Skip Navigation
 
ACF
ACF Home   |   Services   |   Working with ACF   |   Policy/Planning   |   About ACF   |   ACF News   |   HHS Home

  Questions?  |  Privacy  |  Site Index  |  Contact Us  |  Download Reader™  |  Print      

The Office of Child Support EnforcementGiving Hope and Support to America's Children

Abstracts for Special Improvement Project(SIP) Grants Awarded Prior to FY 2004
(As we complete summaries of earlier grants, we will post them.)

Alabama

Evaluating a Marriage Education Program for Low Resource Families: The Family Connections in Alabama Project

This 12-month grant responded to 2003 Priority Area 2: Encouraging new ways to approach unwed parents to emphasize the importance of healthy marriage to a child’s well-being. "Family Connections in Alabama" (FCA) piloted marriage education for low-resource parents and to promote family and relationship strength. The Alabama Children’s Trust Fund (CTF), in partnership with Auburn University’s Department of Human Development and Family Studies, and with the support of the Alabama Department of Human Resources and the Alabama Office of Child Support, launched the FCA project through four community pilot sites.

The project tested a curriculum newly developed by Michigan State University Extension specifically for the target audience, based on studies of fragile families and the barriers to family stability entitled, "Caring for My Family." Topics included: the importance of family stability and the benefits of healthy couple and married relationships, definitions of healthy and unhealthy relationships, self-care, communication skills in relationships, co-parenting skills, and the importance of fathers, financial management, goal setting and decision-making.

The FCA project was a collaboration of several public and private agencies and organizations, both at the State and local levels. The Education programs (included 6-10 sessions with a minimum of 10 lessons) were delivered through agencies that already were providing family services to the project target populations.

Goals for the project centered on strength-building in individual, couple, and family functioning. Both the program implementation process and the receptivity of the participants and the facilitators to the program were also of interest and an important part of the program evaluation study.

Project Findings (from the final Report)

The project targeted low-resource, non-married couples who were either expecting a child or had a child under age 3 (i.e., fragile families): 162 individuals participated in the program; 126 women, 36 men. Fifty participants attended as a couple; 90 attended without their partner (i.e., partner could not attend); 22 attended singly (i.e., had a strong interest in the program, but were not currently in a couple relationship). Completion rates were high, with only 14% attrition. Pre- and post-program questionnaires were returned for 138 participants who completed at least 10 lessons. Participants were primarily African-American (64%) and low-income. The vast majority had a high school education or less (77.5%) and reported a household income of $14,999 or less (74%). Participants were primarily in their mid-20’s and were no younger than 18.

Results

The evaluation questionnaire contained over 300 items adapted from social science measures that assess aspects of individual and couple functioning, including level of commitment, trust, happiness/satisfaction, and types of interaction patterns. Post-program questionnaires had questions on the quality of the program.

Analyses revealed statistically significant increases in:

Statistically significant decreases were found in:

Quality of the Program

Lessons Learned

Recommendations

Facilitators agreed on the following recommendations for future work:

Grant Number: 90FI0047
Project Information:ACFOCSEGrantsinfo@acf.hhs.gov
Project Period: 01/01/03 through 12/31/03

California

Imperial Valley Regional Occupational Program - Project Dads Evaluation

This 17-month grant responded to 2003 Priority Area 1: Helping low-income fathers meet their child support and family responsibilities. The Imperial Valley Regional Occupational Program (IVROP) operated Project Dads to assist noncustodial (NCP) economically disadvantaged fathers living in Imperial County to obtain employment, access parental skills and training and assist them with child support order modifications. (NOTE: these activities are not eligible for title IV-D program Federal financial participation.)

Project Findings (From the Final Report)

The goals of the project were designed to meet the needs of the NCPs, as follows:

Goal 1: To provide NCPs with the skills and resources necessary for them to obtain unsubsidized employment, so they can pay their child support.

Objective 1: At the end of the project, 41 clients will have been enrolled and received services

Findings

Objective 2: During the course of the project, 25 clients will have obtained their GED or Adult Education Certificate.

Finding

Objective 3: By the end of seventeen months, 70 percent of the clients will be placed in unsubsidized employment.

Findings

Objective 4: Forty-five percent of the clients will receive a certificate of competencies from their occupational training program.

Finding

Goal 2: To assist the NCP with child support modification packages, so they can afford to pay their child support payments and still support themselves.

Objective 1: Throughout the course of the project, staff members will attend court on a weekly basis with the NCP father to assist with suspensions and reductions in child support payments until they are able to begin making child support payments.

Finding

Objective 2: At the end of the project, 85 percent of the clients will make child support payments.

Findings

Goal 3: To empower NCPs with the skills and knowledge so they can take an active parenting role in their children’s lives.

Objective 1: At the end of eighteen months, 65 percent of the clients will have completed parenting classes.

Finding

Objective 2: Upon completion of the project, 60 percent of the NCPs will have shown an improvement in their parenting skills as accessed by self-surveys.

Findings

Lessons Learned

Also see article in October 2004 Child Support Report at:
http://www.acf.hhs.gov/programs/cse/pubs/2004/csr/csr0410.html

Grant Number: 90FI0051
Project Officer:ACFOCSEGrantsinfo@acf.hhs.gov
Project Period: 01/01/2003 through 05/31/2004

California

Office of the San Mateo County District Attorney

Family Support Division

"The Co-Locate Intake

This grant responds to the 1998 Special Improvement Project (SIP) announcement for the priority area concerning Temporary Assistance for Needy Families (TANF) Innovations. The project was designed to improve performance on new TANF cases from the point of intake and paternity establishment through the enforcement of the support order. The Co-Locate Intake project trained previous TANF recipients to conduct intake interviews on new TANF and Medi-Cal cases.

