2008 ANNUAL REPORT - okdhs.org Report Library/SO80184... · CHILD CARE SERVICES. 100,563 111,449...
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- 2008 ANNUAL REPORT
Transcript of 2008 ANNUAL REPORT - okdhs.org Report Library/SO80184... · CHILD CARE SERVICES. 100,563 111,449...
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2008 ANNUAL REPORT
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Welcome 4 Mission and Goals 5
Safety 6 Health 10
Independence 15 Productivity 20
Director’s Executive Summary 24 Accountability 27
Safety Programs 31 Health Programs 32
Independence Programs 33 Productivity Programs 35
Statistical Summary 36 Dedication 37
Detailed data tables are available at the OKDHS Web site: http://www.okdhs.org/library/rpts/
SAFETY
HEALTH
INDEPENDENCE
PRODUCTIVITY
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WELCOmE This year, more than a million Oklahomans in need led safer, healthier, more independent and productive lives due to the efforts of OKDHS. Individuals and families in need turn to us when they are unable to make it on their own. We support them and help them find opportunities to achieve their personal goals.
In tough economic times, we remember that our programs also support the local capacities of communities to offer affordable, quality child care, nutrition programs, school-based services and health care. Food and nutrition programs support schools, food banks, senior nutrition sites, child care centers and local retailers. These programs help sustain the quality of life in towns and cities and promote local economies throughout Oklahoma.
This report highlights the individuals we serve and their achievements. It also summarizes program outcomes around OKDHS’ four cornerstones: safety, health, independence and productivity.
Howard H. Hendrick Director, Oklahoma Department of Human Services
mISSION The Oklahoma Department of Human Services helps individuals and families in need help themselves lead safer, healthier, more independent and productive lives.
GOALS Safety We protect and serve vulnerable adults and children and reduce the risk of harm to individuals and families.
Health Eligible children and adults are able to access health care and nutrition services.
Independence We help individuals and families in need help themselves.
Productivity Individuals move into the workforce and maintain employment.
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SAFETY In state fiscal year 2008:
114,492 children were reported as alleged victims of abuse or neglect. This is the largest number of children ever alleged to be victims of abuse and neglect. Of those, allegations related to 61,327 children were investigated.
11,714 children were confirmed to be victims of child abuse and neglect, the fewest number in the past ten years.
17,113 allegations were investigated by Adult Protective Services resulting in the protection of 10,315 vulnerable adults, who were confirmed to have experienced abuse, neglect, exploitation or self neglect.
More than 5,000 child care facilities were licensed with a combined capacity of 137,743 slots serving approximately 250,000 different children.
99.7 percent of nursing home complaints were resolved by Ombudsman Services.
Neglect
Abuse
Sexual Abuse
114,492
11,714
140,000
120,000
100,000
80,000
60,000
40,000
20,000
Reported Confi rmed
CHILD PROTECTIVE SERVICES 4%
84%
12%
FY 2008 Confirmed Child Abuse and Neglect by Category Note: Children can be victims of more than one type of abuse or neglect.
Child abuse and neglect continues to be an issue in Oklahoma. More than 80 percent of child welfare investigations and confirmations relate to child neglect. OKDHS investigates more than 30,000 incidents each year, which include allegations of serious or immediate threats to a child’s safety. On average, more than 13,000 of those incidents are substantiated.
Number of Children Reported to be Victims of Abuse and/or Neglect Compared to Actual Confirmations
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In December 2006, Brenda M. hit bottom — hard. Drug abuse had taken its toll and ravaged her life. Her children were placed in OKDHS custody.
In March 2007, the court requested that Brenda enter substance abuse treatment at Specialized Outpatient Services in Oklahoma City. OKDHS funding helps pay for substance abuse services. Brenda credits the intervention with saving her life and helping her be a better mom. She celebrated her 16month sobriety birthday with unsupervised visits with her children and with the hope her children will return home.
From the experience, Brenda shares her wisdom, strength and hope. She visits with other families involved with child welfare services and lets them know, that
with commitment and hard work, there is light at the end of the tunnel.
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160,000
140,000
120,000
100,000
80,000
60,000
40,000
20,000
2500
2000
Centers
Homes
500
1000
2001 2002 2003 2004 2005 2006 2007 2008
1500
CHILD CARE SERVICES
100,563 111,449
29,581 26,294
Licensed Child Care Slots
As of June 30, 2008, there were 4,762 child care facilities licensed by Oklahoma Child Care Services. These facilities provided child care slots for 137,743 children in child care homes and centers. On average, OCCS issued 85 permits per month to child care facility applicants. Recent changes in state statutes should help to increase the safety and quality of care with additional requirements for pre-service training, more timely background checks and additional remedies for unlicensed care.
Oklahoma was the first state in the nation to implement a quality rating system for licensed child care. The Reaching for the Stars initiative rates child care providers based upon meeting specified criteria with ratings of One Star, One Star Plus, Two Star and Three Star. Parents may use Star ratings to evaluate the caregiver’s practices. Child care providers receive higher subsidy reimbursement rates for attaining higher Star levels. Oklahoma will continue to evaluate the criteria and standards for Reaching for the Stars to reflect the continual professional development growth in the industry.
