Transcript Child Welfare - Inspectie jeugdzorg

How Powerful Common Purpose
Can Contribute to Improving the
Well-Being of Our Youth
Presentation to Inspectorates and
Key Policy Makers Youth
Friday, May 30, 2008
Hotel Des Indes
The Hague
Cornelius ‘Con’ Hogan, Senior Fellow
Center for the Study of Social Policy
Washington, DC
Things that pull us apart...
• Different…
– Programs
– Objectives
– Funding Sources
– Geography & borders
– Politics
– Histories
– Timetables
– Levels of Government
Things that pull us apart...
• Plus
–
–
–
–
General Inertia
Fear of Change
The Speed of Our Lives
The Complexity of Our Lives
Common Purpose
•
•
•
•
•
•
•
Survival
Key role in history
Brings people together
Helps organizations
Brings common language
Builds special relationships
Everyone can contribute
Powerful Outcome Statements
• Success by Six
• All Children Have a Human Relationship
They Can Count On
• All Babies are Born Healthy
• No Taxation Without Representation
• Covering Kids
Powerful Outcome Statements
•
•
•
•
•
Youth Choose Healthy Behaviors
Put a Man on the Moon
All Children Can
Caring Communities
End Welfare As We Know It
A Powerful Dutch Common Purpose
Keep the Water Out of Holland
Traditional Outcome Domains
•
•
•
•
•
•
•
Health
Education
Employment Security
Safety
Sport
Culture
Etc.
How Do We Pull the Power of All of
These Organizations and Functions
Together on Behalf of Our Youth?
Strong, Well Articulated
Common Purpose
…Following is a
Prevention Driven Outcomes
Model
For example
That is closer to how people organize
their lives
ALL
•
•
•
•
•
•
•
Pregnant Women & Young Children Thrive.
Children are Ready for School.
Children Succeed in School.
Children Live in Stable, Supported Families.
Youth Choose Healthy Behaviors.
Youth Become Successful Adults.
Families & Individuals Live in Safe & Supportive
Communities.
• Elders and People with Disabilities Are Resources
in their Communities & Live with Dignity &
Independence in Places They Prefer.
Outcome Defined
A Condition of Well-Being
for People
in a Place
Powerful Outcomes
& Their Indicators…are
•
•
•
•
•
•
•
Clear & Declarative
Bigger than You
Connect Emotionally
Positive
Measurable
Comparable
Presented Over Time
Powerful Outcomes
& Their Indicators…are
•
•
•
•
Extended Beyond Political Cycles
National, Statewide, Local
Interactive
Accumulative Over Time
Let’s Concentrate for a Moment
on…
Youth Choose Health
Behaviors
What Can You or Your
Organization Do?
…To Contribute to
…the Outcome
Youth Choose Healthy Behaviors
Some Results About Youth
in Vermont
Over ten years or so
Some Youth Indicator Results
in Vermont
(over 5 to 10 years)
•
•
•
•
•
•
•
•
•
•
•
•
Participation in Youth Programs
Students Volunteering in Communities
Youth with Depression Symptoms
Overweight
Teen Smoking
Teen Drinking
Teen Marijuana Use
Young Teen Pregnancy Rate
Teen Birth Rate
Injuries Requiring Hospitalization
New Families at Risk % births
% Repeat Births to Teens
no change
no change
no change
20% higher
47% lower
21% lower
35% lower
62% lower
38% lower
40% lower
12% lower
39% lower
2001 - 2005
2001 - 2005
2003 - 2005
1999 - 2005
1993 - 2005
1993 - 2005
1997 - 2005
1990 - 200 5
1990 - 200 5
1994 - 200 5
1990 - 200 4
1990 - 2004
Key Youth Indicators
as Reported by Others
National Rank
•
•
•
•
•
•
•
•
•
Deaths of Infants/1000 Births
Births to Teen Mothers
Child Abuse Fatalities
Child Vulnerability
Juvenile Incarceration Rate
Kids Count Compilation
% Low Birthweight
Infant Mortality
Child Death Rate
Best
2nd Best
Best
Best
Best
6th Best
4th Best
2nd Best
2nd Best
What Made These Results
Possible
First…
We created a data array for the
outcome we wanted to work on over
time, by looking back as far as we
could.
And, We Recognised that Caring
Relationships Among Human Beings
Are the Key to Personal Change
• There is a basic human need for…
– Affection
– Appreciation
– Achievement
• All families & institutions must fulfill these
needs
• Virtually all human change is connected to
relationships with other human beings
And…
• We didn’t get hung up on trying to do
everything at the same time…
• Because…
Anywhere Leads to Everywhere
•
•
•
•
•
•
Infant Mortality- connected to
Pregnant Mom Smoking Rates - connected to
Higher Education Levels - connected to
Dropouts - connected to
Teen Pregnancy Rates - connected to
Child Abuse Rates - connected to…………...
Anywhere Leads to Everywhere
•
•
•
•
•
•
Better Housing - is connected to
Better Health - is connected to
Better School Attendance - is connected to
Better Attainment - is connected to
Employability - is connected to
Better Well-Being - is connected to...
In Addition to Thinking Services …
Think Strategy
•
•
•
•
•
•
•
Common purpose
Communities & families
Citizen participation
Service collaboration
Human relationships
Public health style communications
Prevention
Families Receiving "New Baby" Visits
100
Esti mated percent of annual births
90
Vermont
80
70
60
50
40
Note: "Visits" include all families receiving
face-to-face information on community
supports and services, provided by the
Healthy Babies Program or Success By Six
Initiatives. Data may reflect some
duplication. National data are not available
for this indicator.
