safe and thriving forever families sooner division of family & children services g-force meeting...

SAFE AND THRIVING SAFE AND THRIVING FOREVER FAMILIES FOREVER FAMILIES

SOONERSOONER

Division of Family & Children Services

G-Force MeetingJune 25, 2009

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AGENDA

• Child Protective Services: Focus on Risk Assessments

• Field Operations’ Review Guide Training

• Permanency: Focus on Composites

• Quality Assurance Process

• OFI Information

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RECURRENCE OF MALTREATMENTMay 2008 – May 2009

National Standard=

5.4% or less

Definition: Of all children who were victims of substantiated maltreatment, what percent had a substantiated report of maltreatment within the past 6 months?

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State= 3.07%

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DISPOSITION OF SUBSTANTIATED INVESTIGATIONSJune 2008 – April 2009

While the percentage of substantiated investigations opened for family preservation has declined, there has been an increase in the percentage that are closed during this time period.

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OVERALL LEVEL OF RISK

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LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES

July 18, 2008 – June 18, 2009

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LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY PERCENTAGE

July 18, 2008 – June 18, 2009

Note: There were 7,268 family preservation cases and 2,013 permanency cases with risk levels during this time period.

<1%

•51% if cases opened for family preservation during this period had a risk level of somewhat and 42.3% were rated as considerable.

•74.7% of cases opened for placement had risk levels of considerable or extreme.

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PERCENTAGE OF VERY LITTLE RISK CASES BY REGION

State - Fam. Preserv. =4.2%

State - Permanency=3.8%

Regional percentages ranged from 1.5% to 18.1% for family preservation and 0% to 18.7% for permanency cases.

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PERCENTAGE OF CASES WITH SOMEWHAT AS RISK LEVEL BY REGION

State Fam. Preserv. =51.0%

State - Permanency= 21.0%

Regional percentages ranged from 58.6% to 65.7% for family preservation and 9.7% to 36.4% for permanency cases.

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PERCENTAGE OF CONSIDERABLE RISK CASES BY REGION

State -Fam. Preserv. =42.3%

State Permanency=53.2%

Regional percentages ranged from 14.8% to 56.6% for family preservation and 40.9% to 71.8% for permanency cases.

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PERCENTAGE OF CASES RATED AS EXTREME BY REGION

State Fam. Preserv. =2.3%

State Permanency= 21.5%

Regional percentages ranged from none to 4.3% for family preservation and none to 39.8% for permanency cases. Region 17 had no cases rated as “extreme.”

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REGION 1: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY

PERCENTAGE

Information reflects risk assessment levels

for 573 Family Preservation cases

and 108 Permanency cases.

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REGION 2: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY

PERCENTAGE

Information reflects risk assessment

levels for 479 Family

Preservation cases and 114 Permanency

cases.

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REGION 3: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY

PERCENTAGE Information reflects risk assessment

levels for 553 Family

Preservation cases and 126 Permanency

cases.

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REGION 4: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY

PERCENTAGE Information reflects risk assessment

levels for 472 Family

Preservation cases and 135 Permanency

cases.

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REGION 5: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY

PERCENTAGE

Information reflects risk assessment

levels for 485 Family

Preservation cases and 73 Permanency

cases.

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REGION 6: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY

PERCENTAGE

Information reflects risk assessment

levels for 712 Family

Preservation cases and 99 Permanency

cases.

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REGION 7: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY

PERCENTAGE

Information reflects risk assessment

levels for 338 Family

Preservation cases and 63 Permanency

cases.

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REGION 8: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY

PERCENTAGE

Information reflects risk assessment

levels for 322 Family

Preservation cases and 82 Permanency

cases.

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REGION 9: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY

PERCENTAGE

Information reflects risk assessment

levels for 298 Family

Preservation cases and 42 Permanency

cases.

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REGION 10: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY

PERCENTAGE Information reflects risk assessment

levels for 483 Family

Preservation cases and 52 Permanency

cases.

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REGION 11: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY

PERCENTAGE

Information reflects risk assessment

levels for 618 Family

Preservation cases and

47 Permanency

cases.

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REGION 12: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY

PERCENTAGE

Information reflects risk assessment

levels for 322 Family

Preservation cases and

162 Permanency

cases.

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REGION 13: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY

PERCENTAGE

Information reflects risk assessment

levels for 506 Family

Preservation cases and

213 Permanency

cases.

