The Fostering Connections to Success and Increasing Adoptions Act of 2008 (FCA) was a sweeping set of federal reforms for abused and neglected children. The FCA required that states develop individualized transition plans for foster youth aging out of care to address issues like housing, education, employment, and health care. It also allowed federal reimbursement for states that extend foster care, guardianship, or adoption assistance to age 21. Over a decade later, implementation of the FCA remains a work in progress, as transition plans alone are not enough without support systems, and only some states have extended care to age 21.
1.6 Improving Outcomes for Youth Aging Out of Foster Care
Speaker: Brenda Fonseca
Nearly 28,000 youth emancipated from foster care in 2010, and it is imperative that they have access to services, affordable housing options, education, and employment to prepare them to live independently. Communities that have extended foster care to older youth under the Fostering Connections Act and that are creatively using resources to increase housing opportunities will discuss their successes and lessons learned.
1.6 Improving Outcomes for Youth Aging Out of Foster Care
Speaker: Brenda Fonseca
Nearly 28,000 youth emancipated from foster care in 2010, and it is imperative that they have access to services, affordable housing options, education, and employment to prepare them to live independently. Communities that have extended foster care to older youth under the Fostering Connections Act and that are creatively using resources to increase housing opportunities will discuss their successes and lessons learned.
OHIO Youth Advisory Board presentation on “Awareness of Resources to Support Foster Care Teens & Youth Preparing to Emancipate from Care” shared during the 2012 Ohio CASA Conference.
This newsletter article summarizes the proposed Homeless Children and Youth Act of 2017 and analyzes its potential impacts. This is one of many weekly policy updates I published for the Alliance for Strong Families and Communities.
Children of undocumented immigrants experience severe disadvantages that impact future success and contributions to social and economic change. Schools can promote well-being by providing safe environments for child and parental engagement.
OHIO Youth Advisory Board presentation on “Awareness of Resources to Support Foster Care Teens & Youth Preparing to Emancipate from Care” shared during the 2012 Ohio CASA Conference.
This newsletter article summarizes the proposed Homeless Children and Youth Act of 2017 and analyzes its potential impacts. This is one of many weekly policy updates I published for the Alliance for Strong Families and Communities.
Children of undocumented immigrants experience severe disadvantages that impact future success and contributions to social and economic change. Schools can promote well-being by providing safe environments for child and parental engagement.
1.8 Weathering the Storm: Employment Strategies That Work
Speaker: Liz Schott
To transition back into housing and off of time-limited rent subsidies, families and youth require immediate assistance to achieve sustainable work and economic security. This workshop will examine strategies that have helped low-income parents and youth find and maintain employment. Presenters will discuss strategies cultivated from successful subsidized and transitional employment program models and strategies for parents experiencing homelessness
3.5 What’s New in Family Homelessness Research?
Speaker: Peter Messeri
Building effective homeless assistance systems requires an understanding of the characteristics of families and the effectiveness of interventions that prevent and quickly end homelessness. This workshop will provide the newest findings from the field that can be used to inform decisions and interventions that affect homelessness in your community.
1.1 A Blueprint for Ending Youth Homelessness
Speaker: Eric Rice
How do we end youth homelessness? This workshop will summarize research and examine an emerging typology that can be used to inform and appropriately scale interventions to end youth homelessness. Presenters will describe strategies that are working to help young people reconnect with family and other caring adults when appropriate, and prepare to transition successfully to independent living with housing and supportive services.
California’s Approach for Implementing the Federal Fostering Connections to Success Ac by Lindsay Elliott from
5.8 Ending Homelessness for Youth Aging Out of Foster Care at the 2014 National Conference on Ending Family and Youth Homelessness.
After reading the report on services in Georgia, write a short paper.docxADDY50
After reading the report on services in Georgia, write a short paper that provides a summary of what it says. Explain how a market analysis was accomplished, how this information was used to determine the outcome of existing services, and how it was used to design services. Then provide an opinion on how this information could be useful in advocating for expansion of services.
Executive Summary
This report details the results of a mixed-method community outreach effort conducted by the Georgia Health Policy Center (GHPC) as part of The Community Foundation for Greater Atlanta’s Champions for Children with Exceptional Needs Initiative (Champions).
