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Promising Results Safeguarding Children Report to Olmsted County Community Social Services Advisory Board February 2009 Olmsted County Child & Family Services

Promising Results – Safeguarding Children...Promising Results – Safeguarding Children Report to Olmsted County Community Social Services Advisory Board February 2009 ... Child

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Promising Results – Safeguarding Children

Report to Olmsted County Community p y ySocial Services Advisory Board

February 2009

Olmsted County Child & Family Services

Partnership Based Collaborative Practice in Child Protection: Overview

Rob Sawyer, MSW, LICSWDirector Child & Family ServicesOlmsted County Community Services2116 Campus Drive SEpRochester, MN 55904Phone: (507) 328-6351 Email: [email protected]

Suzanne Lohrbach, MS, LICSWSupervisor Child & Family ServicesOlmsted County Community Services2116 Campus Drive SE2116 Campus Drive SERochester, MN 55904Phone: (507) 328-6399Email: [email protected]

How Are The Children?

— Isn’t safeguarding children a communityIsn t safeguarding children a community responsibility…..

— A public-private collaboration supports hild d f ilichildren and families

What We Value

— Safety focused interventionSafety focused intervention— Partnership with families

Collaboration with professionals— Collaboration with professionals— Respecting differences— Research to practice— Innovationo a o

Measure:Priority:

Build The CommunityAssure a Safe & Healthy Community

Favorable outcome results on child services indicator

Priority:Perspective:

Positive Results In Child Protection

F i ti ti— Fewer investigations— Less repeat child maltreatment— Less court involvement— Less children in placementLess children in placement— More family involvement

M hild d— More children served

Run The Business Operational ExcellencePositive Outcomes

Measure:Priority:Perspective:

Rethinking Child Protection

fPurpose:

1. 1. Child Safety

22 Child W ll B i

Protect children from harm

Improve child functioning2. 2. Child Well-Being

33 Family Well-Being

Improve child functioning

Strengthen families3. 3. Family Well Being

4. 4. Permanency

Strengthen families

Timely permanent home and y y pfamily

Measure:Priority:

Build The CommunityAssure a Safe & Healthy Community

Favorable outcome results on child services indicator

Priority:Perspective:

Differential Response in Child Protective ServicesProtective Services

A change in how we work “supported by research”g pp y

— Child safety ‘uncompromised’Child safety uncompromised— Fewer new child maltreatment reports

L tl i l t— Less costly in longer term— Families liked the approach— Social workers supported the approach

Iarstl.org

S

‘Community’Olmsted County Child & Family Services

Differential Response for

Community Services

T t d E lScreen Intake

RED

pSafeguarding Children Targeted Early

Intervention

Family SupportREDTeam

Family Support Response

High &

Services

Domestic

ExitExit

High & Intensive Risk

CPS

Moderate Risk CPS

Domestic Violence

CPS

ExitClose

Practice Model

1. Constructive engagement2. Inclusion of family, extended family &

communityy3. Collaborative engagement4 Utilization of research4. Utilization of research

Practice Model

5 Safety organized5. Safety organized6. Responsible use of authority7 C h i f i k7. Comprehensive assessment of risk

including protective capacity

Comprehensive Risk Assessment

Family KnowledgeNetwork and Culture

Danger SafetyBalanced

Assessmentof Risk

Professional KnowledgeNetwork and Authority

©2000Andrew Turnell PO Box 56 Burswood WA 6100 Australia, [email protected]

D /H

Consultation and Information Sharing Framework

Danger/HarmSafety

Detail re: incident(s)Bringing the family to the attention of the

GENOGRAM/ECOMAP

Strengths demonstrated as protection over time

P /h f

(Gray Area)

Risk Statements Current Ranking

Strengths/Protective Factors

Next Stepsagency.

Pattern/history

Pattern/history of exceptions

m g(Immediate Progress)

Safety/Protection Required

12Risk to child(ren)

Context of risk

Assets, resources, capacities within family, individual/community

Presence of research based protective factors

3

Purpose/Focus of Consultation

Complicating Factors

456

C diti /b h i

Development of next steps relevant to risk context

What

based protective factors

Consultation789

What is the worker/team looking for in this consult?

Condition/behaviors that contribute to greater difficulty for the family

Presence of research

Who

When

Etc.

