The 50 State CHARTBOOK on Foster Care


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The 50 State CHARTBOOK on Foster Care

  1. 1. The 50 State CHARTBOOK on Foster Care: A Web-Based Data Resource for Child Welfare Professionals National Webinar Tuesday, July 16, 2013 at 3:00pm EDT Speakers: Judith Gonyea, Chair of Social Research, Boston University School of Social Work Mary Bissell, Partner, ChildFocus Laura Boyd, Public Policy & Government Relations Consultant, Foster Family-Based Treatment Association;
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  3. 3. ◦ The Vision: The Rationale for the CHARTBOOK ◦ The Developmental Process: Moving from Vision to Reality ◦ The CHARTBOOK’s Organization: State Profiles and National Trends ◦ National Perspectives on the CHARTBOOK Utility ◦ ◦ A State’s Perspective on the CHARTBOOK as a Resource ◦ Open Dialogue and Discussion
  4. 4. Boston University Team: Judith G. Gonyea, PhD, Sara S. Bachman, PhD, Serena Rajabiun, MPH, Julie Springwater, MSW, Carol Tobias, MMHS, Melissa Hirschi, MSW, Faith Little, MSW
  5. 5.  Linda Arnold, MSW, Director, National Resource Center for Child Welfare Data and Technology, CWLA, Washington DC  Kathy Betts, MPH, Deputy Assistant Secretary, Children, Youth and Families, MA Executive Office of Health and Human Services  Laura Boyd, PhD, Public Policy and Government Relations Consultant, Foster Family-based Treatment Association  Larry Brown, MSW, Larry Brown Associates & Former Executive Deputy Commission, New York State Office of Children and Families  Chris Koyanagi, Policy Director, Bazelon Center for Mental Health Law, Washington DC
  6. 6.  Ken Olson, LCPC, Executive Director, KidsPeace National Centers of New England, ME  Gina Robinson, Program Administrator, Colorado Department of Health Care Policy and Financing  Linda Spears, Vice President & Policy Director, Child Welfare League of America  Harry Spence, JD, Professor, Harvard School of Education and Former Commissioner of Massachusetts Department of Children and Families  Peter Watson, Director, National Child Welfare Resource Center for Organizational Improvement, University of Southern Maine
  7. 7. The CHARTBOOK would be:  a valuable tool for diverse populations, including policymakers, service providers, advocates and researchers;  an accessible and user-friendly tool or resource; and  organized into state profiles for ALL 50 states and DC There is a strong desire to secure funding to update the CHARTBOOK on a 2- to 3-year cycle allowing the identification of trends and the benchmarking of progress over time.
  8. 8.  The CHARTBOOK provides data on foster care programs, policies, and financing for every state and the District of Columbia, including data on therapeutic or treatment foster care.  The CHARTBOOK also highlights innovative initiatives and best practices being implemented throughout the country.
  9. 9.  Research consistently shows that children in foster care are at a much greater risk for mental health disorders.  It is estimated that between one-half to three-quarters of children in foster care exhibit behavior or social competency problems which warrant the receipt of mental health services.  30% are estimated to have SEVERE behavioral, emotional or developmental problems.
  10. 10.  benchmark their own state—on key population, program and outcome measures—as compared to other states.  learn about different states’ key initiatives and evidence-based programs that could be replicated or implemented in their own state.
  11. 11.  Although foster care statistics are available—many of the existing data sets or sources are difficult and time-consuming to access and use.  The CHARTBOOK fills a critical gap—it is an easily accessible, user-friendly, single source for information on foster care across the 50 states and DC.
