1. SAFE AND THRIVING FOREVER FAMILIES SOONER Division of Family & Children Services G-Force Meeting June 25, 2009

2. 2 AGENDA Child Protective Services: Focus on Risk Assessments Field Operations’ Review Guide Training Permanency: Focus on Composites Quality Assurance Process OFI Information

3. 3

4. 4 RECURRENCE OF MALTREATMENT May 2008 – May 2009 National Standard= 5.4% or less Definition: Of all children who were victims of substantiated maltreatment, what percent had a substantiated report of maltreatment within the past 6 months?

5. 5 State= 3.07%

6. 6

7. 7 DISPOSITION OF SUBSTANTIATED INVESTIGATIONS June 2008 – April 2009 While the percentage of substantiated investigations opened for family preservation has declined, there has been an increase in the percentage that are closed during this time period.

8. 8 OVERALL LEVEL OF RISK

9. 9 LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES July 18, 2008 – June 18, 2009

10. 10 LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY PERCENTAGE July 18, 2008 – June 18, 2009 Note: There were 7,268 family preservation cases and 2,013 permanency cases with risk levels during this time period. <1% 51% if cases opened for family preservation during this period had a risk level of somewhat and 42.3% were rated as considerable. 74.7% of cases opened for placement had risk levels of considerable or extreme.

11. 11 PERCENTAGE OF VERY LITTLE RISK CASES BY REGION State - Fam. Preserv. =4.2% State - Permanency=3.8% Regional percentages ranged from 1.5% to 18.1% for family preservation and 0% to 18.7% for permanency cases.

12. 12 PERCENTAGE OF CASES WITH SOMEWHAT AS RISK LEVEL BY REGION State Fam. Preserv. =51.0% State - Permanency= 21.0% Regional percentages ranged from 58.6% to 65.7% for family preservation and 9.7% to 36.4% for permanency cases.

13. 13 PERCENTAGE OF CONSIDERABLE RISK CASES BY REGION State -Fam. Preserv. =42.3% State Permanency= 53.2% Regional percentages ranged from 14.8% to 56.6% for family preservation and 40.9% to 71.8% for permanency cases.

14. 14 PERCENTAGE OF CASES RATED AS EXTREME BY REGION State Fam. Preserv. =2.3% State Permanency= 21.5% Regional percentages ranged from none to 4.3% for family preservation and none to 39.8% for permanency cases. Region 17 had no cases rated as “extreme.”

15. 15 REGION 1: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY PERCENTAGE Information reflects risk assessment levels for 573 Family Preservation cases and 108 Permanency cases.

16. 16 REGION 2: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY PERCENTAGE Information reflects risk assessment levels for 479 Family Preservation cases and 114 Permanency cases.

17. 17 REGION 3: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY PERCENTAGE Information reflects risk assessment levels for 553 Family Preservation cases and 126 Permanency cases.

18. 18 REGION 4: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY PERCENTAGE Information reflects risk assessment levels for 472 Family Preservation cases and 135 Permanency cases.

19. 19 REGION 5: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY PERCENTAGE Information reflects risk assessment levels for 485 Family Preservation cases and 73 Permanency cases.

20. 20 REGION 6: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY PERCENTAGE Information reflects risk assessment levels for 712 Family Preservation cases and 99 Permanency cases.

21. 21 REGION 7: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY PERCENTAGE Information reflects risk assessment levels for 338 Family Preservation cases and 63 Permanency cases.

22. 22 REGION 8: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY PERCENTAGE Information reflects risk assessment levels for 322 Family Preservation cases and 82 Permanency cases.

23. 23 REGION 9: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY PERCENTAGE Information reflects risk assessment levels for 298 Family Preservation cases and 42 Permanency cases.

24. 24 REGION 10: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY PERCENTAGE Information reflects risk assessment levels for 483 Family Preservation cases and 52 Permanency cases.

25. 25 REGION 11: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY PERCENTAGE Information reflects risk assessment levels for 618 Family Preservation cases and 47 Permanency cases.

26. 26 REGION 12: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY PERCENTAGE Information reflects risk assessment levels for 322 Family Preservation cases and 162 Permanency cases.

27. 27 REGION 13: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY PERCENTAGE Information reflects risk assessment levels for 506 Family Preservation cases and 213 Permanency cases.

28. 28 REGION 14: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY PERCENTAGE Information reflects risk assessment levels for 210 Family Preservation cases and 193 Permanency cases.

29. 29 REGION 15: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY PERCENTAGE Information reflects risk assessment levels for 166 Family Preservation cases and 135 Permanency cases.