The Family Support Division partnered with the Human Services Agency to train Work First graduates (former TANF recipients) to be child support intake workers. Work First graduates were selected to do the interviews based on the premise that applicants would establish a better rapport with interviewers who had recently been in similar circumstances. In addition, graduates would obtain valuable job skills. Another purpose of the project was to educate TANF applicants on the child support process.

The project tracked performance with regards to the length of time a case was in locate and/or establishment; the number of notices of non-cooperation generated against custodial parents; and the number of voluntary paternities established. The sample consisted of all cases opened in San Mateo County during the period of January 1999 through February 2000 where a co-locate interview was conducted. The baseline was all TANF cases opened in 1998 when there was no initial child support worker interview with the client.

Findings: (From the Final Report)

Some of the key findings of the project include:

Grant Number: 90FI0011
Project Officer:ACFOCSEGrantsinfo@acf.hhs.gov
Project Period: 9/01/1998- 9/29/2000

Colorado

Colorado Department of Human Services Division of Child Support Enforcement (CSE)

Web Site Technology to Increase Customer Service

This two-year grant responded to 2003 Priority 4: "Expanding Use of Automation Tools and Best Practices." The Project was designed to utilize Web site technology to increase customer services by providing parents, employers and case workers the ability to access case data and input data on-line. Colorado CSE intended to launch an interactive, e-commerce Web site that would provide 24-hour access to case status and payment information for parents, both in-state and interstate caseworkers, and employers. It was anticipated that by doing so, Colorado CSE would see significant improvement in its ability to provide better and more current information to its key stakeholders.

By the end of the grant period, this purpose was realized by providing real-time case and financial information to Web-registered parents with child support cases and registered workers from other States.

Project Findings (From the Final Report):

The project met the following three goals:

  1. Rapidly meet common user needs: With the child support information and case-specific detail now available, many common user needs have been met. At the end of the grant period there were over 16,000 registered users on the Web site. Registered users are made up of about 78 percent custodial parents, 22 percent noncustodial parents and 2 percent out-of-State IV-D workers. It is also interesting to note that based on a recent analysis, 15.5 percent of the cases are for registrants residing outside of Colorado.

    Finding: Publications and forms are being accessed regularly. For example, the Colorado general CSE brochure was accessed an average of 950 times per month for the period of October-December, 2004. The application for Direct Deposit of child support payment was accessed an average of 1450 times per month for the same period. In December 2004 there were over 3,600 user requests for a printable version of case payment histories. Previously, all of these could have resulted in a request to a Customer Service agent to print and mail these materials.

    Moreover, registered parents in general have made extensive use of the payment detail and payment history pages on the Web site. In December, 2004 there were over 29,000 hits on the payment history page.

  2. Answer frequently asked questions: On the Web site, for example, there is a section for Frequently Asked Questions, with answers to 19 different topic areas. The FAQs cover all of the primary areas of child support enforcement in Colorado.

    Findings: This has proven to be a great resource for information and it is a common occurrence for the CSE receptionist to direct callers to the Web site when they call asking questions about the program. This redirection has saved valuable staff time and has allowed for consistent answers to the questions asked.

  3. Demonstrate proof-of-concept: The project was successful in meeting user needs.

    Findings: With visits to the site averaging 2,250 per weekday, clearly the Colorado CSE Program has gone well beyond a 'proof-of-concept' scenario to a well-used production CSE Web application. A check on the volume of hits asking solely for specific case financial history for the period of October-December, 2004 shows an average of over 29,000 hits per month. Analysis shortly after the project ended revealed this number growing by more than 10 percent per month.

Lessons Learned:

Grant Number: 90FI0044
Project Officer:ACFOCSEGrantsinfo@acf.hhs.gov
Project Period: 01/01/2003 through 12/31/2004

District of Columbia

STRIVE DC (The Father Factor Program)

This 17-month grant responded to FY 2001 Priority Area 4, "To Demonstrate Effective Methods to Increase Collections." The project was a one-stop employment program for inner-city unemployed noncustodial fathers on parole and/or probation who had a child support order. It was designed to demonstrate that, with proper support, ex-offenders can be helped to get and maintain jobs, comply with their child support obligations, and resolve other child support issues in a constructive manner.

Intensive recruitment and outreach efforts were used to enlist participants. These activities consisted of speaking engagements, program presentations and distribution of flyers at the high intensity drug trafficking areas, court services, health and job fairs, community events and others. As a result, 173 participants were recruited, of which 82 (46%) attended the Father Factor Program. Of these, 88% were never married to the mother of their child(ren) and 41% had dropped out of high school.

The program consisted of regular meetings, employment training, interactions with service providers, and ancillary services, such as participants enrolling in the External Diploma Program at a local high school to complete assignments to earn a high school diploma. (Note: these are non-IV-D program activities and not eligible for Federal financial participation.)

