Prioritizing Children: The Strain Facing Child Protective Services

Angela Sausser, MA, MSW, LSWExecutive Director

December 10, 2018

S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.

Who We Are

2

PCSAO is a membership-driven association of Ohio’s county Public Children Services Agencies that advocates for and promotes child protection program excellence and sound public policy for safe children, stable families, and supportive communities.

@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.

Henry

Holmes

Morgan

Opioid Epidemic =

Henry

Holmes

Morgan

Opioid Epidemic =

The Invisible Victims:

The Children

@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.

5

S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

Impact of Opioid Epidemic on Children

50% of children taken into

custody in 2015 had parental drug use

Source: PCSAO Opiate Survey, 78 county Public Children Services Agencies responded, Apr. 2016

@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.

6

S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

Impact of Opioid Epidemic on Children

Source: PCSAO Opiate Survey, 78 county Public Children Services Agencies responded, Apr. 2016

28% of children taken

into custody in 2015 had parents who were using

opioids at time of removal

@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.

7

S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

More Children in Foster Care Entering care at alarmingly higher rates than ever before

67% of children in foster care

are 12 and younger; 28%

are 3 and younger.

Source: ODJFS SACWIS special data run, received Nov. 2017, supplemented July 2018. Point in Time Data for July 1, 2013, 2015, 2016, 2017 and 2018

12,654

13,54313,769

15,145

16,018

12,000

13,000

14,000

15,000

16,000

17,000

18,000

2013 2015 2016 2017 2018

Children in Foster Care on July 1

@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.

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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

Bad Outcomes for ChildrenStaying in foster care longer due to recovery timelines

202

228

240

180

190

200

210

220

230

240

250

2010 2013 2016

Median Days in Temporary Custody (July 1)

Within 1 year of

recovery from

opiates, 85% will relapse

Source: ODJFS SACWIS special data run, October 2016.

@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.

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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

Impacting the Entire FamilyMore kinship families caring for children with little support

Access to affordable

child care is the greatest need among

kinship families.

Source: ODJFS SACWIS special data run, October 2017. Additional calculations by PCSAO.

2175

2480

2866

3577

3811

2000

2200

2400

2600

2800

3000

3200

3400

3600

3800

4000

1-Jul-13 1-Jul-15 1-Jul-16 1-Jul-17 1-Oct-17

Children in Custody Placed with Relatives

@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.

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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

A Traumatized Workforce

1 out of every 4 caseworkers

left their positions in

2016 & 2017!

➢ 48% of the children services workforce has

reported experiencing at least 1 symptom of secondary trauma

➢ 53% of the children services workforce has

elevated levels of secondary traumatic stress meeting the threshold of PTSD

Source: Quality Improvement Center for Workforce Development Center survey of six Ohio PCSA staff, 2018.

@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.

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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

A System that is Broke

21% decrease in State

funding to counties in

2008

Source: ODJFS SACWIS special data runs for unduplicated count, October 2016 . SCPA from ODJFS, reported in PCSAO Factbook 11th, 12th editions, ODJFS special data run, January 2017. Additional calculations by PCSAO.

$56,852,252

$43,786,711 $44,305,320 $44,881,023

14,28212,383 12,654

13,719

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

$20,000,000

$25,000,000

$30,000,000

$35,000,000

$40,000,000

$45,000,000

$50,000,000

$55,000,000

$60,000,000

2008 2010 2013 2016

SCPA Funding vs. Children in Custody (SFY)

SCPA Children in Custody

@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.

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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

SFY 2016, from ODJFS SACWIS special data runs for unduplicated count, October 2016 and January 2017. Additional calculations by PCSAO.

Less than 5% of the State’s share ($45m) is allocated to

the county PCSAs

Counties fund over 50% of children services expenditures

$352,392,067.00

$95,869,458.00

$490,016,450.00

Federal State Local

52%

10%

38%

@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.

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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

Ohio Ranks 50th in Nation for State Shareof Children Services Total Expenditures

SFY 2014, from http://www.childtrends.org/publications/child-welfare-financing-sfy-2014-a-survey-of-federal-state-and-local-expenditures/

40%

7%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

National Average for State Spend Ohio's State Spend

2014 Comparison

If Ohio’s state investment

doubled, we would still be

50th in the nation

@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.

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Source: ODJFS SACWIS, calculations by PCSAO, SFY2016

Children coming into care have very complex, multi-system needs

13%

24%

31%

4%

27%

Reasons for RemovalTotal= 13,683 as of 7/1/16

Abuse

Neglect

Dependency

Delinquency

Other

CDC estimates for all need

cases of maltreatment

in 1 year (2008) =

$124 Billion!

@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.

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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

The Funding CrisisPlacement costs have increased dramatically

Source: ODJFS SACWIS special data run, received Jan. 2017. Additional calculations by PCSAO.

42% ($138m)

were substance

abuse-related in

2016

$275,000,000.00

$330,575,009.00

$250,000,000.00

$260,000,000.00

$270,000,000.00

$280,000,000.00

$290,000,000.00

$300,000,000.00

$310,000,000.00

$320,000,000.00

$330,000,000.00

$340,000,000.00

2013 2016

Foster Care Placement Costs, SFY 13 & 16

@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.

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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

Source: ODJFS SACWIS special data run, received Nov. 2017. Additional calculations by PCSAO.Point in Time Data for July 1, 2013, 2015, 2016, 2017 and Oct. 1, 2017

If the opioid epidemic continues at its current pace,

Ohio will have over 20,000 children in foster

care by 2020

12,654

13,769

15,145

16,659

18,323

20,154

12,000

13,000

14,000

15,000

16,000

17,000

18,000

19,000

20,000

2013 2016 2017 2018 2019 2020

Est. Number of Children in Foster Care

@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.

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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

Source: ODJFS SACWIS special data run, received Jan. 2017. Additional calculations by PCSAO.

$275,000,000

$330,575,009

$375,585,681

$426,725,074

$484,827,560

$550,841,225

$250,000,000

$300,000,000

$350,000,000

$400,000,000

$450,000,000

$500,000,000

$550,000,000

$600,000,000

2013 2014 2015 2016 2017 2018 2019 2020

Est. Foster Care Placement Costs for SFY 17-20

If the opioid epidemic continues at its current pace,

Ohio will need $550M for JUST placement costs by 2020

@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.

The Tsunami is Here!

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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.

Reform Outcomes

1. Reduce the number of children entering foster care

2. Reduce the length of stay in foster care

3. Reduce the use of residential care

4. Reduce children experiencing trauma

5. Reduce the cost to taxpayers

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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

Children’s Continuum of Care Reform

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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

1. Prevention, Intervention,

Crisis & Diversion

2. Professional Foster Care

3. Aftercare & Reunification

4. Appropriate Residential Care

Four Strategic Areas

Looking for Partners• Learn more about the reform plan:

www.pcsao.org

• Current endorsements include: Casey Family Programs,

Ohio Children’s Alliance, Ohio Family Care Association, Kinnect, Family & Youth Law Center, Ohio United Way, Ohio Children’s Defense Fund, Ohio Children’s Hospital Association, Ohio AAP, Voices for Ohio’s Children & more!

#FosterHope4OHKids

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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

Thank You!

S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

Angela Sausser, MSW, MA, LSWExecutive DirectorAngela@pcsao.org

(614) 224-5802

@ Copyright 2018, Public Children Services Association of Ohio. All Rights Reserved.