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REGION 14: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY

PERCENTAGE

Information reflects risk assessment

levels for 210 Family

Preservation cases and 193 Permanency

cases.

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REGION 15: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY

PERCENTAGE

Information reflects risk assessment

levels for 166 Family

Preservation cases and 135 Permanency

cases.

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REGION 16: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY

PERCENTAGE

Information reflects risk assessment

levels for 321 Family

Preservation cases and 108 Permanency

cases.

<1%

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REGION 17: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY

PERCENTAGE

Information reflects risk assessment

levels for 394 Family

Preservation cases and 188 Permanency

cases.

<1%

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MAKING THE MOST OUT OF PERFORMANCE COMPOSITES

• We have the data profiles regarding Georgia’s overall performance and the percentages for each measure (including county level data).

• The data profiles provide the ranges, medians, and 25th and 75th profiles of performance so that we know how we compare to other states on these measures.

• We will focus on how performance for each individual measure impact or contribute to overall performance.

• Most importantly, we will stress how performance on each individual measure really relate to safety and permanency and what we need to do so that children in Georgia will have safe and thriving forever families sooner.

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Measure C1 - 1: Exits to reunification in less than 12 months: Of all children discharged from foster care to reunification in the year shown, who had been in foster care for 8 days or longer, what percent was reunified in less than 12 months from the date of the latest removal from home? (Includes trial home visit adjustment) [national median = 69.9%, 75th percentile = 75.2%]

Measure C1 - 2: Exits to reunification, median stay: Of all children discharged from foster care (FC) to reunification in the year shown, who had been in FC for 8 days or longer, what was the median length of stay (in months) from the date of the latest removal from home until the date of discharge to reunification? (This includes trial home visit adjustment) [national median = 6.5 months, 25th Percentile = 5.4

months (lower score is preferable in this measure)]

PERMANENCY COMPOSITE 1

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Permanency Composite 1: Timeliness and Permanency of Reunification

National Standard or Median

Period Ending 3/31/2008

Period Ending

3/31/2009

Timeliness & Permanency of Reunification

National Standard = 122.6 or higher

116.2 117.7

National Ranking

19 of 47 19 of 47

C1-1. Exits to Reunification in less than 12 Months

National Median = 69.9%

(75th Percentile = 75.2%)

61.3% 57.5%

C1-2. Exits to Reunification, Median Stays

National Median = 6.5 months

(25th Percentile = 5.4 months)

10.1 10.8

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CHILDREN WHO ENTERED CARE FROM OCTOBER – DECEMBER 2008 WITH GOAL OF REUNIFICATION (6/25/2009)

Number Percentage

DFCS Foster Home 340 47.4%

Relative-Paid 109 15.2%

CPA Foster Home 85 11.9%

CCI 54 7.5%

Relative-Unpaid 43 6.0%

Group Home 29 4.0%

Parent 14 2.0%

Not Listed 12 1.7%

Other Person/Resource 10 1.4%

Hospital 9 1.3%

YDC/RYDC 6 1.0%

Runaway 3 0.0%

ICPC Foster Home 2 0.0%

Emergency Shelter 1 0.0%

Total 717

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CHILDREN WHO ENTERED CARE FROM OCTOBER – DECEMBER 2008 WITH GOAL OF REUNIFICATION (6/25/2009) BY REGION

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QUESTIONS FOR DISCUSSION

• How many of these children can be safely reunited?

• What additional work must be done, for example with court processes?

• What supports must be in place for these children to be safe and thriving with their forever families?

• What risk issues are you managing?

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Re-entries to Foster Care in Less than 12 Months

National Median

Period Ending

3/31/2008

Period Ending

3/31/2009

C1-4: Re-entries to foster care in less than 12 months.

15.0%

(25th percentile = 9.9%)

8.7% 6.1%

Of all children discharged from foster care to reunification in the 12-month period prior to the year shown, what percent re-entered foster care in less than 12 months from the date of discharge? [national median = 15.0%, 25th Percentile = 9.9%]

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FOSTER CARE RE-ENTRY RATEMay 2008 – May 2009

National standard: less than or equal to 8.60%

Of the children who entered care in May 2009, 5.71% had exited care less than 12 months ago.