Findings

Lessons Learned and Recommendations

The following are some of the major lessons learned and recommendations:

Grant Number: 90FI0035
Project Information:ACFOCSEGrantsinfo@acf.hhs.gov
Project Period: 03/01/2001-7/30/2002

Illinois

Illinois Department of Public Aid, Division of Child Support Enforcement

WIC Paternity Establishment Program

This grant responded to Priority Area 2: "Developing new paternity establishment procedures." The Illinois Division of Child Support Enforcement (DCSE) and Catholic Charities of Chicago Supplemental Nutrition Program for Women, Infants and Children (WIC) had a proven model for paternity establishment in the community at four WIC Food Centers since 1995. This grant permitted Illinois to expand the Paternity Establishment Program (PEP) of the original WIC pilot to fifteen sites.

The partners coordinated their resources and expertise to help families of young children voluntarily establish paternity and increase involvement of both parents in their children’s lives. Within Catholic Charities, the WIC in Chicago provided supplemental foods, nutrition education and access to health care to low-income pregnant, post-partum, and lactating women, infants, and children up to five years of age. The program was primarily funded and administered by the U.S. Department of Agriculture (USDA) in conjunction with State health departments and Indian tribal organizations. Under this grant, DCSE staff trained the WIC Food Center staff to operate PEP in the same manner as Illinois in-hospital paternity program staff, County Clerks and Local Registrars. DCSE staff also monitored the grant project and provided ongoing assistance.

For this project, Illinois developed a procedures manual, and a number of new outreach materials on the theme: "Get in Step with PEP." It also used audio tapes and private areas to offer parents a more confidential setting to discuss their concerns.

Findings

Lessons Learned/Recommendations

Grant Number: 90FI0007
Project Officer:ACFOCSEGrantsinfo@acf.hhs.gov
Project Period: 10/01/1998 through 10/29/1999

Iowa

Iowa Department of Human Services, Bureau of Collections

Interactive Child Support Website

This 17-month grant responded to 2003 Priority Area 4: Expanding Use of Automation Tools. The purpose of this project, entitled "Interactive Child Support Website," was to improve customer service, provide ready access to information to customers, and lessen workers’ time spent on modification requests that resulted in no-change orders. The Iowa Bureau of Collections (the Bureau) designed a tool that would assist custodial or noncustodial parents to manage their own cases, especially in regard to modification requests.

At the time of the grant application, workers were spending at least 30 percent of their time processing modification requests that didn’t fit the general criteria, or that resulted in no change in the child support order. The Bureau thought if they could clarify the criteria, and allow customers to use qualifying questions and an estimator to determine their potential for modification, the result would be fewer modification requests, which in turn would theoretically lessen the workloads for their field staff.

The Bureau also planned how they would take additional steps to provide 24/7 services to their customers. An existing Interactive Voice Response Unit (IVR) and a customer Website were already available. Expanding the Website’s use by adding a changing support module seemed like a service customers would find extremely useful.

The Bureau also planned how they would take additional steps to provide 24/7 services to their customers. An existing Interactive Voice Response Unit (IVR) and a customer Website were already available. Expanding the Website’s use by adding a changing support module seemed like a service customers would find extremely useful.

Other project objectives were added after asking customers and workers how they might clarify complex policy in the review and adjustment process in order to:

Iowa devised an interactive tool to help parents determine whether they qualify for a modification. They have found it to be successful in reducing the number of requests and the requests they do receive are more likely to result in a modification. Here is the Website:


https://secureapp.dhs.state.ia.us/childsupport/changechildsupport/ASPPages/CSQRevAdj.asp

Project Findings/Results (From the Final Report)

Iowa went live with the tool in 2004. In comparison to data from 2003, they found that the tool increased the number of requests that actually resulted in modifications, decreased the percent of requests resulting in no change, and decreased the number of requests overall. In summary, parents appeared to use the tool to make more informed decisions about when to make a request.

Because not all measures tracked were as anticipated, Iowa conducted additional followup in 2006.

Iowa overcame many challenges during the development process. Although it did not come to pass, staff feared additional, unmanageable workload brought on by more parents using the new information they obtained from the interactive tool to contact them via telephone to ask questions about changing their orders. Another challenge was keeping up with Federal- and State-level legislative changes that affected the tool. When OCSE issued new rules pertaining to review and adjustment during the development phase and Iowa updated its child support guidelines, the tool also required changes. In addition, staff found it challenging to translate complex rules into simplified language. Although Iowa did not offer any specific tips to other States, administrators noted that the tool had many positive benefits and that other States should consider its replication.

Actions Taken on Requests August 2004 (versus 2003) February 2005 (versus 2004)
Calls Received 25% more 15% fewer
Modification Packets Sent 21% more 23% fewer
Suspension Packets Sent 2% more 14% fewer
Modifications Requested 11% fewer 17% more
Modifications Approved 2% more 21% more
Requests Resulting in an Order 24% more 16% more
Requests Resulting in No Change 15% fewer 98% more

NOTE: Represents an increase of only 56 requests.

Although Iowa anticipated fewer calls to its Specialized Customer Service Unit ( SCSU) and anticipated fewer packets being sent to customers, the increases were attributed to factors other than the existence of the changing support module (e. g., more use of the Website in general).

As a result of this project, customers have 24/7 access to information about the modification processes and the ability to download request forms to complete and submit to the local child support office. They are able to participate in the process more effectively since they can become more knowledgeable about child support policies and procedures. The decision to guide customers through various questions to determine if the case qualifies for a modification helps customers decide whether or not to apply.

