Group Care in Floridas Child Welfare System Office

Group Care in Florida’s Child Welfare System Office of Child Welfare Quality Assurance/Continuous Quality Improvement September 2012

Key Facts The 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 a year. 2

Total Children июл-12 май-12 мар-12 янв-12 ноя-11 сен-11 июл-11 май-11 мар-11 янв-11 ноя-10 сен-10 июл-10 май-10 мар-10 янв-10 ноя-09 сен-09 июл-09 май-09 мар-09 янв-09 ноя-08 сен-08 июл-08 май-08 мар-08 янв-08 ноя-07 сен-07 июл-07 май-07 мар-07 янв-07 ноя-06 сен-06 июл-06 Total Children 30000 20000 -10% -15% 15000 -20% 10000 -25% -30% 5000 -35% 0 -40% Percent Reduction 3 Percent Reduction Total Foster Care Population July 2006 – July 2012 5% 0% 25000 -5%

л 06 се н 0 но 6 я 0 ян 6 в 0 ма 7 р0 ма 7 й 0 ию 7 л 07 се н 0 но 7 я 0 ян 7 в 0 ма 8 р0 ма 8 й 0 ию 8 л 08 се н 0 но 8 я 0 ян 8 в 0 ма 9 р0 ма 9 й 0 ию 9 л 09 се н 0 но 9 я 0 ян 9 в 1 ма 0 р1 ма 0 й 1 ию 0 л 10 се н 1 но 0 я 1 ян 0 в 1 ма 1 р1 ма 1 й 1 ию 1 л 11 се н 1 но 1 ян 1 в 1 ма 2 р1 ма 2 й 1 ию 2 л 12 ию Reduction in Foster Care Population by Placement Type July 2006 – July 2012 14000 12000 10000 8000 6000 4000 2000 0 Relative Placement Family Based Licensed Care Facility Based Licensed Care Non-Relative Placement 4

Reduction in Foster Care Population by Age July 2006 – July 2012 Age 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 0% -11% -14% -17% -20% -22% -21% -30% -31% -40% -50% -36% -35% -34% -36% -38% -40% -47% -46% -50% -60% 5

Proportion of Time Spent in Congregate Care 30% 25% 20% + 1 SD 15% mean 10% - 1 SD 5% G W M O U J P Y a rid D Flo T V B K E S X L C N H F Q I A 0% Chapin Hall at the University of Chicago; Center for State Foster Care and Adoption Data Sample 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. 6

Potential Savings Based on Elimination of Group Care for Children 12 and Under Program Number of Children 12 and Under Average Bed Average Cost Days per Child 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 1, 872 in Licensed FH Actual Cost Minus 159 Potential Savings $17 $5, 060, 016 Estimated Cost $10, 724, 446 Based on Licensed Care Payments for Service Period 7/1/2011 – 6/30/2012 7

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 in Group Care *Based on a child’s placement at the 30 th day of the removal episode, for all children removed between 6/1/2012 and 5/31/2012. 8

rd ke Ec ip iti ilie s on In c. 81 am r. F fo al Co s, ilie . nc 28 d n re ild Ch m Fa s, I id c 49 Un ite Sa fe ng tro r. S fo In nc 33 Ou r. K rid a, Flo l, I In c 69 sh of nt ra Ce n, re c. In 88 rtn er st ds Ki ild a, rid m c. In ra k, og Pr Flo Ch rth fo r Fir nd ds tla Ki ar He No ity or In c. 76 of In te gr w s, 98 FS S ily Fa m et In c. In In c. ug h ro ive rn at te Al re n, ld lls bo Hi irs t. N s. F ilie m Fa ity un m m Co t, rid a, Flo hi r. C fo ive s, at rn te Al sh ip er rtn f. S W ild Ne nc. 250 Pa rd ty un i ke Ec m Pa ko or tw Ch 182 m Co un ity m m Ne a rid ns , I . ip sh l. F lo tio nn ec Co nt ra Ce rtn er nc re , I Ca 178 Co n' s re ily of Pa d 50 ild m Fa C ily m Fa se Ba 200 Ch an d CB d va r un ity m m Br e Co 100 Ch ild en d g. B Bi Number of Children in Group Care 9/16/2012 300 270 251 237 188 150 117 75 65 39 7 0 9

