Post on 26-Mar-2015
Indiana IV-E Waiver
Original Demonstration 1998 – 2002
Informal Extension 2002 – 2005
Current Extension 2005 - 2010
4
5
2
1716
9
1314
12
8
3
6
7
15
18
11
1
10MARI ON
LAKE
ALLEN
ST. J OSEPH ELKHART
HAMI LTON
VANDERBURGH
TI PPECANOE
PORTER
MADI SON
MONROE
DELAWARE
J OHNSON
LAPORTE
VI GO
HENDRI CKS
CLARK
HOWARD
KOSCI USKO
GRANT
BARTHOLOMEW
WAYNE
FLOYD
MORGAN
HANCOCK
WARRI CK
HENRY
NOBLE
DEARBORN
BOONE
LAWRENCE
MARSHALL
SHELBY
J ACKSON
CASS
DEKALB
DUBOI S
KNOX
HUNTI NGTON
MONTGOMERY
MI AMI
PUTNAM
WABASH
LAGRANGE
HARRI SON
CLI NTON
ADAMS
STEUBEN
GREENE
GI BSON
J EFFERSON
WHI TLEY
J ASPER
DAVI ESS
WELLS
J ENNI NGS
RANDOLPH
WASHI NGTON
POSEY
CLAY
RI PLEY
FAYETTE
WHI TE
DECATUR
STARKE
SCOTT
FRANKLI N
J AY
OWEN
SULLI VAN
FULTON
SPENCER
CARROLL
ORANGE
PERRY
RUSH
FOUNTAI N
PARKE
VERMI LLI ON
TI PTON
BROWN
NEWTON
BLACKFORD
PULASKI
PI KE
CRAWFORD
MARTI N
BENTON
SWI TZERLAND
WARREN
UNI ON
OHI O
Indiana Waiver
Scope Statewide (92 counties)
Type Flexible Funding
Waivers 1. Expanded Eligibility 2. Expanded Services
Purpose 1. Reduce Foster Care Placements 2. Shorten Time in Foster Care 3. Keep Children Safe & Families Intact
Service Emphasis Community-Based Support Services to Families & Children
Implementation/On-Going Challenges
Implementation of the waiver in Indiana has involved much variability from county to county, and this is an ongoing challenge to management of the demonstration. Variation has included:
How the waiver has been used. How much the waiver has been used. Program model.
The types of cases targeted. Specific services provided. The integration of the waiver into the county’s child
protection system. The extent to which there is local collaboration or
coordination with other community institutions and agencies.
4
5
2
1716
9
1314
12
8
3
6
7
15
18
11
1
10MARI ON
LAKE
ALLEN
ST. J OSEPH ELKHART
HAMI LTON
VANDERBURGH
TI PPECANOE
PORTER
MADI SON
MONROE
DELAWARE
J OHNSON
LAPORTE
VI GO
HENDRI CKS
CLARK
HOWARD
KOSCI USKO
GRANT
BARTHOLOMEW
WAYNE
FLOYD
MORGAN
HANCOCK
WARRI CK
HENRY
NOBLE
DEARBORN
BOONE
LAWRENCE
MARSHALL
SHELBY
J ACKSON
CASS
DEKALB
DUBOI S
KNOX
HUNTI NGTON
MONTGOMERY
MI AMI
PUTNAM
WABASH
LAGRANGE
HARRI SON
CLI NTON
ADAMS
STEUBEN
GREENE
GI BSON
J EFFERSON
WHI TLEY
J ASPER
DAVI ESS
WELLS
J ENNI NGS
RANDOLPH
WASHI NGTON
POSEY
CLAY
RI PLEY
FAYETTE
WHI TE
DECATUR
STARKE
SCOTT
FRANKLI N
J AY
OWEN
SULLI VAN
FULTON
SPENCER
CARROLL
ORANGE
PERRY
RUSH
FOUNTAI N
PARKE
VERMI LLI ON
TI PTON
BROWN
NEWTON
BLACKFORD
PULASKI
PI KE
CRAWFORD
MARTI N
BENTON
SWI TZERLAND
WARREN
UNI ON
OHI O
25 Program Counties 1998-2002
4
5
2
1716
9
1314
12
8
3
6
7
15
18
11
1
10MARI ON
LAKE
ALLEN
ST. J OSEPH ELKHART
HAMI LTON
VANDERBURGH
TI PPECANOE
PORTER
MADI SON
MONROE
DELAWARE
J OHNSON
LAPORTE
VI GO
HENDRI CKS
CLARK
HOWARD
KOSCI USKO
GRANT
BARTHOLOMEW
WAYNE
FLOYD
MORGAN
HANCOCK
WARRI CK
HENRY
NOBLE
DEARBORN
BOONE
LAWRENCE
MARSHALL
SHELBY
J ACKSON
CASS
DEKALB
DUBOI S
KNOX
HUNTI NGTON
MONTGOMERY
MI AMI
PUTNAM
WABASH
LAGRANGE
HARRI SON
CLI NTON
ADAMS
STEUBEN
GREENE
GI BSON
J EFFERSON
WHI TLEY
J ASPER
DAVI ESS
WELLS
J ENNI NGS
RANDOLPH
WASHI NGTON
POSEY
CLAY
RI PLEY
FAYETTE
WHI TE
DECATUR
STARKE
SCOTT
FRANKLI N
J AY
OWEN
SULLI VAN
FULTON
SPENCER
CARROLL
ORANGE
PERRY
RUSH
FOUNTAI N
PARKE
VERMI LLI ON
TI PTON
BROWN
NEWTON
BLACKFORD
PULASKI
PI KE
CRAWFORD
MARTI N
BENTON
SWI TZERLAND
WARREN
UNI ON
OHI O
36 Program Counties 2005-2008
Findings/Outcomes
More services and a greater diversity of services.
