DIVISION OF FAMILY & CHILDREN SERVICES G-FORCE MEETING May 2009

2 AGENDA Child Welfare Trends & Outcomes Safety Resources CFSR Outcomes OFI Trends & Outcomes Analysis of Decreasing TANF Child Only Cases

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6 REPORT DISPOSTIONS March 2008, September 2008 & March 2009 Total Reports March 2008=7,791 September 2008=8,115 March 2009=7,751

7 INVESTIGATIONS Total Investigations March 2008=2,794 September 2008=2,876 March 2009=2,371 Decrease in percentage of reports investigated in March 2009 but higher percentage substantiated. Unsubstantiated and opened have been excluded from this graph.

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AVERAGE NUMBER OF DAYS IN SAFETY RESOURCES

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48 AVERAGE DAYS IN SAFETY RESOURCES BY REGION January & February 2009* Several regions indicated that judges are ordering safety resource placements for children. * As reflected in SHINES

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50 Item 3: Services to Family to Protect Children in Home and Prevent Removal or Re-entry Into Foster Care May 2008 – April 2009

51 Item 3: Services to Family to Prevent Removal or Re-Entry Into FC Determine whether, during the period under review, the agency made concerted efforts to provide services to the family to prevent children’s entry into foster care or re-entry after a reunification.

52 Performance Indicator Rolling Twelve Months May April 2009 FFY 2009 To-Date October 2008 – April 2009 Number of Applicable Cases Achieved Number of Applicable Cases Achieved Item 3: Services to Family to Prevent Removal or Re-Entry 739 of %304 of %

53 Performance Indicator Rolling Twelve Months May April2009 FFY 2009 To-Date October 2008 – April 2009 Number of Applicable Cases Achieved Number of Applicable Cases Achieved Item 3: Services to Family to Prevent Removal or Re-Entry(FPS Only) 401 of %173 of % Item 3: Services to Family to Prevent Removal or Re-Entry(Plc/ Adopt Only) 90 of %25 of %

% PIP Goal

55 Review Findings for Item 3 Lack of follow up with identified services to prevent removal and reduce risk. When parents were non compliant with services, documentation did not support the state’s efforts to secure court intervention. Delays in initiating services to the family. Safety and risk assessments are tools and not activities or services to prevent removal. Safety plans are not being monitored.

56 Safety Resources May 2008 – April 2009

57 Rolling Twelve Months May April 2009 FFY 2009 To-Date October 2008 – April 2009 # of Cases W/SR Assessed Timely/ Appropriate Average Days in SR # of Cases W/SR Assessed Timely/ Appropriate Average Days in SR 21052% %136 Safety Resources

58 FFY 2009 To-Date: October 2008 – April 2009 Regions 13 (Fulton) and 14 (Dekalb) do not include PLC/Adopt. Cases Region # of Cases With SR Assessed Timely/ Appropriate Average Days in SR 41644% % % % % % %142 Safety Resources

59 Review Findings for Safety Resources Screenings not completed on all household members in the safety resource home. Assessments not completed in required timeframe. Lack of follow up with children in safety resources. Lack of contacts and service provision with parents to reduce risk so children can return home. This trend could have a negative impact on the IV-E eligibility of children who may later enter foster care.

60 Other Issue: Utilize safety resource tab in SHINES by entering safety resource in a timely manner. Assessments in SHINES in the contacts/summaries section would not be captured as safety resource case. Accuracy of start and end date in SHINES.

PERMANENCY FOR CHILDREN

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85 CFSR Georgia’s Program Improvement Plan

86 Georgia’s Program Improvement Plan 5 Strategies  111 Action Steps 26% of the Action steps (29) requested to be marked completed

87 Georgia’s Program Improvement Plan  Nine Statewide Items Measured for Improvement  Items 1, 3, 4, 7, 10, 17,18, 19, 20  Two Kenny A measures for Fulton and DeKalb  Outcome 24  Outcome 27  Four FORG Measures for Fulton and DeKalb  Items 17, 18, 19, 20  Two Composite scores for the state from NCANDS and AFCARS  Safety Composite 2 Abuse in Foster Homes  Permanency Composite 2 Adoptions

88 ItemPeas Baseline data Federal Improve- ment Level Current PEAS as of 03/31/09 Gap 179%81%79.04%1.96% 377%78.9%78.96% 472%73.5%72.72%.78% 744%46.42%46.45% 1074%79.95%77.55%2.40% 1757%58.94%59.38% 1849%51.09%50.64%.44% 1959%60.73%63.04% 2021%23%20.63%2.37%

89 Fulton and DeKalb Kenny A Measurements for the PIP Items Baseline Kenny A data Federal Improve -ment Level Current Kenny A performance Gap Outcome 27 for CFSR Item 7 55%58.8%3.8% Outcome 24 for CFSR Item 10 30%33.7%3.7%

90 National Standard Neg. level of Improve- ment Current State Score Safety Outcome 2: Absence of child abuse Neglect in foster care (2008 NCANDS) Permanency 2: Timeliness of adoption or higher (03/31/08 07B08A)

