CFSR3 Data Overview What are the CFSRs CFSR History CFSR: Overall Goals CFSR3: What Has NOT Changed

CFSR3 Data Overview What are the CFSRs CFSR History CFSR: Overall Goals CFSR3: What Has NOT Changed www.phwiki.com

CFSR3 Data Overview What are the CFSRs CFSR History CFSR: Overall Goals CFSR3: What Has NOT Changed

Bodiford, John, Market Manager has reference to this Academic Journal, PHwiki organized this Journal CFSR3 Data OverviewCali as long as nia Child Welfare Indicators ProjectCenter as long as Social Services Research School of Social WelfareUniversity of Cali as long as nia, BerkeleyThe Cali as long as nia Child Welfare Indicators Project (CCWIP) is a collaboration of the Cali as long as nia Department of Social Services in addition to the School of Social Welfare, University of Cali as long as nia at Berkeley, in addition to is supported by the Cali as long as nia Department of Social Services in addition to the Stuart FoundationWhat are the CFSRsAmendments to the Social Security Act in 1994 m in addition to ated the U.S. Department of Health in addition to Human Services (USDHHS) to determine a process as long as ensuring con as long as mity with titles IV-B in addition to IV-E of the Social Security Act The Adoption in addition to Safe Families Act of 1997 directed USDHHS to develop a set of outcome measures that could be used to assess state per as long as mance in achieving the goals of safety; permanency; in addition to child in addition to family well-being In 2000, a final rule was published in the Federal Register that established a review system as long as monitoring state child welfare programsThis system, called the Child in addition to Family Services Reviews (CFSRs), is administered by the Children’s Bureau (a division of of USDHHS)CFSR HistoryCFSR Round 1Conducted between 2001 in addition to 2004Data indicators to measure state per as long as mance consisted of 6 items (2 safety/4 permanency)CFSR Round 2Conducted between 2007 in addition to 2010Data indicators also consisted of 6 items, but the permanency st in addition to ards were exp in addition to ed to 15 different measures that were distilled into four composites CFSR Round 3 Begins in 2015 Data indicators have been revised in addition to will consist of 7 items (2 safety/5 permanency)

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CFSR: Overall GoalsEnsure con as long as mity with title IV-B in addition to IV-E child welfare requirements Determine what is happening to children in addition to families who have contact with the child welfare systemSupport states to enhance their capacity to improve outcomes in addition to systems as long as children in addition to families CFSR3: What Has NOT ChangedThe process: Data profile (3 years data trends in addition to national st in addition to ards)Statewide assessmentOnsite reviewAssessment based on the same 7 outcomes in addition to 7 systemic factors using national st in addition to ards in addition to measures of expected per as long as manceStates found to be “not in compliance” will continue to have the opportunity to improve their programs be as long as e facing the possibility of financial penaltiesCFSR Process

Seven OutcomesSafetyChildren are, first in addition to as long as emost, protected from abuse in addition to neglect.Children are safely maintained in their homes whenever possible in addition to appropriate.PermanencyChildren have permanency in addition to stability in their living arrangements.The continuity of family relationships in addition to connections is preserved as long as children.Child in addition to Family Well-BeingFamilies have enhanced capacity to provide as long as their children’s needs.Children receive appropriate services to meet their educational needs. Children receive adequate services to meet their physical in addition to mental health needs. Seven Systemic FactorsStatewide In as long as mation SystemService ArrayCase Review SystemStaff TrainingQuality Assurance SystemAgency Responsiveness to the CommunityFoster & Adoptive Parent Licensing, Recruitment, & RetentionCFSR3: What Has ChangedStatewide data indicators in addition to national st in addition to ardsThe statewide assessment in addition to integration with the Child in addition to Family Services Plans (CFSPs) in addition to Annual Progress in addition to Services Reports (APSRs)Onsite reviewsStakeholder interviewsCase reviews

STATEWIDE DATA INDICATORSStatewide Data Indicators: CFSR2 vs. CFSR3No composites!Fewer in addition to simpler measuresGreater reliance on entry cohortsIncreased utility as long as jurisdictionsMore opportunity as long as CQI innovation CFSR3 IndicatorsSafetyS1: Maltreatment in foster careS2: Recurrence of maltreatmentPermanencyP1: Permanency in 12 months as long as children entering foster careP2: Permanency in 12 months as long as children in foster care as long as 12 to 23 monthsP3: Permanency in 12 months as long as children in foster care as long as 24 months or more P4: Re-entry to foster careP5: Placement stability

MethodsCohortsIn foster care during the 12-month period (S1)Children who were victims of a substantiated report of maltreatment during the 12-month period (S2)Children entering care during the 12-month period (P1, P4, P5) In foster care on the first day of the year (P2, P3)MeasuresPercent (S2, P1, P2, P3, P4)Count/rate per day of foster care (S1, P5)Accounts as long as time at risk as long as the outcome (maltreatment in care or placement moves) using the total number of days eligible children were in careS1: Maltreatment in Foster CareOf all children in foster care during a 12-month period, what is the rate of victimization per day of foster care What’s changedRate of maltreatment per child days in foster care vs. percentage of children not maltreated in foster careIncludes all maltreatment types by any perpetrator vs. just maltreatment by foster parents/facility staffIncludes all days in foster care during the year (across episodes)Multiple incidents of substantiated maltreatment as long as the same child are included in the numeratorCalculating Rate Per Day of Foster Care: Maltreatment in Foster CareChild A Days in care: 275Instances of maltreatment: 0Cohort: Children in Care Between Oct 2012 – Sep 2013328.6 victimizations per 100,000 days in foster care