Number of Two and Three Star Quality Homes and Centers
Two Star
Three Star 2001
370
45
2002
735
66
2003
1,181
100
2004
1,613
134
2005
1,891
169
2006
2,014
189
2007
2,082
198
2008
2,046
207
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HEALTH In state fiscal year 2008:
16,215 different seniors received more than 2.1 million congregate meals through 275 nutrition sites statewide.
8,471 different seniors received more than 1.8 million home delivered meals statewide.
633,000 Oklahomans in more than 260,000 families received access to food and nutrition through the federal food stamp program.
$23 is the average food benefit per week per person.
3,932 grocery stores received $485 million in revenue through the federal food stamp program.
$11 million in food commodities were provided to schools, food banks and child care facilities.
797,424 Oklahomans were certified for SoonerCare, which provides them access to health care services.
9 percent fewer children were in foster care on the last day of the year than were in care on the first day of the year.
4,634 children in foster care were reunited with their families.
1,409 children in foster care were adopted into families, the largest number ever.
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
60,000,000
50,000,000
40,000,000
30,000,000
Annual
Cumulative 10,000,000
20,000,000
380,000
370,000
360,000
350,000
330,000
340,000
320,000
310,000
300,000
SENIOR NUTRITION Local organizations deliver hot meals to homebound seniors. These seniors are often at the greatest risk for going hungry. Risk factors include lack of transportation, lack of family and friend support, inability to cook or prepare meals for themselves and special needs. Every participant receives a noon meal five times per week. More than 275 senior nutrition sites provide more than four million meals annually.
Participants in Senior Nutrition program on June 30
2001 2002 2003 2004 2005 2006 2007 2008
373,775
374,908
356,427
362,713 360,754
345,121 341,896
330,936
Senior Meals Provided
47,543,653
4,005,247
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Ruth Fugitt said she’ll only quit delivering meals to those in need when she needs meals delivered to her. The 85-year-old Oklahoma City resident plans all the meals for 68 churches participating in the mobile meals program.
Fugitt helped start the senior nutrition program with her church in 1970. Her church community wanted to address hunger in Oklahoma. She said with a $65 donation from the Neighborhood Services Organization, she and other volunteers began preparing and delivering meals just to see if it would work.
“Everyone was so excited,” said Fugitt who no longer delivers the meals after she had a portion of her lung removed in early 2008. “We still have some of the original volunteers. In the past 15 years, some of the volunteers are older than the people we deliver to. The secret to the program is the volunteers. Lots and lots of old people have no contact with anyone but our volunteers.”
Fugitt said she values the program because it allows older Oklahomans to remain in their own homes longer.
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500,000
400
In millions
$4,000
$3,500
$3,000
$2,500
$2,000
$1,500
$1,000
$500
Annual 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
,000
300,000
200,000
100,000
50,000
SUPPLEmENTAL NUTRITION ASSISTANCE The Supplemental Nutrition Assistance Program, formerly Food Stamp Program, helps low-income individuals and families buy the food they need for good health. Participants use an electronic benefits card, similar to an ATM card, which is accepted at most grocery stores. Currently, 3,932 retailers accept this card serving 185,000 Oklahoma families.
Individuals Receiving Supplemental Nutrition - Monthly Average
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
290,801 266,402
367,993
433,372 415,397
Value of Nutrition Benefits for Families and Local Grocers
$3,758 Million
$235 Mi ion ll $346 Million $485 Million Cumulative
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45,000
40,000
35,000
30,000
25,000
20,000
15,000
10,000
5,000
12,000
10,000
8,000
6,000
4,000
2,000
PERmANENCY PLANNINNG A child’s health and well-being are improved by living in a home with a loving family. OKDHS is reducing the length of out-of-home care for Oklahoma’s children who are victims of abuse and neglect. In most situations, the initial plan is to reunite the child with the family. When a child cannot return safely home, adoption is preferred. Most children in need of an adoptive home are school aged.
Family Reunifications *Trial Reunification was counted as family reunification until State Fiscal Year 2004. In State Fiscal Year 2004 and thereafter, trial reunifications are not counted as a family reunification until finalized.
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Cumulative
7,359 11,822
21,512
32,715
41,712
Annual
3,892 4,463 4,775 4,915 *2,732 4,137 4,334 4,363 4,634
Finalized Adoption
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Cumulative
527
3,678
5,727
6,766
10,393
Annual
1,192 1,046 913 992 1,057 1,039 1,066 1,152 1,409
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safety health INDePeNDeNCe PRODUCtIVIty
INDEPENDENCE In state fiscal year 2008:
23,585 Oklahomans medically fragile and financially eligible for nursing home placement received care in their own homes through the ADvantage waiver.
5,300 individuals with developmental disabilities received comprehensive community-based services.
857 other individuals with developmental disabilities were able to remain at home with their families through income support.
20,404 children had their father’s identity judicially determined or paternity acknowledged.
$268.4 million was collected from non-custodial parents in suppor t of their children.
208,208 Oklahoma children were enrolled to receive child support services, the largest number ever and about 30 percent more than four years ago.
