James Buchanan Duke

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James Buchanan Duke. CHILD CARE. HIGHER EDUCATION. RURAL CHURCH. HEALTH CARE. FOUR AREAS OF FOCUS. What is Driving Us?. What difference is funding from The Duke Endowment making?. FUNDING CONTINUUM. Public Sector & Individual Donors. Investment In Change. Charity. The Duke Endowment. - PowerPoint PPT Presentation

Text of James Buchanan Duke

1Thank Michael Interesting couple of days

TDE (History)

Impact striving to achieve - CWS

More accountableDocumented CWB

James Buchanan Duke2James Buchanan Duke

Fortune - TobaccoAmerican Tobacco Co

1911 - dissolved anti trust legislation

1902 Hydro Electric Power

Duke Pwr Co Now Duke Energy

1924 - Yr before diedEst TDE

give back to communities in NC & SC tt help him amass his fortune

$40 M

Yr later $50M

CHILD CARERURAL CHURCH

FOUR AREAS OF FOCUS

HIGHER EDUCATION

HEALTH CARE34 Divisions:

CC - CWS & @ risk for entering

HC - 160+ NFP Hospitals

Higher Ed - 4 schools - Duke Davidson JCSU Furman

RUMCs - 1,500 people or fewer~ 1,000 R UMC tt qualify

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

4Most of our History: Compliance in Executing Trust Ind Donor Intent

Now: Impact

17 yrs with TDE Noticed Something

When Foundations & Not for Profits describe their work (M & V Stmts):

Good Not as GoodWHO we serveWhat Impact seek to achieveWhat we doHow we do itWhere we do it

TDE: > $120m last yr - Difference? FUNDING CONTINUUM

CharityInvestment In ChangeThe Duke EndowmentPublic Sector & Individual Donors5

THREE STRATEGIESStrengthening OrganizationsReplicating SuccessAdvancing Innovation6Str Org - Capacity Bldg

Replicating Success

Proven Programs - EBPsw/ requisite infrastructure

Fidelity

Effective Practice - pre/post

Adv InnTest - Outperform existing PracticeGoal: Improving Child Well-BeingReach Developmental MilestonesPrepare for Adulthood:EducatedEmployableConnected (civically, spiritually & to family)Access to stable housing & healthcareAvoid unwanted pregnancy, substance abuse and criminal activity

C Involved In the CWS or @ risk for entering

7Family Foster CareTherapeutic Foster CareGroup CareResidential Treatment CareIntensity Prevention & Early InterventionChild Welfare SystemOut-of-home careHow do we Define CWS?2 parts

8Family Foster CareTherapeutic Foster CareGroup CareResidential Treatment CareIntensity Prevention & Early InterventionChild Welfare SystemOut-of-home care9Theory of Change for Out-of-Home CareBetter assessment of children entering out-of-home care Providers offer: a broad service array, evidence-based practices & well-articulated models of careAfter care, continuation servicesFewer and only high quality providers

Documented Child Well-Being Outcomes:EducatedEmployableConnected (Civically, Spiritually & to Family)Access to Stable Housing & Health CareAvoid Unwanted Pregnancy, Substance Abuse & Criminal Activity+++10Better assessment of children entering out-of-home care Providers offer: a broad service array, evidence-based practices & well-articulated models of careAfter care, continuation servicesFewer and only high quality providers

+++Matching childs needs with providers strengthsAvoid the Failure ModelTheory of Change for Out-of-Home Care2 Advantages:

11Family Foster CareTherapeutic Foster CareGroup CareResidential Treatment CareIntensity Prevention & Early InterventionChild Welfare SystemAdds:

Trauma

Inefficiencies12Providers offer: a broad service array, evidence-based practices & well-articulated models of careAfter care, continuation servicesFewer and only high quality providers

+++Better assessment of children entering out-of-home careMatching childs needs with providers strengthsAvoid the Failure ModelTheory of Change for Out-of-Home CareDiscussion w/ DSS in NC & SC

Adopting : Standardized Assessment13Better assessment of children entering out-of-home care Providers offer: a broad service array, evidence-based practices & well-articulated models of careAfter care, continuation servicesFewer 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 CareEconomic ArgumentCurrently diffused broadly X many providers, many: dubious Q

SC: 3k grp beds for 1,200 C on any given day (40%)Vol. to Cover FIXED Costs

Partnership v. Commodity

State needs providers as much as providers needs states

In terms of Q:

@ a MinimumAccreditation Condition for Licensure14Better assessment of children entering out-of-home care Providers offer: a broad service array, evidence-based practices & well-articulated models of careAfter care, continuation servicesFewer and only high quality providers

+++More appropriate services to meet the childs needs.Proven and promising interventions allow greater documentation of impact.Theory of Change for Out-of-Home CareStick to the Pts of the Slides Here

Hammer /Nail

David Satcher Surg. Genl17yrs R2P15Better assessment of children entering out-of-home care Providers offer: a broad service array, evidence-based practices & well-articulated models of careAfter care, continuation servicesFewer and only high quality providers

+++Helps assure that children are appropriately reintegrated into families.Extends outcomes horizon.Theory of Change for Out-of-Home CareChildrens Village North of NYC Extend care into home once C leaves their care

s/b Adopted in Carolinas___________

Extends OCs Horizon: Not just back to a F (Bio, Adoptive, Kin)

CWB OCs performing in Sch, attendance, avoiding risky, behaviors, connected to community resources

Prove: Better Ocs / Cost Effective - Catawba Co

16Better assessment of children entering out-of-home care Providers offer: a broad service array, evidence-based practices & well-articulated models of careAfter care, continuation servicesFewer and only high quality providers

Documented Child Well-Being Outcomes:EducatedEmployableConnected (Civically, Spiritually & to Family)Access to Stable Housing & Health CareAvoid Unwanted Pregnancy, Substance Abuse & Criminal Activity+++Theory of Change for Out-of-Home CareConfluence17

James Buchanan Duke18.Economic Impact of Reducing Group CareGeneral PurposesChild WelfareCost Savings50%50%19