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Center for Public Policy Prioritieswww.cppp.org
Child ProtectionChild Protection
Houston Conference on ChildrenJune 15, 2005
F. Scott McCown, Executive DirectorEva DeLuna Castro, Senior Budget Analyst
Center for Public Policy Prioritieswww.cppp.org
Overview:Understanding the Boat
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Child Population Growth
• Second largest child population in U.S.
• Largest growth in child population in U.S. between 2000-2003– 350,000 additional children– 183,000 more than California
• High birth rate (Second – behind Utah)Source: U.S. Census Bureau
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6.2 million children in Texas
1.5 million children (or 25%) in poverty in 2003
10,000 removed from home
600,000 calls to CPS intake
300,000 children in investigations
50,000 confirmed to be victims of abuse/neglect
Texas Child Protection System(round numbers)
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Children in State Conservatorship and Foster Care on the Last Day of the Fiscal Year, 1985-94
8,813 8,789 8,4629,469
10,48611,835
14,22015,522
17,101 17,740
5,193 5,132 5,002 5,613 6,2067,156
8,4759,965
10,880 11,247
-
5,000
10,000
15,000
20,000
25,000
1985 1986 1987 1988 1989 1990 1991 1992 1993 1994
Source: Texas Dept. of Family and Protective Services, Annual Data Books
State ConservatorshipFoster Care
Children in State Conservatorship and Foster Care on the Last Day of Fiscal
Year, 1985-94
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Children in State Conservatorship and Foster Care on the Last Day of the Fiscal Year, 1995-2004
17,973 17,233 16,39915,324 16,061
17,39719,056
21,14622,346
24,453
17,10915,70914,843
13,72912,85711,793
10,82212,730
11,80811,700
-
5,000
10,000
15,000
20,000
25,000
30,000
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Source: Texas Dept. of Family and Protective Services, Annual Data Books
State ConservatorshipFoster Care
Children in State Conservatorship and Foster Care on the Last Day of Fiscal
Year, 1995-04
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Investigated and Confirmed Child Abuse Cases Per 1,000 Children
16.518.0
20.9 21.9 21.1 20.418.5
13.8
20.117.9
21.5
18.920.9 21.7 22.4
14.6
5.35.45.24.85.45.44.15.36.06.77.57.76.96.86.2
4.7
0.0
5.0
10.0
15.0
20.0
25.0
1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Source: Texas Dept. of Family and Protective Services, Annual Data Books
Investigated Confirmed
Investigated and Confirmed Child Abuse Cases Per 1,000 Children
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Other Non-Foster Care**,
664 3%
Adoption, 840 3%
Own Home, 1,650 7%
Relative, 4,516 18%
Foster Care*, 16,783 69% Other, 7,670
31%
Children in DFPS Legal Responsibility by Living Arrangement, End of Fiscal 2004
Total children: 24,453
* Excludes youth age 18 or 19 w ho remain in foster care but have aged out of DFPS legal responsibility. ** Includes independent living, hospitals, nursing homes, correctional facilities, and unauthorized absence (left w ithout permission). Source: DFPS 2004 Data Book.
Children in DFPS Legal Responsibility by Living Arrangement, End of Fiscal Year
2004
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Emancipated 1,084 10%
Custody Given to Relatives 2,805 26%
Other Non-Foster Care**
603 6%
Returned Home 3,913 35%
Adoption 2,512 23%
Status of Children No Longer in DFPS Legal Responsibility, Fiscal 2004
Total children: 10,917
* Includes children absent w ithout permission, children in court-ordered or independent living placements, children for w hom conservatorship w as never obtained, and children w ith a missing discharge reason. Source: DFPS 2004 Data Book.
OtherRelative
Status of Children No Longer in DFPS Legal Responsibility, Fiscal Year 2004
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State and Federal Per-Child Spending on Child ProtectionIn 2005 $; Estimated for 2006 and 2007
52 54 48 45 48 49 46 45 44 44 42 4558 60
48 50 51 51 53 60 76 75 83 85 85 8689 85
$-
$40
$80
$120
$160
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
State Federal
Source: CPPP Analysis of data from Family and Protective Services and Legislative Budget Board.
