Center for Public Policy Priorities Child Protection Child Protection Houston Conference on Children...

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Child ProtectionChild Protection

Houston Conference on ChildrenJune 15, 2005

F. Scott McCown, Executive DirectorEva DeLuna Castro, Senior Budget Analyst


Overview:Understanding the Boat


Child Population Growth

• Second largest child population in U.S.

• Largest growth in child population in U.S. between 2000-2003– 350,000 additional children– 183,000 more than California

• High birth rate (Second – behind Utah)Source: U.S. Census Bureau


6.2 million children in Texas

1.5 million children (or 25%) in poverty in 2003

10,000 removed from home

600,000 calls to CPS intake

300,000 children in investigations

50,000 confirmed to be victims of abuse/neglect

Texas Child Protection System(round numbers)


Children in State Conservatorship and Foster Care on the Last Day of the Fiscal Year, 1985-94

8,813 8,789 8,4629,469

10,48611,835

14,22015,522

17,101 17,740

5,193 5,132 5,002 5,613 6,2067,156

8,4759,965

10,880 11,247

-

5,000

10,000

15,000

20,000

25,000

1985 1986 1987 1988 1989 1990 1991 1992 1993 1994

Source: Texas Dept. of Family and Protective Services, Annual Data Books

State ConservatorshipFoster Care

Children in State Conservatorship and Foster Care on the Last Day of Fiscal

Year, 1985-94


Children in State Conservatorship and Foster Care on the Last Day of the Fiscal Year, 1995-2004

17,973 17,233 16,39915,324 16,061

17,39719,056

21,14622,346

24,453

17,10915,70914,843

13,72912,85711,793

10,82212,730

11,80811,700

-

5,000

10,000

15,000

20,000

25,000

30,000

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004


State ConservatorshipFoster Care

Children in State Conservatorship and Foster Care on the Last Day of Fiscal

Year, 1995-04


Investigated and Confirmed Child Abuse Cases Per 1,000 Children

16.518.0

20.9 21.9 21.1 20.418.5

13.8

20.117.9

21.5

18.920.9 21.7 22.4

14.6

5.35.45.24.85.45.44.15.36.06.77.57.76.96.86.2

4.7

0.0

5.0

10.0

15.0

20.0

25.0

1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004


Investigated Confirmed

Investigated and Confirmed Child Abuse Cases Per 1,000 Children


Other Non-Foster Care**,

664 3%

Adoption, 840 3%

Own Home, 1,650 7%

Relative, 4,516 18%

Foster Care*, 16,783 69% Other, 7,670

31%

Children in DFPS Legal Responsibility by Living Arrangement, End of Fiscal 2004

Total children: 24,453

* Excludes youth age 18 or 19 w ho remain in foster care but have aged out of DFPS legal responsibility. ** Includes independent living, hospitals, nursing homes, correctional facilities, and unauthorized absence (left w ithout permission). Source: DFPS 2004 Data Book.

Children in DFPS Legal Responsibility by Living Arrangement, End of Fiscal Year

2004


Emancipated 1,084 10%

Custody Given to Relatives 2,805 26%

Other Non-Foster Care**

603 6%

Returned Home 3,913 35%

Adoption 2,512 23%

Status of Children No Longer in DFPS Legal Responsibility, Fiscal 2004

Total children: 10,917

* Includes children absent w ithout permission, children in court-ordered or independent living placements, children for w hom conservatorship w as never obtained, and children w ith a missing discharge reason. Source: DFPS 2004 Data Book.

OtherRelative

Status of Children No Longer in DFPS Legal Responsibility, Fiscal Year 2004


State and Federal Per-Child Spending on Child ProtectionIn 2005 $; Estimated for 2006 and 2007

52 54 48 45 48 49 46 45 44 44 42 4558 60

48 50 51 51 53 60 76 75 83 85 85 8689 85

$-

$40

$80

$120

$160

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

State Federal

Source: CPPP Analysis of data from Family and Protective Services and Legislative Budget Board.

