DCS FY 20-21 Biennium Budget Presentation to the State .... Department of Child Services...

DCS FY 20-21 Biennium Budget Presentation

to theState Budget Committee

December 10, 2018

Terry J. Stigdon, MSN, RNDirector

Indiana children will live in safe, healthy and supportive families and communities

• DCS Mission:

– The Indiana Department of Child Services engages with families and collaborates with state, local and community partners to protect children from abuse and neglect and to provide child support services.

• DCS Vision:

– Indiana children will live in safe, healthy and supportive families and communities.

DCS Mission & Vision

2


• DCS Values:

– Respect

– Prevention

– Safety

– Stability

– Permanency

– Responsibility

– Accountability

– Continuous Improvement

DCS Values

3


1. Implement CWG Recommendations in alignment with DCS’ goals

2. Improve performance and quality of service through employee retention

3. Execute DCS goals in tandem with FFPSA to transform DCS

2019 Goals

4


4. Information technology improvements for the Child Support Bureau

5. Strengthen litigation training provided to DCS attorneys

6. Enhance and strengthen the foster care division

2019 Goals

5


CWG update

6


$25 million • More than $22 million went toward salary

adjustments

Also: Additional hires• Double size of peer coach consultant program• Medicaid expert• 3 leadership development advisors• 3 provider relations advocates

CWG Implementation

7


Improve FCM supervisor-to-FCM ratioBest child welfare systems are those in which

supervisors have the time, knowledge and skill to

develop and support excellent casework

practitioners

CWLA best-practice ratio standard = 1:5

Goal: Reduce ratio to 1:5 by Dec. 31, 2019

Ratio in January 2018: 1:7.34

On 12/6/18: 1:5.99

18 additional FCM supervisors will on

board next month

CWG Implementation

8


Convert clerical/admin staff from contractors

to state employees

• Reduce turnover/Boost morale

Pilot regional delivery of cohort training

• Began in Knox County Dec. 3, 2018

• 2nd regional training: April 2019

Decrease cohort class sizes

• Adding three additional trainers

• Will allow classes to include 25 or fewer

trainees

Decentralization

• Staff-led work group (report by March 2019

to make recommendations related to

policy/spending)

CWG Implementation

9


Agency updates

10


• Reports to the hotline continue to increase:– 247,658 reports in SFY 2018 (24% increase since 2015)

200,118211,502

235,609247,658

0

50,000

100,000

150,000

200,000

250,000

300,000

2015 2016 2017 2018

Hotline reports by State Fiscal Year

Source: MaGIK Hotline data

Child Abuse & Neglect Hotline

11


• In SFY 2018, the Hotline received 247,658 reports

• Average speed of answer:

– 00:21 for non-law enforcement callers

– 00:15 for law enforcement callers with special dial-in access code

• The average caller spent 12:29 speaking with an intake specialist

• Average of 715 calls per business day

• Average of 237 calls per weekend day

Child Abuse & Neglect Reports

12


• Administers Indiana’s Title IV-D child support program

• Title IV-D child support is state-administered and county-operated

• Federally-required child support functions:

- Locating absent parents - Payment processing

- Paternity establishment - Disbursement

- Support order establishment - ISETS automated system

- Enforcement - Medical support

Child Support Bureau

13


• Impact of Indiana’s federally mandated statewide child support system:– Almost $1 billion in child support payments processed annually

– Used by 1,200 state and county child support workers

– Maintains approximately 258,000 active IV-D cases and 150,000 non IV-D (private) cases

– Performs all mandated federal child support functions

• New system (INvest to replace ISETS):– Increased child support collections for families