Lessons Learned/Recommendations

Grant Number: 90FI0045
Project Officer:ACFOCSEGrantsinfo@acf.hhs.gov
Project Period: 01/01/2003 through 08/31/2004

Maryland

Maryland Child Support Enforcement Administration

“Paternity Opportunity Program (POP)”

This grant responds to 1998 Special Improvement Project (SIP) priority area: Temporary Assistance for Needy Families (TANF) Innovations. The objectives of the POP project were to increase the number and percentage of signed in-hospital paternity affidavits and to provide work opportunities for four recipients of Maryland’s Welfare-to-Work program (during which participants learned how to write a resume, look for a job, and conduct an interview).

Six candidates (5 women and 1 man) were selected for the POP program, though only four worked at any one time. After selection, the individuals were trained in the areas of child support, paternity establishment, and professional conduct. The University of Maryland School of Social Work provided child support training; the Baltimore City Department of Social Services provided customer relations and professional conduct training, including learning how to maintain a job and how to be an effective employee; and the Maryland Child Support Administration provided paternity establishment training.

To give participants a variety of experiences, work assignments included Mercy Medical System, Harbor Hospital, Maryland General, Sinai, Prince George’s County, Holy Cross, the University of Maryland Medical System, and Johns Hopkins. Upon completion of the project, three of the six POP participants were offered full-time positions. The number and percentage of in-hospital paternity affidavits signed while POP participants were employed increased, but not significantly.

There were some problems with POP participants’ job-related behavior, leading project staff to recommend additional up-front training in professional conduct and job maintenance skills. Overall, the POP participants did very well and demonstrated a sense of pride and responsibility in their work.

Lessons Learned/Recommendations (from the Final Report):

Grant Number: 90FI0010
Project Officer:ACFOCSEGrantsinfo@acf.hhs.gov
Project Period: 9/01/1998- 9/29/2000

Michigan

Muskegon Family Division of Circuit Court— SIP Grant

Muskegon County Family Court Services Non-Custodial Parent Work First Program


(NOTE: Includes Findings from the Final Report)

Project Plan

This 17-month grant responded to 2003 Priority Area 1: Helping low-income fathers meet their child support and family responsibilities. The Muskegon County Family Court Services of Muskegon, Michigan developed of “The Non-Custodial Parent Program” (NCPP) to assist unemployed and/or underemployed noncustodial parents (NCPs) through a Court Probation Order to secure and maintain a job while being monitored by the court system. The project worked to improve overall family welfare by increasing the emotional and financial contribution made by NCPs to their children, with a focus on current support issues and arrears complications.

The NCPP addressed several challenges Muskegon County was facing: twenty percent of the County’s population was on the child support rolls; the County did not have access to state-of-the-art computer and/or tracking devices; and property liens were not proving to be effective compliance tools since the majority of the child support-owing population did not possess bank accounts or property.

The focus of enforcement in the Muskegon County Family Court Services – Friend of the Court Division was early intervention. Since the project’s start, all Paternity and Civil Support Orders issued through the Office of the Muskegon County Prosecuting Attorney contained language directing the payer to participate in NCPP.

NCPP worked to coordinate services with established community agencies, including local child support agencies, the Responsible Fathers Initiative, the local Department of Employment and Training, and community- and faith-based organizations.

The project facilitated the following staff additions: a Specialized Enforcement Officer to monitor compliance and enforcement; a Child Support Specialist to review support orders and monitor compliance; and a Caseworker to focus on parenting time and relationship issues. (NOTE: these activities are not eligible for title IV-D program Federal financial participation.)

NCPP successfully used several forms of media outreach to generate voluntary NCP participation. The project rented 8 billboards to announce the new initiative in Muskegon County; took out a 45-second ad on the local radio station; distributed program pamphlets to various agencies and businesses; implemented a “two-card” system of providing new participants with two business cards—one to keep and one to give to someone who might benefit from NCPP’s services. Staff were also encouraged to publicize the project through word-of-mouth within the community. Copies of the NCPP brochure, Muskegon Responsible Fathers Initiative brochure and the Incarcerated Fathers Count brochure were distributed to the community via county and State offices, counseling agencies, Workforce Development Centers, substance abuse treatment programs, and select private businesses.

Upon enrollment in the program, two court hearings took place on the same day that addressed the amount of the child support order and obtained a court order for program participation. Both documents were signed by the participant and a judge, and witnessed by a Child Support Specialist. NCCP then established a case by sending the participant a letter which included an NCCP brochure explaining that a 14-day window was given before the participant begins to make CS payment or provide employment information to the court. This initial letter was followed up in 14-21 days and if there were no response, another letter was sent. If the second letter received no response, and the payer had a valid Michigan Driver’s License, suspension proceedings were initiated. If the payer responded to the suspension notice, then enrollment in the NCPP would temporarily lift the sanction. The sanction would be lifted upon successful completion of the program. If the payer did not have a valid driver’s license, the matter was set for a Show Cause Hearing. If the payer appeared for the hearing and was appropriate for NCPP, an order was issued requiring participation in the program. If the payer failed to appear, a request for a Bench Warrant was forwarded to the Judge assigned to the case. In addition, other sanctions such as revocation of professional or sporting licenses, credit bureau reporting and property liens were considered.

The participant was automatically enrolled in one-stop mediated services and attended a mandatory NCPP orientation within 2 weeks of enrollment. The participant was assigned to a Workforce Development Center in the county of residence. The participant also completed a Friend of the Court questionnaire to generate a support review that could lead to modification or discharge of arrears. Finally, the participant was given the option of participating in a repayment plan for a period of 24 months. If the repayment plan was successful, remaining arrears could be discharged. The participant was able to access parenting time mediation services.

