CW December Key Indicator Monthly Report FINAL Version … Key... · 2016-01-14 · 1,053 as of...

Child Welfare Key Indicators Monthly Report

December 2015

Office of Child Welfare Performance and Quality Management

A Results‐Oriented Accountability Report

January 6, 2016

i

Table of Contents

Executive Summary ........................................................................................................................................... 1

Florida Abuse Hotline ........................................................................................................................................ 2

Workload Trends: Reporting Method Trends ...................................................................................................... 2

Workload Trends: Screening Decision Trends ...................................................................................................... 2

Timeliness Trends: Average and Maximum Times to Answer or Abandon .......................................................... 3

Timeliness Trends: Percent of Calls Abandoned .................................................................................................. 3

Timeliness Trends: Average Handling Time by Talk Time and After‐Call Work Trends ........................................ 4

Hotline Counselor Workforce: Monthly Separations ........................................................................................... 4

Child Protective Investigations .......................................................................................................................... 5

CPI Workload: Incoming and Active Investigations, and Backlog ......................................................................... 5

Timeliness of Investigations: Alleged Child Victims Seen and Investigations Completed .................................... 5

Timeliness: Percent Alleged Victims Seen within 24 Hours: Stratification by Circuit and Sheriff ........................ 6

Timeliness: Percent Child Investigations Completed within 60 Days: Stratification

by Circuit and Sheriff ............................................................................................................................................ 6

Child Protective Investigations Safety Methodology Implementation Map ........................................................ 7

Impending Danger Threats and Safety Determination ........................................................................................ 8

Impending Danger Threats Identified by Safety Determination .......................................................................... 8

Safety Determination and Services Provided at Investigative Closure ................................................................ 9

Outcome: Recurrence of Maltreatment: Trend ................................................................................................. 10

Safety Outcome: Recurrence of Maltreatment within Six Months: Stratification by Circuit and Sheriff .......... 10

Safety Outcome: Recurrence of Maltreatment within 12 Months: Stratification by Circuit and Sheriff ........... 11

Quality: Secondary Case Reviews ....................................................................................................................... 11

Workforce: Monthly Separations ....................................................................................................................... 12

Workforce: Time in Classification ....................................................................................................................... 12

Flow from CPI to Community‐Based Care Lead Agencies ...................................................................................13

Removals and Removal Rate Trend .................................................................................................................... 13

Removal Rates: Stratification by Circuit and Sheriff’s Office.............................................................................. 13

Removal Rates: Stratification by Circuit/Lead Agency ....................................................................................... 14

Community‐Based Care Lead Agencies .............................................................................................................14

Children Protected In‐Home and Out‐of‐Home: Trend ...................................................................................... 14

Children Protected In‐Home and Out‐of‐Home: Stratification by CBC .............................................................. 15

Children in Out‐of‐Home Care Trend: Removals and Discharges ...................................................................... 15

Children in Out‐of‐Home Care Trend: Licensed and Kinship Care ..................................................................... 16

Ongoing Services Safety Methodology Implementation Map ........................................................................... 16

Approved Family Functioning Assessment – Stratification by CBC Lead Agency ............................................... 17

Child Safety While Receiving Case‐Managed In‐Home Services: Stratification by Lead Agency ........................ 17

Office of Child Welfare ‐‐ Performance and Quality Management ii

Child Safety While in Out of Home Care: Stratification by CBC Lead Agency .................................................... 18

Child Safety after Termination of Services: Stratification by Circuit/Lead Agency ............................................ 18

Child Safety after Termination of Family Support Services: Stratification by CBC Lead Agency ........................ 19

Child Safety Trends: Comparison of the Three Indicators over Time ................................................................. 19

Permanency within 12 Months of Removal: Stratification by Lead Agency ...................................................... 20

Permanency within 12 Months for Children in Care 12‐23 Months: Stratifications by CBC Lead Agency ......... 20

Permanency within 12 Months for Children in Care 24+ Months: Stratification by CBC ................................... 21

Placement Stability: Stratification by CBC Lead Agency ..................................................................................... 22

Placement of Sibling Groups Together: Stratification by CBC Lead Agency ....................................................... 22

Children Placed Outside Removal County: Stratification by CBC Lead Agency .................................................. 23

