peformance tracking & practice implication

PEFORMANCE TRACKING &

PRACTICE IMPLICATION

DIVISION OF FAMILY & CHILDREN SERVICES

G-FORCE MEETING

June 26, 2008

2

AGENDA

• G-Force Scoreboard

• Georgia SHINES: Exception Reports

• Performance Tracking & Practice Implications in Social Services & OFI

• Domestic Violence & Child Welfare

• Region 8 Presentation

3

G-FORCE SCOREBOARDACTUAL TREND DESIRED

Food Stamp Error Rate

2.99%

(3.87% May 2008)

5%

Diversions to Unsubstantiated Closed Investigations

3.7:1April 2008

(3.1: 1 for March 2008 Reports)

4.0: 1

Timely Investigations without Reducing Quality

90%June 23, 2008

(98% for March 2008)100%

Permanency:Foster Care Re-entries

5.82%May 2008

(4.16% for April 2008)

5.0%

IV-E Penetration Rate 30.5%March 2008

(30.0% for February 2008)

40%

4

PREVIOUSLY (MAY 2008)

• Georgia currently at 3.87% Error Rate

• Fourth Most Improved State in the Nation

1. Maine

2. Wyoming

3. Montana

5

CURRENTLY (JUNE 2008)

• Georgia currently at

2.99% Error Rate!

• Georgia is Number 1

in Most Improved in the Nation!

• 10th Best State in the Nation!

GEORGIA

IS IN IT,

TO WIN IT!

GeorgiaSHINES

EXCEPTION REPORTS

9

FRAMING OUR APPROACH TO PERFORMANCE IMPROVEMENT

• Over the past year, DFCS has focused on creating a culture of high performance, quality services and accountability.

• We have provided focus, common language, and a way of keeping score that engaged staff’s creativity.

• We have applied the Four Disciplines to child welfare and family independence services.

• We are currently motivated by a feeling that our progress matters. We can sense a moderate amount of anxiety and a sense of urgency.

10

Outcome Median Percentage of

Cases Rated as Substantially

Achieved Across States 2001-2004

Range of Percentage of

Cases Rated as Substantially

Achieved Across States 2001-2004

Georgia Percentage of

Cases – Substantially Achieved –

2001

Georgia Percentage of

Cases – Substantially

Achieved - 2007

Safety Outcome 1: Children are first and foremost, protected from abuse and neglect

85.8 62.0-100 90 72.0

Safety Outcome 2: Children are safely maintained in their homes when possible and appropriate

80.8 48.0-93.5 77.5 67.7

Permanency Outcome 1: Children have permanency and stability in their living situations

50.9 7.1-92.0 71.42 42.5

Permanency Outcome 2: The continuity of family relationships and connections is preserved

77.3 37.9-94.3 75 44.0

Well-Being Outcome 1: Families have enhanced capacity to provide for children’s needs

60.0 18.0-86.0 72 35.0

Well-Being Outcome 2: Children received services to meet their educational needs

83.0 64.7-100 75.7 78.0

Well-Being Outcome 3: Children receive services to meet their physical and mental health needs

69.9 51.2-92.1 63.2 68.0

11

Today, we will consider…

1. What we have accomplished and what have we learned along the way.

2. What changes are needed as indicated by the work.

3. What leadership considerations and actions are critical to the success of our work.

12

SOCIAL SERVICES: VOLUME OF WORK COMPARISON

Previous Year: Investigations (9/06 – 2/07; Family Preservation (9/06 - 3/07); Diversions (9/06 - 2/07) and Placements (7/06 - 03-07).

Current Year: Investigations (9/07 - 2/08); Family Preservation (9/07 - 3/08); Diversions (9/07 - 2/08) and Placements (7/07 - 3/08).

12,540

9,181

2,397

16,991

8,6587,961

3,424

15,732

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

18,000

Investigations FamilyPreservation

Diversions Placement

Previous Year

Current Year

13

SOCIAL SERVICES’ WORK ANALYSIS

1. Changes in Social Services workload:• 31% decrease in Investigations (from 12,540 to 8,658).• 13% decrease in Family Preservations (from 9,181 to 7,961).• 7% decrease in Placement (from 16,991 to 15,732).• 43% increase in Diversions (from 2,397 to 3,424).