Project Findings

During the implementation period of NCPP, participation in the program and the amount of child support collected both increased. In 2003, 288 NCPs participated in the program and $101,522 was collected. In 2004, 625 NCPs participated, and $320,713 was collected. Of the program’s total participants, 311 were able to complete the 90-day employment cycle, and showed a 35 percent success rate in maintaining employment. Successful completion of the NCPP was achieved by maintaining full-time employment for 90 days.

Grant Number: 90FI0050
Project Officer:ACFOCSEGrantsinfo@acf.hhs.gov
Project Period: 01/01/2003 through 05/31/2004

Montana

Montana Department of Public Health & Human Services, Child Support Enforcement Division (CSED)

This 17-month project addressed 2003 Grant Priority Area 3: Increasing Medical Coverage for Children in IV-D Cases. This project developed and implemented procedures to initiate enforcement of custodial parent (CP) medical support obligations in appropriate cases. The purpose of the project was to increase the number of children in IV-D cases with medical coverage.

Prior to receiving this grant, the Montana CSED only enforced medical support obligations against noncustodial parents (NCPs), leaving a gap in children’s coverage for cases in which insurance was not available to those NCPs. While Montana laws allowed for the enforcement of medical support obligations against the CP as well as the NCP, the CSED had not previously implemented the CP side of this enforcement authority. The project focused on system enhancements and procedural changes needed to implement CP medical enforcement.

The system design built on the existing NCP-only design, creating new elements as needed to support project field requirements. To accomplish the technical aspects of the project, the CSED contracted with a vendor to perform all system design and development tasks.

Project Findings

Montana established six evaluation measures for the project, as follows. Of the total number of cases with medical support ordered, the percentage of those cases in which health insurance coverage was currently in effect increased from 27 percent to 30 percent. The State also looked at whether the parent with health insurance credit in the guidelines was the parent who provided coverage under the NMSN. This percentage increased slightly, from 72 percent to 74 percent and was seen to indicate the beginning of a shift toward fairer medical enforcement, where the parent who obtained a more favorable support amount based on payment of premiums was the parent whose obligation was enforced.

The third measure looked at the percentage of cases in which the parent with existing coverage was the parent who provided coverage under the NMSN. Under this measure, there was an insignificant improvement from 96 percent to 97 percent. The fourth measure looked at the percentage of cases where the NMSN resulted in coverage. This number rose quite significantly in the first six months of implementation, from 6 percent to 28 percent.

The project also looked at the number of cases closed by the CP as a result of medical enforcement against the CP. While only 9 cases were closed by CPs during the six months of the study, approximately 200 medical support enforcement actions against CPs were initiated each month. So the number of case closures was relatively small. Although there was some resistance initially on the part of some CPs, they tended to understand after it was explained to them. Montana had a few CPs request closure of their case, but it was minimal. Resistance from a CP did not impact the decision for picking the appropriate enforcement parent. Regarding cash medical to reimburse CP premiums or to pay for incidental costs not covered by insurance, Montana's guidelines assess each parent a percentage of responsibility for unreimbursed medical expenses.

Finally, the CSED estimated the total Medicaid savings for the period of January through July 2004 to be $1,743,858. Based on earlier figures, the CSED estimated that Montana realized an additional $93,273 per month in Medicaid cost avoidance since the beginning of the effort to enforce CP medical support.

Update as of April 2007

Montana stayed committed to the policies and procedures developed as part of this grant, and continued its integrated approach to medical support enforcement activities, which included enforcement against CPs in appropriate cases. Since the conclusion of the grant, the CSED offered periodic training to staff on the medical support enforcement procedures and developed flow charts and Frequently Asked Questions to assist workers.

The CSED's ultimate goal with this project was to increase the number of children with health insurance coverage. In January 2004, prior to the start of this grant, the CSED only had 9,008 children documented in its automated system as having health insurance coverage available. At the end of FY 2006, the CSED's system reflected that 14,583 children had health insurance coverage available. This was a 61 percent increase. The State continued to see increases but at a lower rate as the increase in children covered has stabilized (for example, in FY 2006, the CSED increased the number of children covered by insurance by almost 3.5 percent).

In addition, as reported on the CSED's OCSE-157 Report for FY 2006, 47 percent of the CSED's cases in which medical support was ordered had health insurance provided. While the NCP is still the primary provider of health insurance coverage, since implementation of enforcement against CPs, coverage provided by CPs now accounts for almost 30 percent of the health insurance policies. Finally, as a result of the CSED's efforts in the medical enforcement area, the CSED believed that the Montana Medicaid program may realize annual savings between $2 and $3 million.

Lessons Learned

Grant Number: 90FI0049
For Information, contact: ACFOCSEGrantsinfo@acf.hhs.gov
Project Period: 01/01/2003- 5/31/04 (extended to 7/31/04)

Nevada

Eighth Judicial District Court’s Child Support Drug Court Project

This 17-month project addressed the 2000 Grant Priority Area 4: Improving Parental Responsibility and Services. It was designed to deal with noncustodial parents (NCPs) who failed to comply with their child support obligations, primarily as a result of a severe substance abuse addiction. The program goal was to increase the amount of collections and frequency of payments.