Children Placed Outside Removal Circuit: Stratification by CBC Lead Agency ................................................... 23

Children 0‐5 and 6‐12 Placed in Group Care: Stratification by CBC Lead Agency .............................................. 24

Children 13‐17 and 0‐17 Placed in Group Care: Stratification by CBC Lead Agency .......................................... 25

Children Receiving Dental Services in Last Seven Months: Stratification by CBC Lead Agency ......................... 26

Young Adults Aging Out Who Are Enrolled in Education Programs: Stratification by Lead Agency .................. 26

Community Based Care ‐‐‐ New Practice Model ................................................................................................27

Quality: Rapid Safety Feedback Strengths .......................................................................................................... 27

Domestic Violence ...........................................................................................................................................27

Percent Victims Leaving Shelter with a Family Safety and Security Plan ........................................................... 27

Human Trafficking ............................................................................................................................................28

Human Trafficking Intakes: Trend ...................................................................................................................... 28

Children with a FSFN Indicator of Being a Human Trafficking Victim: Stratification by CBC Lead Agency ........ 28

Child Care Regulations .....................................................................................................................................29

Child Care Inspections per Month ...................................................................................................................... 29

1

Executive Summary

The Child Welfare Key Indicators Monthly Report presents key outcome, process, qualitative, workload, and resource indicators that are designed to provide a general overview of the current state of Florida's child welfare system.

Florida Abuse Hotline

Total contacts to the Hotline in November 2015 increased 13% from November 2014. Total reports accepted by the Hotline in November increased by 12% from November 2014, while the percentage of allegations not accepted remained consistent at 20% for both time periods. The number of abandoned calls in November decreased from October 2015. The average wait time before answer was reduced from October 2015, while average wait time before abandonment remained around 4 and one-half minutes. The maximum wait time metrics reduced significantly from October 2015. Total average handling time increased from October 2015, but was significantly lower than what was seen in November 2014.

Child Protective Investigations

Workload. Active child investigations on November 30, 2015 increased to 24,427 from 24,327 on October 31. Active investigations over 60 days statewide continues to increase since July 2015, reaching 1,053 investigations on November 30.

Timeliness. The statewide percent of victims seen within 24 hours decreased in November from October. The statewide percent of investigations completed within 60 days rose slightly from October 2015 (90.7%) to November 2015 (91.8%).

Recurrence and Case Reviews. Statewide, there was 5.3% verification rate of child maltreatment within six months of a prior verified finding between January-March 2015. The 12-month recurrence rate from July-September 2014 was 8.4%. Secondary case reviews conducted from July-September 2015 revealed that 52.5% of CPIs implemented a sufficient present danger safety plan, while 30.2% of Family Functioning Assessments correctly assessed the safety decision.

Removals and Out-of-Home Care Population. 1,192 removals occurred in November 2015, which was down from 1,486 in October 2015, but up from 1,069 removals in November 2014. There were 22,556 children in protective care on November 30, 2015 compared to 19,927 children on November 30, 2014 (13.2% increase).

Community-Based Care Lead Agencies

Child Safety Trends. Statewide, the overall percentage of children with no verified maltreatment within six months of termination of family support services increased slightly between January-March 2015 when compared with October-December 2014.

Permanency. Statewide, Florida’s current rate of 43.4% of children achieving permanency within 12 months of removal is above the national standard of 40.5%. Performance is much better for children achieving permanency within 12-23 months and 24+ months, with each being 10.1% and 11.2% above the national standard respectively.

Placement Stability. Statewide, from October 1, 2014 through September 30, 2015, Florida is 0.18 below the national standard of 4.12 for child moves per 1,000 days in care.

Sibling Groups. 66% of sibling groups statewide were placed together from July-September, 2015.

Placement in Removal County. 35.2% of children in licensed care statewide were placed outside of their county of removal as of September 30, 2015.

Group Care. 3.3% of children in licensed care ages 0 to 5 years of age and 21.6% of children ages 6 to 12 were placed in group care statewide as of November 30, 2015.

Office of Child Welfare ‐‐ Performance and Quality Management 2


Workload Trends: Reporting Method Trends

Total reports to the Hotline for November 2015 followed the expected downward seasonal trend due to the Thanksgiving holiday; however, the number of reports by telephone, fax, and web in November 2015 were higher than they were for November 2013 and 2014.