2. Reduction in caseloads have led to lowering the ratio of caseworker to cases

14

21,704 22,034

23,892 25,007 24,87225,238

28,022

29,852

32,449 32,403 31,92630,550

18,11517,033

16,090 15,82514,117

12,851 12,483 11,703 12,122 11,769 11,719

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

July Aug Sep Oct Nov Dec Jan Feb Mar Apr May June

CPS ACTIVE CASES

Our front door policy has changed since mid-2004 when diversions was instituted. Since then the number of investigations and active cases have decreased by 63%.

15

20,69721,704

28,815

20,304

18,115 18,115

10,000

15,000

20,000

25,000

30,000

SFY 2003 SFY 2004 SFY 2005 SFY 2006 SFY 2007 SFY 2008

CHILD PROTECTIVE SERVICES ACTIVE CASES

Diversions were implemented in SFY 2005. By SFY 2006, the number of active CPS cases had decreased by 29%.

These numbers reflect the beginning of each fiscal year (July).

16

LEAD MEASURE 1: ELIMINATE OVERDUE PENDING CASES EXISTING AS OF JUNE 30, 2007

In June 2007, there were 3,378 overdue pending cases. Our goal was to complete these cases by December 31, 2007.

17

LEAD MEASURE 2: BEGINNING JULY 1, 2007, ALL NEW INVESTIGATIONS WILL BE COMPLETED WITHIN 30 BUSINESS

DAYS

Timely completion of investigations increased from 81% in June 2007 to 99% in February 2008.

77%82% 81% 81%

85%

91% 92% 94% 96% 96%98% 99%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Mar-07 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08

18

COMPARISON OF INVESTIGATIONS DUE & NUMBER COMPLETED TIMELY

The gap between total investigations due each month and the number completed timely has diminished.

19

DIVERSIONS

SCREENOUTS

SUB/CLOSED

SUB/OPEN

UNSUB/CLOSED

DESIRED RESPONSE PATTERN

REPORTS RECEIVED IN APRIL 2008

Note: Desired Response Pattern Based on Research on Family Centered Practices.

REPORTS RECEIVED

IN APRIL 2007

UNSUB/CLOSED

30%

RESPONSE PATTERNSTATEWIDE

DIVERSIONS51%

SCREENOUTS17%

DIVERSIONS29%

SCREENOUTS15%

SUB/OPEN13%

SUB/CLOSED

11%

UNSUB/CLOSED

14%

SUB/OPEN11%

SUB/CLOSED

6%

20

SHIFT – PRACTICE CONCERNS

• Even in situations where imminent risk of harm is low, individual caseworker experience and skill in utilizing available tools may not adequately recognize and respond to the harm that can accumulate from multiple incidents of neglect, which if only viewed as isolated events, do not appear to impact the safety of the children

21

FAMILY SUPPORT & PERCENT THAT BECAME SUBSTANTIATED

CPS CASES - STATEWIDE

88,887

37,829

10,000

30,000

50,000

70,000

90,000

110,000

July 2004-April 2008 May 2007-April 2008

5.86%

1.62%

There were a total of 88,887 cases diverted statewide; 5.86% of them have become substantiated CPS cases. From May 2007 to April 2008, we have diverted 37,829 cases and only 1.62% of them have become substantiated CPS cases.

22

REGIONAL TREND: SUBSTANTIATIONS

6%

9%

11%10%

15%

9%

7%

9%

15%

18%

7%6%

5%

9%

7%6% 6%

10%

7%

3%

7%

10%

6%

13%

16%

7%6% 6%

8%

11%

7%7%7%

6%

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

State

Sub Open

10%

State

Sub Close

8%

Wide margins among regions for both dispositions. Substantiated/ opened range from 5% to 18% and substantiated/closed range from 3% to 16%.

