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California’s Child Welfare System: A Data Snapshot Barbara Needell, MSW, PhD Center for Social Services Research University of California at Berkeley July 2007 The Performance Indicators Project at CSSR is supported by the California Department of Social Services and the Stuart Foundation Presentation developed by Emily Putnam-Hornstein, MSW CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley Tracking Child Welfare Outcomes Rate of Referrals/ Substantiated Referrals Reentry to Care Permanency Through Reunification, Adoption, or Guardianship Counterbalanced Indicators of System Performance Length of Stay Stability of Care Home-Based Services vs. Out of Home Care Use of Least Restrictive Form of Care Positive Attachments to Family, Friends, and Neighbors Source: Usher, C.L., Wildfire, J.B., Gogan, H.C. & Brown, E.L. (2002). Measuring Outcomes in Child Welfare. Chapel Hill: Jordan Institute for Families, 3 Key Samples of Data Entry Cohorts Data Point in Time CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley Exit Cohorts Point in Time Measures Can be Misleading: Example: How long do children stay in foster care? 1/1/2005 CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley 7/1/05 1/1/2006 Source: Aron Shlonsky, University of Toronto (formerly at CSSR) California Example: Age of Children in Foster Care (2003 first entries, 2003 exits, July 1 2004 caseload) 50 45 Entries 40 35 31 30 % 25 22 22 20 20 15 10 5 5 0 <1 yr CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley 1-5 yrs 6-10 yrs 11-15 yrs 16+ yrs California Example: Age of Children in Foster Care (2003 first entries, 2003 exits, July 1 2004 caseload) 50 45 Entries 40 Exits 35 31 30 30 % 25 25 22 22 20 20 22 19 15 10 5 5 4 0 <1 yr CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley 1-5 yrs 6-10 yrs 11-15 yrs 16+ yrs California Example: Age of Children in Foster Care (2003 first entries, 2003 exits, July 1 2004 caseload) 50 45 Entries 40 Exits 35 30 % 25 33 31 30 23 22 22 25 24 20 20 Point in Time 22 19 15 15 10 5 4 5 5 0 <1 yr CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley 1-5 yrs 6-10 yrs 11-15 yrs 16+ yrs Outcomes, outcomes, everywhere • Government Performance Results Act of 1993 (GPRA) • Annual Outcomes Report to Congress mandated by Adoption and Safe Families Act (ASFA) of 1997 • Statewide Data Indicators in Child and Family Services Reviews -- a subset of the Annual Outcomes—from National Child Abuse and Neglect Data System (NCANDS) and Adoption and Foster Care Analysis and Reporting System (AFCARS) • Round 1 of CFSR FFY 2001-2004 (CA 2002) • Round 2 of CFSR FFY 2007-2010 (CA 2008) CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley Purpose of CFSRs To assess State conformance with title IV-B and IV-E State plan requirements such that: The State is achieving desired outcomes for children and families in the areas of safety, permanency, and well-being (7 outcomes) CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley The State system is functioning at a level that promotes achievement of the identified outcomes (7 systemic factors) CFSR Review Process Statewide Assessment Onsite Review Determination of substantial conformity Program Improvement Plans CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley CA CWS Outcomes System • Round 1 of the CFSRs – 2 of the “outcomes” = 6 items (2 for safety, 4 for permanency) – National Standards attached: based on the 75th %tile of reporting states – States failing to meet a given standard had to include that item in their Performance Improvement Plans (PIPs) • Round 2 of the CFSRs – Also comprised of 6 items with standards attached – BUT…this time the permanency standards are comprised of 15 different measures distilled into four composites – TOTAL of 17 FEDERAL MEASURES CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley Making the Most of CFSR Scores… • Each state will be provided with a data profile that includes percentages for each measure within each composite. The data comes from submissions to NCANDS and AFCARS. • In California, we at CSSR collaborate with CDSS to replicate each of the measures and composite scores and report/update