State and Federal Per Child Spending on Child Protection
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General Revenue
AFDC/TANF
IV-E Foster Care
Medicaid
All other federal
$-
$200
$400
$600
$800
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Million $
Other State Funds
Source: PRS/FPS Operating Budgets and Legislative Appropriations Requests.
State and Federal Funding for Child Protection
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Medicaid, $64 m, 12%
Other federal, $24 m, 4%
Child Welfare Services - State
Grants, $24 m, 4%Promoting Safe and
Stable Families, $37 m, 7%
Adoption Assistance, $51 m, 9%
IV-E Foster Care, $120 m, 23%
Temporary Assistance for
Needy Families, $230 m, 41%
Source: 2004 Operating Budget, TX Dept. of Family and Protective Services.
Federal Funding for Child Protection in Texas, Fiscal year 2004 (in millions)
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Governor/HHSC Reform Package
Current system
Reform Proposal
Change
Investigators 1,305 1,723 +418
Senior Investigators
0 430 +430
Screeners 6 47 +41
Case Aides 118 430 +312
Clerical Staff 213 454 +241
Investigative Caseloads(Monthly/Daily)
74/44 45/33 39% lower/ 25% lower
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State Child Protection Budget, 2006 and 2007$1.9 billion total
Intake1%
CPS Direct Delivery
29%
Program Support
5%
Adoption Subsidies
12%
Prevention6%
Purchased Services
8%
Foster Care Payments
39%
Source: 79th Legislature, S.B. 1 and H.B. 10. “Prevention” includes Communities in Schools.
State Child Protection Budget, 2006-07
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Underway at DFPS• Laurel Lindsey, Director of Investigations
• Back to 9 Regions, Hiring Regional Directors and Administrative Support
• Hiring Senior Investigators Now and Start Hiring New Investigators in September
• Also Hiring Nurses and Substance Abuse Experts
• Lowering span of control, adding Clerical Support, adding technology
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Privatization TimelineSeptember 20, 2005 Plan for Developing a Transition PlanMarch 1, 2006 Transition PlanApril 30, 2006 First RFP for RegionSeptember 30, 2006 First Contract Award/Evaluation Team and ProcessDecember 31, 2006First Evaluation Report Due from HHSCJanuary 2007 80th Legislative SessionSeptember 30, 2007 Third-Party Evaluation Contract AwardDecember 31, 2007Completion of Transition in First RegionDecember 31, 2008Third-Party Evaluation of First RegionJanuary 2009 81st Legislative SessionSeptember 1, 2009 Earliest implementation in Second and Third Regions December 1, 2009 Completion of Transition in Second and Third
RegionsJanuary 2011 82nd Legislative Session September 1, 2011 Completion of Transition in 4-9 Regions
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Two Models Are Possible
• DFPS to contract directly with private agencies as part of regional community-centered networks for the provision of ALL necessary substitute and case management services
OR
• DFPS contract with an independent administrator to contract for services
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Independent Administrator
• Test for use: “Cost Beneficial”
• Procurement, Management, and Oversight of Substitute Care and Case Management Services in a Region
• Responsibility for Placement
• Cannot Provide Substitute Care Services or have a Board Member who has a Financial Interest in a Provider with whom the IA Contracts
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Community-Centered Networks
• Unclear
• Department might act like IA with Various Contracts and Subcontracts
• Department might Contract with a Consortium
• Department might Contract with a Lead Agency that uses Subcontracts
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Case Management
• Stepping into Shoes of the Department to make the Decisions, do the Casework, and Provide or Contract for the Needed Services
• Includes all Court-Related Duties such Obtaining Service, Preparing Court Reports, Going to Hearings
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Who does case management?
• Not the IA
• Only a Licensed Child-Care Facility or Child-Placing Agency
• The Department can do Case Management only in an Emergency or as the Provider of Last Resort
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Procurement
• Performance-Based Contracting: Structure Procurement around the Purpose of the Work and the Desired Results with Objective and Measurable Outcomes Linking Payment to Performance
• Open Enrollment to Competitive Procurement System
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