancipated
58
24.4%
Other
8
3.4%
Total
238
34
Provider
Reunification
Relative
Emancipated
Total
Carrie Steele Pitts Home, Inc.
3
0
1
4
Center For Children
3
0
1
4
Chris Kids
1
0
7
8
Downing Clark Center
2
1
3
6
Families First
1
1
0
2
Family Crisis Center Of Walker
2
1
2
5
Georgia Baptist
10
3
0
13
Georgia Sheriff's
0
1
2
3
Hephzibah Children 2nd Chance
2
0
1
3
Kidspeace - Bowdon Campus
5
1
0
6
Methodist Home
2
2
5
9
Morningstar
0
1
2
3
Murphy-Harpst
1
0
3
4
Open Door Home
4
0
4
8
Project Adventure Inc
1
2
10
13
Ramsay Youth Svc
2
1
1
4
The Bridge, Inc.
4
0
2
6
Twin Cedars
6
1
2
9
United Methodist Child
25
5
11
41
Vashti Center
1
2
1
4
Total
75
22
58
155
35
Foster Care Re-entry
SFY 2004 – SFY 2009
10.0%
9.0%
8.0%
8.2%
8.1%
8.0%
National standard: 8.6% or below.
7.4%
7.0%
6.4%
6.0%
5.0%
4.4%
4.0%
3.0%
2.0%
1.0%
0.0%
SFY 2004
SFY 2005
SFY 2006
SFY 2007
SFY 2008
SFY 2009
Note: Re-entry rate determined by the percent of children who re-enter care within 12 months of
leaving care. Foster care re-entry rate for November 2009 was 8.2%.
36
Re-entry by Placement Type and Average
Months in Foster Care
Number of Children who
have Re-Entered
Care
Percent of Children who
have Re-entered
Care
Average Months in
Foster Care
Child Care Institution
55
3.3%
37.4
CPA Family Foster
Home
25
1.3%
36.3
DFCS Family Foster
Home
132
4.9%
19.4
Relative
46
4.8%
19.9
Placement
37
Number of Children
Re-entering
Average Months in
Care
Average Months in
Current Setting
Carrie Steele-Pitts Home
16
28.2
18.5
Center for Children and Young Adults
1
23.8
5.7
Chris Kids
0
53.8
6.3
Downing Clark Center
0
32.9
8.5
Families First
2
46.9
25.3
Family Crisis Center of Walker
2
17.8
10.1
Georgia Baptist
3
34.7
12.4
Georgia Sherrif's Youth Home
0
33.4
18.7
Hephzibah Children's Home
2
30.5
15.9
HHC / Lighthouse Care Center
0
24.6
2.7
Kidspeace
2
33.2
7.4
Methodist Home
1
49.3
12.9
Morning Star
0
52.7
13.3
Murphy-Harpst Children's Centers
0
44.4
10.6
Open Door Home
0
20.5
14.4
Project Adventure
0
30.0
7.1
Ramsey Youth Services of Georgia
1
47.5
7.8
The Bridge
1
36.2
6.8
Twin Cedars Youth Services
0
38.4
11.5
United Methodist Children's
1
36.7
13.1
Vashti Center
1
38.9
10.4
CCI Providers
38
Next
CCI Provider
G-Force Meeting
February 8, 2010
39