Transcript CORS 3.0 Presentation

Indicating Success in Public
Child Welfare
Child Outcomes, System Performance
and the CFSR Process
Susan Smith and Lisa Tuttle
Casey Family Programs
July 29, 2011
Monitoring the Vision:
Casey’s Dashboard
• Goal: Every child deserves a safe, permanent home
• Vision: Reduce the children in the United States in foster
care in half by the year 2020
• In 2005 there were ½ million children; moving to ¼ million by 2020
• Monitor: Key performance indicators at a national level
• Evaluate: Work and efforts at the state and county level
Long term trends in entries & exits
In Care
Entries
Exits
600,000
500,000
400,000
300,000
200,000
100,000
0
Data notes: For years before 2000, data are averaged across a two-year period. Data for 1995 and before should not be compared to data from 1996 and beyond.
Data on entries and exits not available for 1995-1997. Data from 1982-1989 retrieved from the American Public Welfare Association/Voluntary Cooperative
Information System (VCIS). Data from 1990-1994 based on the VCIS and retrieved from the Children’s Bureau website. Data from 1995-1998 retrieved from
CWLA/NDAS. Data from 1999-20010 based on AFCARS.
Trends In Out-of-Home Care:
In Care
Entries
Exits
600,000
500,000
400,000
300,000
200,000
100,000
0
FY02
FY03
Slides prepared by Data Advocacy, 7/25/11
Data source: AFCARS
FY04
FY05
FY06
FY07
FY08
FY09
FY10
National Entry Rates, FY09
- improved overall entry rate
10.0
9.0
8.0
7.0
6.0
5.0
4.0
3.4
3.0
2.0
0.0
WY
NE
WV
SD
IA
ND
RI
IN
AR
DC
KY
OR
CO
OK
AK
MN
HI
KS
MT
AZ
MA
NV
VT
PA
TN
MO
WA
NM
CA
SC
WI
FL
Nat'l
LA
MI
OH
CT
NY
ID
AL
MS
ME
UT
NJ
GA
NC
DE
MD
TX
NH
IL
VA
PR
1.0
Slides prepared by Data Advocacy, 7/25/11
Data source: AFCARS
National Foster Care Trends
Total Children In Care, by Age
45,000
40,000
FY05
FY06
FY07
FY08
FY09
35,000
30,000
25,000
20,000
15,000
10,000
5,000
0
<1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
6
U.S. Foster Care System
highly simplified
CHILD IN
a bunch of
stuff
happens
CHILD OUT
But is the child safe? (Whether in foster care or at
home)
And what is the child’s level of well-being?
*adapted from Lyle, G. L., & Barker, M.A. (1998) Patterns & Spells: New approaches to conceptualizing children’s out of home
placement experiences. Chicago: American Evaluation Association Annual Conference
Background
Child and Family Services Reviews (CFSR)
• Goal: Improve the performance of state child welfare
systems
• Timeline: 1994 Federal government mandate to review and
evaluate state foster care and adoption services
• Children’s Bureau of the Administration on Children and Families
(ACF) administers the process
• Purpose of CFSRs: To ensure states are in “substantial
conformity” with Titles IV-B and IV-E Federal Funding, within
the domains of safety, permanence, and well-being.
Outcome Measures:
What we have
•
•
Permanency
•
•
C1.1
C1.2
C1.3
C1.4
Adoption
LongStayers
• C4.1
C4.2
• C4.3
Placement
Stability •
What we need
valid
•
•
•
•
•
C2.1
C2.2
C2.3
C2.4
C2.5
• C3.1
• C3.2
• C3.3
reliable
comprehensible
= a good measure
Outcome Measures
Data should
be gathered
and analyzed
in a manner
that facilitates
understanding
of how one
area of
practice
affects another
Acknowledgement to Emily Putnam-Hornstein and Barbara Needell, University of California, Berkeley, for
the slide content.
Proposed Measures –
outcome measures required
Abuse
in Care
Maltreatment
Recurrence
Entry to Care
Length
of Stay
Placement
Stability
Maintenance of
Permanence
Exits to
Permanency
Additional Measures –
optional
IGNORE THIS
LEVEL
Reporting
investigation
rate
rate
Response
rate
victimization
rate
case opening
rate
in-home
services
re-reporting
rate
re-reports
post in-home
services
exits from inhome services
adoption
disruption
Proposed Measures
process measures - required
Worker-Child
Visits
Timeliness of
Investigations
Proposed Measures
well-being measures
IGNORE THIS LEVEL
medical
evaluation
mental health
screening
dental evaluation
status at / after
emancipation
school
enrollment
Data-sharing / interoperability
[near-term goal]
Outcome Measures….
family
preservation
birth
home
visiting
family
supports
referral
entry
Measures of primary and secondary prevention services?
Data-sharing / Interoperability
• Longer-term vision
social services data
concerning vulnerable
children and families
fully linked and
integrated (realtime)
administrative data
systems for the
coordinated
delivery and
evaluation of
services
current
future
National Dashboard
Efforts, Approaches, Outcomes
State Comparisons
State Detail in National View
State and County Level
Interactive Dashboard by State
Casey Direct Service Targets
Office numbers and targets
Conclusions
• Child welfare needs to be considered an integrated
system of child safety and well-being, not a foster care
program
• The Federal role is to assure accountability and
compliance, which includes child safety
• Innovations in states and agencies lead the way in
integrating and translating data into information about
what works
QUESTIONS?