rd ke ip sh rtn er d at id e ew 10, 9% St on ilie s am iti In c. 10, 0% r. F fo al Co s, . nc 5, 4% Un ite n re ild Ch ilie m s, I c In nc 14, 6% Sa fe Fa id a, rid Flo l, I In c 12, 6% Ou r. K of ng tro r. S fo st nt ra Ce n, re . m In c ra a, rid ild Ch ds Ki fo r Fir nd Flo og c. In 7, 6% ds tla rth Pr k, 10, 9% Ki ar No ity or w 5, 6% He of In te gr In c. 7, 2% FS S ily et s, ive ug h 12, 0% Fa m irs t. N s. F ilie rn at ro bo In c. 12, 1% m te Al lls Hi re n, 14, 0% Fa ity s, ld In c. 8, 0% un m m Co ive at rn hi r. C rid a, In c. 19, 0% Pa rd te fo Flo t, nc. 6, 0% ke Al sh ip f. S W ko ild Ne Ch a rid ns , I . ip sh l. F lo tio nn ec Co nt ra Ce rtn er nc re , I Ca 6, 1% Ec ty un i er rtn or ily of Pa d 14, 1% m Pa tw Ne m Fa C ily m Fa se Ba 16, 0% m Co un ity n' s re an d CB d va r un ity m m Br e Co 20, 0% Ec m m Co ild Ch Ch ild en d g. B Bi Percent of Children in Foster Care in Group Care 9/16/2012 18, 0% Statewide- 10. 9% 15, 1% 13, 1% 10, 7% 10, 9% 9, 5% 8, 1% 6, 8% 5, 8% 4, 0% 2, 0% 0, 0% 10

rd ke Ec ip sh rtn er iti s on ilie am r. F fo al Co nc. s, I ilie 15, 8% d n re ild Ch c. In 17, 8% Un ite Sa fe am id s, c In nc l, I ra rid a, Flo Ou r. K of In c 30, 0% ng F tro r. S fo st Ce nt n, re c. m In ra a, rid ild Ch ds Ki fo r Fir nd Flo og c. In 14, 9% ds tla rth Pr k, 25, 6% Ki ar No ity or 15, 3% He of In te gr c. In 17, 4% FS S ily w et s, ive c. In ug h ro n, 26, 0% Fa m irs t. N s. F ilie m te rn at Al lls bo Hi In c. 24, 6% Fa ity ive s, at hi ld re a, 20, 0% un m m Co rn te r. C fo rid In c. 36, 8% Pa rd ke Al sh ip er Flo t, nc. 15, 0% Ec ty un i rtn W f. S ko ild Ne Ch ns , I a rid ip sh l. F lo tio nn ec Co nt ra Ce . nc , I re rtn er Ca 25, 0% m Pa or tw Ne ily of Pa d 25, 4% m Co un ity m m m Fa C ily m Fa se Ba 40, 0% Co n' s re ild Ch an d CB d ty un i m va r Br e m Co 35, 0% Ch ild d g. B en Bi Percent of Children in Licensed Foster Care in Group Care 9/16/2012 Statewide- 24. 1% 32, 0% 30, 3% 27, 7% 28, 5% 26, 0% 19, 9% 21, 4% 17, 1% 11, 8% 10, 0% 5, 0% 0, 0% 11

rd ke Ec ip sh d s ilie on 55% am iti 50% r. F fo al Co nc. s, I ilie c. In 100% Un ite n re ild Ch id s, c In nc 10% Sa fe am ng F tro r. S fo a, rid Flo l, I Statewide- 44% Ou r. K of ra In c 60% rtn er st Ce nt n, re c. m In ra a, rid ild Ch ds Ki fo r Fir nd Flo og c. In 21% ds tla rth Pr k, 49% Ki ar No ity or w 80% He of In te gr In c. 65% FS S ily s, ive ug h 66% Fa m et irs t. N s. F ilie m rn at ro In c. 30% Fa te Al bo lls Hi c. In 67% ity s, re n, ld hi r. C rid a, In c. 62% un m m Co ive at rn te fo Flo t, 90% Pa rd ke Al sh ip er f. S W . In c 48% Ec ty un i rtn ko ild Ne Ch 10% m Pa or tw Ne ns , a rid sh ip er l. F lo tio nn ec Co nt ra Ce . nc , I re rtn Ca 11% m Co un ity m m ily of Pa d 50% Co n' s re ild m Fa C ily Fa m se Ba 20% Ch an d d CB ar ev un ity m m Br Co 70% Ch ild en d g. B Bi Children in Group Care Placed Out-of County September 16, 2012 97% 84% 71% 75% 67% 53% 40% 22% 14% 0% 12

