Group Care in Florida’s Child Welfare SystemOffice of Child WelfareQuality Assurance/Continuous Quality ImprovementSeptember 2012

2

Key FactsThe number of children in foster care has dropped over 32% since July 2006

Relative/non-relative placements are down 30% and licensed care is down 34%

There are only 14% fewer 17 year olds in foster care

55 children under 6 have been in group care 4 months or longer

According to Chapin Hall, Florida is on the low end of group care utilization

Eliminating group care for children 12 and under could save approximately $11,000,000 a year.

3

Total Foster Care PopulationJuly 2006 – July 2012

Jul-06

Aug-06Oct-

06Dec-

06Feb

-07

Apr-07Jun-07

Jul-07Sep

-07

Nov-07Jan

-08

Mar-08

May-08

Jun-08

Aug-08Oct-

08Dec-

08Feb

-09

Apr-09

May-09

Jul-09Sep

-09

Nov-09Jan

-10

Mar-10

May-10

Jun-10

Aug-10Oct-

10Dec-

10Feb

-11

Apr-11

May-11

Jul-11Sep

-11

Nov-11Jan

-12

Mar-12

Apr-12Jun-12

0

5000

10000

15000

20000

25000

30000

-40%

-35%

-30%

-25%

-20%

-15%

-10%

-5%

0%

5%

Total Children Percent Reduction

Tota

l Chi

ldre

n

Perc

ent R

educ

tion

4

Reduction in Foster Care Population by Placement TypeJuly 2006 – July 2012

Jul-0

6

Aug-06

Oct-06

Nov-06Jan

-07

Mar-07

Apr-07

Jun-07

Jul-0

7

Sep-07

Nov-07

Dec-07

Feb-08

Mar-08

May-08

Jul-0

8

Aug-08

Oct-08

Nov-08Jan

-09

Mar-09

Apr-09

Jun-09

Aug-09

Sep-09

Nov-09

Dec-09

Feb-10

Apr-10

May-10

Jul-1

0

Aug-10

Oct-10

Dec-10

Jan-11

Mar-11

Apr-11

Jun-11

Aug-11

Sep-11

Nov-11

Dec-11

Feb-12

Apr-12

May-12

0

2000

4000

6000

8000

10000

12000

14000

Relative Placement Family Based Licensed Care Facility Based Licensed Care Non-Relative Placement

5

Reduction in Foster Care Population by AgeJuly 2006 – July 2012

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

-60%

-50%

-40%

-30%

-20%

-10%

0%

-22% -22%

-17%

-22%

-11%

-21%

-36%-35% -34%

-31%

-40%

-36%

-47%

-50%

-47%-46%

-38%

-14%

Age

6

Proportion of Time Spent in Congregate Care

Chapin Hall at the University of Chicago; Center for State Foster Care and Adoption DataSample includes children entering foster care for the first time between 1/1/2007 and 12/31/2009. Data is current as of 12/31/2010.

A I Q F H N C L X S E K B V T D Florida Y P J U O M W G0%

5%

10%

15%

20%

25%

30%

+ 1SD

- 1SD

mean

7

Potential Savings Based on Elimination of Group Care for

Children 12 and Under

Program Number of Children 12 and Under

Average Bed Days per Child

Average Cost per Bed Day

Estimated Annual Cost

Licensed Foster Home

11,848 159 $17 $31,735,193

Residential Group Care

1,872 98 $86 $15,784,462

If RGC Served in Licensed FH

1,872 159 $17 $5,060,016

Potential Savings $10,724,446Based on Licensed Care Payments for Service Period 7/1/2011 – 6/30/2012

Minus

Actual Cost

Estimated Cost

8

Characteristics of Children in Group Care

44% are placed out-of-county

Over 30% of children removed between 14 – 17 years of age are placed in group care at removal*Almost 25% of children in Licensed Foster Care are in Group Care

*Based on a child’s placement at the 30th day of the removal episode, for all children removed between 6/1/2012 and 5/31/2012.

9

Number of Children in Group Care9/16/2012

Big Ben

d Community Base

d Care, In

c.