23

INSIGHT REFLECTED IN PERFORMANCE

• As we refined the practice of investigating mainly those cases rising to the standards of abuse and neglect, the percentage of cases in which allegations are substantiated rises.

• Practice still needs to become more consistent.

24

SUBSTANTIATIONS & UNSUBSTANTIATIONS

44%

49%

55%56%

51%

45%

10%

20%

30%

40%

50%

60%

April 2007 October 2007 April 2008

Substantiations

Unsubstantiations

From April 2007 to April 2008, the percent of investigations being substantiated rose by 11% and the number of unsubstantiated cases decreased by 11%.

25

RECURRENCE OF MALTREATMENTSTATEWIDE

8.10%8.50%

7.00%

4.70%

3.58%

2.00%

3.00%

4.00%

5.00%

6.00%

7.00%

8.00%

9.00%

FFY 2003 FFY 2004 FFY 2005 FFY 2006 FFY 2007

National Standard: 5.40% (Effective 1/2007)

National Standard: 6.10% (2003-2006)

26

3.55%3.31%

2.61%

1.00%

2.00%

3.00%

4.00%

May 2007 November 2007 May 2008

RECURRENCE OF MALTREATMENTNational Standard: 5.40%

(Effective 1/2007)

27

State’s Overall Rate = 2.61%

28

CASEMANAGERS WITH 30 OR MORE CPS CASES

- STATEWIDE

67

41

15

9

37 9

3 2 0 0 0 0

6 7 8

14

8 7 72 0 0

10 10 9

0

10

20

30

40

50

60

70

80

Apr-07

May-07

Jun-07

Jul-07 Aug-07

Sep-07

Oct-07

Nov-07

Dec-07

Jan-08

Feb-08

Mar-08

Apr-08

29

PERFORMANCE MANAGEMENT TAKE AWAY

• We pursued information to reduce uncertainty and found ways to do better.

• We drew staff into active and enthusiastic participation.

• We taught the skills that matter and as a result,

kids are safer.

30

FAMILY-CENTERED PRACTICE

“A framework based on the belief

that the best way to protect children,

in the long run,

is to

strengthen and support their families,

whether it be nuclear, extended, foster care, or adoptive.”

Source: Best Practice, Next Practice: Family-Centered Child Welfare. National Child Welfare Resource Center for Family-Centered Practice, Summer 2000.

31

SHIFT IN CHILD WELFARE PHILOSOPHY

TRADITIONAL CHILD WELFARE PRACTICES

FAMILY-CENTERED CHILD WELFARE PRACTICES

ENGAGEMENT Efforts focus on getting the facts and fathering information, and not in the building of the relationships.

Families are engaged in ways relevant to the situation and sensitive to the values of their culture.

ASSSESSMENT Focuses on the facts related to the reported abuse and neglect.

Focuses on the families’ strengths and resources throughout the life of the case and are continuously assessed and discussed.

SAFETY PLANNING

The plan is developed by CPS, courts, or lawyers without input from the family or from those that know the child.

Families are involved in designing a safety plan based on information and support of worker/team members.

IMPLEMENTATION OF SERVICE PLAN

Generally consists of determining whether the family has complied with the case plan, rather than providing services and supports or coordinating with informal and formal resources.

Workers ensure that families have reasonable access to flexible, affordable, individualized array of services and resources so that they can maintain themselves as a family.

32

SHIFT IN THE PRACTICE - STRENGTH

• Child Protection services intervention is now aimed at assisting the parent in recognizing and remedying the conditions that are or may be harmful to the child, and in fulfilling their parenting role.

DOMESTIC VIOLENCE &

CHILD WELFAREPolicy and Practice Forum

Kim Washington

DFCS / Family Violence Unit

Family Violence Unit Manager

34

CPS & DIVERSION WITH RELATED OFI CASES (APRIL 2008)

4.5%2.7%

51.8%

30.0%

50.5%

35.6%

0%

10%

20%

30%

40%

50%

60%

CPS Diversion

TANF

Food Stamps

Medicaid

Notes

•4.4% of CPS cases receive TANF, 51.8% receive Food Stamps, and 50.5% receive Medicaid benefits.

