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