1. Center for Public Policy Prioritieswww.cppp.org Child Protection Child Protection Houston Conference on Children June 15, 2005 F. Scott McCown, Executive Director Eva DeLuna Castro, Senior Budget Analyst

2. Center for Public Policy Prioritieswww.cppp.org Overview: Understanding the Boat

3. Center for Public Policy Prioritieswww.cppp.org Child Population Growth Second largest child population in U.S. Largest growth in child population in U.S. between 2000-2003 –350,000 additional children –183,000 more than California High birth rate (Second – behind Utah) Source: U.S. Census Bureau

4. Center for Public Policy Prioritieswww.cppp.org 6.2 million children in Texas 1.5 million children (or 25%) in poverty in 2003 10,000 removed from home 600,000 calls to CPS intake 300,000 children in investigations 50,000 confirmed to be victims of abuse/neglect Texas Child Protection System (round numbers)

5. Center for Public Policy Prioritieswww.cppp.org Children in State Conservatorship and Foster Care on the Last Day of Fiscal Year, 1985-94

6. Center for Public Policy Prioritieswww.cppp.org Children in State Conservatorship and Foster Care on the Last Day of Fiscal Year, 1995-04

7. Center for Public Policy Prioritieswww.cppp.org Investigated and Confirmed Child Abuse Cases Per 1,000 Children

8. Center for Public Policy Prioritieswww.cppp.org Children in DFPS Legal Responsibility by Living Arrangement, End of Fiscal Year 2004

9. Center for Public Policy Prioritieswww.cppp.org Status of Children No Longer in DFPS Legal Responsibility, Fiscal Year 2004

10. Center for Public Policy Prioritieswww.cppp.org Source: CPPP Analysis of data from Family and Protective Services and Legislative Budget Board. State and Federal Per Child Spending on Child Protection

11. Center for Public Policy Prioritieswww.cppp.org Source: PRS/FPS Operating Budgets and Legislative Appropriations Requests. State and Federal Funding for Child Protection

12. Center for Public Policy Prioritieswww.cppp.org Source: 2004 Operating Budget, TX Dept. of Family and Protective Services. Federal Funding for Child Protection in Texas, Fiscal year 2004 (in millions)

13. Center for Public Policy Prioritieswww.cppp.org Governor/HHSC Reform Package Current system Reform Proposal Change Investigators1,3051,723+418 Senior Investigators 0430+430 Screeners647+41 Case Aides118430+312 Clerical Staff213454+241 Investigative Caseloads (Monthly/Daily) 74/4445/3339% lower/ 25% lower

14. Center for Public Policy Prioritieswww.cppp.org Source: 79 th Legislature, S.B. 1 and H.B. 10. “Prevention” includes Communities in Schools. State Child Protection Budget, 2006-07

15. Center for Public Policy Prioritieswww.cppp.org Underway at DFPS Laurel Lindsey, Director of Investigations Back to 9 Regions, Hiring Regional Directors and Administrative Support Hiring Senior Investigators Now and Start Hiring New Investigators in September Also Hiring Nurses and Substance Abuse Experts Lowering span of control, adding Clerical Support, adding technology

16. Center for Public Policy Prioritieswww.cppp.org Privatization Timeline September 20, 2005 Plan for Developing a Transition Plan March 1, 2006Transition Plan April 30, 2006First RFP for Region September 30, 2006First Contract Award/Evaluation Team and Process December 31, 2006First Evaluation Report Due from HHSC January 200780 th Legislative Session September 30, 2007Third-Party Evaluation Contract Award December 31, 2007Completion of Transition in First Region December 31, 2008Third-Party Evaluation of First Region January 200981st Legislative Session September 1, 2009Earliest implementation in Second and Third Regions December 1, 2009Completion of Transition in Second and Third Regions January 201182 nd Legislative Session September 1, 2011Completion of Transition in 4-9 Regions

17. Center for Public Policy Prioritieswww.cppp.org Two Models Are Possible DFPS to contract directly with private agencies as part of regional community- centered networks for the provision of ALL necessary substitute and case management services OR DFPS contract with an independent administrator to contract for services

18. Center for Public Policy Prioritieswww.cppp.org Independent Administrator Test for use: “Cost Beneficial” Procurement, Management, and Oversight of Substitute Care and Case Management Services in a Region Responsibility for Placement Cannot Provide Substitute Care Services or have a Board Member who has a Financial Interest in a Provider with whom the IA Contracts

19. Center for Public Policy Prioritieswww.cppp.org Community-Centered Networks Unclear Department might act like IA with Various Contracts and Subcontracts Department might Contract with a Consortium Department might Contract with a Lead Agency that uses Subcontracts

20. Center for Public Policy Prioritieswww.cppp.org Case Management Stepping into Shoes of the Department to make the Decisions, do the Casework, and Provide or Contract for the Needed Services Includes all Court-Related Duties such Obtaining Service, Preparing Court Reports, Going to Hearings

21. Center for Public Policy Prioritieswww.cppp.org Who does case management? Not the IA Only a Licensed Child-Care Facility or Child-Placing Agency The Department can do Case Management only in an Emergency or as the Provider of Last Resort

22. Center for Public Policy Prioritieswww.cppp.org Procurement Performance-Based Contracting: Structure Procurement around the Purpose of the Work and the Desired Results with Objective and Measurable Outcomes Linking Payment to Performance Open Enrollment to Competitive Procurement System