•2.7% of Diversion cases receive TANF, 30% receive Food Stamps, and 35.6% receive Medicaid.

35

OFFICE OF

FAMILY INDEPENDENCE

39

State: 98.3%

40

State: 97.3%

41

State: 99.1%

42

State: 98.2%

43

State: 99.2%

44

REGION 8: PERFORMANCE TRACKING

45Note: There has been a 63% decrease in the number of Active CPS cases from May 2004 to May 2008.

47

CPS ACTIVE CASES

21,005

14,105

11,719

0

5,000

10,000

15,000

20,000

25,000


•44% decrease in the number of CPS active cases from May 2007 to May 2008.

48

CPS INVESTIGATIONS

11,840

5,6524,755

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000


•60% decrease in the number of CPS investigations from May 2007 to May 2008.

49

FAMILY PRESERVATION

10,001

8,465

6,964

0

2,000

4,000

6,000

8,000

10,000

12,000


•30% decrease in the number of Family Preservation cases from May 2007 to May 2008.

51

DISPOSITION OF REPORTS APRIL 2007 TO APRIL 2008

29%

15%

30%

13%11%

44%

9%

51%

11%

19%18%

9%

17%14%

6%

0%

10%

20%

30%

40%

50%

60%

Diversions Screenouts Unsub Closed Sub Open Sub Closed

Notable changes occurred in diversions and unsubstantiated and closed cases: a 22% increase in the number of diversions and a 16% decrease in the number of unsubstantiated and closed cases.

52Note: There has been a 21% decrease in the number of Placement cases since May 2004.

54

CHILD PLACEMENT SERVICES ACTIVE CASES - STATEWIDE

16,135

16,658

18,227

17,390 17,373

16,660

15,000

15,500

16,000

16,500

17,000

17,500

18,000

18,500

SFY 2003 SFY 2004 SFY 2005 SFY 2006 SFY 2007 SFY 2008

55

PLACEMENT SERVICES

17,064

15,812

14,623

13,000

13,500

14,000

14,500

15,000

15,500

16,000

16,500

17,000

17,500


•14% decrease in the number of Placement cases from May 2007 to May 2008.

57

FOSTER CARE RE-ENTRY

11.35%

8.93%

5.82%

2.00%

4.00%

6.00%

8.00%

10.00%

12.00%


National Standard:

8.60%

58

MALTREATMENT IN CARE: SUBSTANTIATED & UNSUBSTANTIATED

6

1

2

1

10

8

3

5

0

2

4

6

8

10

12

Non-DFCSFosterHome

DFCSFosterHome

GroupHome

ResidentialTreatment

Facility

ResidentialFosterCare

Substantiated

Unsubstantiated

10

5

21

3

15

18

43

9

02468

101214161820

Non-DFCSFosterHome

DFCSFosterHome

GroupHome

ResidentialTreatment

Facility

ResidentialFosterCare

Substantiated

Unsubstantiated

March 2008

April 2008

•Largest number of reports in Non-DFCS Foster Homes.

•Higher substantiation rates in Non-DFCS foster homes

•Fewer Incidents in April 2008.