190,000
180,000
170,000
160,000
150,000
140,000
130,000
120,000
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$250,000,000
$200,000,000
$150,000,000
$100,000,000
$300,000,000
$50,000,000
0,000
CHILD SUPPORT SERVICES Both parents have a legal obligation to provide financial support for their children. Child support payments are a basic legal right of children. Child support payments substantially reduce child poverty and state public assistance payments. Eligibility for some OKDHS programs requires parents to seek child support from the non-custodial parent. Child support services help families become or remain self sufficient.
Families Benefiting from Child Support Services - Monthly Average
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
142,893 149,884
139,360
182,228
Child Support Collections Benefiting Children and Families
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
$96 million $126 million
$166 million
$268 million
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6,000
5,000
4,000
3,000
2,000
1,000
DEVELOPmENTAL DISAbILITIES SERVICES Developmental Disabilities Services Division operates four home and community-based services waiver programs authorized in 1915(c) of the federal Social Security Act. These programs furnish an array of services that assist eligible Medicaid beneficiaries to live in the community and avoid institutionalization. Waiver services supplement services that are available to beneficiaries through the Medicaid State Plan, other federal, state and local programs, as well as supports families and communities provide. Services are arranged and coordinated through DDSD area staff and case managers. There is a waiting list for services.
Development Disabilities Services Individuals Receiving Services Compared to Waiting List
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
Waiver Recipients
2,259 2,743
4,211 4,448
5,345 Waiting less than 3 years
804 969
1,928 2,470
3,090
Waiting 3 years or more
1,220 230
1,876
414 970
Gary recently moved into a house with two other men who have developmental disabilities. One of his roommates he remembered from their days living together at the Northern Oklahoma Resource Center in Enid.
Gary is well supervised and lives in a nice, small neighborhood with friends. Since Gary worked off and on for most of his life, he’s at the age where he prefers to be retired. His direct care staff helps him to enjoy his favorite activities such as watching movies, listening to music and going places in his community.
The staff also watches out for Gary’s health and medical needs, which are identified and addressed promptly. Gary says he feels good and is very happy living in his current home.
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$120.00
$100.
$29.19
Nursing Home ADvantage
00
$80.00
$60.00
$40.00
$20.00
8,000,000
7,000,000
6,000,000
5,000,000
4,000,000
3,000,000
2,000,000
1,000,000
$100.47
6,668,158
IN – HOmE CARE (ADVANTAGE) The ADvantage Waiver program provides Medicaid services to help people stay at home instead of going to a nursing home. The program assists frail elders and adults who have physical disabilities. Since the ADvantage Waiver program is a Medicaid program, consumers must first qualify financially to receive services. Oklahoma families prefer to receive care in their own homes. OKDHS continues to advocate expanding its cost-effective ADvantage Waiver program.
Daily Cost
Days of Services
2000 2001 2002 2003 2004 2005 2006 2007 2008
Nursing Home
6,329,957
5,428,026
6,653,329
In-Home Care (ADvantage)
3,302,666
4,293,939 4,324,807
5,056,970
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25,000
20,000
15,000
10,000
5,000
Millions $600
$500
$400
$300
$200
$100
Number of People Served (Unduplicated Count)
2000 2001 2002 2003 2004 2005 2006 2007 2008
Nursing Home
24,293 22,962
22,239 23,585
In-Home Care (ADvantage)
11,128
14,071
19,106
21,606
Program Cost State and Federal Dollars
2000 2001 2002 2003 2004 2005 2006 2007 2008
Nursing Home
$321 million
$448 million $448 million $439 million $508 million
In-Home Care (ADvantage)
$41 million $84 million $162 million $191 million
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PRODUCTIVITY In state fiscal year 2008:
1,781 parents secured employment and discontinued TANF benefits.
52 percent of parents participated in at least 30 hours a week of employment or training while receiving TANF benefits.
86 percent of TANF parents were employed at least three months after leaving the TANF program.
71,868 children received subsidized child care for parents or caregivers to participate in employment or education.
4,762 child care providers received more than $132 million through state subsidies.
22,500
20,000
17,500
15,000
12,500
10,000
7,500
5,000
2,500
160,000
140,000
120,000
100,000
80,000
60,000
40,000
20,000
TEmPORARY ASSISTANCE FOR NEEDY FAmILIES Many Oklahoma families have become more economically independent with job training and improved education services. The TANF program provides these services to parents with children when they are in need. During the past seven years, the number of adults participating in this program has declined significantly. Many families permanently leave the TANF program due to employment or securing other income, such as child support or subsidized child care.
Adult TANF Participants
2001 2002 2003 2004 2005 2006 2007 2008
Unduplicated Count 17,034
19,707 16,527
8,796
Monthly Average
7,730 7,766
3,240
TANF Participants Completing Job Readiness, Training or Work Program
2000 2001 2002 2003 2004 2005 2006 2007 2008
Cumulative 46,138
27,371
91,726
18,590
141,885
Annual
8,468
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90,000 88,000 86,000 84,000 82,000 80,000 78,000 76,000 74,000 72,000
$160,000,000
$140,000,000
$120,000,000
$100,000,000
$80,000,000
$60,000,000
$40,000,000
$20,000,000
CHILD CARE SUbSIDY Young children left alone or with caregivers who have no basic health and safety training are more at risk than children whose care is provided by a trained adult in a developmentally appropriate environment. Helping low-income parents pay for child care assists them to work and complete their education. Licensed child care homes and centers are eligible to participate in the subsidy program.
