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What is CFSR?
History and Purpose
The Child and Family Services Reviews (CFSRs) is a federally mandated evaluation conducted by the Children's Bureau, within the U.S. Department of Health and Human Services (HHS). The purpose is to help States improve safety, permanency, and well-being outcomes for children and families who receive services through the child welfare system. The first round of reviews took place between 2000 and 2004 and all States were required to implement Program Improvement Plans (PIPs). The second round of reviews began in early spring of 2007. CFSR is a three-fold review that consists of a Statewide Assessment, On-site review, and Data review.
Statewide Assessment: Indiana completed its statewide assessment in 2007 prior to the onsite review. The Assessment examined the child welfare data and addressed the state’s capacity and effectiveness in delivering child welfare services and how successful the child welfare system supported the outcomes. Statewide Assessment
On-site review: The second Federal review was conducted July 9-13, 2007. The review consisted of stakeholder interviews and a random selection of 65 cases from three counties to include the largest metro area, Marion County. The Children’s Bureau produced a Final Report of the results of the review in April 2008.
Data Review: The data indicators are aggregated data pulls from the Indiana Child Welfare Information System (ICWIS) that provide information about neglect/abuse and permanency practices, i.e. timeliness to investigations, recurrence of maltreatment, removals, placement stability, etc. The data pulls are processed by the Children’s Bureau (CB) and in turn the state is provided with an overall score. The score is compared to the national score to determine if the state is in compliance.
Specifically, the CFSR measured the following (7) Seven Outcomes:
• Safety Outcome 1: Children are protected from abuse and neglect.
• Safety Outcome 2: Children are safely maintained in their homes whenever possible and appropriate.
• Permanency Outcome 1: Children have permanency and stability in their living situations.
• Permanency Outcome 2: The continuity of family relationships and connections is preserved for children.
• Well-Being Outcome 1: Families have enhanced capacity to provide for their children’s needs.
• Well-Being Outcome 2: Children receive appropriate services to meet their educational needs.
• Well-Being Outcome 3: Children receive adequate services to meet their physical and mental health needs.
CFSR measured the following (7) Seven Systemic Factors:
• Statewide information system
• Case Review System
• Quality Assurance System
• Staff and Provider Training
• Service Array and Resource Development
• Agency Responsiveness to the Community
• Foster and Adoptive Parent Licensing, Recruitment & Retention
Significant financial penalties may be assessed for failure to make the improvements needed to achieve substantial conformity.
What is PIP?
Program Improvement Plan (PIP) - Indiana was determined not to be in “substantial conformity” with any of the seven CFSR Outcomes, and in “substantial conformity” with three out of the seven Systemic factors. A Program Improvement Plan (PIP) was developed. The Children Bureau and HHS approved the PIP May 28, 2009. Indiana has two years to implement the steps that will address all areas of non-conformity. State of IN Program Improvement Plan-DCS
How will the PIP affect Field Practices?
• On going staff training and development
• Incorporation of TEAPI skills and principles as the standard for service delivery and field practice.
• Increase collaborations with community partners/stakeholders to ensure the achievement of safety, well-being and permanency goals for children.
• Enhance data tracking systems (Practice Indicators) to monitor practice trends more effectively.
• Policy revisions and creation to address on-going practice needs and clarification.
• Increase Court collaborations to improve permanency timelines and goals.
• Streamline assessment tools to ensure risk and needs are assessed proficiently and throughout the life of the case.
• Various initiatives to improve involvement of non-custodial and absent parents, and relatives.
• Improve efficiency of foster care system and the independent living services for older youth.
The First quarter of the PIP began June 1, 2009 and the last quarter ends May 31, 2011. Significant financial penalties will be assessed for failure to make the improvements needed to achieve substantial conformity. Quarterly reports of progress will be available for internal and external stakeholders.
Quarterly Progress Reports for PIP