  12. 12. Abstracted Relevant Indicators from Existing National Datasets Gathered Data via Interviews with State Child Welfare and Medicaid State Leaders Emailed the Completed State Profile to the State Leaders to Review for Accuracy
  13. 13.  National Data Archive on Child Abuse and Neglect (NDACAN) Foster Care File Dataset 153: 2010.  Medicaid Statistical Information Systems (MSIS): Most current as of 2012  Child Trends 2012 Report: Federal, State and Local Spending to Address Child Abuse and Neglect in FY 2008 and 2010, Appendix A2.  Child and Family Services Review (CFSR): Most current as of 2011  Children's Defense Fund: 2010.  Green Book of the House Ways and Means Committee: 2008.  Administration of Children & Families "Child Welfare Outcomes 2006-2009”
  14. 14. . CHARTBOOK STATE PROFILES 8 categories or domains:
  15. 15.  Trauma treatment  Aging-out-of-Foster Care  Family Finding  Psychotropic Drugs  Behavioral Health Services  Cross-system data sharing
  16. 16. Exploring Trends with the CHARTBOOK Data
  17. 17. TFC Equivalent Option States Therapeutic Foster Care AR, AZ, CT, FL, HI, KS, KY, LA, MS, MT, NC, ND, OK, OR, SC, SD, TN, WY Therapeutic Foster Care & TFC with Enhanced Services AL, GA Treatment Foster Care CA, DE, ID, MD, MN, NM, OH, RI, TX, VA, WI, IA Treatment Services Foster Care TX Treatment Home Care NJ Multi-Dimensional Treatment Foster Care PA Therapeutic Foster Care & Treatment Foster Care CO, WA Specialized Foster Care AK, IL, NV, VT, WV Specialized Foster Care (includes Therapeutic Foster Care) DC, IN Specialized Foster Care (includes Treatment Foster Care) ME Individualized Service Options (ISO) NH Therapeutic Foster Boarding Home Care NY Levels of Care Evaluation Model UT Elevated Needs Foster Care MO Intensive Level of Foster Care (IFC) MA Professional Resource Foster Care NE
  18. 18. Hours States 5 DE (Per each foster parent in home) 6 AZ HI IA KY MD ME (12 hours in 2-year relicensing period) MI PA SD 8 CA FL KS NH(16 hours within 2 years) 9 CT (45 hours must be completed in the first 18 months) 10 GA ID MA MS NC VA WI 12 MN NE NM ND OK UT WA (36 hours in 3-year relicensing period) WV (15 hours required in the first recertification year) 14 SC 15 AL AK (Single parent homes only need 10 hours) AR DC(30 hours in 2-year relicensing period) IN LA MO MT OR (30 hours in 2-year relicensing period) TN 16 IL WY 20 CO NV OH (40 hours in 2-year relicensing period) TX Not Identified NJ NY RI VT
  19. 19. Hours STATES 4 NY -Special 5 NY -Exceptional 10 GA 12 DE –Moderate IA MS 14 ID 15 DE-Intensive Level 3 TN 16 MO NH –Specialized WY-Specialized 18 ME (36 hours in 2-year relicensing period) MN SD WI -Moderate Treatment WY-Therapeutic 20 DE -Intensive Level 4 & 5 HI IN LA –Specialized MD NV 24 AL AZ (Non-primary parent required to complete 12 hours) AR KS KY LA-Therapeutic NM WI -Specialized & Exceptional 28 CT 30 WA MT OH (60 hours in 2-year relicensing period) 32 CO 40 OR 50 TX (Single parent homes only need 30 hours) Not Identified AK CA DC FL IL MA MI NE NH (ISO) NJ NC ND OK PA RI SC UT VT VA WV Red = State has a different requirement of in-service hours training for therapeutic vs. basic foster care homes.
  20. 20. We asked states about 8 specific types of Medicaid funded services that may be available in their state, including: ◦ Psychiatric Residential Treatment Facilities (PRTF) ◦ Other Inpatient Mental Health Services ◦ Outpatient Mental Health Services ◦ Therapeutic Foster Care ◦ Private Non-Medical Institutions (PNMI) ◦ Rehabilitation Option; Specific Codes For Therapeutic Foster Care ◦ Targeted Case Management Option; Specific Codes For Therapeutic Foster Care ◦ Early And Periodic Screening, Diagnosis, And Treatment (EPSDT) Services Including Therapeutic Foster Care
  22. 22. The CHARTBOOK offers a beginning point for a more detailed investigation of an issue or topic. It’s goal is to “point users in the right direction” to seeking solutions to improving services and outcomes for children in our nation’s foster care system.
  23. 23. THANK YOU!! To Access the CHARTBOOK: http://www/ To Contact the Speakers: Judith Gonyea, Chair of Social Research, Boston University School of Social Work; jgonyea@edu Mary Bissell, Partner, ChildFocus; Laura Boyd, Consultant, Foster Family-Based Treatment Association;