Maltreatment in Foster Care: Example – Children in Care Oct 2012-Sep 2013Day count ends at 18th birthdayDay count starts on the first day of the 12-month periodInstance of maltreatment is excluded because it was reported within 7 days of foster care placementS2: Recurrence of MaltreatmentOf all children who were victims of a substantiated report of maltreatment during a 12-month reporting period, what percent were victims of another substantiated maltreatment allegation within 12 months of their initial reportWhat’s changedWindow is 12 months vs. 6 monthsRecurrence vs. no recurrenceMeasuring Recurrence: 6-Month to 12-Month WindowState in addition to County per as long as mance will appear to decline when comparing CFSR2 measure S1.1 to CFSR3 measure S1The longer follow up exposure time in the revised measure (12 months vs. 6 months) increases the likelihood that children will experience recurrence of maltreatment

P1: Permanency in 12 Months as long as Children Entering CareOf all children who enter foster care in a 12-month period, what percent discharged to permanency within 12 months of entering foster careWhat’s changedExp in addition to ed definition of permanence includes reunification, adoption, or guardianship vs. reunification onlyIncludes all children entering foster care during the year vs. just those who were removed as long as the first timeEntry cohort window is 12 months vs. 6 monthsTrial Home Visit AdjustmentChildren who have a discharge to reunification that was preceded by a trial home visit will have their length of stay adjusted to be at the time of the entry to the THV plus 30 days in addition to THV +30 will be considered the date they exited to permanency, even if the actual episode ends later.

Measuring Timely Reunification: Entry Cohorts vs. Exit CohortsCounties that have relied more heavily on exit cohorts to assess in addition to report timely reunification (CFSR2 measure C1.1) will look worse in the revised measureFor example, compare these statistics:Of children exiting to reunification in 2014 (Jan-Dec), 63.6% did so in less than 12 months (CFSR2 C1.1)Of children entering care between July in addition to December 2013, 35.5% exited to reunification within 12 months (CFSR2 C3.1)Example: Entry Cohorts vs. Exit CohortsMeasuring Timely Reunification: Entry Cohorts vs. Exit Cohorts10/1/1110/1/1210/1/13

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CFSR2/C1.1: Exit Cohort10/1/1110/1/1210/1/13Children discharged to reunification during the year: 5Children reunified within 12 months: 4Per as long as mance (C1.1): 80%Median time to reunification (C1.2): 4 monthsCFSR3/P1: Entry Cohort10/1/1110/1/1210/1/13Children entering care during the year: 6Children achieving permanency within 12 months: 4Per as long as mance (P1): 60%Median time to permanency: 8 monthsP2: Permanency in 12 Months as long as Children in Care as long as 12-23 MonthsOf all children in foster care on the first day of the 12-month period, who had been in foster care (in that episode) as long as 12-23 months, what percent discharged to permanency within 12 months of the first day What’s changedNew measure with an intermediate time period (between 12 in addition to 23 months)

P3: Permanency in 12 Months as long as Children in Care as long as 24+ MonthsOf all children in foster care on the first day of the 12-month period, who had been in foster care (in that episode) as long as 24 or more months, what percent discharged to permanency within 12 months of the first day What’s changednothingP4: Re-entry to Foster CareOf all children who enter foster care in a 12- month period in addition to are discharged within 12 months to reunification or guardianship, what percent re-entered foster care within 12 months of their date of dischargeWhat’s changedEntry cohort (denominator includes all children who enter care during the year in addition to exit within 12 months) vs. all children who exit during the year Includes exits to reunification in addition to guardianship vs. reunification onlyP5: Placement StabilityOf all children who enter foster care in a 12- month period, what is the rate of placement moves per day of foster careWhat’s changedEntry cohort vs. all children in care as long as less than 12 monthsControls as long as time in care by constructing a moves/placement day vs. the number of moves per childAccurately accounts as long as actual number of moves vs. the prior “2 or more” indicator

SourcesExecutive Summary: Final Notice of Statewide Data Indicators in addition to National St in addition to ards as long as Child in addition to Family Services ReviewsFederal Register Notices: Statewide Data Indicators in addition to National St in addition to ards as long as Child in addition to Family Services ReviewsMay 2014 October 2014April 2014CFSR Technical Bulletins 8A 7CFSR Round 3 Statewide Data Indicators (revised May 2015)Sustaining the Momentum: The Next Round of Reviews Children’s Bureau Plan as long as CFSR Statewide Data Indicators in addition to National St in addition to ardsFor additional in as long as mation: https://training.cfsrportal.org/resources/3105

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