Workload Trends: Screening Decision Trends

The percentage of reports that were screened-in for alleged child maltreatment increased in November 2015 to 80.1%. Similarly, the percentage of screened-in reports for special condition report referrals for November 2015 increased to 76.7%.



Timeliness Trends: Average and Maximum Times to Answer or Abandon

Average wait times before answer (green line) for November 2015 returned to September 2015 performance levels after a slight increase in October. Average wait time before answer (blue line) in November 2015 continues to trend flat. Maximum wait times and maximum delay before abandon fell sharply from October 2015.

Timeliness Trends: Percent of Calls Abandoned

Total calls abandoned for November 2015 declined slightly from October 2015 but was significantly higher when compared to November 2014.

GO

OD

GO

OD


Florida Abuse Hotline Timeliness Trends: Average Handling Time by Talk Time and After-Call Work Trends

Average Hotline counselor talk time rose slightly in November 2015 but was still lower than what was experienced in November 2014. Average after-call work (ACW) increased significantly in November 2015, raising the Average Handling Time (AHT) for the month, but it was still lower than the AHT for November 2014 and November 2013.

Hotline Counselor Workforce: Monthly Separations

The Florida Abuse Hotline experienced one counselor separation in November, the lowest number since March 2015. Total separations for 2014 came to 57. Cumulative total through November 2015 is 53.

GO

OD



CPI Workload: Incoming and Active Investigations, and Backlog

Statewide, incoming investigations declined in November 2015 from October 2015. Active investigations rose slightly, and active investigations statewide over 60 days continues its upward trend since July 2015, reaching 1,053 as of November 30, 2015.

Timeliness of Investigations: Alleged Child Victims Seen and Investigations Completed

The percent of investigations completed within 60 days rose in November 2015 from October 2015. The percent of victims seen within 24 hours continues to trend down slightly since September 2015 after a sharp increase over the summer.

GO

OD



Timeliness: Percent Alleged Victims Seen within 24 Hours: Stratification by Circuit and Sheriff

Statewide 91.2% of alleged child victims are seen within 24 hours during November 2015.

Timeliness: Percent Child Investigations Completed within 60 Days: Stratification by Circuit and Sheriff

Statewide 91.8% of child protective investigations initiated in August 2015 were completed within 60 days as of November 30, 2015.

GOOD

GOOD



Child Protective Investigations Safety Methodology Implementation Map

As of November 30, 2015, nearly 100% of child protective investigations are assessed utilizing Safety Methodology. Statewide actual number of investigations assessed utilizing Safety Methodology is 99.7%, percentages presented on the map below are rounded up:

Northwest, Southeast, and Southern regions are at 100%.

Central and Northeast regions are at 99.9%.

Suncoast Region is at 99.1%.



Impending Danger Threats and Safety Determination This early Tableau dashboard visualization indicates that some children have been determined “unsafe,” yet have no impending danger (pink), while others are determined “safe,” with impending danger (dark blue). These anomalies need follow-up to determine whether there are issues with proper implementation of the practice model and/or with FSFN data entry.

Impending Danger Threats Identified by Safety Determination

This early Tableau dashboard visualization indicates the percentage of the identified Impending Danger Threats for both safe and unsafe children, by Region.


Child Protective Investigations Safety Determination and Services Provided at Investigative Closure

These early Tableau dashboard visualizations and accompanying FSFN data extract indicates that some children have been determined “unsafe,” yet have no services (red), while others are determined “safe,” yet were placed in out-of-home care (violet) or received case-managed in-services (dark blue). These anomalies need follow-up to determine whether there are issues with proper implementation of the practice model and/or with FSFN data entry. Please note that the total number of unsafe children by service type is through August 2015, while the Tableau dashboard visualizations represent percentages for the same timeframe as on page 8 (October 21 through December 20, 2015), and represents the most recent closures at 60 days.



Outcome: Recurrence of Maltreatment: Trend

Florida continues to make steady improvement toward the National Standards for verified recurrence of maltreatment. These are actual observations, and will be subject to risk adjustment for the federal Child and Family Services Review, Round 3.