Children with Child Care Subsidy
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
72,232
81,949
87,932
80,044
71,868
Child Care Subsidy Benefiting Families and Local Child Care Providers
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Annual$73 million
$6 million
$98 million
$131 million $133 million
Monthly Average
$11 million
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After spending years in foster care, Tamika Burrough found herself alone and without resources when she turned 18. Her family’s history did not offer much hope for success.
The Carter County Human Services Center Foster Care Unit found a temporary home for Burrough with Harry and Linda Galoob. Foster mother Virginia Wrenn then agreed to care for the young woman. Due to Burrough’s age, she was assigned to the Independent Living Program. Her goal was to graduate high school and enter college.
The Galoobs were so impressed with Burrough in the short time they spent with her that they continued to maintain a relationship with her. The Galoobs have been long-term court-appointed special advocates and child advocates. They became the unofficial CASAs and guardians for life for Burrough.
With the help of the Galoobs, Wrenn and OKDHS staff, Burrough graduated from Ardmore High School and was accepted to Langston University. Burrough quickly fulfilled another dream and made the Langston girl’s basketball team. She graduated college in 2006 and then from the University of Oklahoma with a Master of Human Relations in June 2008.
With love, hope and support, Tamika Burrough has created her own success.
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DIRECTOR’S ExECUTIVE SUmmARY “All I want is a mom and a dad and a dog and a brother.” — E
Three-year-old girl waiting for adoption
Whether supporting a 3 year old hoping for a permanent, loving family or helping a family care for an aging parent or sibling at home, we help families through all phases of life.
This report highlights the individuals we serve and their achievements. It also summarizes program outcomes around OKDHS’ four cornerstones: safety, health, independence and productivity.
The ADvantage Waiver program helped a record 23,585 seniors and individuals who are medically and financially eligible for nursing home care stay in their own homes, even though they are eligible for more expensive and restrictive congregate care. The number of Oklahomans served represents an increase of more than 40% compared to the number served four years ago. The state and federal savings achieved by this program are substantial. If the 23,585 seniors and individuals had received care in congregate care nursing facilities, it would have cost the taxpayers more than $400 million in additional state and federal funds for their care during state fiscal year 2008.
Medicaid waivers helped more than 5,000 Oklahomans with developmental disabilities to be served in community settings. Oklahoma continues to be recognized as a national leader in employment services for Oklahomans with developmental disabilities. Sixty percent of service recipients are in supported employment compared to the national average of 23 percent.
Custodial parents received record levels of needed child support for their children. The Child Support Enforcement Division experienced a 12 percent increase in child support collections from the previous year — the highest rate of increase in the nation and more than three times higher than the national average. CSED continues to have the highest paternity establishment rate in the nation. Child support gives children the opportunity to find hope, well-being and opportunities and reduces custodial parent’s worries about financial issues. In four years, child support collections have increased 60 percent.
In September, CSED received national recognition for an innovative program that improves the lives of Oklahoma’s children, helps parents find jobs and saves taxpayers more than $3 million a year. The program has been in its pilot phase over the last few years and is now expected to expand statewide. The Court Liaison Program works with non-custodial parents who have been delinquent in meeting their child support obligations. It provides guidance, resources and referrals that help people find jobs and training if needed, and helps resolve other issues that block gainful employment. The program also motivates people to meet their child support obligations and promotes their making a habit of paying consistently, with jail time as a consequence for noncompliance.
In child care services, the OKDHS licensing program continues to be recognized as one of the top licensing programs in the nation. According to report cards issued by the National Association of Child Care Resource and Referral Agencies, Oklahoma was ranked first in the nation for providing quality child care state standards and oversight in child care homes. It was ranked third in the nation for providing quality child care oversight in child care centers and sixth overall for providing quality child care standards and oversight in child care centers. The 2007 report card gave Oklahoma’s oversight system for child care centers a national ranking of third. In its region, Oklahoma was the only state to receive a top ten ranking. The 2008 report card gave Oklahoma the top ranking nationally for oversight and state standards of child care homes.
Our standards are high, and the required three monitoring visits per year for each license is the highest standard in the nation. The Reaching for the Stars tiered reimbursement system for child care facilities continues to create more and more nationally accredited child care centers. The number of nationally accredited child care facilities in Oklahoma has tripled in the last five years to almost 200 at the end of state fiscal year 2008.
The federal food benefits program is the cornerstone of the response to hunger. Last year, more than one out of every three Oklahoma children and approximately 600,000 different individuals were certified for food benefits for at least one month. Nearly eighty percent of the recipients are either children or individuals with income who simply do not earn enough to feed their families. The average benefit is $23 per person per week. OKDHS employees certified approximately 125,000 more individuals per month than it did five years ago with no additional staff. Last year, Oklahoma was again recognized as the most outstanding state in our region in the administration of the food benefit program by the United States Department of Agriculture regional administrator. We have the lowest error rate in the region and the sixth best rate in the nation for participation in the program. Approximately 77 percent of the persons eligible for the program participate. The national average is 65 percent. The difference between participating at 77 percent and participating at 65 percent amounts to approximately $72 million per year to Oklahoma’s neediest children and families and to Oklahoma’s grocery industry, their employees and our farmers and ranchers.
