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Sample Completed CFSR Information-Sharing Tool

Below is a sample of a completed CFSR information-sharing tool. The sample is designed to assist States in determining the best approach to using the tool to communicate with legislators. Inclusion of specific strategies or goals in the sample should not be construed as an endorsement of those approaches. In addition, the contents of the sample are fictitious and do not reflect any State's CFSR results or PIP. (Please see "Tips for Using the Tool" above for additional considerations in completing the tool.)

Results of the [Enter the Name of the State Child Welfare Agency]'s
Federal Child and Family Services Review
Prepared for Members of the
Anystate Joint Legislative Committee on Child Welfare
September 2, 2008

In 2003, Anystate Department of Children and Families participated in its first Federal Child and Family Services Review (CFSR). The CFSRs were designed to measure the effectiveness of State child welfare systems by examining how children and families served by the agencies fared and by assessing the status of key agency systems. (See the "Background on the CFSRs" section at the end of this document for more information about the reviews.)

The chart below provides information on Anystate's last CFSR and the Department of Children and Families' efforts to make improvement in the areas identified through the review.

The information is intended for State legislators' use in conducting child welfare oversight activities and making informed decisions about how to best support agency efforts to improve critical policies, practices, and systems and therefore outcomes for children and families. The Department of Children and Families will update this chart regularly and distribute it as a handout at the department's regular legislative briefings.

State Review Cycle
Date of Last Review: April 16, 2007-April 20, 2007
Date Program Improvement Plan (PIP) Was Approved: September 2, 2007
Date PIP Is Anticipated To Be Completed: September 2, 2009
Date of Next CFSR: October 2009 (tentative)
Findings From the Last CFSR

The Anystate Department of Children and Families CFSR was held in April 2007. The State was reviewed for substantial conformity with seven outcome areas and seven systemic factors. See the attached Key Findings Report for the review results.

State's Approach to the PIP

Anystate Department of Children and Families established an Executive Steering Committee to manage the PIP. The committee comprised the committee co-chairs from the Statewide Assessment process (the first phase of the CFSR) and individuals who had participated in the State onsite review team. The committee was co-chaired by State and county child welfare agency staff. After receiving the Final Report on the review, the committee categorized the findings into major subject headings and corresponding key strategies. They then reconvened the work groups created during the Statewide Assessment process to address each key strategy, and these groups developed goals and action steps under each strategy. In developing the strategies, goals, and action steps, the groups received technical assistance from several national organizations and convened a wide range of public and private partners from across the State to define effective child welfare practice. Below are Anystate Department of Children and Families' key strategies for improving the performance of its child welfare system. A copy of the department's PIP is available on the Children's Bureau Web site at Reports and Results of the Child and Family Services Reviews.

[Note to the State: If the State identified cross-cutting strategies in the PIP, you may include those below.]

Key Strategy 1: Enhance child safety by increasing staff capacity to respond timely to reports of maltreatment.
Key Strategy 2: Expedite permanency for children, particularly those in rural areas.
Key Strategy 3: Increase staff retention, focusing particularly on intake and investigation staff.
State's Process-Related PIP Goals

As part of its PIP, the Anystate Department of Children and Families identified process-related goals for improving child welfare system performance. The following are the key process-related goals in the PIP.

Process-Related Goal Baseline Key Action Step(s) Key Partner(s)
1. Improve training of case managers and supervisors on State child welfare policies and procedures, especially those regarding timely response to reports of maltreatment. At the time of the CFSR, the State was assessed to be out of conformity in providing ongoing training for staff that addressed the skills and knowledge they needed to carry out their duties. Specifically cited was the need to improve training for case managers and supervisors on State policies and procedures regarding timely response to reports of maltreatment. All case managers and supervisors will participate in three training sessions on State policies and procedures, one of which will focus on timely response to maltreatment reports; all new staff will participate in all three sessions before being assigned cases (completed in February 2008). Child and Family Training Institute
2. Expand mental health services to families in rural areas to help promote permanency for children in foster and adoptive placements in these areas. The CFSR finding was that mental health services are not always available to families in rural areas. Develop and implement a State plan for reducing service gaps in rural areas by partnering with the State Mental Health Division to provide consultation services to children and families in rural areas (completed in April 2008). State Mental Health Division
3. Reduce vacancies in intake and investigation positions. The CFSR finding was that timely investigations of reports of maltreatment were hampered by vacancies and turnover among intake and investigation workers. By October 15, 2007, the department will begin working with the Office of Personnel Management regarding adjustment of hiring criteria for intake and investigation positions. By October 15, 2008, the department will receive permission from the office to hire individuals with related degrees for those positions (completed in August 2008). Office of Personnel Management
State's Data-Related PIP Goals

As part of its PIP, the Anystate Department of Children and Families identified data-related goals for improving child welfare system performance. The following are the key data-related goals in the PIP.