online quarterly. • The focus must be on performance on INDIVIDUAL MEASURES (with age, race, gender, etc breakouts), and an understanding of how that performance contributes to National Standard Performance. • More importantly, we must work to understand how performance on individual measures really relates to safety and permanence, what else we need to measure, and what we need to do to improve. CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley CA CWS Outcomes System • California Child Welfare System Improvement and Accountability Act (AB636) became law in 2001 and went into effect in January 2004—quarterly outcomes reports at state and county level. –Includes federal measures, –Provides additional measures needed to understand performance (e.g., % of siblings placed together). –We have eliminated some of the original ab636 measures and have included all new federal measures. –We are working on additional measures of well-being. • Mirrors Family to Family Outcomes • Retains key process measures (e.g., child visits, time to investigation) • Began with county self assessments and System Improvement Plans (SIPS) that identified key challenges and strengths • Peer Quality Case Reviews (PQCRs) are being conducted in each county to dig deeper into specific issues California: AB636 UCB Measures, Percent IMPROVEMENT January 2004 compared to January 2007 Adopted w/in 24m (cohort) (+) 36.7% Initial Placement w/Kin (+) 28.3% Adopted w/in 24m (+) 22.2% Recurrence of M altreatment (-) 21.1% Initial Placement Group/Shelter (-) 18.5% Rate of Children in Foster Care (-) 11.4% Placement with All Siblings (+) 9.9% Recurrence w/in 12m of Subst. (-) 9.1% Reunified w/in 12m (cohort) (+) 7.5% Recurrence w/in 12m (-) 7.4% Substantiated Referral Rate (-) 7.2% Reunified w/in 12m (+) 7.1% Re-Entries to Foster Care (-) 5.3% Re-Entries w/in 12m (cohort) (-) 5.1% 1-2 Placements (at 12m, cohort) (+) 4.9% Placement with Siblings (+) 3.3% Referral Rate (-) 3.2% 1-2 Placements w/in 12m (+) Rate of First Entry to Foster Care (-) CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley 1.6% -3.2% State Measure Federal Measure Note: (+) indicates a measure where a % increase equals improvement. (-) indicates a measure where a % decrease equals improvement. indicates a measure where performance declined. 2002-2006 California: Referrals, Substantiations & Entry Rates (per 1,000 Children) 51.8 12.3 51.6 51.2 11.7 11.6 50.1 11.4 50.0 11.1 4.2 4.1 4.0 4.2 4.1 2002 2003 2004 2005 2006 CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley Referral Rates Substantiation Rates Entry Rates 1998 to December 2006 California: First Entries by First Placement Type (children in care for 8 or more days) 12,000 30,000 10,000 TOTAL 25,000 8,000 6,000 4,000 Kinship 20,000 Group/Shelter 15,000 FFA 10,000 2,000 0 5,000 1998 1999 2000 CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley 2001 2002 2003 Entry Year 2004 2005 2006 0 TOTAL Frequency Placement Frequency Foster 1998 to January 2007 California: Foster Care Caseload by Placement Type 60,000 120,000 40,000 100,000 TOTAL Kinship 80,000 30,000 20,000 60,000 FFA 40,000 Foster 10,000 0 20,000 Group/Shelter 1998 1999 2000 2001 2002 CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley 2003 Point in Time 2004 2005 2006 2007 0 TOTAL Frequency Placement Frequency 50,000 2006 California: Ethnicity and Path through the Child Welfare System (Missing Values Excluded from % Calculations) 100% 3.3 9.8 0.8 Other 80% 60% 48.1 40% 20% 0% Native American Asian/PI Hispanic 30.8 White 7.2 Black Population (9,664,747) CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley 2006 California: Ethnicity and Path through the Child Welfare System (Missing Values Excluded from % Calculations) 100% 3.3 9.8 0.8 3.9 0.9 Other 80% 50.2 60% 48.1 Native American Asian/PI 40% Hispanic 29.7 20% 0% White 30.8 7.2 Population (9,664,747) 15.4 Referrals (438,666) CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley Black 2006 California: Ethnicity and Path through the Child Welfare System (Missing Values Excluded from % Calculations) 100% 3.3 9.8 0.8 3.9 0.9 4.0 1.1 Other 80% 50.2 60% 51.4 48.1 Asian/PI 40% Hispanic 29.7 20% 0% Native American 28.5 White 30.8 7.2 