In late October, 8,000 employees of OKDHS raised more than $216,000 from bake sales, employee donations and requests for donations from community partners. In partnership with Feed The Children, OKDHS purchased 30 truckloads of food which replenished the food closets of our local OKDHS centers and dozens of churches and community centers throughout Oklahoma.
Scores of churches delivered Thanksgiving food baskets to thousands of Oklahoma families with our help. Thanksgiving baskets for approximately 900 families in Oklahoma County were funded by Life Church, Blue Cross and Blue Shield, Central Oklahoma Integrated Network Systems, Graham’s Grocers, City Rescue Mission and a local box company and were distributed by the OKDHS Oklahoma County staff and volunteers.
In state fiscal year 2008, our staff authorized adoptions for 1,676 children, a record number. During the past ten years, 12,859 children left foster care through adoption. These adoptions represent an opportunity for a new beginning for these children.
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FY 2008 OKDHS Budget
Other$163,812,164
10%
Federal$997,454,578
58%
State$547,139,82532%
In April, the U.S. Department of Health and Human Services Administration for Children and Families awarded OKDHS an adoption incentive payment of more than $600,000 for finding new, permanent families for Oklahoma children leaving foster care. The Adoption Incentive Payment Program pays incentive funds to states that increase the number of children adopted in specific circumstances. ACF rewards states that exceed the overall foster child adoption, older child adoption or special needs adoption baselines. Finalized adoptions indicate true, forever families. Our success is due to many, many persons. Our permanency planning staff and Swift Adoption team work together with the prospective adoptive families. Mostly, I am grateful for the wonderful commitment of the families who fold these special children into their existing families. Their commitment makes a great difference.
Many efforts are being made to support families to care for and protect their children from abuse and neglect. At the end of state fiscal year 2008, 1,300 fewer children lived in foster care than the previous year; this is the lowest number of children in care in four years.
A federal report released in April 2008 reported the number of child deaths in Oklahoma caused by abuse or neglect dropped by 37 percent from 2005 to 2006. According to the Child Maltreatment 2006 report by Administration on Children and Families, Oklahoma had 41 child deaths in state fiscal year 2005. For state fiscal year 2006, that number fell to 26 child deaths. In state fiscal year 2004, 39 child deaths were reported. The period from 2004 to 2006 represents a 33 percent drop. The Child Maltreatment 2006 report also stated Oklahoma dropped from 4.63 child deaths per 100,000 children in 2005 to 2.91 child deaths per 100,000 children in 2006.
Many challenges face the families we serve each year. Identifying and meeting unmet needs of children and families is a challenging and worthy endeavor. We continue to equip individuals and families with the services they need to make life choices that help them lead safer, healthier, more independent and productive lives. These outcomes are achieved by everyday heroes: the individuals and families we serve; our employees; and the hundreds of federal, state and local partners who share our mission and commitment to stronger families and a brighter Oklahoma.
Howard H. Hendrick, Director Oklahoma Department of Human Services
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1,400.00
1,200.00
1,000.00
800.00
600.00
400.00
200.00
Millions
ACCOUNTAbILITY
FY 2008 OKDHS Budget
State $547,139,825 32%
Other $163,812,164
10%
Federal $997,454,578
58%
OKDHS is funded primarily through state and federal funds. Many times, federal funds increase when there is an additional commitment of state appropriations. State funds are used to meet federal matching requirements, maintenance of effort, and to fund programs that have limited or no federal funding. Adult Protective Services, child welfare and aging services are primarily funded through state appropriations.
OKDHS State and Federal Funding
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Federal
$537 million
$807 million
$997 million
State
$336 million $378 million
$547 million
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Total OKDHS Expenditures $1,708,406,567.32 Aging Services $116,105,097.83
Child Care Services $22,251,536.17
Child Support Enforcement $46,225,887.48
Children and Family Services $160,231,116.77
Developmental Disabilities Services $254,202,111.56
Family Support Services $733,044,539.19
Field Operations $219,540,969.86
Program Support $113,177,838.93
Other (commodities, construction, etc) $43,627,469.53
Aging Services 7%
Child Care Services 1%
Child Support Enforcement
3%
Children and FamilyServices
9%
Developmental Disabilities Services
15% Family Support Services 42%
Field Operations 13%
Support 7%
Other 3%
Family Support Services Division is responsible for administering TANF, Supplemental Nutrition Assistance Program, State Supplemental Payments to individuals identified as aged, blind and disabled, Adult Protective Services and Child Care Subsidy program. Funds received and distributed for child support are not included in the agency budget.
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OKDHS is an organization that requires a diverse workforce throughout the state. The agency continually seeks to recruit and retain skilled employees. In state fiscal year 2008, OKDHS employed more than 8,000 employees. The recruitment, retention and development of a quality workforce are vital to the continued success of OKDHS. By the end of state fiscal year 2014, 36 percent of the OKDHS workforce will be eligible for retirement.
