PERMANENCY by chenmeixiu

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									PERMANENCY FOR
   CHILDREN
   Division of Family
            &
    Children Services
  July G-Force Meeting
      July 30, 2009




                         1
END OF G -- QUESTION
If G-Force is to be an
   environment for hypothesis
   testing and critical thinking,
   what will you do differently
   as a result of participating in
   this G-Force Meeting?


                                     2
               AGENDA
• Permanency for Children at Every Stage

• Family Preservation Analyses

• Safety Resource Review: Ron Magbee &
  The FAST Team

• Permanency Planning for Children

• Permanency Roundtable Success Stories

• Office of Family Independence
                                           3
    SHIFT OF PARADIGM FOR PERMANENCY

   INEFFECTIVE LENS
                                         EFFECTIVE LENS
      - Incident-Based
                                     - Comprehensive Assessment
      - Child-Focused                  of Strengths & Challenges
    - Placement-Driven                      - Family-Centered
(Ineffective for accomplishment of        - Permanency-Driven
        today’s outcomes)

                                       Permanency Pathways




                                                                   4
                      BUSINESS MODEL



                 PERMANENCY        PATHWAYS




                                              Policies & Procedures
                         Individualized
State Statutes




                            Service
                           Planning




                           Financial                                  5
    PERMANENCY FOCUS AT EVERY STAGE

          Preserve
       Safe & Thriving                                 Children Safe &
       Forever Families                               Thriving in Forever
                                                       Families Sooner




 Family                  Family     Safety  Foster   Group   CCI     PRTF    After
Support Investigation Preservation Resource Family   Home                    Care

                                 HYBRID               OUT-OF-HOME            IN
        IN - HOME                                                           HOME
                                 OF BOTH
                                                                             6
  SHIFT OF PARADIGM FOR G-FORCE


  INEFFECTIVE LENS                    EFFECTIVE LENS
   Single Data Points               - Comprehensive View of
                                             Practice
                                     - Data Chains Reflecting
(Ineffective for decision-making)
                                             Practice

                                     Permanency Pathways




                                                                7
 DATA COLLECTION, MEASUREMENT &
ANALYSIS OF PERMANENCY PATHWAYS



                       PERMANENCY          PATHWAYS
    How might we
 measure and analyze
Permanency Pathways?            Individualized
                               Service Planning




                                                      8
          EXAMPLE: TIMELINESS OF INITIATING
                  INVESTIGATIONS




  OUTCOME S1: 84.92%

According to the Quality Case Review Report from Program Evaluation & Analysis Unit (PEAS), our
timeliness of initiating investigations of reports of child maltreatment was at 84.92%; however, our
SHINES data reflects 94.7% for January – June 2009. Why is there such a wide variation between
these two reports? SHINES data only reflects one data point whereas the PEAS unit reviews              9
several elements to determine the actual timeliness rate.
The low timeliness rates from September 2008 –
December 2008 appear to be a result of staff not
understanding how to correctly code the information
in SHINES.



                                                      10
    BEYOND SINGLE-DATA POINTS
         TO DATA-CHAINS

                                                                    Data points only provide a
                                                                  small slice of information and
                                                                   are not able to provide the
                                                                     context needed to test
                                                                         Data
               DATA                       Data Points            hypotheses; we must use data
                                                                         In-Depth Analysis
               CHAINS                                              chains instead. These data
                                                                       chains should be a
                                                                   compilation of data points
                                                                  related to a particular event.




•Finish the Drill: Start from the beginning with the data and take it through.
•Answer the question: Is what we did enough to move the needle?                             11
       PERCENTAGE OF FAMILY PRESERVATION CASES
        OPENED DURING SFY 2009 THAT HAD A PRIOR
              REPORT OF ABUSE/NEGLECT
100%        Statewide:
              86.2%
 95%                                                                   93.0%
                                                       91.5%
               89.1%                           89.6%           89.8%
 90%                           88.9%                                                                                              88.4%
                                                                                       87.2% 87.3%                   87.4%
                       85.8%                                                   85.1%
 85%   82.8%                                                                                         82.5%                   81.9%
                                       80.4%
 80%                                                                                                         78.8%