Safety Outcome: Recurrence of Maltreatment within Six Months: Stratification by Circuit and Sheriff

There is wide variation among the circuits and sheriffs on this indicator. However, caution should be used in making comparisons, as the variation in rates is influenced by both reporting rates and verification rates.

GO

OD

GOOD



Safety Outcome: Recurrence of Maltreatment within 12 Months: Stratification by Circuit and Sheriff There is wide variation among the circuits and sheriffs on this indicator. However, caution should be used in making comparisons, as the variation in rates is influenced by both reporting rates and verification rates.

Quality: Rapid Safety Feedback/Secondary Case Reviews

Efforts are continuing to improve the proficiency of reviewers and reliability of their findings.

*Please note that 5.1 is intentionally blank.

Source: Secondary Case Reviews for Child Protective Investigations, Q1 for FY 2015-2016, July-September 2015.

GOOD

GOOD



Workforce: Monthly Separations

The average number of CPI and Senior CPI separations continues to rise. 52 separations occurred in the month of November.

Workforce: Time in Classification

The increased turnover rate has resulted in 24.1% of CPIs having less than six months’ experience, 48.4% of CPIs having less than one year experience and 77.5% having less than two years’ experience. Those having three or more years of experience constitute 16.7% of the current CPI workforce.

GO

OD


Flow from CPI to Community-Based Care Lead Agencies

Removals and Removal Rate Trend

The total number of removals for November 2015 (1,192) was up 11% when compared with November 2014 (1,069). The rate of removals per 100 children investigated for the same time period was 6.3 in November 2015 compared to 5.5 in November 2014.

Removal Rates: Stratification by Circuit and Sheriff’s Office

There is wide variation among the circuits and sheriffs on this indicator. However, caution should be used in making comparisons, as the variation in rates is influenced by both reporting rates and verification rates.


Flow from CPI to Community-Based Care Lead Agencies

Removal Rates: Stratification by Circuit/Lead Agency

More analysis is needed to determine why removal rates for areas above the statewide average are twice as high as rates for areas below.


Children Protected In-Home and Out-of-Home: Trend

The total number of children in both out-of-home care and receiving in-home services remained relatively steady from October to November 2015, a trend that was similar for the same period last year.



Children Protected In-Home and Out-of-Home: Stratification by CBC

There is wide variation among circuits and CBC Lead Agencies on this indicator.

Children in Out-of-Home Care Trend: Removals and Discharges

The total number of removals in November 2015 dropped from October 2015. The number of children discharged in November 2015 increased from October 2015.



Children in Out-of-Home Care Trend: Licensed and Kinship Care

November 2015 showed a slight increase in kinship care (a continuing upward trend since mid-2014), while children in licensed care decreased slightly from October 2015.

Ongoing Services Safety Methodology Implementation Map



Approved Family Functioning Assessment – Stratification by CBC Lead Agency

The status of implementation of the Ongoing Services Safety Methodology, as seen on the map on the previous page, is reflected in the proportion of active cases with an approved Family Functioning Assessment.

Child Safety While Receiving Case-Managed In-Home Services: Stratification by Lead Agency

Statewide performance for this indicator in July through September 2015 was at 96.7%.

GOOD

GOOD



Child Safety While in Out of Home Care: Stratification by CBC Lead Agency

This measure is generated by taking the total number of reports with at least one verified maltreatment and dividing it by the total number of days in foster care with the result multiplied by one-hundred thousand (100,000) to calculate the rate of victimization per one-hundred thousand (100,000) days in foster care. The data for July through September 2015 shows wide variation between CBCs. Further analysis and exploration of this indicator is currently underway.

Child Safety after Termination of Services: Stratification by Circuit/Lead Agency

Statewide performance for this quarterly indicator was at 95.7%.

GOOD

GOOD



Child Safety after Termination of Family Support Services: Stratification by CBC Lead Agency

Statewide performance for this quarterly indicator was at 94.2%. Note that CBCs with fewer than 50 terminations are excluded.

Child Safety Trends: Comparison of Three Indicators over Time

Statewide, the overall percentage of children with no verified maltreatment within six months of termination of family support services increased slightly from the time period of October-December 2014 to January-March 2015.

GO

OD

GOOD



Permanency within 12 Months of Removal: Stratification by Lead Agency

Statewide performance for this quarterly indicator was at 43.4% compared to the National Standard of 40.5%.

