Transcript Child and Family Services Review (CFSR)

The Child and Family
Services Review
(CFSR)
February 2008 Update
CFSR: What is the process?

Statewide Assessment

On-Site Review – Philadelphia,
Northumberland and Allegheny County

Final Report

Program Improvement Plan
CFSR Round 2 Timeline
Currently
 Statewide assessment draft submitted
May 2008
 Final statewide assessment due
July 28 – August 1, 2008
 On-site Review
Sept or Oct 2008
 Pennsylvania receives final report from federal
government
Within 90 days of notice of nonconformity
 Program Improvement Plan due
November 2010
 Program Improvement Plan implementation period ends
The PIP must include:




Measurable goals of improvement, action steps,
and a timeframe for addressing each outcome
and systemic factor that has been found to be
out of substantial conformity
Specific percentage of improvement (goal) that
will be achieved through the PIP for each
statewide data indicator that does not meet the
national standards
Benchmarks of progress toward achieving the
broader goals of the plan
Individual(s) responsible for undertaking each
action step
The PIP must include:




Geographic areas of the State in which the
action steps will be undertaken
The State’s plan for accessing TA resources to
support program improvements
A description of how PIP progress will be
evaluated by the State and reported to the
Federal government
The State must incorporate elements of the PIP
into the goals and objectives of the CFSP and
address progress implementing the PIP in the
Annual Progress and Services Report (APSR)
CFSR Data Profile
Pennsylvania’s
Performance
Overview of the Data Profile
Produced and used by ACF for the CFSR
 Similar information is provided to CCYA in
six-month county data packages
 Determines whether PA meets national
standards on data items in the CFSR
 Consists of:


Safety Data (NCANDS)
 Permanency Data (AFCARS)
Safety Data

Descriptive Information

Total Reports (Disposed)
 Dispositions
 Children Served and Children Placed
 Fatalities

Evaluative Information

Two Safety Indicators
 Time to Investigation
Safety Indicators

Recurrence of Maltreatment

National standard: 94.6%
 Pennsylvania score: 97.0%

Maltreatment of Children in Foster Care

National standard: 99.68%
 Pennsylvania score: 99.76%
Permanency Data

Descriptive Information

Population Flow
 Placement Types and Settings
 Permanency Goals
 Removal Episodes
 Lengths of Time

Evaluative Information

Four Permanency Composites
About Permanency Indicators






National Standards apply to composites only
Composite scores range from 50 to 150;
higher is better
On measures, compare PA score to national
medians and 75th percentiles
Measures are generally stated positively
On most permanency measures, only
children in care 8 days or more are counted
Trial home visits are counted differently for
reunification measures
Permanency Composite 1





Timeliness and Permanency of Reunification
Consists of four measures
National standard:
National median:
Pennsylvania score:
122.6
113.7
85.2
Timeliness and Permanency of
Reunification Measures

Exits to reunification: Of those reunified, percent
within 12 months (retrospective)
PA: 69.3%

Median: 69.9%
75th: 75.2%
Median length of stay: Of those reunified,
median months in care
PA: 6.9
Median: 6.5
75th: 5.4
Timeliness and Permanency of
Reunification Measures (con’d)

Entry cohort exits to reunification: Of those
entering care for first time, percent reunified
within 12 months (prospective)
PA: 44.5%

Median: 39.4%
75th: 48.4%
Prospective re-entry: Of those exiting care,
percent returning within 12 months
PA: 28.5%
Median: 15.0%
75th: 9.9%
Permanency Composite 2





Timeliness of Adoption
Consists of five measures
National standard:
National median:
Pennsylvania score:
106.4
95.3
106.1
Timeliness of Adoption Measures

Exits to adoption: Of those adopted, percent
within 24 months
PA: 26.4%

75th: 36.6%
Median length of stay: Of those adopted,
median months in care
PA: 31.6

Median: 26.8%
Median: 32.4
75th: 27.3
17+ months - adopted: Of those in care 17+
months, percent adopted by end of year
PA: 20.3%
Median: 20.2%
75th: 22.7%
Timeliness of Adoption Measures (con’d)

17+ months - legally free: Of those in care 17+
months and not free, percent free within 6 months
PA: 10.2%

Median: 8.8%
75th:10.9%
Legally free - adopted: Of those legally freed
during previous year, percent adopted within 12
months
PA: 61.6%
Median: 45.8%
75th: 53.7%
Permanency Composite 3
Permanency for children and youth in
foster care for long periods of time
 Consists of three measures

National standard:
 National median:
 Pennsylvania score:

121.7
112.7
135.5
Long Term Cases Measures

Exits prior to age 18th: Of those in care 24+ months,
percent discharged to permanent home by end of year
PA: 30.1%

75th: 29.1%
Exits for children with TPR: Of those discharged and
legally free, percent discharged to permanency
PA: 98.1%

Median: 25.0%
Median: 96.8%
75th: 98.0%
Children aging out: Of those discharged to emancipation,
percent in care more than 3 years
PA: 31.6%
Median: 47.8%
75th: 37.5%
Permanency Composite 4
 Placement
Stability
 Consists of three measures
 National
standard:
 National median:
 Pennsylvania score:
101.5
93.3
102.4
Placement Stability Measures

Two or fewer settings – less than 12 months: Of those in
care less than 12 months, percent with two or fewer
placements
PA: 86.4%

75th: 86.0%
Two or fewer settings – 12-24 months: Of those in care
12 – 24 months, percent with two or fewer placements
PA: 66.6%

Median: 83.3%
Median: 59.9%
75th: 65.4%
Two or fewer settings – 24 or more months: Of those in
care 24+ months, percent with two or fewer placements
PA: 42.7%
Median: 33.9%
75th:41.8%
Composite Summary

Reunification and re-entries are below national standard
and show little change from last CFSR; re-entry is
highest in the nation

Timeliness to adoption is improving; just below national
standard



Permanency for children in care for long periods should
not have to be addressed in the PIP



Once children are freed, PA has a good record on finalization
Few children in care 17+ months move onto the adoption track
Children in care 24+ months are more likely than in other states
to be discharged to a permanent home
Children aging out are less likely to have been in care over three
years
Placement stability just meets the national standard
Questions for Providers





What is the performance of the counties we
provide services to?
How does our agency impact those counties’
performance?
Are there policies/practices of the provider
agency or characteristics of the families/children
that contribute to this result?
How can we partner with the county to evaluate
the outcomes of the children our agency serves?
How can our agency improve or sustain our
performance?