Virginia Children’s Services System Transformation

Presentation to the Health and Human Services

Subcommittee of the Senate Finance Committee

Raymond R. Ratke

Special Advisor for Children’s Services

October 22, 2009

Key Events in Children’s Services

2007•

Annie E. Casey Foundation’s findings on child welfare made public

•

First Lady Anne Holton spearheaded the “For Keeps”

initiative

•

“Systems of Care and Evidence-Based Practices”

Conference for 600 people September, 2007

•

JLARC Study of CSA Children in Residential Treatment

•

Children’s Services System Transformation began

•

A new position, the Special Advisor for Children’s Services, was created to lead the transformation.

2008

•

The Inspector General issued its Review of Community Services Board Child and Adolescent Services in September 2008.

•

“Hanger Commission”

on the Comprehensive Services Act issues report and recommendations.

Transformation Key Achievements to Date

•

Foster Care Reimbursement, funding for training and resource family unit

•

Approval and Implementation of CSA Match Rate Changes

•

CSA Policy Clarifications and Training

•

Implementation of Intensive Care Coordination

•

Council on Reform (CORE)

•

Development of Cross Agency Child Specific Outcomes

•

Systemic Outcomes

Children’s Service System TransformationVirginia’s child-serving agencies are improving the

way we help at-risk children and their families to achieve:

Success in life;

Safety for children and communities;

Life in the community;

Family based placements; and

Life-long family connections.

•

Partnership since December, 2007 with thirteen targeted localities to develop a shared vision for Children’s Services and implement best practices at the state and local level

•

Membership:

Representatives from thirteen geographically diverse localities:•

Charlottesville, Chesterfield, Dinwiddie, Fairfax, Henrico, Newport News, Norfolk, Prince William, Richmond City, Roanoke County, Roanoke City, Virginia Beach and Washington County

•

These localities account for almost 50% of statewide foster care

population

•

Workgroups focused on the development of a Practice Model and implementation of “Building Blocks”

of Transformation

•

The Annie E. Casey Foundation has been providing extensive financial and consultative assistance in this work.

Council on Reform (CORE)

Transformation Strategy for Change

Community BasedContinuum

Practice Model

CollaborationLeadership Accountability

Training Managing by Data

Family Engagement

Resource Families

OUTCOMES

Virginia Children’s Services Practice Model

We have developed a common philosophy that has helped to shift practice to achieve better outcomes for youth and families.

We believe:

All children and communities deserve to be safe.

In family, child, and youth-driven practice.

Children do best when raised in families.

All children and youth need and deserve a permanent family.

In partnering with others to support child and family success in

a system that is family-focused, child-centered, and community-based.

How we do our work is as important as the work we do.

Building Blocks of the Transformation

Community-Based Continuum –

Developing, funding and sustaining a continuum of services that will meet the needs of every child and ensure that when at all possible children receive the services that they need within their own home and community.

Statewide Training System

–

A comprehensive, competency based training system built on the practice model and accessible across Virginia

Resource Family Recruitment, Development and Support

–

Finding, training and supporting resource and adoptive families to provide permanent connections for youth in foster care

Managing by Data

–

Using data to guide our decision making and using our desired outcomes to drive practice

Family Engagement Model –

Engaging families in a deliberate way by giving them a voice in what happens to their families and their children.

Systemic Outcomes

Family Based Placements

71.43% 71.43% 71.43%

80.89%

79.13%78.08%

66.00%

68.00%

70.00%

72.00%

74.00%

76.00%

78.00%

80.00%

82.00%

CORE Totals Statewide Totals Non CORE Totals

Family Based Dec 2007 Family Based Oct 2009

0

Discharges to Permanency

Discharges to Permanency:December 2007 - October 2009

60.96%

63.96%

68.07% 68.12%

56.00%

58.00%

60.00%

62.00%

64.00%

66.00%

68.00%

70.00%

CORE Statewide

Dec. 07

Oct. 09

Group Care Placements

25.53% 25.43% 25.37%

16.04%17.84% 18.83%

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

30.00%

CORE Totals Statewide Totals Non CORE Totals

Group Care Dec 2007Group Care Oct 2009National AverageBest Practice

763

1922

1159

397

1166

807

0

500

1000

1500

2000

2500

CORE Totals Statewide Totals Non CORE Totals

Group Care Dec 2007Group Care Oct2009

Numbers of Children in Group Care

Number of Children in Foster Care

4568 4083

29892454

0

1000

2000

3000

4000

5000

6000

7000

8000

Dec. 07 Oct. 09

CORE

Non-CORE

CSA Expenditures 2001 -

2009

$0

$50

$100

$150

$200

$250

$300

$350

$400

2001

2002

2003

2004

2005

2006

2007

2008

2009

(Pro

j)

Exp

end

itu

res

in M

illio

ns

Local

State

Total

CSA Expenditures 2001 -

2009

Total CSA CSA State CSA Local2001 195.50 123.21 72.332002 227.80 144.45 83.362003 235.50 149.55 85.962004 259.30 165.26 94.252005 273.20 174.22 98.952006 295.00 189.16 105.852007 342.20 219.56 122.682008 380.50 244.29 136.24

2009 (proj 364.90 242.7 122.20

Dollars in Millions

Shift in Effective State/Local Match Rate

$136.20 $122.20

$244.30 $242.70

$0.00

$50.00

$100.00

$150.00

$200.00

$250.00

$300.00

$350.00

$400.00

2008 2009

Local

35.8% 33.49%

64.2% 66.51%

CSA Expenditures: Group Care vs. Community Based Care

$247.80$207.10

$37.40

$59.70

$0

$50

$100

$150

$200

$250

$300

2008 2009

CommunityBasedGroup Care

Dollars in Millions

CSB Community Services to Children

60,577

48,687

40,991

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

2006 2007 2008

Number ofChildrenServed

Total Number of Probation Cases

New Probation Cases

7209

6872

6622

6300

6400

6500

6600

6700

6800

6900

7000

7100

7200

7300

2007 - 2009(2009 data is not yet finalized)

Num

ber

of C

ases

200720082009*

DJJ Intake Trends

DJJ Intake Trends

63,853

61,937

61057

59,500

60,000

60,500

61,000

61,500

62,000

62,500

63,000

63,500

64,000

64,500

2007 - 2009

Num

ber o

f You

th

200720082009*

Incidence of Repeat Maltreatment of Children in Foster Care

1.90%

2.40%

0.00%

0.50%

1.00%

1.50%

2.00%

2.50%

3.00%

Dec. 2007 Aug. 2009

Repeat Maltreatment

Transformation –

Moving Forward

•

Training and Technical Assistance−

Transformation Academy and Regional Training−

Agents of Change –

Leadership Development Training−

Governor’s Conference on Children’s Services Transformation –

December 16-17−

Meetings of CORE localities−

Intensive Care Coordinator Network

•

Targeted Supports −

Consultations and assistance to individual communities−

Support for intensive care coordination

•

Policy Directions to assure continued progress