 75%


 70%


 65%


 60%
        1      2       3       4       5       6       7       8       9       10      11    12      13      14      15      16      17
Statewide, 86.2% of the family preservation cases opened during SFY 2009 had a previous report of                                     12
abuse/neglect associated with it.
          PERCENTAGE OF CHILDREN WHO ENTERED
           FOSTER CARE IN SFY 2009 FROM FAMILY
                PRESERVATION SERVICES
60%

                  51.2%                                                           50.0%
50%


      40.4%                       41.4%
                                          40.1%
40%
                          36.0%
                                                                          34.0%
          33.0%                                                   32.9%
                                                          32.4%
                                                  29.0%                                                                Statewide:
30%                                                                                                                       30%
                                                                                                  24.7%
                                                                                                          22.0%
                                                                                          19.4%
20%                                                                                                                             18.4%

                                                                                                                  11.9% 12.4%

10%



0%
      1       2   3       4       5       6       7        8      9       10      11      12      13      14      15    16      17

  Question: How do we know that children in Regions 12, 15, 16 & 17 are safe and                                                     13
  thriving?
        PERCENTAGE OF CHILDREN WHO ENTERED FOSTER CARE IN
        SFY 2009 FROM FAMILY PRESERVATION SERVICES BY REGION
                       FROM LOWEST TO HIGHEST

 60%
                                                                                                            51%
                                                                                                      50%
 50%
                                                                                    40%   40%   41%

 40%                                                                          36%
                                                                        34%
                                                            33%   33%
                                                      32%
                                                29%
             State Average 30%
 30%                                      25%
                                    22%
                              19%
 20%                    18%


            12%   12%

 10%

   0%       15    16    17    12    14    13    7     8     9     2     10     4    6     1     5     11    3



Note: The majority of children who came into care in Regions 15, 16, 17, 12, 14, 13 & 7 were not
receiving Family Preservation services. These regions are either metro areas or have large metropolitan
areas such as Region 12 (Chatham County) and Region 7 (Richmond County).
15
       TIMELY COMPLETION OF INVESTIGATIONS
                SFY2004 – SFY2009
100%
                                                                    96%
                                   92%                   94%
90%

                                              84%
80%
                        77%
             76%
70%


60%


50%


40%
        SFY 2004   SFY 2005   SFY 2006   SFY 2007   SFY 2008   SFY 2009
                                                                    16
                           SUBSTANTIATED & CLOSED INVESTIGATIONS
                             WITH NO FURTHER DFCS INVOLVEMENT
                                      July 2008 – May 2009

                                                                      39.8%

40%                                                                                  Follow-Up Questions
                                                                              •   How many of these families
38%                                                                               received OFI services?
                                  35.6%               35.7%
36%                                                                           •   How many of these families
               33.6%                                                              experience a recurrence of
34%                                                                               maltreatment?

32%                                                                           •   What maltreatment types are
                                                                                  most often presented in these
                                                                                  cases?
30%
      July - September   October - December   January - March   April - May




 Note: Two of the most common reasons investigations are substantiated and closed with no
 further DFCS involvement are that the alleged perpetrator no longer has access to the child,
 and/or the family is already receiving services or involved with community resources and risk to
 children has been reduced or eliminated.
                                                                                                               17
18
 MALTREATMENT TYPES ASSOCIATED WITH FAMILY
PRESERVATION CASES OPENED IN SFY 2009 (N=9,195)

                Alleged Maltreatment                        Percent of Total Cases
                Inadequate Supervision                                56.2%
         Inadequate Food, Clothing, Shelter                           18.9%
               Bruises, Welts, Abrasions                              14.9%
           Emotional/Psychological Neglect                            14.0%
          Inadequate Health, Medical Care                             9.1%
                  Domestic Violence                                   7.9%
             Birth Addicted/Birth Exposed                             6.7%
                        Fondling                                      4.1%
                 Verbal Threats/Abuse                                 3.5%
            Educational/Cognitive Neglect                             3.3%
               Abandonment/Rejection                                  3.2%
Note: Less than one percent of cases were opened for other alleged maltreatments such as
corporal punishment, malnourishment, sexual exploitation, etc. Also note that percentages
do not add up to 100% because there was more than one maltreatment type in many         19
instances.
           MALTREATMENT TYPES & AVERAGE NUMBER OF MONTHS
                  IN FAMILY PRESERVATION IN SFY 2009