· Percent of employees who are college graduates: 67 · Starting monthly salary for Social Services Specialist I: $2,127 · Average salary for all workers: $35,627
Total full-time employees 8,105.5 Children and Family Services 425.3
Family Support Services 92.9
Field Operations 4,196.4
Child Care Services 168.6
Developmental Disabilities Services 1,681.3
Child Support Services 464.9
Aging Services 168.9
Program Support 907.2
Full-Time Positions by Division
Program Support 11%
Children and Family Services
5%
Family Support 1%
Field Operations 52%
Child Care Services 2%
Developmental Disabilities Services 21%
Child Support Services 6%
Aging Services 2%
Field Operations Division, the largest division, ensures local service delivery for Family Support Services, Child Welfare Services and Aging Services through the Human Service Centers located in each of the 77 counties in Oklahoma.
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Sometimes it does take one to know one. Social Services Specialist Virgil Summerfield recognized something special in Florentina Doty when she applied for assistance. Doty learned that Summerfield, too, was special.
In February 2007, Doty moved from California to Grove, Okla., hoping to create a better life for herself and her two children. In California, she worked long hours, but still couldn’t make ends meet and found herself homeless.
When she couldn’t find a job in Grove, she applied for assistance at the Delaware County Human Services Center and met Summerfield.
“I didn’t know it, but my life was about to start on a wonderful journey,” said Doty.
In May 2007, Doty joined the county office as a Work Experience Participant worker. She shadowed the switchboard operator and learned many new skills. About two weeks later the operator went on maternity leave. Summerfield suggested Doty work as temporary worker until the operator returned.
In June 2007, Doty began as an administrative technician.
“I was so excited at this point because I really felt that finally someone was supporting my future success,” said Doty.
Doty then joined Child Welfare Services as an aide. She got off TANF and was an OKDHS employee in less than one year.
“I always knew I was a hard worker, I am just glad Virgil knew that, too,” said Doty. “Virgil is my everyday hero because he didn’t see a single mom who was a failure like I did, he saw a person who could go a long way with a little help. My whole life has changed because he believed his client could succeed. I’m honored to be that client.”
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SAFETY PROGRAmS Adult Protective Services APS seeks to protect vulnerable adults from abuse, neglect and exploitation. APS also investigates complaints related to long-term care facilities. FSSD administers APS.
Child Welfare Services Safety for children is fundamental to OKDHS. Children and Family Services Division administers the Title IV-B and IV-E programs, Child Abuse Prevention and Treatment Act and Chafee Foster Care Independence Program. CFSD is responsible for developing child welfare policies, state and federal reporting, adoptions, foster family recruitment, training and program administration.
Child Care Licensing The mission of OCCS is to ensure Oklahoma families have access to licensed, affordable, quality child care. State law requires all child care facilities be licensed. Recommendations for minimum standards and requirements are developed in conjunction with the Child Care Advisory Committee to assure children will be cared for in a safe, healthy and developmentally appropriate environment. These requirements are the basis for evaluation and consultation during three unannounced visits per year at each licensed child care facility.
Ombudsman Program The Aging Services Division Ombudsman Program serves residents in Oklahoma’s long-term care facilities, including nursing homes, assisted living and similar adult care homes. An ombudsman helps improve the quality of life and the quality of care available to long-term care facility residents. The ombudsman is a person who receives complaints from residents of long-term care facilities, their friends or relatives and attempts to resolve those complaints within the facility. The ombudsman has the authority to explore problems and recommend corrective action to the facility.
Office of Client Advocacy The Office of Client Advocacy provides a variety of protection and advocacy services for OKDHS clients. OCA’s advocates provide advocacy assistance to individuals with developmental disabilities, including individuals who live in OKDHS facilities, former residents of Hissom Memorial Center, former residents of existing OKDHS facilities who have special advocacy needs and other DDSD service recipients who have special advocacy needs. Advocates help individuals resolve issues involving access to needed services or the quality of those services. Advocates provide an independent, proactive voice for all clients to ensure client safety and fair, honest and professional service delivery. During state fiscal year 2008, OCA advocates conducted 1,468 reviews to evaluate client services and 29,461 contacts on behalf of their clients.
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HEALTH PROGRAmS SoonerCare Eligibility Determination OKDHS provides eligibility determination for the SoonerCare program throughout the Human Services Centers and a centralized unit. SoonerCare provides health care to children younger than 19, adults with children younger than 18, pregnant women and individuals who are older than 65 or have blindness or another disability. The following programs are part of SoonerCare: Aged, Blind and Disabled, Family Planning, TEFRA – Health Care for Children with Disabilities, EPSDT – Health Screening, Diagnosis and Treatment and Breast and Cervical Cancer.
Supplemental Nutrition Assistance Program SNAP serves as the first line of defense against hunger. It enables low-income families to buy eligible food in authorized stores with Electronic Benefits Transfer cards. SNAP Education is a partnership between Oklahoma State University – Cooperative Extension Service, Chickasaw Nation, University of Oklahoma Health Sciences Center, OKDHS and the United States Department of Agriculture Food and Nutrition Service. The program provides nutrition education to food benefits recipients and other eligible low-income individuals and families.
