2. James Buchanan Duke

3. CHILD CARE RURAL CHURCH FOUR AREAS OF FOCUS HIGHER EDUCATION HEALTH CARE

4. What is Driving Us? What difference is funding from The Duke Endowment making?

5. FUNDING CONTINUUM Charity Investment In Change The Duke Endowment Public Sector & Individual Donors

6. THREE STRATEGIES Strengthening Organizations Replicating Success Advancing Innovation

7. Goal: Improving Child Well-Being 1.Reach Developmental Milestones 2.Prepare for Adulthood: Educated Employable Connected (civically, spiritually & to family) Access to stable housing & healthcare Avoid unwanted pregnancy, substance abuse and criminal activity

8. Family Foster Care Therapeutic Foster Care Group Care Residential Treatment Care Intensity Prevention & Early Intervention Child Welfare System Out-of-home care

9. Family Foster Care Therapeutic Foster Care Group Care Residential Treatment Care Intensity Prevention & Early Intervention Child Welfare System Out-of-home care

10. Theory of Change for Out-of-Home Care Better assessment of children entering out-of- home care Providers offer: a broad service array, evidence-based practices & well- articulated models of care After care, continuation services Fewer and only high quality providers +++

11. Better assessment of children entering out-of- home care Providers offer: a broad service array, evidence-based practices & well- articulated models of care After care, continuation services Fewer and only high quality providers +++ Matching child’s needs with provider’s strengths Avoid the “Failure Model” Theory of Change for Out-of-Home Care

12. Family Foster Care Therapeutic Foster Care Group Care Residential Treatment Care Intensity Prevention & Early Intervention Child Welfare System

13. Providers offer: a broad service array, evidence-based practices & well- articulated models of care After care, continuation services Fewer and only high quality providers +++ Better assessment of children entering out-of-home care Matching child’s needs with provider’s strengths Avoid the “Failure Model” Theory of Change for Out-of-Home Care

14. Better assessment of children entering out-of- home care Providers offer: a broad service array, evidence-based practices & well- articulated models of care After care, continuation services Fewer and only high quality providers +++ Providers enjoy economies of scale, enabling sufficient resources to provide high quality services. Fewer providers creates a more effective partnership with the State. Theory of Change for Out-of-Home Care

15. Better assessment of children entering out-of- home care Providers offer: a broad service array, evidence-based practices & well- articulated models of care After care, continuation services Fewer and only high quality providers +++ More appropriate services to meet the child’s needs. Proven and promising interventions allow greater documentation of impact. Theory of Change for Out-of-Home Care

16. Better assessment of children entering out-of- home care Providers offer: a broad service array, evidence-based practices & well- articulated models of care After care, continuation services Fewer and only high quality providers +++ Helps assure that children are appropriately reintegrated into families. Extends outcomes horizon. Theory of Change for Out-of-Home Care

17. Better assessment of children entering out-of- home care Providers offer: a broad service array, evidence-based practices & well- articulated models of care After care, continuation services Fewer and only high quality providers +++ Theory of Change for Out-of-Home Care

18. James Buchanan Duke

19. Economic Impact of Reducing Group Care General PurposesChild Welfare Cost Savings 50%