5.0

             4.5            4.5
                                          4.4          4.4
4.5                                                                  4.3          4.2
                                                                                              4.1         4.1                               Average
                                                                                                                       4.0
                                                                                                                                   3.9      time: 4.2.
4.0
                                                                                                                                                3.6

3.5


3.0


2.5


2.0


1.5



1.0
      Verbal Threats Birth Exposed   Emotional    Inadequate Inadequate      Inadequate   Bruises,   Educational   Fondling   Abandonment   Domestic
                                      Neglect    Food/Clothing Supervision     Medical     Welts,      Neglect                              Violence


Note: The maltreatment type does not appear to impact the number of months a case is open.                                                            20
How would this be different if we were applying Pathways to Permanency?
     PRIOR SUBSTANTIATION & AVERAGE NUMBER OF MONTHS
      FAMILY PRESERVATION CASES WERE OPEN IN SFY 2009
                             5.0

                             4.5

                             4.0

                             3.5

                             3.0

                             2.5

                             2.0

                             1.5

                             1.0
                                   1   2   3   4   5   6   7   8   9   10   11   12   13   14   15   16        17
Average Months Open - Prior Sub    4.4 4.2 4.2 4.3 4.5 4.7 3.8 4.1 3.5 4.4 4.0 4.5 4.3 4.5 4.4 4.4 4.3
Average Months Open-No Prior Sub 3.8 4.1 3.8 4.0 4.2 4.2 3.3 3.3 3.4 4.2 4.0 4.4 4.1 4.2 3.2 3.9 3.9

 Note: Cases with prior substantiations tended to be open longer in Family                                21
 Preservation than those without.
FAMILY PRESERVATION, FOSTER CARE
  & SAFETY RESOURCES (N=9,195)

• Five percent (5%) or 454 of the Family Preservation
  cases opened in SFY 2009 consisted of children who
  had previously been in foster care (697 children).

• The average time from the child’s exit from foster care to
  the opening of the Family Preservation case was 42
  months.

• Twenty-four percent (24%) of the Family Preservation
  cases opened during SFY 2009 had a safety resource
  stay for one or more children.

                                                           22
23
24
25
    PERMANENCY PLANNING FOR CHILDREN

• The goal of permanency planning is to provide
  children with safe and stable environments in
  which to grow up, while in the care of a nurturing
  caregiver, committed to a life long relationship
  with them.

• A sense of urgency must exist for every child
  who is not in a permanent home.



Source: Permanency Planning Practice Guide for Social Workers. Children’s
                                                                            26
Administration, August 2006.
               PERMANENCY FOR CHILDREN
• Starts at first contact

• Continues throughout the lifetime of the child’s case until
  permanency is reached,

• Secures a safe, stable and permanent home for the child
  as soon as possible,

• Protects/maintains primary attachments and/or creates
  new attachments, and

• Preserves cultural and family connections.


Source: Permanency Planning Practice Guide for Social Workers. Children’s
                                                                            27
Administration, August 2006.
  WHAT A
DIFFERENCE
     A
ROUNDTABLE
  MAKES!!

         Permanency roundtables
         held from January 2009
          through July 2009 with
           approximately 2,179
                 children.

                                   28
                         NUMBER OF CHILDREN BY REGION
                             January 2009 – July 2009
      350                                                                                                                  16.0%


      300                                                                                                                  14.0%


                                                                                                                           12.0%
      250

                                                                                                                           10.0%
      200
                                                                                                                           8.0%
      150
                                                                                                                           6.0%

      100
                                                                                                                           4.0%

       50                                                                                                                  2.0%


        0                                                                                                                  0.0%
             1     2      3    4     5     6      7      8      9     10     11     12    13    14    15     16    17
    Number   149   212   142   215   37    23     28     73     43    110    130    63    308   126    0     121   298
    Percent 7.2% 10.2% 6.8% 10.4% 1.8%    1.1%   1.4%   3.5%   2.1%   5.3%   6.3%   3.0% 14.8% 6.1%   0.0%   5.8% 14.3%
Note: There were 2,078 children from permanency roundtables matched with SHINES
records. The remaining 101 children not matched due to problems identifying them in SHINES                                29
because of limited information received regarding them.
     PLACEMENT TYPE FOR CHILDREN IN
         ROUND TABLE (N=2,078)