Initial Placement in Group Care by Age at Removal* Children Removed Between 6/1/2011 and 5/31/2012 50, 0% 45, 0% 40, 0% 37, 4% 38, 0% 35, 0% 29, 3% 30, 0% 29, 8% 25, 0% 23, 3% 20, 0% 15, 9% 15, 0% 11, 4% 10, 0% 7, 5% 5, 0% 1, 7% 0, 0% 0 1 2 4, 3% 4, 0% 3, 4% 2, 6% 3 5, 6% 4 6, 5% 12, 8% 6, 7% 3, 3% 5 6 7 8 9 Age at Removal 10 11 12 13 14 *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. 15 16 17 13

Length of Stay (in months) for Children 0 – 5 in Group Care 9/16/2012 30 50 47 45 26 25 40 22 20 Number of Children 20 35 35 33 33 30 16 26 15 25 22 20 11 10 10 9 9 15 6 6 6 6 10 5 4 3 3 3 3 2 1 0 0 Less than 1 Month 1 Between 1 and 3 Months 2 Age Between 4 and 6 Months 5 0 3 4 Between 7 and 12 Months 5 Greater than 12 Months 14

Children in Licensed Foster Care by Placement Type 9/16/2012 Statewide United for Families Safe Children Coalition Partnership for Strong Families, Inc. Our Kids, Inc. Kids First of Florida, Inc Kids Central, Inc Heartland for Children, Inc FSS of North Florida, Inc. Group Care Other Placements Family Homes Family Integrity Program Families First Network, Inc. Eckerd Community Alternatives, Hillsborough Community Partnership for Children, Inc. Children's Network of SW Florida, Inc. Child. Net, Inc. Child and Family Connections, Inc. CBC of Central Florida Brevard Family Partnership Big Bend Community Based Care, Inc. 0, 0% 10, 0% 20, 0% 30, 0% 40, 0% 50, 0% 60, 0% 70, 0% 80, 0% 90, 0% 100, 0% 15

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 16

rd ke Ec ip sh d nc ilie s on In c. In In c iti am al Co r. F fo n s, ilie m Fa id s, c. In c l, I a, rid Ou r. K f. F lo re ild Ch Un ite Sa fe ng n, en tra ds C Fir st o tro r. S fo ds Ki re In m c. In ra a, rid ild k, og Pr Flo ity or s, ive w et Ch rth fo r No In te gr nd of tla Ki ar He FS S ily Fa m irs t. N s. F c. In In c. ug h ro lls bo Hi n, hi ld re a, t, nc. a rid ns , I rid Flo te rn at Al ive s, ity ilie m Fa un m m at r. C fo W l. F lo ild Ne Ch . nc sh ip er rtn tio nn ec f. S ko Pa re , I Ca nt ra Ce Co of sh ip rn te Al C ily d se Ba m Fa ily or er rtn Co rtn er Pa rd ty un i ke Ec m m Co Pa m Fa tw Ne an d rd CB ev a un ity m m Br Co n' s re un ity m m Co ild Ch Ch ild en d g. B Bi Revenue for Medicaid BHOS, TGC & STFC Services January – March 2012 $900 000 $800 000 $700 000 $600 000 $500 000 $400 000 $300 000 $200 000 $100 000 $0 17

Abuse Investigations Involving Children in Group Care April 2011 – March 2012 Age Verified Non Substantiated No Indicators Total 1 2 3 1 3 3 2 6 6 3 6 6 4 4 4 5 5 5 6 4 4 6 7 9 10 0 7 8 1 1 9 1 4 5 10 4 6 10 6 18 25 9 21 30 11 1 12 13 4 8 23 35 14 7 17 43 67 15 11 10 63 84 16 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 18