The purpose of this outreach effort is (1) to provide a systematic examination of the existing gaps in service and support for families with medically fragile and special needs children in Georgia and (2) to compile a list of service delivery options gathered from the community outreach efforts that could be provided to families through the funding of an appropriate nonprofit or network of nonprofits across Georgia. The report will be shared with The Community Foundation and the Champions Advisory Committee to guide them in the distribution of at least $2.2 million that has been appropriated by the Georgia Legislature to meet the needs of this population.
Data collection for the Initiative used both quantitative and qualitative approaches to explore the experience of families with special needs and medically fragile children. The quantitative component included a Medicaid claims analysis of children eligible for the Katie Beckett Waiver program during Calendar Year 2005. The qualitative data collection methods for the community outreach effort included:
Three focus groups with parents of special needs and medically fragile children;
Sixteen Key Informant interviews with parents, advocates, representatives from local and
state-wide non-profit agencies and medical providers;
Two community forums structured to present data collected in the needs assessment and
outreach and gather suggestions/feedback from community members regarding possible service delivery models.
Medicaid Claims Analysis
Findings from the Medicaid claims analysis of children who received services through the Katie Beckett Waiver program in 2005 exemplify the needs of many medically-fragile children in Georgia. In Calendar Year 2005 (CY2005), there were 6,572 children enrolled in Medicaid through the Katie Beckett class of assistance. The descriptive analysis of the Katie Beckett enrollees found that:
95% (6,130) of the Katie Beckett children submitted at least one Medicaid claim during the year. The top two diagnoses, specific delays in development and psychoses with origin specific to childhood (infantile autism, disintegrative psychosis and schizophrenia) comprise 28% of all the outpatient claims.
The average Medicaid reimbursement per Katie Beckett recipient was $5,033 in CY2005. The services that Medicaid paid .
1.6 Improving Outcomes for Youth Aging Out of Foster Care
Speaker: Amy Lemley
Nearly 28,000 youth emancipated from foster care in 2010, and it is imperative that they have access to services, affordable housing options, education, and employment to prepare them to live independently. Communities that have extended foster care to older youth under the Fostering Connections Act and that are creatively using resources to increase housing opportunities will discuss their successes and lessons learned.
1.6 Improving Outcomes for Youth Aging Out of Foster Care
Speaker: Amy Lemley
Nearly 28,000 youth emancipated from foster care in 2010, and it is imperative that they have access to services, affordable housing options, education, and employment to prepare them to live independently. Communities that have extended foster care to older youth under the Fostering Connections Act and that are creatively using resources to increase housing opportunities will discuss their successes and lessons learned.
This presentations by Carl Falconer is from the workshop 3.03 Implementing Effective Governance to End Homelessness from the 2015 National Conference on Ending Homelessness.
Effective governance sets the tone for a systemic focus on ending homelessness. Speakers will discuss the essential elements of effective governance, including managing and measuring performance and right-sizing the crisis response system through resource allocation.
Slides from a presentations by Cynthia Nagendra of the National Alliance to End Homelessness from a webinar that originally streamed on Tuesday, April 7, 2015 covering steps one and three of the Alliance's "5 Steps for Ending Veteran Homelessness" document.
"Housing First and Youth" by Stephen Gaetz from the workshop 4.6 Housing and Service Models for Homeless Youth at the 2014 National Conference on Ending Homelessness.
Frontline Practice within Housing First Programs by Benjamin Henwood from the workshop 5.9 Research on the Efficacy of Housing First at the 2014 National Conference on Ending Homelessness.
Rapid Re-Housing with DV Survivors: Approaches that Work by Kris Billhardt from the workshop Providing Rapid Re-housing for Victims of Domestic Violence at the 2014 National Conference on Ending Homelessness.
Non-chronic Adult Homelessness: Background and Opportunities by Dennis Culhane from the workshop 1.7 Non-Chronic Homelessness among Single Adults: An Overview at the 2014 National Conference on Ending Homelessness
Family Reunification Pilot, Alameda County, CA from the work shop 6.1 Partnering with Child Welfare Agencies to End Family Homelessness at the 2013 National Conference on Ending Homelessness.