• CPA Foster Home: 27.6%

• DFCS Foster Home: 23.2%

• CCI: 17.5%

• Group Home: 10.4%

                                      30
   PERMANENCY PLAN FOR CHILDREN IN
        ROUND TABLE (N=2,078)

• Adoption: 30.4%

• Reunification: 28.8%

• Emancipation: 18.1%

• Long Term Foster Care: 11.8%

• Placement with Relatives: 9.4%

                                     31
     COMPARISON OF AGE & TIME IN CARE OF CHILDREN IN
   PERMANENCY ROUNDTABLE WITH OVERALL FOSTER CARE
                POPULATION IN GEORGIA


                                                 AGE                  DAYS IN CARE


       AVERAGE FOR
                                                 10.8                        1,498
       ROUNDTABLE

AVERAGE FOR FOSTER
                                                  8.8                         612
  CARE POPULATION
       MEDIAN FOR
                                                 12.0                        1,254
       ROUNDTABLE
 MEDIAN FOR FOSTER
                                                  8.0                         470
  CARE POPULATION

Overall, children were in care for an average of 612 days and a median of 470 days from
January through June 2009 as compared to higher averages and medians for children who     32
were round-tabled.
                       POSITIVE PERMANENCY EXITS
                                 (N=212)
70                                                                                        35.0%
                61                60
60                                                                                        30.0%
               28.7%                                     54
                                 28.3%
50                                                      25.5%                             25.0%


40                                                                             37         20.0%

                                                                             17.5%
30                                                                                        15.0%


20                                                                                        10.0%


10                                                                                        5.0%


0                                                                                         0.0%
         Finalized Adoption   Reunification   Custody to Relative/Others   Guardianship


     Note: 10% of children who were round-tabled have exited care to
                                                                                            33
     Positive Permanency since January 2009.
      ROUNDTABLE SUCCESSES
• Children 16 & over

• Children in care for 48 months or more

• Siblings in care

• Children with physical and behavioral health
  needs

• Paternal Connections

                                                 34
                                    Region 1

                              16 year-old confined
                                to a wheelchair
      Region 10
                                 being adopted                    Region 9
16 year-old moved               by foster parent
                                                             17 year-old
 from group home
                                                           reconnected with
   to foster home
                                                          Mother after 8 years
    after 2 years.
                                                               (divorce)
     FP seeking
    Guardianship
                                  CHILDREN
                                     16
                                   & OVER
                                                            Region 12
           Region 8
                                                           17 year-old
 16 year-old in foster care for                       moved from group
5 years received permanency                          home; being adopted
    through guardianship                             by former group home
      with foster parents                                 staff member

                                                                             35
                                      Region 1

                              11 year-old in care for
                               9 years in residential
                               facility; foster parent            Region 3
       Region 13              now identified who will
                                     adopt child           14 year-old in care
  17 year-old in care                                        for 77 months
 since 2005 obtained                                           now in an
permanency with uncle                                        adoptive home

                                    CHILDREN
                                   IN CARE FOR
                                    48 MONTHS
                                     OR MORE
                                                             Region 9
              Region 9

 17 year-old in care since 1997,                   Child reunited with mother
       being adopted by                              after 4 years in care;
      Therapeutic Foster                             permanency goal had
             Parent                                   been emancipation

                                                                             36
                                          Region 3
                                    Sibling group of 5 in
                                   care for 20 months, in
                                                                       Region 3
                                 two different settings, are
                                    now in the home of a         Sibling group of
         Region 4
                                  relative awaiting transfer     two (13 & 14) in
12 and 13 year-old siblings               of custody           care for 122 months
in care for 7 years are now                                          will obtain
with grandmother awaiting                                      permanency through
       guardianship                                             guardianship with
                                                                   foster parent
                                      SIBLINGS
                                     ACHIEVING
                                    PERMANENCY
                                     TOGETHER!
                                                                 Region 2

              Region 4                                    Sibling group of two
        Finalized adoption on                             (12 & 13) in care for
       June 29, 2009 for three                           48 months transitioned
                siblings                                    into an adoptive
                                                              home in July

                                                                                  37
                                                         Region 13
            Region 4

      14 year-old in care                          Siblings in care since
  for 7 years with long-term                         2001 with severe
      PRTF & MRBWO                                      medical and
     placements reunified                            behavioral health
        with mother on                            needs now in home of
         July 7, 2009                            former group home staff
                                                      via guardianship


