Prioritizing Children: The Strain Facing Child Protective Services
Angela Sausser, MA, MSW, LSWExecutive Director
December 10, 2018
S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S
S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S
@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.
Who We Are
2
PCSAO is a membership-driven association of Ohio’s county Public Children Services Agencies that advocates for and promotes child protection program excellence and sound public policy for safe children, stable families, and supportive communities.
@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.
Henry
Holmes
Morgan
Opioid Epidemic =
Henry
Holmes
Morgan
Opioid Epidemic =
The Invisible Victims:
The Children
@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.
5
S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S
Impact of Opioid Epidemic on Children
50% of children taken into
custody in 2015 had parental drug use
Source: PCSAO Opiate Survey, 78 county Public Children Services Agencies responded, Apr. 2016
@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.
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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S
Impact of Opioid Epidemic on Children
Source: PCSAO Opiate Survey, 78 county Public Children Services Agencies responded, Apr. 2016
28% of children taken
into custody in 2015 had parents who were using
opioids at time of removal
@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.
7
S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S
More Children in Foster Care Entering care at alarmingly higher rates than ever before
67% of children in foster care
are 12 and younger; 28%
are 3 and younger.
Source: ODJFS SACWIS special data run, received Nov. 2017, supplemented July 2018. Point in Time Data for July 1, 2013, 2015, 2016, 2017 and 2018
12,654
13,54313,769
15,145
16,018
12,000
13,000
14,000
15,000
16,000
17,000
18,000
2013 2015 2016 2017 2018
Children in Foster Care on July 1
@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.
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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S
Bad Outcomes for ChildrenStaying in foster care longer due to recovery timelines
202
228
240
180
190
200
210
220
230
240
250
2010 2013 2016
Median Days in Temporary Custody (July 1)
Within 1 year of
recovery from
opiates, 85% will relapse
Source: ODJFS SACWIS special data run, October 2016.
@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.
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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S
Impacting the Entire FamilyMore kinship families caring for children with little support
Access to affordable
child care is the greatest need among
kinship families.
Source: ODJFS SACWIS special data run, October 2017. Additional calculations by PCSAO.
2175
2480
2866
3577
3811
2000
2200
2400
2600
2800
3000
3200
3400
3600
3800
4000
1-Jul-13 1-Jul-15 1-Jul-16 1-Jul-17 1-Oct-17
Children in Custody Placed with Relatives
@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.
10
S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S
A Traumatized Workforce
1 out of every 4 caseworkers
left their positions in
2016 & 2017!
➢ 48% of the children services workforce has
reported experiencing at least 1 symptom of secondary trauma
➢ 53% of the children services workforce has
elevated levels of secondary traumatic stress meeting the threshold of PTSD
Source: Quality Improvement Center for Workforce Development Center survey of six Ohio PCSA staff, 2018.
@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.
11
S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S
A System that is Broke
21% decrease in State
funding to counties in
2008
Source: ODJFS SACWIS special data runs for unduplicated count, October 2016 . SCPA from ODJFS, reported in PCSAO Factbook 11th, 12th editions, ODJFS special data run, January 2017. Additional calculations by PCSAO.
$56,852,252
$43,786,711 $44,305,320 $44,881,023
14,28212,383 12,654
13,719
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
$20,000,000
$25,000,000
$30,000,000
$35,000,000
$40,000,000
$45,000,000
$50,000,000
$55,000,000
$60,000,000
2008 2010 2013 2016
SCPA Funding vs. Children in Custody (SFY)
SCPA Children in Custody
@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.
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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S
SFY 2016, from ODJFS SACWIS special data runs for unduplicated count, October 2016 and January 2017. Additional calculations by PCSAO.
Less than 5% of the State’s share ($45m) is allocated to
the county PCSAs
Counties fund over 50% of children services expenditures
$352,392,067.00
$95,869,458.00
$490,016,450.00
Federal State Local
52%
10%
38%
@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.
13
S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S
Ohio Ranks 50th in Nation for State Shareof Children Services Total Expenditures
SFY 2014, from http://www.childtrends.org/publications/child-welfare-financing-sfy-2014-a-survey-of-federal-state-and-local-expenditures/
40%
7%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
National Average for State Spend Ohio's State Spend
2014 Comparison
If Ohio’s state investment
doubled, we would still be
50th in the nation
@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.
14
Source: ODJFS SACWIS, calculations by PCSAO, SFY2016
Children coming into care have very complex, multi-system needs
13%
24%
31%
4%
27%
Reasons for RemovalTotal= 13,683 as of 7/1/16
Abuse
Neglect
Dependency
Delinquency
Other
CDC estimates for all need
cases of maltreatment
in 1 year (2008) =
$124 Billion!
@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.
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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S
The Funding CrisisPlacement costs have increased dramatically
Source: ODJFS SACWIS special data run, received Jan. 2017. Additional calculations by PCSAO.
42% ($138m)
were substance
abuse-related in
2016
$275,000,000.00
$330,575,009.00
$250,000,000.00
$260,000,000.00
$270,000,000.00
$280,000,000.00
$290,000,000.00
$300,000,000.00
$310,000,000.00
$320,000,000.00
$330,000,000.00
$340,000,000.00
2013 2016
Foster Care Placement Costs, SFY 13 & 16
@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.
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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S
Source: ODJFS SACWIS special data run, received Nov. 2017. Additional calculations by PCSAO.Point in Time Data for July 1, 2013, 2015, 2016, 2017 and Oct. 1, 2017
If the opioid epidemic continues at its current pace,
Ohio will have over 20,000 children in foster
care by 2020
12,654
13,769
15,145
16,659
18,323
20,154
12,000
13,000
14,000
15,000
16,000
17,000
18,000
19,000
20,000
2013 2016 2017 2018 2019 2020
Est. Number of Children in Foster Care
@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.
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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S
Source: ODJFS SACWIS special data run, received Jan. 2017. Additional calculations by PCSAO.
$275,000,000
$330,575,009
$375,585,681
$426,725,074
$484,827,560
$550,841,225
$250,000,000
$300,000,000
$350,000,000
$400,000,000
$450,000,000
$500,000,000
$550,000,000
$600,000,000
2013 2014 2015 2016 2017 2018 2019 2020
Est. Foster Care Placement Costs for SFY 17-20
If the opioid epidemic continues at its current pace,
Ohio will need $550M for JUST placement costs by 2020
@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.
The Tsunami is Here!
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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S
@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.
Reform Outcomes
1. Reduce the number of children entering foster care
2. Reduce the length of stay in foster care
3. Reduce the use of residential care
4. Reduce children experiencing trauma
5. Reduce the cost to taxpayers
19
S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S
Children’s Continuum of Care Reform
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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S
1. Prevention, Intervention,
Crisis & Diversion
2. Professional Foster Care
3. Aftercare & Reunification
4. Appropriate Residential Care
Four Strategic Areas
Looking for Partners• Learn more about the reform plan:
www.pcsao.org
• Current endorsements include: Casey Family Programs,
Ohio Children’s Alliance, Ohio Family Care Association, Kinnect, Family & Youth Law Center, Ohio United Way, Ohio Children’s Defense Fund, Ohio Children’s Hospital Association, Ohio AAP, Voices for Ohio’s Children & more!
#FosterHope4OHKids
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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S
Thank You!
S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S
Angela Sausser, MSW, MA, LSWExecutive [email protected]
(614) 224-5802
@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.
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