Improving Homeless Assistance Through Learning Collaboratives by Elains De Coligny and Kathie Barkow from the 2013 National Conference on Ending Homelessness
Shelter diversion by Ed Boyte from 6.5 Maximizing System Effectiveness through Homelessness Prevention from the 2013 National Conference on Ending Homelessness
"Evaluating Philadelphia’s Rapid Re-Housing Impacts on Housing Stability and Income," by Jamie Vanasse Taylor Cloudburst and Katrina Pratt-Roebuck from the 2013 National Conference on Ending Homelessness/.
1.3 Beyond a 17 Percent Decrease: Next Steps for Ending Veteran Homelessness
4.3 Marci McCoy-Roth
1. Child Welfare and Youth Homelessness:The Fostering Connections Act July 14, 2011 Marci McCoy-Roth, Child Trends Based on brief by Kerry DeVooght, Megan Fletcher and Marci McCoy-Roth, Child Trends (forthcoming)
2. The Fostering Connections to Success and Increasing Adoptions Act (P.L. 110-351) Sweeping federal reforms for children and families Enacted October 7, 2008 Most significant federal reforms for abused and neglected children in more than a decade. 2
3. About FosteringConnections.org Mission: FosteringConnections.org provides timely & reliable tools and information on the Fostering Connections Act to ensure that state, tribal and local decision makers are well-informed about the new law and that they receive maximum support as they plan for and carry out its implementation. Supported by: The Annie E Casey Foundation Casey Family Programs Dave Thomas Foundation for Adoption Duke Endowment Eckerd Family Foundation Jim Casey Youth Opportunities Initiative Sierra Health Foundation Stuart Foundation Walter S. Johnson Foundation 3
4. What do we provide? 4 Nonpartisan data and resources on each section of the bill Individualized technical assistance Monitoring of implementation activity Opportunities to communicate with experts and peers
14. Outcomes for Youth who Age Out 25 percent did not have a high school diploma or GED Fewer than 2 percent finished college compared with 23 percent of youth in the general population Over half of youth who aged out of foster care experienced one or more episodes of homelessness, and nearly 30 percent were incarcerated at some point Youth who aged out of foster care were less likely to be employed or to have health insurance than were their peers who had not been in foster care. 12
15. State Variation 13 States with largest percent of total exits due to youth aging out (FY 2009)
16. Older Youth Provisions of FCA: Transition Plan During the 90 day period before a youth leaves foster care at age 18, 19, 20 or 21, a transition plan must be developed. The plan must be individual to the young person and developed with the young person. Among the issues to be addressed are specific options on housing, health insurance, education, local opportunities for mentors, and workforce supports and employment services. FosterClub Transition Toolkit 10 Topic areas covered Housing 14
17. Transition plans not the magic bullet The success of the transition plan largely depends on the WHO - who is helping the youth develop the plan, who is helping the youth carry out the action items, who the youth has assisting them with developing resources, and - most applicable to the homelessness questions - who can the youth turn to when plans go wrong or in an emergency situation. In other words - it's not the plan itself that's the magic bullet, it's the people involved in the plan (and invested in the youth's life). - Celeste Bodner, Executive Director, FosterClub 15
18. Older Youth Provisions of FCA: Extend to 21 Provides an option to states to secure federal reimbursement for foster care, guardianship or adoption assistance to youth between ages 18 and 21, and extends eligibility for Medicaid and Chafee Act benefits to youth in foster care to age 21 as well 12 states and the District of Columbia have begun implementing this option through approved IV-E plan amendments or by enacting legislation States with IV-E Plans: AL, IL, MD, MN, NE, NY States with Legislation: AK, CA, DE, DC, IL, ND, TN, TX, WA 16
19. We invite your questions 17 FosteringConnections.org is pleased to answer questions or help you find technical assistance related to implementation. Please email questions to info@fosteringconnections.org Marci McCoy-Roth mmccoy-roth@childtrends.org 202.572.6122
Editor's Notes
Specifically, the percentage of the total foster care caseload aged13 and over has increased since 1998. This trend may explain, at least partially, the increases in the number of youth aging out, and it suggests that until more older youth achieve permanence, the number of youth aging out will remain high. See Table 5 for the percentages of children and youth in foster care by age range for each year, 1998 through 2009. We note that this analysis is point-in-time and that a cohort analysis might reveal alternative explanations, including the possibility that exits to permanency are occurring more quickly for children in some age ranges (perhaps due to the Adoption and Safe Families Act of 1997.) As Table 5 shows, the percentage of the foster care population comprising children age 2 and younger rose by 33 percent between 1998 and 2009 while the percentage of the foster care population comprising children between the ages of 3 and 12 decreased notably. The percentage of children and youth in foster care who are 13 and over has grown, while financial resources to serve this population through the Chafee Foster Care Independence Act have not.