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PERMANENCY COMPOSITE 2

Measure C2 - 1: Exits to adoption in less than 24 months: Of all children who were discharged from foster care to a finalized adoption in the year shown, what percent was discharged in less than 24 months from the date of the latest removal from home? [national median = 26.8%, 75th Percentile = 36.6%]

Measure C2 - 2: Exits to adoption, median length of stay: Of all children who were discharged from foster care (FC) to a finalized adoption in the year shown, what was the median length of stay in FC (in months) from the date of latest removal from home to the date of discharge to adoption? [national median = 32.4 months, 25th Percentile = 27.3 months (lower score is preferable in this measure)]

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Permanency Composite 2: Timeliness of AdoptionsNational

Standard or Median

Period Ending 3/31/2008

Period Ending 3/31/2009

Timeliness of Adoptions

National Standard =

106.4 or higher

105.2 99.3

National Ranking 14 of 47 21 of 47

C2 - 1: Exits to adoption in less than 24 months

National Median = 26.8%%

(75th percentile = 36.6%)

22.4% 26.9%

Measure C2 - 2: Exits to adoption, median length of stay:

National Median = 32.4 months

(25th percentile = 27.3 months)

33.4 33.2

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Progress Toward Adoption for Children in Foster Care for 17 Months or Longer

Measure C2 - 3: Children in care 17+ months, adopted by the end of the year: Of all children in foster care (FC) on the first day of the year shown who were in FC for 17 continuous months or longer (and who, by the last day of the year shown, were not discharged from FC with a discharge reason of live with relative, reunify, or guardianship), what percent was discharged from FC to a finalized adoption by the last day of the year shown? [national median = 20.2%, 75th Percentile = 22.7%]

Measure C2 - 4: Children in care 17+ months achieving legal freedom within 6 months: Of all children in foster care (FC) on the first day of the year shown who were in FC for 17 continuous months or longer, and were not legally free for adoption prior to that day, what percent became legally free for adoption during the first 6 months of the year shown? Legally free means that there was a parental rights termination date reported to AFCARS for both mother and father. This calculation excludes children who, by the end of the first 6 months of the year shown had discharged from FC to "reunification," "live with relative," or "guardianship." [national median = 8.8%, 75th Percentile = 10.9%]

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Progress Toward Adoption for Children in Foster Care for 17 Months or Longer

National Standard or

Median

Period Ending

3/31/2008

Period Ending

3/31/2009

C2 - 3: Children in care 17+ months, adopted by the end of the year:

National Median = 20.2%

(75th percentile = 22.7%)

22.2% 26.0%

C2 - 4: Children in care 17+ months achieving legal freedom within 6 months

8.8%

(75th percentile = 10.9%)

14.8% 7.8%

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Progress Toward Adoption of Children Who Are Legally Free for Adoption

National Median

Period Ending

3/31/2008

Period Ending

3/31/2009

Legally free children adopted in less than 12 months:

45.8%

(75th percentile = 53.7%)

50.3% 51.0%

Of all children who became legally free for adoption in the 12 month period prior to the year shown (i.e., there was a parental rights termination date reported to AFCARS for both mother and father), what percent was discharged from foster care to a finalized adoption in less than 12 months of becoming legally free? [national median = 45.8%, 75th Percentile = 53.7%]

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NUMBER & PERCENT OF CHILDREN LEGALLY FREE FOR ADOPTION BY REGION

AS OF JUNE 19, 2009N-1,245

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PLACEMENT SETTING FOR CHILDREN WHO ARE LEGALLY FREE FOR ADOPTION

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PERMANENCY PLAN FOR CHILDREN LEGALLY FREE FOR ADOPTION

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PERCENTAGE OF POSITIVE EXITS IN PAST 6 MONTHS BY LAST PLACEMENT TYPE

N=3,577

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AVERAGE LENGTH OF STAY IN MONTHS FOR CHILDREN WHO EXITED CARE IN THE PAST 6 MONTHS

BY LAST PLACEMENT

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FAMILY INDEPENDENCE QUALITY ASSURANCE REVIEW

PROCESS

Reviews are conducted based on the Federal Management Review Process

which is based on national trends

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FOOD STAMP PROGRAM POLICY ISSUES

• Outreach

• Case Record Review—Initial Certifications, Denied Applications, Terminations, Recertifications (approvals and closures)