Increase in family-oriented services.
Services– especially basic assistance –not otherwise available.
A reduction in foster home placements.
Shortened time in foster care.
Increased reunifications.
Cost-effective.
What Works Well in Current Program
Use of flexible funds to meet basic needs that would otherwise go unmet.
Enhanced creativity in addressing family needs.
Team approach to case planning and collaborative arrangements with service providers.
Assignment of children not eligible for IV-E.
State protocols and training to guide implementation.
Challenges to Sustainability
1. Creating a unified Statewide program
Bridging the communication divide between central office and the counties.
Encouraging ALL counties to develop and use the program actively.
Managing the changes and turnover in county staff to promote continuity.
Coordinating the waiver program with broader system reforms and initiatives.
Fully integrating the program into the service planning.
Challenges to Sustainability
2. Developing a long-term policy and funding structure
Refining the state protocols for the program to reflect when and where it works best for families.
Accurately identifying the types of cases (often neglect/poverty) and services (often basic assistance) that benefit most from flexible funding.
Altering which children can be assigned to the program (e.g. losing the opportunity to assign non IV-E eligible kids).
More fully linking the program directly into broader, ongoing and planned system reform.
Determining whether the program is feasible without ongoing federal support.
Thoughts on What it Would Take
Strong and active program support from the state agency, that may include:
Enhanced technical assistance to counties. New unified worker training coordinated with
other reform efforts. The coordination of policy involving state
agencies that share resources and objectives.
How would Indiana pay for it? Could there be a federal IV-E policy that allowed a
mixed entitlement/flexible reimbursement formula?
Institute of Applied Research
www.iarstl.org
0
50,000
100,000
150,000
200,000
250,000
300,000
350,000IV-E Foster Care Children (U.S. average monthly number)
Delinquents
INDIANAPOLIS
FORT WAYNE
EVANSVILLE
GARY
M UNCIE
BLOOM INGTON
ANDERSON
TERRE HAUTE
KOKOM OLAFAYETTE
M ISHAWAKA
RICHM OND
NEW ALBANY
EAST CHICAGOM ICHIGAN CITY
M ARION
COLUM BUS
Children in Adoptive
Placement and/or at Risk of
Adoptive Disruption
INDIANAPOLIS
FORT WAYNE
EVANSVILLE
GARY
M UNCIE
BLOOM INGTON
ANDERSON
TERRE HAUTE
KOKOM OLAFAYETTE
M ISHAWAKA
RICHM OND
NEW ALBANY
EAST CHICAGOM ICHIGAN CITY
M ARION
COLUM BUS
Youth Substance Abusers at
Risk of Placement
INDIANAPOLIS
FORT WAYNE
EVANSVILLE
GARY
M UNCIE
BLOOM INGTON
ANDERSON
TERRE HAUTE
KOKOM OLAFAYETTE
M ISHAWAKA
RICHM OND
NEW ALBANY
EAST CHICAGOM ICHIGAN CITY
M ARION
COLUM BUS
Children Expelled or Suspended from School or At Risk of Expulsion
or Suspension
INDIANAPOLIS
FORT WAYNE
EVANSVILLE
GARY
M UNCIE
BLOOM INGTON
ANDERSON
TERRE HAUTE
KOKOM OLAFAYETTE
M ISHAWAKA
RICHM OND
NEW ALBANY
EAST CHICAGOM ICHIGAN CITY
M ARION
COLUM BUS
Pregnant Teens
INDIANAPOLIS
FORT WAYNE
EVANSVILLE
GARY
M UNCIE
BLOOM INGTON
ANDERSON
TERRE HAUTE
KOKOM OLAFAYETTE
M ISHAWAKA
RICHM OND
NEW ALBANY
EAST CHICAGOM ICHIGAN CITY
M ARION
COLUM BUS
Youths on Juvenile
Probation from
Families with a
History or Indication
of Substance
Abuse Problems
INDIANAPOLIS
FORT WAYNE
EVANSVILLE
GARY
M UNCIE
BLOOM INGTON
ANDERSON
TERRE HAUTE
KOKOM OLAFAYETTE
M ISHAWAKA
RICHM OND
NEW ALBANY
EAST CHICAGOM ICHIGAN CITY
M ARION
COLUM BUS