91 Safety 2 Safety Data: Absence of child abuse/neglect in foster care National Standard FFY 2006FFY 2007FFY 2008 Negotiated Improvement Goal Gap

92 Permanency Composite 2 Permanency Outcome 2: Timeliness of adoption National StandardFFY 2006FFY 2007FFY Negotiated Improvement Goal Gap Items considered : Of children exiting to adoption, % exiting in less than 24 months of current removal date Of children exiting to adoption, median number of months in foster care Of children in care for 17 months or more at the start of the reporting year, % who exit to adoption by the end of the year Of children in care 17months or longer and not legally free for adoption at the start of the reporting year, % who become legally free within 6 months of the start of the year. Of children who are legally free for adoption in the previous year, % adopted in less than 12months of becoming legally free.

93 National Standards/Composite Scores Due to the data clean up efforts and the subsequent re-submissions of NCANDS and AFCARS scores (mainly AFCARS) the composite scores are still likely to change as well as the required improvement level. We have re-submitted our AFCARS scores for 08AB and our negotiated levels are subject to change

94 Well-being Outcomes II and III Items 21, 22 and 23 May 2008 – April 2009

95 Item 21: Educational Needs of the Child Determine whether the agency made concerted efforts to assess children’s educational needs and whether identified needs were appropriately addressed in case planning and case management activities.

96 Performance Indicator Rolling Twelve Months May April 2009 FFY 2009 To-Date October 2008 – April 2009 Number of Applicable Cases Achieved Number of Applicable Cases Achieved Item 21: Educational Needs of the child 639 of %232 of %

97 Performance Indicator Rolling Twelve Months May April2009 FFY 2009 To-Date October 2008 – April 2009 Number of Applicable Cases Achieved Number of Applicable Cases Achieved Item 21: Educational Needs of the child (FPS Only) 105 of %36 of % Item 21: Educational Needs of the child (Plc/ Adopt Only) 534 of %196 of %

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99 Review Findings for Item 21 FFY 2009 – State is currently in substantial conformity for item 21 at 91.38%. Not item in PIP but Goal is 95% for the Outcome. Placement/Adoption cases rated higher than FPS cases.

100 Things to consider to improve item 21 Review all assessments and CCFAs to ensure follow up is made. Read recommendations carefully. Document education in SHINES for the children under person detail and youth detail tab. Document on case plan. External documentation.

101 Item 22: Physical Health of the Child Determine whether, during the period under review, the agency made concerted efforts to address the physical health needs of the child, including dental health needs.

102 Performance Indicator Rolling Twelve Months May April 2009 FFY 2009 To-Date October 2008 – April 2009 Number of Applicable Cases Achieved Number of Applicable Cases Achieved Item 22: Physical Health of the child 781 of %279 of %

103 Performance Indicator Rolling Twelve Months May April2009 FFY 2009 To-Date October 2008 – April 2009 Number of Applicable Cases Achieved Number of Applicable Cases Achieved Item 22: Physical Health of the child (FPS Only) 136 of %47 of % Item 22: Physical Health of the child (Plc/ Adopt Only) 645 of %232 of %

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105 Review Findings for Item 22 Current, age appropriate medical or dental assessments were not documented in case files and there was a lack of follow up when needs were identified. Lack of follow up with dental needs is main issue with this item. Dental exam is required beginning at age 3. Lack of documentation of results of exams. Lack of documentation in SHINES in health detail/health log. Placement/Adoption cases rated higher than FPS cases.

106 Item 23: Mental/Behavioral Health of the Child Determine whether, during the period under review, the agency made concerted efforts to address the mental/behavioral health needs of the child(ren).

107 Performance Indicator Rolling Twelve Months May April 2009 FFY 2009 To-Date October 2008 – April 2009 Number of Applicable Cases Achieved Number of Applicable Cases Achieved Item 23: Mental/ Behavioral Health of the child 632 of %227 of %

108 Performance Indicator Rolling Twelve Months May April2009 FFY 2009 To-Date October 2008 – April 2009 Number of Applicable Cases Achieved Number of Applicable Cases Achieved Item 23: Mental/ Behavioral Health of the child (FPS Only) 148 of %46 of % Item 23: Mental/ Behavioral Health of the child (Plc/ Adopt Only) 484 of %181 of %

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110 Review Findings for Item 23 Mental/behavioral health needs were not assessed or services provided to meet the identified needs. Lack of follow up when counseling was recommended. Lack of follow up/reports from providers. Lack of documentation in health tab/health log in SHINES. Placement/Adoption cases rated higher than FPS.

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OFFICE OF FAMILY INDEPENDENCE

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Analysis of TANF Child Only Cases

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

133 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

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

135 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

136 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)

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

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

139 Three Months and Six Months Trends Comparison Chart

140 Three Months and Six Months Trends Comparison Chart

141 Three Months and Six Months Trends Comparison Chart

142 Three Months and Six Months Trend Comparison Chart