Permanency within 12 Months for Children in Care 12-23 Months: Stratifications by CBC Lead Agency

Statewide performance for this indicator was at 53.7% compared to the National Standard of 43.6%.

Source: FSFN OCWDRU Report #1118:

“Children Exiting Foster Care to a

Permanent Home within 12 Months of

Entering Care”




Entering Care”

GOOD



Permanent Home within 12 Months

for Children in Foster Care 12‐23

Months”

GOOD




Entering Care”



Permanency within 12 Months for Children in Care 24+ Months: Stratification by CBC

Statewide performance for this indicator was at 41.5% compared to the National Standard of 30.3%.

Re-Entry of Children into Care within 12 Months: Stratification by CBC Lead Agency

Statewide performance for this quarterly indicator was at 89% compared to the National Standard of 91.7%. This new federal measure selects only children removed over two years ago who achieved permanency over a year ago and did not return to OHC within a year. It provides an incomplete measure of re-entry and does not measure recent performance, but reminds us that this area continues to need improvement. High re-entry rates indicate a need for closer review of permanency decisions.



Permanent Home within 12 Months

for Children in Foster Care 24 Months

or More”

GOOD

GOOD



Placement Stability: Stratification by CBC Lead Agency

The variation in CBC performance in the area of placement stability varies greatly.

Placement of Sibling Groups Together: Stratification by CBC Lead Agency

Two-thirds of children that are members of a sibling group are currently placed together.

GOOD

GOOD



Children Placed Outside Removal County: Stratification by CBC Lead Agency

There is wide variation across CBCs on the percentage of children that were placed outside of their removal county.

Children Placed Outside Removal Circuit: Stratification by CBC Lead Agency

The percentages on this indicator are lower than they were for the prior indicator, as many children that are not placed in their home county remain in their home circuit.

GOOD

GOOD



Children 0-5 and 6-12 Placed in Group Care: Stratification by CBC Lead Agency

The percentage of young children placed in group care is fairly low, however there are several CBCs that should be considered as outliers.

The percentage of children between the ages of six and 12 that were placed in a group care setting is higher than that of younger children.



Children 13-17 and 0-17 Placed in Group Care: Stratification by CBC Lead Agency

Some areas have very few adolescents ages 13 to 17 years placed in group care, but most CBCs have a majority of adolescents placed in a group home environment.

Statewide, 22.4% of children from birth through 17 years of age were placed in group care as of November 30, 2015.



Children Receiving Dental Services in Last Seven Months: Stratification by CBC Lead Agency

Considerable progress has been made in the last few years with medical and dental services with a statewide percent of children at 90% as of mid-December.

Young Adults Aging Out Who Are Enrolled in Education Programs: Stratification by Lead Agency

Some children removed from their families do not achieve permanency. For these children, it is crucial that they are prepared for life after foster care by the time they “age out” of care. This is one indicator of that preparation for adulthood, but does not control for any of the many variables that influence this preparation, including time in care and the child’s education level when entering care.

GOOD

GOOD


Community Based Care --- New Practice Model

Quality: Rapid Safety Feedback Strengths

QA reviewers discovered several measures they considered “strengths.” For example, 86% had concerted efforts to prevent removal or re-entry. However, only half the cases reviewed had appropriate assessments of safety, safety plans, and monitoring of safety plans (Questions 1-4).

Domestic Violence

Percent Victims Leaving Shelter with a Family Safety and Security Plan

Performance continues to be between 99% and 100% each month.

GOOD

GO

OD


Human Trafficking

Human Trafficking Intakes: Trend

The number of Human Trafficking Reports (Initial and Additional) received by the Hotline has been on the increase since March 2015 but did fall slightly during October-November 2015. Verification of these allegations has also been increasing but at a slightly slower rate.

Children with a FSFN Indicator of Being a Human Trafficking Victim: Stratification by CBC Lead Agency

The number of children in Out-of-Home Care or receiving In-Home Services with at least one FSFN indicator of being a victim of Human Trafficking has remained fairly consistent over the last seven months, but there is a wide distribution among the CBC lead agencies.


Child Care Regulations

Child Care Inspections per Month

Both home and facility inspections improved last month, to 100% and 99.8%, respectively.

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