Congregate and Home-Delivered Meals ASD funds and monitors the Older Americans Act congregate and home-delivered meals programs. All menus are prepared by a registered dietician and meet one-third of the Dietary Recommended Intake. Based on nutritional assessments, some individuals are given the opportunity for one-on-one nutritional counseling from a dietician. A registered dietician also provides monthly nutrition education at the meal sites and through handouts distributed to homebound participants.
Foster Care CFSD seeks to promote permanency and well-being for children in out-of-home care. Multiple moves while a child is in state custody can negatively impact a child’s future well-being, including the ability to be successful in school and to form meaningful attachments with others. Foster care is a safe, temporary placement providing 24-hour-a-day substitute care for children in OKDHS custody.
Adoption The mission of the Swift Adoption Services is to secure an adoptive family for every child for whom adoption is the goal. Children can be assured a permanent adoptive family through: 1) early identification, assessment and child preparation; 2) aggressive recruitment and preparation of prospective adoptive parents; 3) elimination of legal and other barriers to adoption; and 4) adequate provision of supportive services.
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INDEPENDENCE PROGRAmS ADvantage Waiver program The ADvantage Waiver program: 1) provides an alternative to nursing home placement for older and disabled Oklahomans; 2) promotes a participant-centered and participant-choice approach in providers and services in the home setting; and 3) has resulted in a significant cost savings to the state. A multidisciplinary team works with each participant on a regular basis to ensure all needs, medical and otherwise, are met for the individual to stay at home safely and independently. To qualify, an individual must meet the medical and financial eligibility requirements for nursing home care.
Area Agencies on Aging Eleven Area Agencies on Aging provide Older Americans Act services statewide. The only eligibility requirement to receive OAA services is that a person be 60 years of age or older. Each AAA has an information and assistance person available to share information on resources found in their area. Congregate and home-delivered meals are the largest service provided under OAA. Supportive services are offered statewide in the form of in-home assistance, such as homemaking and chore work, caregiver assistance, grandparents raising grandchildren, legal services and health promotion. Skilled outreach personnel are available in each county to provide one-on-one assistance to help older individuals make informed choices. Transportation services are also provided to nutrition sites, banks, doctor’s offices or grocery stores.
Child Support Services CSED provides services designed to help children get the support they need, including locating the non-custodial parents’ addresses and employers, establishing legal paternity, establishing child and medical support orders, enforcing support for married, separated or divorced parents and modifying support orders.
Developmental Disabilities Services DDSD provides services to individuals age three and older who have a primary diagnosis of mental retardation. Individuals served may also have other developmental disabilities in addition to mental retardation. Services are individualized to meet each person’s needs. DDSD services are funded through Medicaid Home and Community-Based Services Waivers and through state funds. Additionally, DDSD operates two public intermediate care facilities for persons with mental retardation (ICFs/MR) and contracts for public ICF/MR services for individuals with mental retardation and mental illness.
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Temporary Assistance for Needy Families TANF is a federally-funded program for children deprived of support because of a parent’s death, incapacity, absence or unemployment. Cash assistance is available to the family on a time-limited basis through TANF. The purpose of TANF is to provide temporary support in meeting basic needs, training leading to employment, employment services and child care assistance for qualified families with children. In an effort to decrease the number of child only TANF cases, supportive programs are continually developed to assist parents and children in reunification efforts when possible. Programs are developed to promote keeping families together to increase better outcomes for children.
State Supplemental Program People who belong to the aged, blind and disabled group may also qualify for a State Supplemental Payment, financial assistance to those who have been determined financially eligible and receive SoonerCare services.
Low Income Home Energy Assistance Program LIHEAP provides winter heating, summer cooling, weatherization and other energy-related home repair assistance to eligible low income households throughout each year during specific application periods.
Rosalinda Mata had a dream. She wanted to build a comfortable life for herself and son. A challenging circle, however, of financial issues leading to
transportation issues leading back to financial issues frustrated her ambitions.
While attending a vocational-technical school, Mata also applied for Temporary Assistance for Needy Families at the Tillman County Human
Services Center. The office offered her a clerical position in the Work Experience Program to help her gain experience. Mata said she was elated at the chance to put her skills to work.
Through the experience, Love Insurance Agency, Inc., hired Mata. She then studied to become an insurance policy writer. She recently passed that test and received a sizable raise at the insurance company.
Her dreams of creating a rich life for herself and her son have begun.
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PRODUCTIVITY PROGRAmS Temporary Assistance for Needy Families Work has been a strong component of the cash assistance program, TANF. Effective October 1, 2006, each state was required to meet a 50 percent participation rate for all families receiving assistance, and a separately calculated 90 percent participation rate for two-parent families. Specific activities count toward the work requirement. Oklahoma funds a wide array of services to TANF recipients to assist them in meeting the work requirements and supporting them to become more financially independent. This includes General Educational Development, literacy, substance abuse treatment, job training and resources needed to secure employment, such as uniforms, shoes and transportation.