• Customer Service: Application Process, interviews with staff/clients/advocates

• Hearing Logs

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CORRECTIVE ACTION

• Quality Improvement Plan/Monitoring • Corrective Action Plan• Quality Control Data/Central File• Error Prone Cases:

– Wages and Salaries– Shelter and Utilities

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Claims Management

• 5667 Log for OIS Referrals• Overpayments/Underpayments• IPV referrals made/documented timely• Disqualified Recipient Subsystem (DRS) entry• Sanctions applied timely• Agency Error/Inadvertent Household Error

claims documented on ADDR NARR screen

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AGENCY COMPLIANCE PROCEDURES

• Civil Rights/Title VI• Limited English Proficiency/Sensory Impaired

(LEP/SI)

• Americans with Disabilities Act (ADA/Section 504) • Health Insurance Portability and Accountability

Act (HIPAA)

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IRS/BEERS SECURITY REVIEW

• Two Barrier Security• Destruction Logs• Annual Training/Logs/User Agreement Forms• UNAX Poster• County Security Plan

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Other Review Items

• TANF Participation Activities/Validation of Hours• TANF Mandatory Forms

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Three Months and Six MonthsTrends Comparison Chart

Program Access

0%10%20%30%40%50%60%

Recertification CustomerService

Fair HearingSubmission

3 months

6 months

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Three Months and Six MonthsTrends Comparison Chart

Claims

0%

5%

10%

15%

Claims County Log OIS Claims IPV Referrals Doc.

3 months

6 months

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Three Months and Six MonthsTrends Comparison Chart

Training

0%10%

20%30%

40%50%

Title VI LEP/SI ADA/Section504

HIPAA IRS/BEERS

3 months

6 months

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Three Months and Six MonthsTrend Comparison Chart

TANF Validations

0%

10%

20%

30%

40%

50%

60%

70%

80%

Hours Incorrect FLSA Verification

3 months

6 months

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TANF Cases

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun

28,335 28,003 27,553 27,097 26,702 25,739 25,599 25,031 24,649 24,252 24,175 23,983

23,778 23,410 23,574 23,521 23,525 22,719 22,538 22,336 21,977 21,768 21,678 21,318

21,231 21,189 21,378 21,478 21,494 21,743 21,467 21,098 20,837 20,671 20,656

Note: Due to the Deficit Reduction Act (DRA) that reauthorized TANF, caseload and work participation rates have been revised beginning October 2007. These changes impact the way in which adults are selected and the calculation of hours in some of the work activities.

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Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun

5,386 5,152 4,844 5,018 4,635 4,250 3,994 3,707 3,539 3,372 3,434 3,392

3,530 3,615 3,611 3,722 3,718 3,461 3,069 2,819 2,576 2,521 2,439 2,273

2,297 2,378 2,571 2,709 2,795 3,019 2,928 2,788 2,660 2,681 2,766

TANF ADULT

Note: Due to the Deficit Reduction Act (DRA) that reauthorized TANF, caseload and work participation rates have been revised beginning October 2007. These changes impact the way in which adults are selected and the calculation of hours in some of the work activities.

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TANF CHILD ONLY

Note: Due to the Deficit Reduction Act (DRA) that reauthorized TANF, the caseload and work participation rates have been revised beginning October 2007. These changes impact the way in which adults are selected and the calculation of hours in some of the work activities.

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun

22,949 22,851 22,709 22,079 22,067 21,489 21,605 21,324 21,110 20,880 20,741 20,591

20,248 19,794 19,963 19,797 19,807 19,258 19,469 19,517 19,401 19,247 19,239 19,045

18,934 18,811 18,807 18,769 18,699 18,724 18,539 18,310 18,177 17,990 17,890

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Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun

379,188 384,378 385,390 390,446 391,522 391,785 389,868 384,269 384,458 381,828 383,205 384,841

385,577 389,220 390,538 395,695 400,169 401,851 402,330 403,021 406,577 409,839 424,362 427,150

435,804 446,050 456,274 468,848 480,103 493,228 500,954 509,986 521,253 535,605 551,498

Food Stamp Cases

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Medicaid Cases

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun

587,810 587,558 583,754 583,110 578,746 572,899 573,893 570,641 573,712 574,492 577,984 579,952

583,218 589,831 591,259 597,221 599,518 597,777 600,739 600,890 604,355 609,750 615,327 619,436

624,150 627,369 634,654 641,789 643,827 647,760 652,838 657,302 663,485 671,324 678,214

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