30. 30 REGION 16: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY PERCENTAGE Information reflects risk assessment levels for 321 Family Preservation cases and 108 Permanency cases. <1%

31. 31 REGION 17: LEVEL OF RISK FOR FAMILY PRESERVATION & PERMANENCY CASES BY PERCENTAGE Information reflects risk assessment levels for 394 Family Preservation cases and 188 Permanency cases. <1%

32. 32

33. 33

34. 34

35. 35

36. 36

37. 37

38. 38

39. 39

40. 40

41. 41

42. 42

43. 43

44. 44

45. 45

46. 46

47. 47

48. 48 MAKING THE MOST OUT OF PERFORMANCE COMPOSITES We have the data profiles regarding Georgia’s overall performance and the percentages for each measure (including county level data). The data profiles provide the ranges, medians, and 25 th and 75 th profiles of performance so that we know how we compare to other states on these measures. We will focus on how performance for each individual measure impact or contribute to overall performance. Most importantly, we will stress how performance on each individual measure really relate to safety and permanency and what we need to do so that children in Georgia will have safe and thriving forever families sooner.

49. 49 Measure C1 - 1: Exits to reunification in less than 12 months: Of all children discharged from foster care to reunification in the year shown, who had been in foster care for 8 days or longer, what percent was reunified in less than 12 months from the date of the latest removal from home? (Includes trial home visit adjustment) [national median = 69.9%, 75th percentile = 75.2%] Measure C1 - 2: Exits to reunification, median stay: Of all children discharged from foster care (FC) to reunification in the year shown, who had been in FC for 8 days or longer, what was the median length of stay (in months) from the date of the latest removal from home until the date of discharge to reunification? (This includes trial home visit adjustment) [national median = 6.5 months, 25th Percentile = 5.4 months (lower score is preferable in this measure)] PERMANENCY COMPOSITE 1

50. 50 Permanency Composite 1: Timeliness and Permanency of Reunification National Standard or Median Period Ending 3/31/2008 Period Ending 3/31/2009 Timeliness & Permanency of Reunification National Standard = 122.6 or higher 116.2117.7 National Ranking 19 of 47 C1-1. Exits to Reunification in less than 12 Months National Median = 69.9% (75 th Percentile = 75.2%) 61.3%57.5% C1-2. Exits to Reunification, Median Stays National Median = 6.5 months (25 th Percentile = 5.4 months) 10.110.8

51. 51 CHILDREN WHO ENTERED CARE FROM OCTOBER – DECEMBER 2008 WITH GOAL OF REUNIFICATION (6/25/2009) NumberPercentage DFCS Foster Home34047.4% Relative-Paid10915.2% CPA Foster Home8511.9% CCI547.5% Relative-Unpaid436.0% Group Home294.0% Parent142.0% Not Listed121.7% Other Person/Resource101.4% Hospital91.3% YDC/RYDC61.0% Runaway30.0% ICPC Foster Home20.0% Emergency Shelter10.0% Total717

52. 52 CHILDREN WHO ENTERED CARE FROM OCTOBER – DECEMBER 2008 WITH GOAL OF REUNIFICATION (6/25/2009) BY REGION

53. 53 QUESTIONS FOR DISCUSSION How many of these children can be safely reunited? What additional work must be done, for example with court processes? What supports must be in place for these children to be safe and thriving with their forever families? What risk issues are you managing?

54. 54 Re-entries to Foster Care in Less than 12 Months National Median Period Ending 3/31/2008 Period Ending 3/31/2009 C1-4: Re-entries to foster care in less than 12 months. 15.0% (25 th percentile = 9.9%) 8.7%6.1% Of all children discharged from foster care to reunification in the 12-month period prior to the year shown, what percent re-entered foster care in less than 12 months from the date of discharge? [national median = 15.0%, 25th Percentile = 9.9%]

55. 55 FOSTER CARE RE-ENTRY RATE May 2008 – May 2009 National standard: less than or equal to 8.60% Of the children who entered care in May 2009, 5.71% had exited care less than 12 months ago.

56. 56 PERMANENCY COMPOSITE 2 Measure C2 - 1: Exits to adoption in less than 24 months: Of all children who were discharged from foster care to a finalized adoption in the year shown, what percent was discharged in less than 24 months from the date of the latest removal from home? [national median = 26.8%, 75th Percentile = 36.6%] Measure C2 - 2: Exits to adoption, median length of stay: Of all children who were discharged from foster care (FC) to a finalized adoption in the year shown, what was the median length of stay in FC (in months) from the date of latest removal from home to the date of discharge to adoption? [national median = 32.4 months, 25th Percentile = 27.3 months (lower score is preferable in this measure)]

57. 57 Permanency Composite 2: Timeliness of Adoptions National Standard or Median Period Ending 3/31/2008 Period Ending 3/31/2009 Timeliness of Adoptions National Standard = 106.4 or higher 105.299.3 National Ranking14 of 4721 of 47 C2 - 1: Exits to adoption in less than 24 months National Median = 26.8% (75 th percentile = 36.6%) 22.4%26.9% Measure C2 - 2: Exits to adoption, median length of stay: National Median = 32.4 months (25 th percentile = 27.3 months) 33.433.2