Partners included the Court, the District Attorney’s Office, the Clerk’s Office, the Detention Center, and the Nevada Employment Assistance Program. The emphasis of the Court wasn’t immediately on payment and arrears amounts, but rather, on sobriety, compliance with treatment, and follow-through on obligations. This was very different from the regular child support calendar since the focus was longer-term and geared toward wellness. The court team played a critical role in motivating obligors to progress in the program. Each member of the team, including the Deputy District Attorney (DDA) was responsible for holding the obligor accountable for his or her behavior and for providing positive affirmation for achievements.

Participants in the program were not expected to work (if unemployed) until they were through the first phase of treatment. The goal in this phase was to detoxify from substances. The majority of participants had been using drugs 15 – 20 years and didn’t have much experience with sobriety. During the second phase of treatment, obligors were expected to begin job readiness and job search activities. Phases 3 and 4 of treatment focused on recovery, skills development, and processing and practicing skills.

The comprehensive program provided judicial supervision and treatment focusing on obligor sobriety and accountability, and utilized sanctions and incentives to help individuals take control of their own recovery. Eligible NCPs, who admitted to a substance abuse problem, were referred to the program by the Child Support Hearing Master. The individual had to sign a consent agreement to release treatment information to the court. Also, the participant and the Hearing Master signed a contract which described the treatment regimen and consequences for non-performance, including the possibility of being held in contempt of court. The program provided ongoing monitoring and supervision including regular drug testing and appearances in court. Referral services consisted of intensive mental health and substance abuse counseling, vocational assessment, job assistance, and aftercare support. To graduate, the participant had to meet all treatment and financial obligations, had to be working, and be drug-free for 6 months.

Findings/Lessons Learned

Results

Out of 23 people who received some service under the grant, a total of 15 clients had at least 2 months or more of treatment. The data showed that these clients were able to have increased earnings and increased the total amounts paid for child support and arrears while participating in the program compared to 12 months prior to the program.

The Court continued to fund the Child Support Drug Court Program beyond the grant period because of its positive results. (Also, these activities are not eligible for title IV-D program Federal financial participation.) As of March 2003, while the number of participants remained small (averaging about 16), the majority realized significant increases in child support payments (43 percent – 75 percent). Graduates from the program had a 24-percent compliance rate for one year prior to admission, a 72-percent compliance rate while in the program, and a 75-percent compliance rate post program.

Grant Number: 90FI0030
Project Information: ACFOCSEGrantsinfo@acf.hhs.gov
Project Period: 07/01/2000 through 11/30/2001

New Jersey

NJ Department of Human Services, Division of Family Development

Office of Child Support and Paternity Programs

Feasibility Study of Review and Adjustment Procedures for Medical Support

This 12-month project addressed 2000 Priority Area 3, concerning review and adjustment processes. The study explored the efficacy of using a Medical Support Facilitator during the review and modification process to determine the most appropriate healthcare coverage (private or public) for a child. The study used a test environment to examine the potential impact of ordering the noncustodial parent (NCP) to meet his or her obligation to provide the Medical Support Facilitator-determined health coverage through the payment of cash medical support to the State Disbursement Unit. A cash medical support guideline was also developed as part of the study. The study examined the feasibility of automating the collection of the medical support obligation through income withholding and distributing the premium payments to either the private provider or to FamilyCare, the State’s public health insurance program. New Jersey wanted to automate the process as much as possible so that the system established requires the NCP to make all payments through the State Disbursement Unit and any missed payments would be collected through automated collections remedies.

Project Findings

The study concluded that performance in medical support establishment can be enhanced through improved review and adjustment of support order processes. The enhanced performance was obtained through automated process efficiencies. Implementation of the proposed medical support guideline developed during the study and of the proposed review and modification procedures would garner the following key benefits:

The study indicated that cash medical support orders ease enforcement burdens significantly because they allow for greater consistency in enforcement through automated means.

Grant Number: 90FI0028
For Information, contact: ACFOCSEGrantsinfo@acf.hhs.gov
Project Period: 07/01/2000-06/30/2001 (extended to 12/31/2001)

To review the final report, see DCL-03-10, April 23, 2003 at http://www.acf.hhs.gov/programs/cse/pol/DCL/2003/dcl-03-10.htm

New Jersey subsequently applied for and received a Section 1115 grant, “The In-Court Facilitator Project,” which ran from 10/1/2002 through 8/31/2003. For a summary of that project, see “Summary of Medical Support Demonstration Findings,” DCL-07-28, September 24, 2007, at http://www.acf.hhs.gov/programs/cse/pol/DCL/2007/dcl-07-28.htm. The idea for an In-Court Facilitator Project grew out of findings from the Feasibility Study SIP grant.

North Carolina

North Carolina Department of Social Services (NCDSS)

Expansion and Use of Automation to Improve Customer Services-Early Intervention Project

(NOTE: Includes Findings from the Final Report)

Project Plan

This grant responded to 2003 Priority Area 4: Expanding Customer Service through Agency-Initiated Contact. A large percentage of delays in children receiving their child support were due to missed appointments, forgotten hearings, and delinquent support payments. This project planned to use automated dialing as a non-confrontational means of reminding both custodial and non-custodial parents of upcoming appointments and payments due without the involvement of CSE staff. The project sought to reduce the number of missed appointments and delinquency payments, and increase payments due on support orders and the rate of collections among the approximately 44,000 clients served in the State.

