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Child Welfare - State Performance on Child & Family Services Reviews (Paperback)
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Child Welfare - State Performance on Child & Family Services Reviews (Paperback)
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While child welfare programs are a primary responsibility of state
and local governments, the federal government appropriates close to
$7 billion annually to support these programs (primarily for foster
care and adoption assistance) and states are required to meet
certain federal policies in order to receive this funding. Child
and Family Services Reviews (CFSRs) gauge state efforts and ability
to achieve the primary goals of safety and permanence for children,
and well-being for children and their families. The review is
intended both to measure state compliance with federal child
welfare policy and to strengthen and improve state child welfare
programs. The Department of Health and Human Services (HHS)
conducted the initial round of onsite reviews between March 2001
and March 2004. No state was found to be in substantial conformity
with all of the outcomes and systems assessed. Some critics of the
CFSR argue that while the outcomes reviewed are on target, the
criteria established to determine state achievement of those
outcomes may give misleading information about a state's
performance. Although much attention has focused on states' uniform
inability to meet all of the federal criteria, the reviews also
showed certain relative strengths. States showed the greatest
ability to ensure that children were not exposed to child abuse and
neglect and remained safely in their homes whenever appropriate and
possible, and in preserving their family relationships and
connections. They had the most difficulty in achieving permanent
and stable living arrangements for children, enhancing the capacity
of families to meet the needs of their children and in seeing that
appropriate mental and physical health services were available to
children served. Information regarding ensuring provision of
educational services to children was more mixed. In addition to
reviewing outcomes, the CFSR assesses state compliance with federal
child welfare policy by examining certain federally required
systems. States were most likely to be found successful at
operating a statewide information system; maintaining foster and
adoptive parent licensing, training, recruitment and retention; and
responding to community concerns. They were least likely to have a
strong service array or case review system in place. Ratings of
state quality assurance and training systems were more mixed. To
avoid immediate assessment of penalties for failure to comply with
federal policy, each state was required to develop a Program
Improvement Plan (PIP). A PIP must address each one of the outcomes
or systems with which a state was found to be out of substantial
conformity and must describe the state's specific plan for moving
toward full conformity with federal policy. A few states have
successfully completed their PIPS but most are still in the process
of implementing them. The Children's Bureau has begun planning for
a second round of CFSRs and onsite reviews will likely begin in
FY2006. This book describes the origins and design of CFSRs before
turning to its primary discussion: state performance in the initial
round of CFSRs.
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