58. 58 Progress Toward Adoption for Children in Foster Care for 17 Months or Longer Measure C2 - 3: Children in care 17+ months, adopted by the end of the year: Of all children in foster care (FC) on the first day of the year shown who were in FC for 17 continuous months or longer (and who, by the last day of the year shown, were not discharged from FC with a discharge reason of live with relative, reunify, or guardianship), what percent was discharged from FC to a finalized adoption by the last day of the year shown? [national median = 20.2%, 75 th Percentile = 22.7%] Measure C2 - 4: Children in care 17+ months achieving legal freedom within 6 months: Of all children in foster care (FC) on the first day of the year shown who were in FC for 17 continuous months or longer, and were not legally free for adoption prior to that day, what percent became legally free for adoption during the first 6 months of the year shown? Legally free means that there was a parental rights termination date reported to AFCARS for both mother and father. This calculation excludes children who, by the end of the first 6 months of the year shown had discharged from FC to "reunification," "live with relative," or "guardianship." [national median = 8.8%, 75 th Percentile = 10.9%]

59. 59 Progress Toward Adoption for Children in Foster Care for 17 Months or Longer National Standard or Median Period Ending 3/31/2008 Period Ending 3/31/2009 C2 - 3: Children in care 17+ months, adopted by the end of the year: National Median = 20.2% (75 th percentile = 22.7%) 22.2%26.0% C2 - 4: Children in care 17+ months achieving legal freedom within 6 months 8.8% (75 th percentile = 10.9%) 14.8%7.8%

60. 60 Progress Toward Adoption of Children Who Are Legally Free for Adoption National Median Period Ending 3/31/2008 Period Ending 3/31/2009 Legally free children adopted in less than 12 months: 45.8% (75 th percentile = 53.7%) 50.3%51.0% Of all children who became legally free for adoption in the 12 month period prior to the year shown (i.e., there was a parental rights termination date reported to AFCARS for both mother and father), what percent was discharged from foster care to a finalized adoption in less than 12 months of becoming legally free? [national median = 45.8%, 75th Percentile = 53.7%]

61. 61 NUMBER & PERCENT OF CHILDREN LEGALLY FREE FOR ADOPTION BY REGION AS OF JUNE 19, 2009 N-1,245

62. 62 PLACEMENT SETTING FOR CHILDREN WHO ARE LEGALLY FREE FOR ADOPTION

63. 63 PERMANENCY PLAN FOR CHILDREN LEGALLY FREE FOR ADOPTION

64. 64 PERCENTAGE OF POSITIVE EXITS IN PAST 6 MONTHS BY LAST PLACEMENT TYPE N=3,577

65. 65 AVERAGE LENGTH OF STAY IN MONTHS FOR CHILDREN WHO EXITED CARE IN THE PAST 6 MONTHS BY LAST PLACEMENT

66. 66

67. 67

68. FAMILY INDEPENDENCE QUALITY ASSURANCE REVIEW PROCESS Reviews are conducted based on the Federal Management Review Process which is based on national trends

69. 69 FOOD STAMP PROGRAM POLICY ISSUES Outreach Case Record Review—Initial Certifications, Denied Applications, Terminations, Recertifications (approvals and closures) Customer Service: Application Process, interviews with staff/clients/advocates Hearing Logs

70. 70 CORRECTIVE ACTION Quality Improvement Plan/Monitoring Corrective Action Plan Quality Control Data/Central File Error Prone Cases: –Wages and Salaries –Shelter and Utilities

71. 71 Claims Management 5667 Log for OIS Referrals Overpayments/Underpayments IPV referrals made/documented timely Disqualified Recipient Subsystem (DRS) entry Sanctions applied timely Agency Error/Inadvertent Household Error claims documented on ADDR NARR screen

72. 72 AGENCY COMPLIANCE PROCEDURES Civil Rights/Title VI Limited English Proficiency/Sensory Impaired (LEP/SI) Americans with Disabilities Act (ADA/Section 504) Health Insurance Portability and Accountability Act (HIPAA)

73. 73 IRS/BEERS SECURITY REVIEW Two Barrier Security Destruction Logs Annual Training/Logs/User Agreement Forms UNAX Poster County Security Plan

74. 74 Other Review Items TANF Participation Activities/Validation of Hours TANF Mandatory Forms

75. 75 Three Months and Six Months Trends Comparison Chart

76. 76 Three Months and Six Months Trends Comparison Chart

77. 77 Three Months and Six Months Trends Comparison Chart

78. 78 Three Months and Six Months Trend Comparison Chart

79. 79 TANF Cases Note: Due to the Deficit Reduction Act (DRA) that reauthorized TANF, caseload and work participation rates have been revised beginning October 2007. These changes impact the way in which adults are selected and the calculation of hours in some of the work activities.

80. 80 TANF ADULT Note: Due to the Deficit Reduction Act (DRA) that reauthorized TANF, caseload and work participation rates have been revised beginning October 2007. These changes impact the way in which adults are selected and the calculation of hours in some of the work activities.

81. 81 TANF CHILD ONLY Note: Due to the Deficit Reduction Act (DRA) that reauthorized TANF, the caseload and work participation rates have been revised beginning October 2007. These changes impact the way in which adults are selected and the calculation of hours in some of the work activities.

82. 82 Food Stamp Cases

83. 83 Medicaid Cases

84. 84

85. 85

86. 86

87. 87