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August 21, 2006

BMCW Semi-Annual Report January 1, 2006 – June 30, 2006. August 21, 2006. Summary Report Prepared by the Program Evaluation Managers. Families currently served by BMCW. Children who entered OHC. Introduction.

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August 21, 2006

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  1. BMCW Semi-Annual Report January 1, 2006 – June 30, 2006 August 21, 2006 Summary Report Prepared by the Program EvaluationManagers

  2. Families currently served by BMCW

  3. Children who entered OHC

  4. Introduction • This is the first report since December 31, 2005 when the BMCW reached the conclusion of the third year of the Settlement Agreement. • In June the BMCW was released from eight provisions by mutual consent of plaintiff’s counsel. • Prior to December 2005, the BMCW had not exited any provisions.

  5. Released from 8 provisions having met requirements • §I.B.1. Negotiation with Milwaukee District Attorney • §I.B.3. Belated compliance with Adoption and Safe Families Act (ASFA) requirements • §I.C.2. Timeliness of processing referrals to independent investigator • §I.C.3. Timeliness of making case assignments and completing investigations • §I.C.4. Timeliness in making determination of independent investigations • §I.D.3 Contract hold-back for monthly face-to-face contacts • §I.D.4. Monthly face-to-face contacts • §I.D.8 Seek increase in foster parent reimbursement rates

  6. Remaining enforceable provisions: performance standards met this reporting period Length-of-stayin out-of-home care Requires that no more than 25% of children in out-of-home care shall be in care for more than 24 months, as measured against the baseline of 5,533 children. • As measured against the baseline of 5,533 children, 81.2% of children have been in out-of-home care less than 24 months, and 18.8% have been in care more than 24 months.

  7. Length-of-stay in out-of-home care • During the first six months of 2006, the BMCW achieved a performance level of 18.8%. • In June 2003, 49% of the children (as measured against the baseline) were in out-of-home care for more than 24 months.

  8. Children in OHC 24 or more months • Of the children in out-of-home care 24 or more months, 65% are 12 years of age or older. • The percentage of children in out-of-home care 24 or more months (not measured against the baseline) is currently 37%, which is a reduction from 63% in January 2003.

  9. Caseload size for ongoing case managers • BMCW shall ensure that ongoing case managers have caseloads not to exceed an average of 11 families per case-carrying manager per Site. • The above provision shall be phased in incrementally and shall be fully effective by January 1, 2004, but not enforceable until April 1, 2004. Each region met the performance standard of no more than an average of 11 cases per case manager during this reporting period.

  10. Caseload size by region The overall three-month rolling average for all regions was under the established caseload requirement for all six months of January to June 2006.

  11. Enforceable performance standardsdemonstrating year-to-date performance Maltreatment while in out-of-home care No more than the following percentages of children in BMCW custody shall be the victims of substantiated abuse or neglect allegations within the period by a foster parent or staff of a facility required to be licensed. Performance standard: 0.60% (at or below) This reporting period: 0.14% This is an annual calculation based on a 12-month period. The final results will be reported at the year-end for January – December 2006. The performance standard provided here for the first six months demonstrates year-to-date performance only.

  12. Maltreatment while in out-of-home care • From January through June 2006 there was a total of three substantiated investigations involving five children. • Two were in foster home placements; each involving two children. • One child was in a group home. • Reason for the substantiations: • One was lack of supervision. • Four were for general lack of care.

  13. Eliminating shelter placements Shelter Placements • The use of shelter placements shall be phased out entirely. • By December 31, 2003, and thereafter, no child shall be placed in a shelter. The BMCW eliminated the use of shelters in December 2003.

  14. Diagnostic/assessment centers By December 31, 2003, the BMCW shall develop special diagnostic/assessment centers for children over 12 years of age who need further assessment in order to determine the appropriate placement. Placement in such centers shall not exceed 30 daysor 60 days if the placement is extended for pre-dispositional children (in accordance with applicable state law). Post-dispositional children shall not exceed 20 days in placement.