Population (9,664,747) 15.4 14.9 Referrals (438,666) Substantiations (102,365) CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley Black 2006 California: Ethnicity and Path through the Child Welfare System (Missing Values Excluded from % Calculations) 100% 3.3 9.8 0.8 3.9 0.9 4.0 1.1 3.3 1.4 Other 80% 50.2 60% 51.4 48.1 48.1 Asian/PI 40% Hispanic 29.7 20% 0% Native American 28.5 28.2 White 30.8 7.2 Population (9,664,747) 15.4 14.9 19.0 Referrals (438,666) Substantiations (102,365) Entries (39,646) CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley Black 2006 California: Ethnicity and Path through the Child Welfare System (Missing Values Excluded from % Calculations) 100% 3.30 9.8 0.8 3.9 0.9 4.0 1.1 3.3 80% 50.2 60% 51.4 48.1 Other 42.4 26.2 28.5 Population (9,664,747) Native American Hispanic 28.2 White 30.8 7.2 1.4 Asian/PI 29.7 0% 2.3 48.1 40% 20% 1.4 15.4 14.9 19.0 Referrals (438,666) Substantiations (102,365) Entries (39,646) CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley 27.7 Black In Care (74,634) 2006 California: Referrals per 1,000 by Age and Ethnicity 150 103 110 96 87 90 78 64 52 73 47 54 52 37 48 45 40 28 37 Black (97.2*) *Series Total Native American (46.8*) 54 46 47 44 53 37 53 50 42 46 20 38 18 ALL (50.0*) CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley 15 White (43.8*) Hispanic (47.4*) Asian/PI (17.8*) 18 14 <1 yr 1-2 yrs 3-5 yrs 6-10 yrs 11-15 yrs 16-17 yrs 21 2006 California: Substantiated Referrals per 1,000 by Age and Ethnicity 62 44 27 22 24 26 24 18 18 9 9 5 Black (22.0*) *Series Total Native American (13.9*) 22 12 13 13 24 11 11 (11.1*) CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley 11 12 9 7 ALL 10 10 (9.8*) 12 9 10 6 White 12 7 4 3 Hispanic (11.3*) Asian/PI (4.3*) 5 4 <1 yr 1-2 yrs 3-5 yrs 6-10 yrs 11-15 yrs 16-17 yrs 5 2006 California: Entries to Foster Care per 1,000 by Age and Ethnicity 39 27 14 13 12 9 9 5 4 3 Black (10.8*) *Series Total 12 6 7 3 Native American (6.9*) 13 12 9 3 4 5 4 4 3 3 3 2 ALL (4.1*) CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley White (3.8*) 4 2 Hispanic (4.1*) 5 4 5 2 <1 yr 1-2 yrs 1 3-5 yrs 1 6-10 yrs 1 11-15 yrs 16-17 yrs Asian/PI (1.4*) 1 2006 California: Children in Foster Care per 1,000 by Age and Ethnicity 40 35 27 24 24 24 18 16 16 12 12 11 8 9 8 7 7 7 (29.8*) *Series Total American (12.9*) ALL (7.7*) CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley White (6.6*) 8 7 5 7 Native 8 6 8 Black 8 7 6 7 (6.8*) Asian/PI (1.8*) 2 2 3 <1 yr 1-2 yrs 1 3-5 yrs 6-10 yrs 11-15 yrs 16-17 yrs 2 2 Hispanic 7 Public Data: Putting it All Out There • PROS: – Greater performance accountability – Community awareness and involvement, encourages public-private partnerships – Ability to track improvement over time, identify areas where programmatic adjustments are needed - County/County and County/State collaboration • CONS: – – – – Potential for misuse, misinterpretation, and misrepresentation Available to those with agendas or looking to create a sensational headline Misunderstood data can lead to the wrong policy decisions “Torture numbers, and they’ll confess to anything” Gregg Easterbrook CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley DATA ABUSE will not help end CHILD ABUSE Beware: • County/state rankings on individual measures • Composite scores that mask issues • Small populations • Inappropriate views • Logical “flipping” Consider: • Performance over time • Age, gender and race/ethnicity • Interaction among outcomes (counterbalance) • Local practice and policy changes needed to impact outcomes CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley Barbara Needell [email protected] 510.642.1893 510.290.6334 (pcs) CSSR.BERKELEY.EDU/UCB_CHILDWELFARE Needell, B., Webster, D., Armijo, M., Lee, S., Cuccaro-Alamin, S., Shaw, T., Dawson, W., Piccus, W., Magruder, J., Exel, M., Conley, A., Smith, J. , Dunn, A., Frerer, K., & Putnam Hornstein, E., (2007). Child Welfare Services Reports for California. Retrieved [month day, year], from University of California at Berkeley Center for Social Services Research website. URL: <http://cssr.berkeley.edu/UCB_CHILDWELFARE/> CENTER FOR SOCIAL SERVICES RESEARCH School of Social Welfare, UC Berkeley