59

ABSENCE OF ABUSE/NEGLECT IN FOSTER CARE

99.19% 99.22% 98.85%

90.00%

92.00%

94.00%

96.00%

98.00%

100.00%

FFY 2005 FFY 2006 FFY 2007

National Standard: 99.68%

REGIONAL COMPOSITE SCORES

& TARGETING FAMILY

ENGAGEMENT

79

REGIONAL COMPOSITE SCORES MAY 2008

Safety Permanency Well-Being Overall May 2008 Overall for April 2008

Region 1 87% 79% 84% 83% 86%

Region 2 85% 85% 75% 82% 84%

Region 3 86% 73% 86% 82% 82%

Region 4 82% 80% 76% 79% 76%

Region 5 95% 89% 80% 88% 93%

Region 6 93% 83% 79% 85% 84%

Region 7 93% 86% 84% 88% 90%

Region 8 85% 83% 83% 84% 84%

Region 9 92% 79% 81% 84% 86%

Region 10 94% 91% 91% 92% 86%

Region 11 94% 80% 79% 84% 80%

Region 12 84% 69% 71% 75% 67%

Region 14 80% 76% 79% 78% 77%

Region 15 96% 81% 96% 91% 81%

Region 16 89% 83% 55% 76% 81%

Region 17 84% 56% 64% 68% 74%

State 89% 80% 79% 82% 82%

Notes: Green indicates 95% or above; yellow indicates that the region either remained the same or increased in that area and red indicates a decrease from cases reviewed in April 2008.

80

COMPOSITE TRENDSTATEWIDE

79%

84%

80%82% 82%

65%

70%

75%

80%

85%

90%

Jan-08 Feb-08 Mar-08 Apr-08 May-08

81

SAFETY 1 AND 2STATE AND & REGIONS

Safety 1 Safety 2

Region 1 87% 87%

Region 2 84% 85%

Region 3 83% 88%

Region 4 81% 83%

Region 5 94% 96%

Region 6 94% 91%

Region 7 95% 90%

Region 8 92% 77%

Region 9 88% 95%

Region 10 93% 95%

Region 11 95% 94%

Region 12 80% 89%

Region 14 72% 88%

Region 15 98% 94%

Region 16 98% 80%

Region 17 76% 91%

State 88% 89%

Red = a decrease from last month.

Yellow = an increase from last month.

Green = 95% or above.

82

Permanency 1 Permanency 2

Region 1 79% 79%

Region 2 85% 85%

Region 3 71% 74%

Region 4 75% 84%

Region 5 87% 90%

Region 6 81% 86%

Region 7 87% 84%

Region 8 83% 83%

Region 9 75% 83%

Region 10 91% 91%

Region 11 77% 82%

Region 12 66% 72%

Region 14 72% 79%

Region 15 79% 83%

Region 16 78% 87%

Region 17 51% 62%

State 77% 82%

PERMANENCY 1 AND 2STATE AND & REGIONS



83

Well-Being 1 Well-Being 2 Well-Being 3

Region 1 84% 81% 87%

Region 2 74% 72% 79%

Region 3 80% 89% 90%

Region 4 74% 77% 77%

Region 5 76% 89% 74%

Region 6 82% 75% 79%

Region 7 82% 84% 87%

Region 8 82% 85% 83%

Region 9 80% 81% 83%

Region 10 87% 99% 88%

Region 11 74% 74% 88%

Region 12 71% 71% 70%

Region 14 77% 82% 78%

Region 15 95% 95% 97%

Region 16 62% 49% 53%

Region 17 64% 49% 78%

State 78% 78% 76%



WELL-BEING 1, 2 & 3STATE AND & REGIONS

84

CASE REVIEWSCOUNTY DIRECTORS & PEAS

83%79%

84%80% 82% 82%

63%67%

62%

67% 66%

20%

40%

60%

80%

100%

Dec Jan Feb Mar Apr May

85

REGION 4MARCH 2008

83%

78%76%

68%

88%

75%

29%

53%

87%

69%

86%

78%83%

73%

20%

40%

60%

80%

100%

Safety 1 Safety 2 Permanency1

Permanency2


86

REGION 5APRIL 2008

94%

59%

74%

62%

55%52%

42%

91%

57%

98%

78%81%

91%

79%

20%

40%

60%

80%

100%


Permanency2


87

REGION 6MARCH 2008

92%

85%

76%

84%

72%

58%

64%

97%

86%

25%

75%

58%

96%

89%

20%

40%

60%

80%

100%


Permanency2


88

REGION 8DECEMBER 2007

91%

83%

71%

77%

64%60%

78%

68%

29%

56%

48%

76%

88%

86%

20%

40%

60%

80%

100%

Safety 1 Safety 2 Permanency 1 Permanency 2 Well-Being 1 Well-Being 2 Well-Being 3

