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Child and Family Services Reviews (CFSRs). Child Welfare Final Rule (excerpt from Executive Summary). The child and family services reviews … [focus] … on outcomes and results for children and families,

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Child Welfare Final Rule(excerpt from Executive Summary)

The child and family services reviews …

  • [focus] … on outcomes and results for children and families,

  • [provide] … technical assistance to assist States in improving their child welfare systems in a timely way, as well as accountability for non-compliance,

  • [use] … multiple qualitative and quantitative information sources to better evaluate child and family outcomes and system performance, and

  • [engage] … the States as partners in identifying strengths and weaknesses, defining program improvements, and crafting technical assistance that will result in better outcomes and systems.


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Philosophy and Conceptual Framework

  • Partnership Between the Federal and State Governments

  • Examination of Outcomes of Services to Children and Families and State Agency Systems That Affect Those Services

  • Identification of State Needs and Strengths

  • Use of Multiple Sources To Assess State Performance

  • Comprehensive Review of All Relevant Child Welfare Programs

  • Promotion of Practice Principles

  • Emphasis on Accountability

  • Focus on Improving Systems

  • Enhancement of State Capacity To Become Self-Evaluating


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Family-Centered Practice

Community-Based Practice

Individualizing Services

Strengthening Parental Capacity

Practice Principles:


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Outcomes:

Safety

  • Children are, first and foremost, protected from abuse and neglect

  • Children are safely maintained in their own homes whenever possible and appropriate

    Permanency

  • Children have permanency and stability in their living situations

  • The continuity of family relationships and connections is preserved for children

    Child and Family Well-Being

  • Families have enhanced capacity to provide for their children’s needs

  • Children receive appropriate services to meet their educational needs

  • Children receive adequate services to meet their physical and mental health needs


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Systemic Factors:

  • Information System Capacity

  • Case Review System

  • Quality Assurance System

  • Training

  • Service Array

  • Agency Responsiveness to Community

  • Foster and Adoptive Parent Licensing, Recruitment, and Retention


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SAFETY OUTCOME 1Children are, first and foremost, protected from abuse and neglect.

  • Item 1: Timeliness of initiating investigations of reports of child maltreatment

  • Item 2: Repeat maltreatment


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SAFETY OUTCOME 2Children are safely maintained in their homes whenever possible and appropriate.

  • Item 3: Services to family to protect child(ren) in the home and prevent removal or re-entry into foster care

  • Item 4: Risk assessment and safety management


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PERMANENCY OUTCOME 1Children have permanency and stability in their living situations

  • Item 5: Foster care re-entries

  • Item 6: Stability of foster care placement

  • Item 7: Permanency goal for child

  • Item 8: Reunification, guardianship, or permanent placement with relatives

  • Item 9: Adoption

  • Item 10: Other planned permanent living


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PERMANENCY OUTCOME 2The continuity of family relationships and connections is preserved for children.

  • Item 11: Proximity of foster care

  • Item 12: Placement with siblings

  • Item 13: Visiting with parents and siblings in foster care

  • Item 14: Preserving connections

  • Item 15: Relative placement

  • Item 16: Relationship of child in care with parents


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WELL-BEING OUTCOME 1 Families have enhanced capacity to provide for their children’s needs.

  • Item 17: Needs and services of child, parents, and foster parents

  • Item 18: Child and family involvement in case planning

  • Item 19: Caseworker visits with child

  • Item 20: Caseworker visits with parents


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WELL-BEING OUTCOME 2Children receive appropriate services to meet their educational needs.

  • Item 21: Educational needs of the child


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WELL-BEING OUTCOME 3Children receive adequate services to meet their physical and mental health needs.

  • Item 22: Physical health of the child

  • Item 23: Mental/behavioral health of the child


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SYSTEMIC FACTORStatewide Information System

  • Item 24: State is operating a Statewide information system that, at a minimum, can readily identify the status, demographic characteristics, location, and goals for the placement of every child who is (or within the immediately preceding 12 months, has been) in foster care.


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SYSTEMIC FACTORCase Review System

  • Item 25: Provides a process that ensures that each child has a written case plan to be developed jointly with the child’s parent(s) that includes the required provisions.

  • Item 26: Provides a process for the periodic review of the status of each child, no less frequently than once every 6 months, either by a court or by administrative review.

  • Item 27: Provides a process that ensures that each child in foster care under the supervision of the State has a permanency hearing in a qualified court or administrative body no later than 12 months from the date the child entered foster care and no less frequently than every 12 months thereafter.