The project used a "PhoneTree 3500" automated dialing product based out of Winston-Salem, North Carolina. The automated dialing system has three components: 1) Non-custodial parents were called and reminded of upcoming appointments with the child support agency and court hearings up to three days in advance; 2) Non-custodial parents were called with a reminder that the first payment will be due on new child support order, and on an initial delinquency on a new order; and 3) Custodial parents were called and reminded of upcoming appointments with the child support agency.

Project Findings

The project monitored call volume through the use of North Carolina's Data Warehouse System, and showed an average of 1,877 calls per day or 59,345 calls per month. Between August 2003 and November 2004, statewide appointment attendance showed an increase from 56% to 61%. Statewide hearing attendance rose slightly, from 85% to 87%, for the same period. Between August 2003 and December 2004, delinquencies on new orders that were resolved within 30 days rose from 31% to 38%. The project also received positive feedback from local offices regarding increased court appearances by non-custodial parents.

The project did not evaluate cost-effectiveness; however, the automated dialing product's cost was exceeded by the increased amount of collections brought in. The software cost only approximately $16,000, yet there were unforeseen increased costs to the State due to the need for additional staff at the customer service center to answer follow-up phone calls generated by the automated calls.

The project plans to continue the established automated dialing protocol, and is proposing the following enhancements: 1) Calls to all non-custodial parents with cases in delinquency/enforcement status for more than 60 days; 2) Calls to all non-custodial parents with cases in delinquency/locate status for more than 60 days; and 3) Calls to custodial parents with cases in locate status for more than 60 days to obtain updated information about the non-custodial parent.

Lessons Learned

Best practices and lessons learned by the project include: prepare the database with as many updated and missing phone numbers as possible; have procedures in place to correct incorrect phone numbers in the database; eliminate unnecessary data from the batch files that are downloaded to the automated dialer, i.e., social security number and date of birth are not needed for reminder calls; save data for six months on CDs.

Note: The May 2004 Child Support Report contains an article on the NC Automated System - http://www.acf.hhs.gov/programs/cse/pubs/2004/csr/csr0406.html

Grant Number: 90FI0046
For information, contact: ACFOCSEGrantsinfo@acf.hhs.gov
Project Period: 1/1/03 - 5/31/05

Washington

Division of Child Support, Yakima Office

Madrina Project

This grant responded to 2001 Priority Area 4: Projects which Further Outreach to Latino/Hispanic Community. The Yakima Division of Child Support (DCS) focused on: exploration of the barriers to effective service and consumer education and communication projects. Their goal was to provide more accessible and culturally relevant services to the significant proportion of Hispanic community members who lived within the catchment area (eastern Washington Valley). This area experienced a large increase in its Hispanic population (farm workers and related industries as well as seasonal and migrant workers) in Yakima and eight small communities. Within this area, families were often of limited English proficiency (largely Mexican descent), and experienced profound social, cultural, and economic transitions. The language barrier, low income, and the technicalities of the child support enforcement system required significant outreach efforts to build trust within this culture and in dispersed communities.

Community leaders, or Madrinas, were recruited to serve as the core strategy to work with this population and provide information to increase their access to child support and related social services. The role of Madrinas is that of godparents within Hispanic culture.

Training

Fourteen volunteers were selected from among already highly respected community members. Extensive training, over 100 hours, was provided. All presentations and materials were in English and Spanish. Training included:

Seven volunteers received an additional specialized family mediation training which involved 40 hours of training and approximately 100 hours of internship over 12 months preparing for examination and certification.

Media Campaign

An extensive media campaign was undertaken. In addition to newspaper and newsletter articles, interviews with the project coordinator and Madrinas were presented by local television news stations and by the local Spanish language radio station. The radio station also provided ongoing public service announcements in Spanish describing the new project and outreach efforts by the Yakima DCS.

Volunteer Outreach

Throughout the project, the Madrinas appeared with the project coordinator at community activities, events, and public forums to discuss child support processes and develop referrals for services. Presentations were made at local celebrations such as Cinco de Mayo, community and church events, and in public forums held in small rural communities in the Yakima Valley. Volunteers answered questions, gave people educational materials in Spanish, and made referrals to child support services, when appropriate.

Summary of Findings (from the Final Report)

This project demonstrated a significant increase in the level of awareness, access, involvement, and support for the child support enforcement program by the targeted Hispanic community. Ongoing reports and updates to State staff increased understanding of how best to work with community members.

In addition, the project helped the State DCS identify barriers in reaching this community:

The Madrina Project received a total of 140 client contacts during the project period. Client contacts ranged from educating clients on child support services and collection processes to arranging referrals to other organizations.

From April 2001 through September 2002, the Madrina Project provided 24 non-public assistance Spanish applications from DCS services upon the clientsÂ’ request. Client requests were received by phone or in person.

The Madrina Project also provided family mediation service referrals to the Dispute Resolution Center of Yakima and Kittitas Counties (DRC). Of the 9 referrals, 7 were DCS cases, 5 of which made regular consistent monthly support payments.