89

REGION 11MAY 2008

94%

77% 74%

88%

74%

23%

48%

82%

64%

95%

82%

74%

91%

79%

10%

30%

50%

70%

90%

110%


90

REGION 12APRIL 2008

84%

79% 80%

90%

80% 80% 81%

61%65%

28%

53%

38%

80%

66%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


91

TARGETING FAMILY ENGAGEMENT

• Caseworker Visits to Children

• Caseworker Visits to Family

• Diligent Search Conducted

• Family Team Meetings

• Response Time Met

92

TARGETING FAMILY ENGAGEMENTTREND

88%

81%

71%

52%

76%75%

52%

82%85%82%

66%

49%

74%

92%

20%

30%

40%

50%

60%

70%

80%

90%

100%

CaseworkerVisits toChildren

CaseworkerVisits to Family

Diligent Search Family TeamMeetings

Response TimeMet

93

CASEWORKER VISITS TO CHILDREN

88% 88%

100%

86%83%

73%

100%

77%

92%

75%

93%

100%

77%

42%

53%

64%

100%

83%

57%

60%

86%89%

86%

77%

86%

91%

80%75%

100%

89%

82%

20%

30%

40%

50%

60%

70%

80%

90%

100%

94

EVERY CHILD EVERY MONTH

51%56%

71%

30%

45%

60%

75%

90%

FFY 2007 Oct-08 Oct-09

Note: OF the 51% of children visited every month they were in care in FFY 2007, 82% of those visits occurred in the child’s residence.

95

Date Location Facility Regions

July 16-18Metro Atlanta

Area GA Tech Conf. Ctr. Statewide

July 31-Aug 1 MorrowClayton State

University Metro 13, 16

Aug. 4-5 Duluth Hilton Garden Inn North 3, 15

Aug. 6-7 Gainesville Holiday Inn Lanier Ctr. North 1, 2

Aug. 14-15 Savannah Hampton Inn & Suites South 7, 12

Aug. 18-19 Macon Fairfield Inn & Suites Middle 4,6

Aug. 25-26 Athens Holiday Inn North 5,17

Aug. 27-28 Decatur Holiday Inn Conf. Ctr. Metro 13, 14

Sept. 25-26 Valdosta Comfort Inn & Suites South 9,11

Sept. 29-30 AlbanyHoliday Inn Albany

Mall South 8,10

Oct. 1-2 Columbus Columbus Marriott Overflow Location

PSSF CASEWORKER VISIT TRANINGS

96

CASEWORKER VISITS TO FAMILIES

55%58%

77%76%

81%

76%

82%

92%

84%

56%

84%78%

59%

36%

47%

74% 75%77%

71%

65%

54%

69%66%

58% 59%

69%

80%

72%

61%

52%

66%

20%

30%

40%

50%

60%

70%

80%

90%

100%

97

DILIGENT SEARCH CONDUCTED

48%

86%

14%

30%

70%

100% 100%

14%

30%

50%

25%

60%52%

50%

100%

50%

62%

67%

47%

33%

20%

40%

53%

46%

22%

50% 50% 49%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

98

FAMILY TEAM MEETINGS

78% 78%

68%

86%

80%83%

55%

74%

91%

71%

81%

90%

79%

54%

70%

82%

87%

50%

61%64% 64%

74%

85%

100%

62%

68%

76%

82%

67%

100%

74%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Regio

n 1

Regio

n 2

Regio

n 3

Regio

n 4

Regio

n 5

Regio

n 6

Regio

n 7

Regio

n 8

Regio

n 9

Regio

n 10

Regio

n 11

Regio

n 12

Regio

n 15

Regio

n 16

Regio

n 17

State

99

THE BEST IS YET TO COME!

NEXT G-FORCE MEETING

JULY 24, 2008

peformance tracking & practice implication

Documents

permanency outcome

wellbeing outcome

georgia percentage of

safety outcome

family independence

quality services

family preservation

range of percentage