James Buchanan Duke
CHILD CARE RURAL CHURCH
FOUR AREAS OF FOCUS
HIGHER EDUCATION
HEALTH CARE
What is Driving Us?
What difference is funding from The Duke Endowment making?
FUNDING CONTINUUMCh
arity
Inves
tmen
t
In Ch
ange
The Duke Endowment
Public Sector & Individual Donors
THREE STRATEGIES
Strengthening Organizations
Replicating Success
Advancing Innovation
Goal: Improving Child Well-Being
1. Reach Developmental Milestones2. Prepare for Adulthood:
• Educated• Employable• Connected (civically, spiritually & to
family)• Access to stable housing & healthcare• Avoid unwanted pregnancy, substance
abuse and criminal activity
Family Foster Care
Therapeutic Foster Care Group Care Residential
Treatment Care
Intensity
Prevention & Early
Intervention
Child Welfare System
Out-of-home care
Family Foster Care
Therapeutic Foster Care Group Care Residential
Treatment Care
Intensity
Prevention & Early
Intervention
Child Welfare System
Out-of-home care
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
Documented Child Well-Being Outcomes:EducatedEmployableConnected (Civically, Spiritually & to Family)Access to Stable Housing & Health CareAvoid Unwanted Pregnancy, Substance Abuse & Criminal Activity
+ + +
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
Family Foster Care
Therapeutic Foster Care Group Care Residential
Treatment Care
Intensity
Prevention & Early
Intervention
Child Welfare System
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
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
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
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
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
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 Care
James Buchanan Duke
Economic Impact of Reducing Group Care
2011 2012 2013 2014 20150%
5%
10%
15%
20%
25%
30%
SC Group Care %National Avg
General PurposesChild Welfare
Cost Savings
50%50%
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