                               CHILDREN WITH
                                 PHYSICAL &
                                BEHAVIORIAL
                               HEALTH NEEDS
                                                         Region 16
          Region 3
                                                  16 year-old in care for
14 year-old with an infant,
                                               22 months after an adoption
    and has been in 16
                                                 disruption was reunited
different placements, now
                                                with adoptive parents after
 moving toward adoption
                                                     long-term PRTF
      by foster parent
                                                        placement
                                                                         38
        PATERNAL CONNECTIONS
•Father and other paternal relatives located for a child who has
been in care for 64 months; father wants custody of child
(Region 1).
•Father granted custody of a 22-month old who has been in
care since birth on June 25, 2009 (Region 4).
•Father granted custody of a 3 year-old who has been in care
since birth (Region 16).


PATERNAL FAMILY
An aunt and paternal grandmother located through Accurint
search for a 17 year-old, in care since 1995. Both want to
establish a relationship with the child (Region 9).

                                                                   39
What practice changes   Excluding positive
  did we improve         permanency exits,
    to get these            how can we
  success stories?      measure success?




                                             40
41
 CHARACTERISTICS OF CHILDREN IN CARE
              June 2009

• Average days in care is 598

• Median days in care is 437
  (488 in June 2008)

• 84.9% had only one foster care entry and
  12.4% had two

• Average age = 8.8 years; median = 8 years
                                              42
What practice chain resulted in rates we see in Region 17 and Region 6?
                                                                          43
What resources are necessary to impact this measure?
      FOSTER CARE ENTRIES, EXITS & RE-ENTRY RATES
                  SFY 2004 – SFY 2009
            14,000                                                                                      9.0%
                                                                                  National Standard =
                                                                                  8.60% or less         8.0%
            12,000
                                                                                                        7.0%
            10,000
                                                                                                        6.0%

              8,000                                                                                     5.0%

              6,000                                                                                     4.0%

                                                                                                        3.0%
              4,000
                                                                                                        2.0%
              2,000
                                                                                                        1.0%

                 0                                                                                      0.0%
                      SFY 2004    SFY 2005      SFY 2006       SFY 2007      SFY 2008       SFY 2009
    Entries            11,757      10,609        10,291         9,145          6,862          5,719
    Exits              10,185      11,108        10,319         9,373          8,273          7,598
    Reentry Rate        8.0%        8.1%          7.4%           8.2%          6.4%           4.4%
The number of children exiting foster care continues to outpace those entering care. In addition, the
foster care re-entry rate for SFY 2009 is almost half of what it was in SFY 2007. As more children      44
exit foster care, fewer are returning.
 FOSTER CARE ENTRIES, EXITS & RE-ENTRY RATES
             July 2008 – June 2009
          1000                                                                                                               9.00%
                 National Standard =
          900    8.60% or less                                                                                               8.00%

          800
                                                                                                                             7.00%

          700
                                                                                                                             6.00%
          600
                                                                                                                             5.00%
          500
                                                                                                                             4.00%
          400
                                                                                                                             3.00%
          300

                                                                                                                             2.00%
          200

          100                                                                                                                1.00%


            0                                                                                                                0.00%
                 Jul-08   Aug-08   Sep-08   Oct-08   Nov-08   Dec-08   Jan-09   Feb-09   Mar-09   Apr-09   May-09   Jun-09
Entries           566      555      517      564      498      468      397      421      388      479      463      403
Exits             707      620      660      653      650      872      555      579      484      597      587      634
Reentry Rate     4.96%    3.60%    5.79%    3.28%    2.65%    3.13%    4.86%    3.52%    2.43%    6.69%    5.71%    7.20%


Note: Foster care reentry rate is slightly higher for February and March than was reflected in                               45
previous G-meetings due to late entry of data needed for calculation of the rate.
What is the relationship between length of time to achieve
reunification and foster care re-entry?                      46
OFFICE OF FAMILY INDEPENDENCE




                            47
As of July 9, 2009




                48
49
50
OFI Performance Management
     Under Construction




                             51
END OF G -- QUESTION
If G-Force is to be an
   environment for hypothesis
   testing and critical thinking,
   what will you do differently
   as a result of participating in
   this G-Force Meeting?


                                     52

								
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