Older youth in foster care are more likely to be placed in a group home or institution setting than their younger peers, and less likely to be in a pre-adoptive or family foster home. In 2009, nearly 54,000 youth aged 13-21 lived in a group or institutional setting, This represents over one-third of this population, compared with only four percent of children 12 and younger living in these placements (see Figure 2). Eighty four percent of youth aged 12 and under were in a foster home setting (with a relative or non-relative) compared to just over half of youth aged 13-21. The likelihood of being in a family foster home setting decreases with age among 13-21 year olds, as shown in Figure 2. Foster homes include relative non relative, guardianships and informal
The case goals of older foster youth also differ dramatically from younger children. Specifically, youth 13 and older are less likely than younger children to have the goal of reunification with a parent or adoption, and more likely to have the goals of emancipation or long term foster care. As Table 2 shows, the proportion of foster youth with the goal of emancipation increases as youth age, while the goal of adoption drops steadily: one-third of children in the 0-12 age group had a goal of adoption at the end of 2009, compared with only six percent of 17-18 year olds, and two percent of 19-21 year olds.
Many youth who leave foster care at 18 years of age or older entered foster care as teenagers. They need support and services to help them begin the transition to adulthood and prepare for work and personal responsibilities. Studies of youth who leave foster care without a safe, permanent family reveal consistently negative life outcomes. One found that 25 percent of foster care alumni who aged out did not have a high school diploma or GED. Another study found that less than 2 percent finished college compared with 23 percent of youth in the general population. Over half of youth who aged out of foster care experienced one or more episodes of homelessness, and nearly 30 percent were incarcerated at some point—many times the rate for other young adults. Youth who aged out of foster care were less likely to be employed or to have health insurance than were their peers who had not been in foster care. These negative experiences compromise these young adults’ abilities to lead independent, fulfilling and productive lives and create substantial costs for government. Mark Courtney, Amy Dworsky, Gretchen Cusick, Judy Havlicek, Alfred Perez, Tom Keller, “Midwest Evaluation of the Adult Functioning of Former Foster Youth: Outcomes at Age 21.” Chapin Hall Center for Children, University of Chicago, (December 2007): 68-70.Peter Pecora, Ronald Kessler, Jason Williams, Kirk O’Brien, Chris Downs, Diana English, James White, Eva Hiripi, Catherine White, Tamera Wiggins, & Kate Holmes, “Improving Foster Family Care: Findings from the Northwest Foster Care Alumni Study.” Casey Family Programs, (2005). http://www.casey.org/Resources/Publications/NorthwestAlumniStudy.htm (accessed December 9, 2009),Peter Pecora et al. “Improving Foster Family Care: Findings from the Northwest Foster Care Alumni Study.”M.B. Kushel, I. H. Yen, L. Gee, & M.E. Courtney, “Homelessness and Health Care Access After Emancipation: Results From the Midwest Evaluation of Adult Functioning of Former Foster Youth.” Archives of Pediatric Medicine 161 no. 10 (2007). Can we find any more resecent studies on these outcomes? Midwest study for example? The Midwest study cited for this (2007) is the most recent. I did a quick google search for outcomes for youth aging out of foster care and the Midwest study along was the most recent / best available. If someone has suggestions of where else to look I’m glad to do some more investigation, but thought I’d ask for ideas first.
Lowest 3: Missouri, Puerto Rico, and Indiana had the lowest percentage of total exits to aging out (1.5, 1.5, and 1.6 percent respectively). \\More information is needed to explain this wide variation which, in all likelihood, is affected by a number of factors. For example, states that have focused their efforts on reducing lengths of stay for younger children entering foster care may have higher percentages of older youth aging out of care. Similarly, states that invest in services for older youth in care and allow them to stay in foster care longer may have more older youth who remain in care past age 18. Some experts argue that some states may not emphasize permanency for older youth because of the perception that youth receive more services when they remain in foster care. In addition, the rate at which older youth enter foster care varies significantly across the states. State policies and practices for the placement of teens in foster care vary significantly. As a result, an analysis of a state’s aging out numbers must take into account other contextual variables.