  15. Diagnostic/assessment center placement Pre-dispositional children: • 130 (91%) of the 143 children who had a pre-dispositional legal status were in the assessment centers for fewer than 60 days. • 13 (9%) children exceeded the 60 day limit. Post dispositional children: • 103 (60%) of the 172 children had placements under 20 days. • 69 (40%) of the children exceeded the 20 day limit.

  16. The BMCW continues to be challenged to identify quality homes and placements to care for adolescents. • Particularly for children who present with significant needs: behavioral, mental health, physical health issues and chronic runaways.

  17. Enforceable items not met Compliance with ASFA timelines At least the following percentages of children in BMCW custody reaching 15 of the last 22 months in out-of-home care during the period shall have had a Termination of Parental Rights (TPR) petition filed on their behalf, or an available Adoption and Safe Families Act (ASFA) exception documented in their case, by the end of their fifteenth month in care. Performance standard: 90% (or above) This reporting period: 77%

  18. Compliance with ASFA timelines • 282 (77%) out of 365 children met timely ASFA compliance. • 83 (23%) children did not meet timely ASFA compliance. • 32 children met belated compliance in their 16th of 22 months in out-of-home care. • 28 children were awaiting filing of TPR petitions. • Note: After the Legislative Audit Bureau review in 2005, the method of calculating the 15th of 22 months was adjusted.

  19. Reunification within 12 months Of all reunifications with parents/caregivers, at least the following percentages of children shall be reunified within 12 months of entry into care: Performance standard: 71% (or above) This reporting period: 70%

  20. Reunification performance

  21. Adoption within 24 months At least the following percentage of children for whom an adoption is finalized within the period shall exit BMCW out-of-home care within 24 months of entry into care: Performance standard: 30% (or above) This reporting period: 28.8%

  22. Adoption within 24 months • 139 children found permanence through adoption • 40 were adopted within 24 months of removal • 99 children were adopted after 24 months in out-of-home care. • 49% of all children adopted were under theage of 5.

  23. Placement stability At least the following percentages of children in BMCW custody within the period shall have had three or fewer placements after January 1, 1999, during their current episode in BMCW custody. The number of placements will exclude time-limited respite care placements and returns to the same caretaker after an intervening placement during the same out-of-care episode. Those children in BMCW custody through the Wraparound Milwaukee program shall be excluded from this calculation. Performance standard: 90% (or above) This reporting period: 73%

  24. Placement stability • 73% of the children have been in 3 or fewer placements. • 68% of the children with 4 or more placements are 12 years of age or older. • Compared to 2005, the percentage of children with 4 or more placements under 12 years of age has increased. • In comparing children with four or more placements, it has been found that children who are placed with a relative tend to remain in the relative placement.

  25. BMCW performance – process indicators Initial Health Check

  26. Health Checks • 80% of children received an initial health check within 5 business days of entering OHC. • 94% of all children have their initial health check within two weeks of entering OHC.

  27. Annual medical & dental exam • At year end 2005, on average, 73% of the children in care during the year were current with their annual physical exam and 64% were current with their annual dental exam. • During the first six months of CY 2006, 86% of the children have been current with their annual medical exam, and 79% have been current with their annual dental exam. • There was a 13% increase during the first six months of this year for children with an up-to-date medical exam when compared to CY 2005. The percentage increase for annual dental exams was also higher for the same period at 15%.

  28. Re-entry • Between January and June 2006, 71 children re-entered out-of-home care in 12 or fewer months of a previous out-of-home care (ongoing services) episode. • This compares to: • 40 children who re-entered during the first six-months of CY 2005 • 52 children who re-entered during the first six-months of CY 2004 • 32 children who re-entered during the first six-months of CY 2003

  29. Reasons for re-entry • The most frequent reason provided for children re-entering our-of-home care was related to the parent’s unstable living environment, parent relapsed, domestic violence, untreated mental health. • There were 12 children who re-entered because the parent was incarcerated. This number is already twice as high this year as it was in all of CY 2004 and CY 2005. • 11 children re-entered because the parents were unable to care for them due to the child’s extensive emotional and/or behavior needs.

  30. Staff turnover

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