State and Federal Per Child Spending on Child Protection


General Revenue

AFDC/TANF

IV-E Foster Care

Medicaid

All other federal

$-

$200

$400

$600

$800

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Million $

Other State Funds

Source: PRS/FPS Operating Budgets and Legislative Appropriations Requests.

State and Federal Funding for Child Protection


Medicaid, $64 m, 12%

Other federal, $24 m, 4%

Child Welfare Services - State

Grants, $24 m, 4%Promoting Safe and

Stable Families, $37 m, 7%

Adoption Assistance, $51 m, 9%

IV-E Foster Care, $120 m, 23%

Temporary Assistance for

Needy Families, $230 m, 41%

Source: 2004 Operating Budget, TX Dept. of Family and Protective Services.

Federal Funding for Child Protection in Texas, Fiscal year 2004 (in millions)


Governor/HHSC Reform Package

Current system

Reform Proposal

Change

Investigators 1,305 1,723 +418

Senior Investigators

0 430 +430

Screeners 6 47 +41

Case Aides 118 430 +312

Clerical Staff 213 454 +241

Investigative Caseloads(Monthly/Daily)

74/44 45/33 39% lower/ 25% lower


State Child Protection Budget, 2006 and 2007$1.9 billion total

Intake1%

CPS Direct Delivery

29%

Program Support

5%

Adoption Subsidies

12%

Prevention6%

Purchased Services

8%

Foster Care Payments

39%

Source: 79th Legislature, S.B. 1 and H.B. 10. “Prevention” includes Communities in Schools.

State Child Protection Budget, 2006-07


Underway at DFPS• Laurel Lindsey, Director of Investigations

• Back to 9 Regions, Hiring Regional Directors and Administrative Support

• Hiring Senior Investigators Now and Start Hiring New Investigators in September

• Also Hiring Nurses and Substance Abuse Experts

• Lowering span of control, adding Clerical Support, adding technology


Privatization TimelineSeptember 20, 2005 Plan for Developing a Transition PlanMarch 1, 2006 Transition PlanApril 30, 2006 First RFP for RegionSeptember 30, 2006 First Contract Award/Evaluation Team and ProcessDecember 31, 2006First Evaluation Report Due from HHSCJanuary 2007 80th Legislative SessionSeptember 30, 2007 Third-Party Evaluation Contract AwardDecember 31, 2007Completion of Transition in First RegionDecember 31, 2008Third-Party Evaluation of First RegionJanuary 2009 81st Legislative SessionSeptember 1, 2009 Earliest implementation in Second and Third Regions December 1, 2009 Completion of Transition in Second and Third

RegionsJanuary 2011 82nd Legislative Session September 1, 2011 Completion of Transition in 4-9 Regions


Two Models Are Possible

• DFPS to contract directly with private agencies as part of regional community-centered networks for the provision of ALL necessary substitute and case management services

OR

• DFPS contract with an independent administrator to contract for services


Independent Administrator

• Test for use: “Cost Beneficial”

• Procurement, Management, and Oversight of Substitute Care and Case Management Services in a Region

• Responsibility for Placement

• Cannot Provide Substitute Care Services or have a Board Member who has a Financial Interest in a Provider with whom the IA Contracts


Community-Centered Networks

• Unclear

• Department might act like IA with Various Contracts and Subcontracts

• Department might Contract with a Consortium

• Department might Contract with a Lead Agency that uses Subcontracts


Case Management

• Stepping into Shoes of the Department to make the Decisions, do the Casework, and Provide or Contract for the Needed Services

• Includes all Court-Related Duties such Obtaining Service, Preparing Court Reports, Going to Hearings


Who does case management?

• Not the IA

• Only a Licensed Child-Care Facility or Child-Placing Agency

• The Department can do Case Management only in an Emergency or as the Provider of Last Resort


Procurement

• Performance-Based Contracting: Structure Procurement around the Purpose of the Work and the Desired Results with Objective and Measurable Outcomes Linking Payment to Performance

• Open Enrollment to Competitive Procurement System

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