– Increased opportunities for collaboration

– Decreased maintenance costs

– Increased federal incentive funds

Child Support Bureau –ISETS to INvest

14


Staffing & caseloadsupdate

15


1,966 1,972

2,134

1,850

1,900

1,950

2,000

2,050

2,100

2,150

2016 2017 2018

Caseload-carrying family case managers

# as of 11/30

Staffing Data

16


304 295

369

0

50

100

150

200

250

300

350

400

2016 2017 2018

Family CaseManager Supervisor 4s

# as of 11/30

Staffing Data

17


7.227.67

6.20

0.00

1.00

2.00

3.00

4.00

5.00

6.00

7.00

8.00

9.00

2016 2017 2018

Case-carrying FCMs assigned to each Family Case Manager Supervisor 4

# as of 11/30

Staffing Data

18


• FCM turnover has a negative impact on the children and families DCS serves

• Recruitment and retention tools:– Enhance supervisor training

– Expand BSW/MSW Scholars Program with IU School of Social Work

• Strategies employed to reduce turnover:– Employee Assistance Program (EAP) benefit to promote

employee wellness• Expanding to 8 free counseling sessions per issue

– Reducing FCM caseloads

– Working toward manageable supervisor-to-FCM ratios

– Adding mentors in larger counties

Recruitment & Retention

19


• At the end of November 2018, DCS had: – 24,247 open cases

• Of those 24,247 open cases:– 20,015 Child in Need of Services (CHINS) cases

– 3,403 Informal Adjustments (IAs)

– 829 Collaborative Care (older youth) cases

• 10,197 new assessments assigned in November 2018

Case Numbers

20


19,530

23,345

28,048 28,742

24,247

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

2014 2015 2016 2017 2018

Open Cases

# as of 11/30

Case Numbers

21


109,895

124,718 128,901

0

20000

40000

60000

80000

100000

120000

140000

2016 2017 2018

Assessments assigned during the state’s fiscal year

# of Assessments Opened

Assessments Assigned

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• 20,015 open CHINS cases at the end of Nov. 2018

• 15,105 (75%) were placed in out-of-home care

Source: MaGIK Monthly Data

Out-of-home placement breakdown

CHINS Cases & Placement

23


• DCS uses 12/17 standard to calculate monthly caseload averages:

– 12 active cases relating to initial assessments

– 17 children monitored and supervised in ongoing cases

• Snapshot (as of 11/30/18):

– 2,134 filled field positions

– 221 currently in cohort training

– Continue staffing to meet agency’s needs

Caseload Data

24


Family First Prevention Services

Act (FFPSA)

25


Prevention In HomeUnlicensed

KinshipLicensed Foster

Family HomeResidential Admin

Traditional IV-E None None None

• Per diemonly for eligible kids

• Per diemonly for eligible kids

Yes

IndianaIV-E Waiver

None

• Community-based wraparound services

• Concrete Services

• Community-based wrap around services

• ConcreteServices

• Per diem • Community-

based wrap around services

• Concrete Services

• Per diem• Community-

based wrap around services

Yes

FFPSA • Evidence-based practices (EBPs) with limits

• EBPs with limits

• EBPs with limits

• Kinship Navigator

• Per diem only for eligible kids

• Per diem with limitsand required validation

Yes

Changing Restrictions on IV-E Funding

26


Vision alignment

High-level gap analysis

Draft road map

Initial implementation plan

FFPSA Implementation in Indiana

27


• Able to delay restrictions on residential placements and claiming prevention dollars

• Able to delay up to 2 years – FFPSA must go into effect no later than 10/1/2021– Indiana signaled delay until 10/1/2020– Able to adjust as needed based upon readiness

• Indiana will claim under capped allocation waiver until 9/30/2019

• Will then claim under traditional IV-E until FFPSA implementation– Only for IV-E eligible children in eligible placements– Per diem (i.e. maintenance) and administrative costs

Delayed Implementation

28


SFY 2020-2021 Budget Request

29

Indiana children will live in safe, healthy and supportive families and communities30

State Fiscal Year

SFY 2018

Base Budget

Requested for SFY 2020

Requested for SFY 2021

General Fund

$956.6 million

$956.6 million

$965.2 million

$965.2 million

*DCS requests a $8.58 million change package reflecting

P4P and benefit increases that have occurred.

Budget Request

DCS FY 20-21 Biennium Budget Presentation to the State .... Department of Child Services...

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