Since the project was implemented, there has been an increased DCS presence in the community by project staff and the Madrinas. They have reported the following observations from their experience during the project:

Lessons Learned/Recommendations for Continued Improvement

Grant Number: 90FI0040
Project Officer: ACFOCSEGrantsinfo@acf.hhs.gov
Project Period: 03/01/2001 through 09/30/02

Washington

Washington State Department of Social and Health Services, Division of Child Support

Washington State Agencies Join Forces to Study Outreach to Incarcerated NCPs

This 17-month grant responded to 2001 Priority Area 3: "Improving Child Support Orders, Collections, and Job Program Referrals for Low-Income Fathers." The State of Washington’s Division of Child Support (DCS) project was to study outreach strategies for incarcerated noncustodial parents (NCPs). DCS partnered with two other agencies, the Washington Department of Corrections (DOC) and the Washington Employment Security Department (ESD). DCS proposed to increase child support payments from a group which traditionally did not pay child support regularly, if at all. ESD wanted to help NCPs who had recently been released from prison become employed as quickly as possible, and DOC wanted to decrease recidivism rates.

Project partners believed that inappropriately high child support orders and excessive child support arrearages might combine to create a disincentive to paying support upon the NCPs’ release from prison. That, combined with employment barriers commonly faced by recently released inmates, might lead to higher rates of recidivism. In an effort to improve child support payment rates and employment, the project partners studied two outreach methods, low effort and high effort (described below), to determine if either produced significantly different results.

Project Findings (from the Final Report)

A key component of both outreach methods was the child support information video created specifically for this project. Project partners designed the child support information video to achieve two purposes -- to answer common questions that inmates have about child support issues, and to invite inmates to work with DCS and ESD to assist with their child support cases and with obtaining employment upon release.

In addition to using the video in the Project, the partners shared it with other States’ child support programs. Project staff received very positive feedback from some States. For example, several counties in California requested a copy for use in their outreach programs.

DOC showed the video to approximately 10,000 inmates during the project period. DOC estimates that about 30 percent of incarcerated individuals have children. During the project (June 2001 through December 2002), DCS received 1,531 contact letters from inmates who had seen the information video.

Low-Effort Outreach

Under the low-effort outreach approach, DCS reviewed the child support cases of all 1,531 NCPs and sent each NCP a response with information about his or her individual situation with recommendations for actions to pursue, and the forms necessary to initiate the recommendation. DCS generally recommended that the NCPs seek to modify their child support obligations prospectively, to request a hearing on an administrative notice, or to request that DCS write off arrearages owed to the State of Washington. ESD also reviewed the inmate’s situation and sent the NCP information and advice regarding employment options upon release.

High-Effort Outreach

The high-effort outreach method added an in-person meeting with the incarcerated NCP. Each month during the project, DCS selected, based on release date and particular child support issues, a group of NCPs for a one-on-one meeting. Staff from DCS and EDS met with the inmates to explain their child support cases and the options available for their individual situations. DCS also explained how to complete the necessary forms and other information required for initiating the recommended changes to the NCPs’ child support cases. ESD staff met with the NCPs to explain what employment resources were available to them upon release and to provide them with specific information about whom to contact at an employment assistance agency.

Results

Of the 1,531 incarcerated NCPs in the project: 59 inmates had no child support case and 1,472 inmates contacted DCS. The number of inmates who initiated action was 525: 59 NCPs initiated under the low-effort method and 466 initiated under the high-effort method.

The results were mixed. The grant compared the NCPs’ responses to both outreach methods. For the low-effort outreach, about 34 percent of inmates responded, and for the high-effort method, about 64 percent responded. The impact on both arrears and order amount was greater (i.e., decreases in average arrears owed and decreases in monthly order amounts) for those NCPs who responded than the NCPs who did not respond. By contrast, the State noted more improvement in payment rates among NCPs who did not respond than those who did respond. The reason for this difference is unknown. Other unmeasured variables may have impacted the outcomes for this project, including the length of time to process an NCP request, whether the order met modification criteria, and whether or not the arrears were owed to the State of Washington and were eligible for write off.

Also, ESD was able to offer employment services only to a small number of recently released NCPs (13 in the low-effort group sample and 5 in the entire high-effort group). As the project progressed, Welfare-to-Work (WtW) agencies lost funding and were less able – sometimes unable to offer these services than originally anticipated in the project proposal. Those NCPs who received a WtW referral had more quarters of employment overall (average 1.09 quarters) than those NCPs who did not receive WtW services (average .41 quarters). However, there were too few NCPs who received WtW services to create a statistically significant population.

Lessons Learned/Recommendations

The differences between the high-effort group and low-effort group (and within those groups the NCPs who responded or didn’t respond) made it difficult to draw firm conclusions. In order to draw conclusions upon which reasonable decisions can be made, it was suggested that any further studies include a larger group of incarcerated NCPs and that their cases be studied for a longer period of time. Especially in a study of child support payment rates, the fact that inmates generally spend multiple years in prison makes it necessary to conduct a longer term study.

Project partners further recommend that other studies include collection of demographic data, such as work history, education, number of children in different families, and recidivism rates.

For States considering creating a new outreach program or modifying an existing program, the project revealed several factors that can contribute to the success of an outreach program:

Grant Number: 90FI0042
Project information: ACFOCSEGrantsinfo@acf.hhs.gov
Project Period: 03/01/2001 through 7/31/2002 (extended to 7/31/2003)

Download FREE Adobe Acrobat® Reader™ to view PDF files located on this site.

OCSE Home | Press Room | Events Calendar | Publications | State Links
Site Map | FAQs | Contact Information
Systems: FPLS | FIDM | State and Tribal | State Profiles
Resources: Grants Information | Información en Español | International | Federal/State Topic Search (NECSRS) | Tribal | Virtual Trainer's Library

Last Updated: May 11, 2009