Brevard

Family

Partners

hip

CBC of Cen

tral F

lorida

Child an

d Family

Connections, I

nc.

ChildNet,

Inc.

Children

's Netw

ork of S

W Fl

orida,

Inc.

Community Part

nership fo

r Child

ren, In

c.

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rd Community

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ative

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borough

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Familie

s Firs

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ork, In

c.

Family

Integ

rity P

rogram

FSS o

f North

Florid

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Heartl

and fo

r Child

ren, In

c

Kids Cen

tral, I

nc

Kids Firs

t of F

lorida, In

c

Our Kids, I

nc.

Partners

hip for S

trong Fa

milies, I

nc.

Safe

Children

Coalition

United fo

r Fam

ilies

0

50

100

150

200

250

300

98

33

178 182 188

49

76

251237

88

7

69

117

81

28

270

39

7565

Percent of Children in Foster Care in Group Care9/16/2012

10

Big Ben

d Community Base

d Care, In

c.

Brevard

Family

Partners

hip

CBC of Cen

tral F

lorida

Child an

d Family

Connections, I

nc.

ChildNet, I

nc.

Children

's Netw

ork of S

W Fl

orida,

Inc.

Community Part

nership fo

r Child

ren, In

c.

Ecke

rd Community

Altern

ative

s, Hills

borough

Ecke

rd Community

Altern

atives,

Inc.

Familie

s Firs

t Netw

ork, In

c.

Family

Integ

rity P

rogra

m

FSS o

f North

Florid

a, Inc.

Heartl

and fo

r Child

ren, In

c

Kids Cen

tral, I

nc

Kids Firs

t of F

lorida,

Inc

Our Kids, I

nc.

Partners

hip for S

trong Fa

milies, I

nc.

Safe Child

ren Coali

tion

United fo

r Fam

ilies

Statew

ide0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

14.1%

6.1%

12.1%

19.0%

14.6%

5.6%

7.2%

12.6%

10.9%

7.6%

5.4%

8.1%

10.9%

6.8%

13.1%

15.1%

5.8%

9.5%

10.7% 10.9%

Statewide- 10.9%

11

Percent of Children in Licensed Foster Care in Group Care

9/16/2012

Big Ben

d Community Base

d Care, In

c.

Brevard

Family

Partners

hip

CBC of Cen

tral F

lorida

Child an

d Family

Connections, I

nc.

ChildNet,

Inc.

Children

's Netw

ork of SW

Florida, In

c.

Community Part

nership fo

r Child

ren, In

c.

Ecke

rd Community

Altern

ative

s, Hills

bor...

Ecke

rd Community

Altern

atives, I

nc.

Familie

s Firs

t Netw

ork, In

c.

Family

Integ

rity P

rogra

m

FSS o

f North

Florid

a, Inc.

Heartl

and fo

r Child

ren, In

c

Kids Cen

tral, I

nc

Kids Firs

t of F

lorida,

Inc

Our Kids, I

nc.

Partners

hip for S

trong F

amilie

s, Inc.

Safe

Children

Coalition

United fo

r Fam

ilies

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

32.0%

15.3%

25.4%

36.8%

24.6%

11.8%

17.4%

26.0% 25.6%

17.8%

14.9%15.8%

26.0%

19.9%

27.7%

30.3%

17.1%

21.4%

28.5%

Statewide- 24.1%

12

Children in Group Care Placed Out-of CountySeptember 16, 2012

Big Ben

d Community Based

Care, In

c.

Brevard

Family

Partners

hip

CBC of Cen

tral F

lorida

Child an

d Family

Connections, I

nc.

ChildNet, I

nc.

Children

's Netw

ork of S

W Fl

orida,

Inc.

Community Part

nership fo

r Child

ren, In

c.

Ecke

rd Community

Altern

ative

s, Hills

borough

Ecke

rd Community

Altern

ative

s, Inc.

Familie

s Firs

t Netw

ork, In

c.

Family

Integri

ty Pro

gram

FSS o

f North

Florida,

Inc.