  • Item 28: Provides a process for termination of parental rights proceedings in accordance with the provisions of the Adoption and Safe Families Act.

  • Item 29: Provides a process for foster parents, preadoptive parents, and relative caregivers of children in foster care to be notified of, and have an opportunity to be heard in, any review or hearing held with respect to the child.


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SYSTEMIC FACTORQuality Assurance System

  • Item 30: The State has developed and implemented standards to ensure that children in foster care are provided quality services that protect the safety and health of the children.

  • Item 31: The State is operating an identifiable quality assurance system that is in place in the jurisdictions where the services included in the CFSP are provided, evaluates the quality of services, identifies strengths and needs of the service delivery system, provides relevant reports, and evaluates program improvement measures implemented.


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SYSTEMIC FACTORTraining

  • Item 32: The State is operating a staff development and training program that supports the goals and objectives in the CFSP, addresses services provided under titles IV-B and IV-E, and provides initial training for all staff who deliver these services.

  • Item 33: The State provides for ongoing training for staff that addresses the skills and knowledge base needed to carry out their duties with regard to the services included in the CFSP.

  • Item 34: The State provides training for current or prospective foster parents, adoptive parents, and staff of State licensed or approved facilities that care for children receiving foster care or adoption assistance under title IV-E that addresses the skills and knowledge base needed to carry out their duties with regard to foster and adopted children.


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SYSTEMIC FACTORService Array

  • Item 35: The State has in place an array of services that assess the strengths and needs of children and families and determine other service needs, address the needs of families in addition to individual children in order to create a safe home environment, enable children to remain safely with their parents when reasonable, and help children in foster and adoptive placements achieve permanency.

  • Item 36: The services in item 35 are accessible to families and children in all political jurisdictions covered in the State’s CFSP.

  • Item 37: The services in item 35 can be individualized to meet the unique needs of children and families served by the agency.


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SYSTEMIC FACTORAgency Responsiveness to the Community

  • Item 38: In implementing the provisions of the CFSP, the State engages in ongoing consultation with tribal representatives, consumers, service providers, foster care providers, the juvenile court, and other public and private child- and family-serving agencies and includes the major concerns of these representatives in the goals and objectives of the CFSP.

  • Item 39: The agency develops, in consultation with these representatives, annual reports of progress and services delivered pursuant to the CFSP.

  • Item 40: The State’s services under the CFSP are coordinated with services or benefits of other Federal or federally assisted programs serving the same population.


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SYSTEMIC FACTORFoster and Adoptive Licensing, Recruitment, and Retention

  • Item 41: The State has implemented standards for foster family homes and child care institutions which are reasonably in accord with recommended national standards

  • Item 42: The standards are applied to all licensed or approved foster family homes or child care institutions receiving title IV-E or IV-B funds.


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Two Phases of CFSR:

  • Statewide Assessment

  • On-Site Review

    • Final Report

    • Program Improvement Plan (PIP)


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Statewide Assessment

  • Six months before the on-site review, ACF transmits data profiles to the state which then begins the Statewide Assessment using the specified instrument, to be submitted 60 days prior to the on-site review.

  • The data profile includes data composites and measures relevant to Safety (based on NCANDS data) and Permanency (based on NCANDS and AFCARS data).

  • The data composites use data from a 12 month period of data submissions following the end of the two-year PIP period.


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Statewide Assessment

Narrative assessments of

  • child and family outcomes and

  • systemic factors

    Emphases on

  • meaningful stakeholder involvement (particularly with courts, tribes and youth)

  • descriptive and evaluative language

  • use of data


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On-Site Review

3 sites

largest metro

2 sites selected using SA info

Outcomes (using On-Site Review Instrument)

65 case record reviews

25 in-home

40 foster care (stratified)

Systemic Factors (using Stakeholder Interview Guide)

stakeholder interviews


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On-Site Review

Largest metro

31 cases

11 in-home

20 foster care

2 sites selected using SA info

17 cases

7 in-home

10 foster care


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Final Report

  • The Final Report includes the written determination of substantial conformity – based on the Statewide Assessment and findings from the On-Site Review – for each of the outcomes and systemic factors reviewed.


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Program Improvement Plan (PIP)

  • Addresses all areas of non-conformity

  • Emphasis on collaboration


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The Collaborative Process

  • A common goal

  • Benefit to all parties

  • A vehicle for collaborating

  • The ability to come to consensus

  • Strong leadership

  • A process for ensuring meaningful stakeholder involvement

  • Shared success

  • Use of stakeholders to engage new partners

  • A shared vision for the future

  • Ongoing evaluation