CFSR Outcome Goals

1
CFSR Outcome Goals

• How will ASFA outcomes drive foster care
  practice?
• Presentation at FFTA Public Policy Institute,
  March 2004
• by Carroll Schroeder, Executive Director,
• California Alliance of Children and Family
  Services

2
Major ASFA Indicators

• 7 Child outcomes
• 7 Systemic outcomes
• 45 key items included in outcomes

3
Child Outcomes
Safety 1

• Children protected from abuse and neglect
• Children maintained in own homes
• Children have permanency and stability in living
  situations
• Preserve continuity of family relationships
• Families have enhanced capacity to provide for
  needs of children
• Children receive services to meet educational
  needs
• Children receive adequate services to meet
  physical and mental health needs

Safety 2
Permanency 1
Permanency 2
Well-being 1
Well-being 2
Well-being 3
4
Key Outcome Driving Practice Change
Permanence
5
Systemic Outcomes

• Statewide information system
• Case review system
• Quality assurance system
• Staff and provider training
• Service array
• Agency responsiveness to community
• Foster and adoptive parent recruitment

Factor 1
Factor 2
Factor 3
Factor 4
Factor 5
Factor 6
Factor 7
6
Measurement

• CFSR measurement is by case file review
• 50 cases sampled per state
• Each state determines, with federal approval, how
  it will measure and impact outcomes on ongoing
  system-wide basis
• Spelled out in each states PIP

7
10 Key Items Likely to Impact Practice

• Incidence of maltreatment of children by
  out-of-home care providers
• Incidence of reports of maltreatment
• Target lt.57 of children
• Stability of foster care placement
• of children with lt 2 placements in 1st 12
  months
• Target gt86.7 of children

8
10 Key Items Likely to Impact Practice

• Time to reunification
• of children who reunify in lt 12 months
• Target gt76.2 of children
• Time to adoption
• of children who are adopted in lt 24
• Target gt32 of children

9
10 Key Items Likely to Impact Practice

• Proximity of foster care placement
• of cases agency made diligent efforts to place
  children in close proximity to parents or
  relatives
• Placement with siblings
• of cases in which siblings were placed together
• All targets gt90 of cases

10
10 Key Items Likely to Impact Practice

• Preserving connections
• of cases agency made diligent efforts to
  preserve children's connections to community,
  heritage, faith, and friends.
• Relationship of child in care with parents
• of cases agency provided adequate services to
  support relationship
• All targets gt90 of cases

11
10 Key Items Likely to Impact Practice

• Children receive appropriate services to meet
  their educational needs
• of cases agency made diligent efforts to meet
  educational needs
• Children receive adequate services to meet
  physical and mental health needs
• of cases agency assured physical and mental
  health needs being met
• All targets gt90 of cases