Partnering: Action w/family in their position: willingness, confidence, capacity

Enough safety to close10

consult?Presence of research based risk factors

Child & Family Services/(Lohrbach)

Child Protection Assessments/Investigations 1999 – 2008

802 834789

740 748800

900

—38% decrease in child protection

703740 748

656 672

574

470500

600

700child protection investigations or assessments between 1999

136176

470

200

300

400between 1999 (703) and 2008 (470)I i 53

101136

19992000

20012002

20032004

20052006

20072008

0

100—Increase in targeted family support for

Assessments/InvestigationsTargeted Family Support

children and families at-risk

Run The Business Operational ExcellencePriority:Perspective: Favorable outcome results on

child services indicators

Measure:

Children With A New Finding Of Abuse And/Or NeglectAnd/Or Neglect

Of all children who were victims of substantiated child abuse and/or neglect during the year, what percentage had another substantiated report within a 6 month period

Significant reduction in

hild ith14 3%15 0%

20.0%

children with a new finding of abuse and/or

14.3%

11.5% 10.8%10.0%

15.0%

neglect6.3%

3.8%2 1%

5.0%Federal Benchmark 5.7%

2.1%0.0% 0.0%

2001 2002 2003 2004 2005 2006 2007 20080.0%

P t S b t i t d R tPercent Substaniated Reports

Less than 5.7% federal benchmark Run The Business Operational Excellence

Priority:Perspective:Measure:

Child Protection and Child Mental Health Children In Out of Home Care 1996 - 2008

284300Significant

reduction of239

261 259

237230

250

reduction of 53% in placement

212

191200

placement outside the family home

140 141129 134 135

150

Run The BusinessPerspective:

19961997

19981999

20002001

20022003

20042005

20062007

2008100

Run The Business

Operational Excellence

Priority:

Children In Out Of Home CareFavorable outcome results on child services indicators

Measure:

Court Cases Open In Quarter(average for year)( g y )

1999 - 200850% reduction in average

140

in average number of child protective

133

120

130

services cases in the court process

106

98

113 112

100

110

process 98

8683

8080

90

Perspective:

75

67

1999 2001 2003 2005 200760

70Run The Business

Operational Excellence

Priority:

19992000

20012002

20032004

20052006

20072008

Average Court Cases Open In CP

Operational ExcellenceMeasure:Favorable outcome results on child services indicators

Olmsted County Child & Family ServicesChild Protection & Adoption Foster CarePlacements on the Last Day of the YearPlacements on the Last Day of the Year

æ Children in Care on 60

7062 61

6870

80

Last Day of the Year 3242 40

53

42

63

4642 41

51 48

60

51

6156

40

50

60

Year

æ A Change 9 8 8 9 7

16 1927

3240

24

10

20

30

æ A Change In Practice

2000 2001 2002 2003 2004 2005 2006 2007 20080

Foster Care Placements - NonRelative/Kinship Careoste Ca e ace e ts oInstitutionalNon Relative Foster Care

e at e/ s p Ca e

Olmsted County Child & Family Services

25

ADOPTION& THE 18

22

20

CHANGINGROLE OF 13

12 12

15

n A

dopt

ed

FAMILY6

5

10

Chi

ldre

n

4 4

0

5

2006 2007 2008 2009 *

Kinship Adoption Non-Kinship Adoption

Child Protection and Child Mental Health Children ServedHealth Children Served

Significant 2 677

3,000

Significant increase in children

i i 2 094 2,157

2,677

2,500

receiving child welfare services

1,769

2,0942,006

2,082

1,892

, 5

2,000

between 1999 and 2007

1,120

1,3811,500

20071999 2000 2001 2002 2003 2004 2005 2006 2007

1,000

Children Served

Run The Business Operational ExcellencePriority:Perspective:

Favorable outcome results on child services indicators

Measure:

Early Intervention To Prevent Child Abuse & NeglectAbuse & Neglect

Families Served by Crisis Nursery

— 65% increase in 820

846

800

900

children

— 62%642

691727

600

700

800

62% increase in families assisted 215

246294

326 344 367 371

420

510

400

500

assisted142

215

297

200

300

2000 2001 2002 2003 2004 2005 2006 2007

families children

Family Involvement Strategies2000 - 20082000 2008

— Increased partnership with

586665 693

600

700

800partnership with families

— Increased

400

500

600collaboration with

f i l

127 112159

277

200

300professionals

Perspective:

69 78127 112

2000 2002 2004 2006 20080

100Run The Business

Operational Excellence

Priority:

2001 2003 2005 2007

Meetings

Operational ExcellenceMeasure:Favorable outcome results on child services indicators

Olmsted County Child & Family ServicesTEMPORAL CORRELATION

(Sawyer, Lohrbach 2008)

Foster Care

Investigations

Court Use

Recidivism

20052000 2001 2002 2003 2004 2006 2007

Run The Business Operational ExcellencePriority:Perspective:

Favorable outcome results on child services indicators

Measure:

What Makes A Difference?

— Differential Response— Increased family involvement— Increased court settlements— Increased early intervention — Group consultation & supervisionp p— Matching risk and resources— County Board and Administration supportCounty Board and Administration support

Measure:Priority:

Build The CommunityAssure a Safe & Healthy Community

Favorable outcome results on child services indicator

Priority:Perspective:

Getting Positive Attention

— Time Magazine – May 2006Time Magazine May 2006— Promising Practices – US DHHS

Children’s BureauChildren s Bureau— Blue Ribbon County – Minnesota Stop

Child AbChild Abuse — Visitors –Colorado, Ohio, Vermont,

Washington, Canada, England, Ireland & New Zealand

Community Support of Children y ppand Families Makes a Difference!

Th k YThank You