CHILD AND FAMILY SERVICES REVIEW - 2010

1. CHILD AND FAMILY SERVICES REVIEW - 2010 Program Improvement Plan Training Iowa Department of Human Services October 29, 2010

2. Framing the Picture • First Review • PIP Highlights • Lessons Learned • Factors Impacting Practice • CFSR Changes – Second Round

3. CFSR Findings from First Round • Of 7 Outcomes, 2 were in substantial conformity: • Safety Outcome 2 • Well-Being Outcome 2 • Of 7 Systemic Factors, 3 were in substantial conformity: • Statewide Information System • Agency Responsiveness to the Community • Foster and Adoptive Parent Licensing, Recruitment, and Retention

4. PIP Highlights • Utilization of family centered practice philosophy • Iowa Child Welfare Model of Practice • Instituted and expanded Family Team Meetings • Expansion of Community Partnerships for Protecting Children (CPPC) • Community Care • Minority Youth and Family Initiative (Woodbury and Polk counties) and working with Disproportionate Minority Contact Resource Center at the University of Iowa

5. First Round Review Lessons Learned • Iowa has best practices, such as Community Partnership for Protecting Children, to build on to increase performance • Iowa strives to provide quality services to children and families • Need to align practice and process standards around achieving positive outcomes for children and families • Need to focus strategies, action steps, implementation steps, and benchmarks • Need to utilize data to show us impact of strategy, action steps, and implementation steps on performance

6. Factors Impacting PracticeSince Last Review • Heightened management use of data • Practice model • Utilization of evidence-based assessments and tools • Expansion of Community Partnership for Protecting Children • Parent Partners • Casey Family Services – best practice opportunities • Performance Based Contracting • Maintained service array despite resource issues

7. Court Factors Impacting Practice • 1 Judge – 1 Family • Mandatory annual training for Juvenile Court Judges • Parents and Children Together (PACT) Drug Courts • Federal language on court orders

8. CFSR ChangesSecond Round • Data standards are more sophisticated • 6 measures 17 measures • 15 measures within the 4 permanency composites plus 2 measures relevant to safety • Review instrument also is more sophisticated – automated • Case review compliance raised from 90% to 95% • Number of cases reviewed increased from 50 to 65 • Stratified foster care cases

9. Overview of 2010 CFSR Child and Family Service Plan (IV-B Plan) Statewide Assessment Findings Onsite Review Findings Themes

10. CFSR and Child and Family Service Plan • Child and Family Service Plan (aka IV-B plan) – sets out priorities and initiatives for child welfare system for 5 years • Details priorities and initiatives for 2010-2015 • Iowa’s IV-B plan and Statewide Assessment were integrated in June 2009.

11. Statewide Assessment Findings • The Statewide Assessment was conducted in Winter of 2009-2010. • Process included: Data, policy, practice, quality assurance results; gathering information from consumers, such as youth, parents, parent partners; workgroups representing DHS staff and external stakeholders met to provide input and feedback • Highlights: • Positive Initiatives: CPPC, Parent Partners, Family Team Meetings, Family Interaction, Preparation for Adult Living (PAL), After Care Services, etc. • Identified areas needing improvement: Safety Outcome 1, Permanency Outcomes 1 and 2, and Well-Being Outcomes 1 and 3

12. Onsite Review • Conducted August 23 – 27, 2010 • 65 cases • 40 foster care • 25 in-home • State and local level stakeholder interviews • Statewide Assessment utilized to identify best practices and to determine performance on systemic factors

13. Onsite Preliminary Findings • Best performing outcomes: • Well-Being Outcome 2 • Well-Being Outcome 3 • Lowest performing outcomes: • Safety Outcome 2 • Permanency Outcome 1 • Well-Being Outcome1 • In the middle: • Safety Outcome 1 • Permanency Outcome 2

14. Onsite Preliminary FindingsContinued • National Indicators: • IA met national data standard for absence of maltreatment of children in foster care by foster parents or facility staff (99.71% > 99.68%). • IA met Permanency Composite 2: Timeliness of adoptions (141.6 > 106.4) • IA met Permanency Composite 3: Permanency for children in foster care for extended periods of time (132.6 > 121.7) • IA did not meet national data standard for absence of maltreatment recurrence , or repeat maltreatment (91.9% < 94.6%) • IA did not meet Permanency Composite 1: Timeliness and permanency of reunifications (115.9 < 122.6) • IA did not meet Permanency Composite 4: Placement Stability (94.0 < 101.5)

15. Onsite Preliminary FindingsContinued • Systemic Factors with no preliminary identified areas needing improvement: • Statewide Information System • Quality Assurance System • Staff and Provider Training • Agency Responsiveness to the Community • Systemic Factors with preliminary identified areas needing improvement: • Case Review System • Service Array • Foster and Adoptive Parent Licensing, Recruitment, and Retention

16. Discussion of Findings and Implications • Ongoing IA initiatives, such as Family Team Meetings, Family Interaction, Breakthrough Series Collaborative to address disproportionality, Permanency Roundtables, Family Finding, etc. • Building on the last Program Improvement Plan (PIP) • Emerging themes

17. Identified Themes from Preliminary Findings Family Engagement Permanency Planning Services Provision