Court Liaison Program CSED assists parents through the Court Liaison Program. The court liaison functions much like a child support probation officer in contempt of court cases when the NCP is facing incarceration for failure to pay. The CLP promotes outcomes for non-custodial parents, including: 1) obtaining and maintaining gainful employment; 2) earning a living wage for themselves and an income sufficient to fulfill their child support obligations; 3) making consistent child support payments; and 4) developing sound work habits to promote continued employment and sound payment habits leading to an improved financial security.
Child Care Subsidy Child care services are part of an overall plan designed to help low-income families achieve their maximum potential for self-support. It is a service provided for children as a means to strengthen the family. Providing quality child care services assures the parent or caregiver that each child in care has the opportunity to receive developmental and learning experiences while the parent or caregiver is engaged in self-support activities, such as employment, education or training.
Independent Living Program The Oklahoma Independent Living Program focuses on teens in foster care and seeks to: 1) promote the importance of early planning for one’s future; 2) promote the importance of permanent connections; 3) ensure transition of youth ages 16 to 21 from state custody to self-sufficiency and successful adult living; 4) support youth by encouraging a multi-disciplinary approach through training of field staff and other appropriate adults; and 5) develop youth-targeted resources and community partnerships.
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STATISTICAL SUmmARY FY 2007 - 2008 Programs FY 2008 FY 2007
Percent Change
Total OKDHS Expenditures $1,708,406,567 $1,657,363,496 3.0
Adoptive Home Placements, Finalized Adoption Placements 1,409 1,152 18.2
Adoptive Home Placements, Children in Adoption Subsidy Program 10,051 9,197 9.3
Adult Protective Services Investigations Completed 17,113 17,553 -2.5
Adult Protective Services Confirmed Reports 10,315 10,989 -6.1
Aging Services, Adult Day Services (Total Served) 1,379 1,245 10.8
Appeals Filed or Pending 1,088 1,103 -1.4
Child Care, Services Provided (Monthly Average) 40,250 41,933 -4.0
Child Care, Licensed Facilities 4,762 5,204 -8.5
Child Care, Licensed Capacity 137,743 140,142 -1.7
Child Protective Services, Referrals Accepted for Investigation 27,399 28,846 -5.0
Child Protective Services, Referrals Accepted for Assessment 7,761 7,244 7.1
Child Protective Services, Investigations and Assessments Confirmed 11,714 13,191 -11.2
Child Support Enforcement, Collections $268,439,891 $238,854,134 12.4
Child Support Enforcement, Cases (Monthly Average) 182,228 176,327 3.3
Child Support Enforcement, Paternities Established 20,404 19,561 4.3
Commodities $11,362,614 $10,212,335 11.3
Developmental Disabilities Persons 13,724 13,324 3.0
Diversion Assistance, Total Cases 841 904 -7.0
Diversion Assistance, Expenditures $690,018 $784,443 -12.0
Elderly Support Services, Congregate Meals 2,151,752 2,161,419 -0.5
Elderly Support Services, Home Delivered Meals 1,853,495 1,876,742 -1.2
Food Stamp Program, Cases (Monthly Average) 175,265 177,804 -1.4
Food Stamp Program, Persons (Monthly Average) 415,397 423,084 -1.8
Food Stamp Program, USDA Value Issued $484,641,881 $463,558,509 4.6
Foster Care Placements (Monthly Average) 12,108 N/A N/A
SoonerCare (Medicaid), Cases (Monthly Average) 373,283 365,348 2.2
SoonerCare (Medicaid), Persons (Monthly Average) 606,699 600,930 1.0
State Supplemental, Cases (Monthly Average) 80,683 78,927 2.2
State Supplemental, Persons (Monthly Average) 80,695 78,941 2.2
State Supplemental, Expenditures $39,367,242 $38,577,231 2.1
TANF, Cases (Monthly Average) 9,020 10,002 -9.8
TANF, Persons (Monthly Average) 19,649 21,943 -10.5
TANF, Expenditures $20,199,228 $25,901,807 -22.0
TANF, Hardships 109 149 -26.9
WORK Components, Entered 16,684 20,275 -17.7
WORK Components, Successfully Completed 8,469 10,763 -21.3
DEDICATION
James “Jim” F. Gumm served OKDHS as a staff photographer for 29 years. Jim excelled as a photographer, from developing film in the agency’s darkroom in the early days to mastering the new digital camera technology. Jim’s greatest strength, however, was making a child smile.
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James F. Gumm 1957-2008
Produced by the Office of Planning, Research and Statistics in collaboration with OKDHS Design Services
All numbers rounded to the nearest tenth.
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Agency Number 830 Sequoyah Office Building
P.O. Box 25352 Oklahoma City, OK 73125-0552
www.OKDHS.org
-
S80184 OKDH
S Issued 10/2008
This publication is authorized by the Oklahom
a Com
mission for H
uman Services in accordance w
ith state and federal regulations and printed by the Oklahom
a Department of H
uman Services at a cost of $2,600.00 for 1,000 copies. C
opies have been deposited with the Publications C
learinghouse of the Oklahom
a Department of Libraries.
l l l Tables Graphs Factsheets Video
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