Process-Related Goal Baseline Data Negotiated Amount of Improvement Key Partner(s)
1. 88 percent of all cases reviewed will receive a timely response to reports of maltreatment. The CFSR results were that in 77 percent of all cases reviewed, the case received a timely response. 11 percent None
2. Permanency hearings will be completed by 12 months after children enter foster care in 91 percent of cases. The CFSR results were that permanency hearings were completed by 12 months in 82 percent of cases. 9 percent Anystate Administrative Office of the Courts, State Adoption and Foster Care Task Force
3. Decrease the proportion of children who have been in care for 17 of the last 22 months without a Termination of Parental Rights (TPR) to 35 percent. At the time of the CFSR, 39 percent of children who had been in care for 17 of the last 22 months were without a TPR 4 percent Anystate Administrative Office of the Courts, Anytribe Tribal Child Welfare Council
Highlights of the [enter name of State child welfare agency]'s Achievements

Since implementing its CFSR-related program improvement process, the agency has made significant and measurable improvements in the following areas:

1. From September 2007 to the present, the proportion of cases reviewed receiving a timely response to reports of maltreatment has increased from 77 percent to 83 percent.
2. Since September 2007, the State has increased the proportion of permanency hearings held by 12 months after children enter foster care from 82 percent to 88 percent.
3. Since September 2007, 77 percent of case managers and supervisors, and all new child welfare agency staff, have participated in the training sessions on State policies and procedures, including one session focusing on timely response to maltreatment reports.
Future CFSR Activities

The following CFSR-related activities will occur in Anystate.

Activity Date
The agency will launch an Intranet-based job assistance site offering guidance to caseworkers and supervisors on State child welfare policies and procedures regarding timely response to maltreatment reports. October 2008
Agency supervisors will participate in a technical assistance event on staff retention conducted by a national child welfare resource center. January 2009
Agency leaders will participate in a national-level training regarding involving key stakeholders in child welfare reform. February 2009
Child Welfare Areas Requiring Legislative Support

The Anystate Department of Children and Families has identified the following areas in which legislative support would contribute to the achievement of program improvement goals:

1. Consider addressing delays and continuances in dependency court proceedings to promote timely permanency for children.
2. Explore options for providing additional resources for a comprehensive continuum of child welfare services in rural areas, in coordination with the State agency's plan for addressing gaps in mental health services in rural areas.
3. Consider options for providing resources for pay adjustments and bonus payments that would support the department's strategies for retaining intake and investigation staff.
Contact Information

Please feel free to contact Joan Doe, Director, Anystate Department of Children and Families, at 123/456-7890 for more information about the Anystate Department of Children and Families' CFSR-related efforts to improve outcomes for children and families.

Background on the CFSRs

The 1994 Amendments to the Social Security Act (SSA) authorized the U.S. Department of Health and Human Services (HHS) to review State child and family service programs to ensure conformity with the requirements in titles IV-B and IV-E of the SSA. The Children's Bureau, part of the Administration for Children and Families (ACF) within HHS, administers the review system, known as the Child and Family Services Reviews (CFSRs).

Through the reviews, States are assessed for substantial conformity with certain Federal requirements for child protective, foster care, adoption, family preservation and family support, and independent living services. The goal of the reviews is to help States to improve child welfare services and achieve positive outcomes for children and families who receive such services.

Each CFSR is a two-phase process that comprises a Statewide Assessment and an onsite review of CFSR outcomes and agency systems. The Statewide Assessment provides States an opportunity to examine data and qualitative information related to their child welfare programs in light of their programmatic goals and desired outcomes for the children and families that they serve.

After the Statewide Assessment, a joint Federal-State team conducts an onsite review of the State child welfare program. The onsite portion of the review includes the following: (1) case record reviews, (2) interviews with children and families engaged in services, and (3) interviews with community stakeholders, such as the courts and community agencies, foster families, and caseworkers and service providers.

During the Statewide Assessment and onsite review, the review team assesses the following seven outcomes in three domains (safety, permanency, and child and family well-being) by examining practices within each:

  • Safety Outcome 1: Children are, first and foremost, 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.
  • Child and Family Well-Being Outcome 1: Families have enhanced capacity to provide for their children's needs.
  • Child and Family Well-Being Outcome 2: Children receive appropriate services to meet their educational needs.
  • Child and Family Well-Being Outcome 3: Children receive adequate services to meet their physical and mental health needs.

The review team also assesses the following seven systemic factors, by examining the agency's functioning in practice areas within each:

  • Statewide Information System
  • Case Review System
  • Quality Assurance System
  • Training
  • Service Array
  • Agency Responsiveness to the Community
  • Foster and Adoptive Parent Licensing, Recruitment, and Retention

At the end of the onsite review, States determined not to have achieved substantial conformity on one or more of the outcomes or systemic factors are required to develop and implement a Program Improvement Plan addressing the areas of nonconformity. States that do not achieve their required improvements successfully will sustain penalties as prescribed in the Federal regulations.