Heartl

and fo

r Child

ren, In

c

Kids Centra

l, Inc

Kids Firs

t of F

lorida,

Inc

Our Kids, I

nc.

Partners

hip for S

trong F

amilie

s, Inc.

Safe

Children

Coalition

United fo

r Familie

s0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

62%

11%

67%

48%

10%

49%

66%

21%

65% 67%71%

22%

50%55%

84%

14%

97%

53%

75%

Statewide- 44%

13

Initial Placement in Group Care by Age at Removal*

Children Removed Between 6/1/2011 and 5/31/2012

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 170.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

50.0%

1.7%2.6%

3.4% 4.0% 4.3%3.3%

5.6%7.5%

6.5% 6.7%

11.4%12.8%

15.9%

23.3%

29.3%29.8%

37.4%38.0%

Age at Removal*Includes all children who remained in Foster Care for 30 days or longer; placement is on day 30 to allow for initial placement in shelter.

14

Length of Stay (in months) for Children 0 – 5 in Group Care

9/16/2012

0 1 2 3 4 50

5

10

15

20

25

30

0

5

10

15

20

25

30

35

40

45

50

10

5

9

4

6

3

9

11

20

16

26

22

3

6

3

6 6 6

4

1

6 6

23 3

22

26

3335

47

33

Less than 1 Month Between 1 and 3 Months Between 4 and 6 Months Between 7 and 12 MonthsGreater than 12 Months

Age

Num

ber o

f Chi

ldre

n

15

Children in Licensed Foster Care by Placement Type

9/16/2012

Big Bend Community Based Care, Inc.

Brevard Family Partnership

CBC of Central Florida

Child and Family Connections, Inc.

ChildNet, Inc.

Children's Network of SW Florida, Inc.

Community Partnership for Children, Inc.

Eckerd Community Alternatives, Hillsborough

Eckerd Community Alternatives, Inc.

Families First Network, Inc.

Family Integrity Program

FSS of North Florida, Inc.

Heartland for Children, Inc

Kids Central, Inc

Kids First of Florida, Inc

Our Kids, Inc.

Partnership for Strong Families, Inc.

Safe Children Coalition

United for Families

Statewide

0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0% 100.0%

Group CareOther PlacementsFamily Homes

16

Other Related Info

Between January and March 2012, 3.5 million dollars was paid for BHOS, TGC and STFC services provided to children served by CBC's

99.25% of children in Group Care were not abused while in care

17

Revenue for Medicaid BHOS, TGC & STFC ServicesJanuary – March 2012

Big Ben

d Community Base

d Care, In

c.

Brevard

Family

Partners

hip

CBC of Centra

l Florid

a

Child an

d Family

Connections, I

nc.

ChildNet,

Inc.

Children

's Netw

ork of S

W Fl

orida,

Inc.

Community Part

nership fo

r Child

ren, In

c.

Ecke

rd Community

Altern

ative

s, Hills

borough

Ecke

rd Community

Altern

ative

s, Inc.

Familie

s Firs

t Netw

ork, In

c.

Family

Integ

rity P

rogra

m

FSS o

f North

Florid

a, Inc.

Heartl

and fo

r Child

ren, In

c

Kids Cen

tral, I

nc

Kids Firs

t of F

lorida,

Inc

Our Kids, I

nc.

Partners

hip for S

trong F

amilie

s, Inc.

Safe

Children

Coalition

United fo

r Fam

ilies

$0

$100,000

$200,000

$300,000

$400,000

$500,000

$600,000

$700,000

$800,000

$900,000

18

Abuse Investigations Involving Children in Group Care

April 2011 – March 2012

Age Verified Non Substantiated No Indicators Total

0   1 2 31     3 32     6 63     6 64     4 45     5 56     4 47   1 6 78 1   9 109   1 4 5

10   4 6 1011 1 6 18 2512   9 21 3013 4 8 23 3514 7 17 43 6715 11 10 63 8416 8 27 76 111

17 13 21 118 152

Total 45 105 417 567

Approximately 6,000 children in group care at some point between 4/1/2011 and 3/31/2012