30
20
10
0
1994
Sources: VT Dept. of Health, VT
Agency of Human Services.
1995
1996
1997
1998
1999
2000
2001
Percent of screened children, Ages 0-5 with
Elevated blood levels
Percent Screened
18
16
14
12
10
8
6
15.4
11.7
8.9
7.1
6.3
5.7
6.3
5.73 5.48
4.26 3.97
4
2
0
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Child Deaths - Vermont
120
Deaths, Ages 0-17
100
80
60
40
20
0
Number
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
96
85
97
98
87
82
89
75
77
71
54
Child Abuse & Neglect
Substantiated Victims Under 5 Years of Age
Victims per 10,000 population aged < 5
120.0
Note: Criteria for
substantiation
changed in 1999.
100.0
80.0
Vermont
60.0
About 1 in 149 Vermont children younger
than 5 years was a victim of substantiated
abuse or neglect in 2001.
40.0
20.0
Note: U.S. data
not available for
this indicator.
Sources: VT Department of Social &
Rehabilitation Services; VT Department
of Health (population estimates).
0.0
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
Percent of public schools participating in Federal School
Lunch and School Breakfast Programs
100.0
Percent of Schools Participating in Both Federal
Breakfast and Lunch Programs
90.0
80.0
Vermont
70.0
60.0
50.0
40.0
30.0
20.0
10.0
0.0
1989
Note: National data for this
indicator are not available.
Sources: VT Office of Economic
Opportunity, and VT Dept. of
Education.
1991
1993
1995
1997
1999
2001
100
Parentage Established
For Children in Out-of-Wedlock Child Support Cases
90
80
Vermont
70
Percent
60
U.S.
50
40
30
9 of every 10 Vermont children born outof-wedlock have parentage established
for purposes of child support.
20
10
0
1991
Sources: U.S. DHHS, Office of Child
Support Enforcement; VT Office of Child
Support.
1992
1993
1994
1995
1996
Federal Fiscal Years
1997
1998
1999
2000
Births
per1,000
1,000
girls
aged
Births per
girls
aged
15-19
15-19
70
60 70
Teen Birth Rate
Girls 15-19 Years Old
Teen Birth Rate
Girls 15-19 Years Old
60
50
50
About 1 in 53 Vermont teen girls gave
40
U.S.
About 1 in 53 Vermont teen girls gave birth in
40
birth in 2003.
U.S.
2003.
30
30
Vermont
20 20
Vermont
Sources:
Sources:
VermontVermont
Vital Statistics
Vital System;
StatisticsNational
System; Japan: 4 per thousand
10 10
Japan:
4
per
thousand
CenterNational
for HealthCenter
Statisticsfor; UNICEF,
The progress
of
Health Statistics
; UNICEF,
O
0nations.

0
The progress of nations .
19941995 1996
19961997 1998
19901990
1991 19921992
1993 1994
1998 1999 2000
2000 2001 2002
2002 2003
Cigarettes (30 days)
Percent of students, grades 8-12, who had smoked
cigarettes during the past 30 days.
40
35
38
30
36
31
25
20
22
15
20
10
5
0
1995
1997
1999
2001
2003
Source data: Vermont Department of Health, Youth Risk Behavior Surveys, 1995-2003.
2005 Vermont KIDS COUNT Data Book,Vermont Children's Forum. Montpelier, VT.
Next…
We created data sets for our communities to
use to help decide which outcomes and
indicators were the most important to
change for the community.
Next…using the community
profiles
• We held data mirrors up to some of our
communities so they could see for the first
time real information about what was
happening in their community.
• And, many communities, with help from the
State of Vermont decided to do something
about what they saw.
Barre Vermont
• Population 10,000
• History of artistic stone carvers
–
–
–
–
–
French
Italian
Irish
Scotts
Lebanese
Barre - High School Dropouts
8.0
7.0
6.0
5.0
4.0
3.0
2.0
1.0
0.0
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
Vermont
5.1334 4.5333 3.9928 4.0276 4.6353 4.7202 5.2644 4.9574 5.0104 4.5235
Spaulding HS
4.7872 4.7836 4.4297 4.5505 7.2052 1.6077 3.0011 2.2155 2.5922 2.0182
Burlington Dropouts 99-06
10.0%
9.5%
rate
8.0%
8.7%
6.5%
6.0%
5.3%
5.1%
4.2%
4.0%
3.5%
3.3%
2.0%
0.0%
1
2
3
4
5
years
6
7
8
10 Biggest Mistakes
•
•
•
•
•
•
Don’t articulate clear common purpose
Don’t track the indicators
Put in place excessive structure & process
Focus slips to programs from across programs
Not staying with the work for 10 years
Treat it like another fad
continued…
10 Biggest Mistakes (continued)
•
•
•
•
Try to do too much too soon
Ignore our communities
Influence the process with big money
Don’t spread credit for the results
Insanity…
Continuing to do the same thing…
and expecting a different result
Albert Einstein
Outcomes … and Child Welfare
Child Welfare … is
• The ‘emergency room’ for the rest of our
systems
• A reflection of the overall health of our
communities
• A laboratory for change
Contact Information
• [email protected]
• [email protected]
– Outcomes: Reframing Responsibility for Well-Being
– The Economics of Prevention
– Vermont Communities Count
• www.ahs.state.vt.us
– Community Profiles
– Vermont Social Indicator Report
• www.resultsaccountability.com
– Mark Friedman’s website