CONNECTICUT DEPARTMENT OF CHILDREN AND FAMILIES’ FAMILY ASSESSMENT RESPONSE ANNUAL STATUS REPORT TO THE COMMITTEE ON CHILDREN OF THE CONNECTICUT GENERAL ASSEMBLY Prepared by: Performance Improvement Center, UConn School of Social Work July 1, 2018 Data Definitions and Notes Family Assessment Response (FAR) data: ◦ LINK/PIE data extract through 12/31/2017 ◦ Including only FAR/CSF families, their prior and subsequent reports ◦ Multi-level data structure: ◦ Allegations/victims/perpetrators within reports; reports within protocol; protocol identification Number (DRSID) within family. ◦ A report could have several allegations, victims, and perpetrators. ◦ A protocol could have several reports. ◦ A family could have several protocols. FAR case counts: ◦ Total FAR reports accepted in CY 2017: 13,247 ◦ After data quality validation process, accepted FAR reports in CY 2017 used in analyses : N=12,459* ◦ FAR Protocols (i.e. combined reports under a single identification number (DRSID)) accepted in CY 2017: N=11,037** ◦ 10,140 families with FAR reports accepted in 2017 Community Supports for Families (CSF) case counts: ◦ 2,037 families received services (i.e., were active) from CSF during CY 2017 ◦ 1,373 CSF episodes were discharged in CY 2017 *Excludes reports linked to the wrong family and those with no DRSID. **Reports that are combined under one protocol and treated as a single report. issues FAR Annual Status Report for CY 2017 2 FAR : First FAR Protocols and Total FAR Protocols Accepted by Calendar Year 2017 12,000 11,087 10,000 11,678 11,666 11,037 9,974 8,000 7,278 6,000 4,000 2,000 0 6,917 8,450 8,695 8,398 7,897 6,898 CY 2012* CY 2013 CY 2014 CY 2015 CY 2016 CY 2017 Number of FAR Protocols Accepted within CY Number of Families with First FAR Protocol Accepted within CY *Partial year FAR Annual Status Report for CY 2017 3 CSF : Families with First CSF Cases and Total Active CSF Cases by Calendar Year 2017 2,500 2,000 1,816 1,822 1,810 1,744 CY 2013 CY 2014 2,057 2,007 2,037 1,905 1,818 1,803 CY 2015 CY 2016 CY 2017 1,500 1,000 658 500 0 CY 2012* Number of Families with Active CSF Cases Within CY Number of Families with First CSF Active Within CY *Partial year. FAR Annual Status Report for CY 2017 4 The following analyses are included in this report as required by Section 17a-101g (g)(11) of the Connecticut General Statutes A. The number of accepted reports of child abuse or neglect, and the percentage of reports assigned a Family Assessment Response B. The disposition of families assigned a Family Assessment Response C. Reporter type for cases assigned a Family Assessment Response D. The number and percentage of Family Assessment Response reports that changed track to investigations E. An analysis of the Department's prior/subsequent involvement with a family that has been assigned a Family Assessment Response 1) Prior child protective services history for FAR cases accepted in CY 2017 2) Analyzing subsequent reports using survival analysis 3) Analysis of subsequent reports for FAR families 4) Analysis of substantiated subsequent reports for FAR families 5) Summary of findings: Prior and subsequent reports for CSF families FAR Annual Status Report for CY 2017 5 The following analyses are included in this report as required by Section 17a-101g (g)(11) of the Connecticut General Statutes (Continued from previous slide) F. An analysis of the Department's prior/subsequent involvement with a family that has been assigned to a Community Partner Agency (i.e. Community Supports for Families (CSF)). 1) Prior child protective services history for CSF cases accepted in CY 2017 2) Analysis of subsequent reports for CSF families 3) Analysis of substantiated subsequent reports for CSF Families 4) Summary of findings: Prior and subsequent reports for CSF families G. A description of services that are commonly provided to families referred to the Community Support for Families program H. A description of the Department's staff development and training practices relating to intake I. The number and percentage of referred families who were ultimately enrolled in the Community Support for Families program J. The number and percentage of families receiving a Family Assessment Response by race and ethnicity K. The reason for discharge from the Community Support for Families program by race and ethnicity L. A comparison of the needs identified and the needs addressed for families referred to the Community Support for Families program FAR Annual Status Report for CY 2017 6 A. The number of accepted reports of child abuse or neglect, and the percentage of reports assigned to the Family Assessment Response Track In Calendar Year 2017… There were a total of 31,236 accepted reports of child abuse and neglect by DCF Of the total number of accepted reports 42.4% (13,247) were assigned to the FAR track Updated 6/28/18– Source DCF FAR Annual Status Report for CY 2017 7 B. The Disposition of Reports Assigned a Family Assessment Response: FAR Reports for Cases Accepted in CY 2017 Referred to Other State Agency/Voluntary Services Recommended, 0.6% Pending, 0.1% No further Agency involvement, 42.6% Assessment Closed - New Report Received, 1.9% Unable to complete Assessment, 2.3% 1. No further agency involvement (42.6%). 2. Services declined and no safety factors present (24.8%). 3. Referred to a Community Partner Agency (i.e. Community Support for Families Program) (18.8%). Transferred to Ongoing Services Unit, 4.1% Referred to Community Services, 4.8% Referred to Community Partner Agency, 18.8% The top three dispositions of FAR protocols accepted in CY 2017 were: Services Declined & No Safety Factors, 24.8% (N of Protocols Accepted= 11,037) FAR Annual Status Report for CY 2017 8 C. Reporter Type for Reports Assigned a Family Assessment Response FAR Reports for Cases Accepted in CY 2017 The top five reporters of FAR protocols accepted in CY 2017 were: School 33.2% Multiple Reporters across reports in this DRSID 1.4% Missing 0.3% Court Professional/Attorney 3.4% Police 15.3% Other Social Services Staff 4.1% Other single reporter 4.6% Anonymous 7.9% Family/Self 8.1% Mental Health 11.2% Hospital/Physician/HealthCare 10.7% 1. 2. 3. 4. Schools (33.2%). Police (15.3%). Mental health provider (11.2%). Hospital/Physician/Health Care worker (10.7%). 5. Family/Self (8.1%). Other single reporter: 0.8% Neighbor 0.1% Clergy 0.05% Foster Parent 3.7% Other (unspecified) Other Social Services: 2.0% DCF Employee 1.0% Social Services Worker 0.7% Licensed Day Care 0.2% Residential Provider 0.2% Shelter 0.03% Rape Crisis (N of Protocols Accepted= 11,037) FAR Annual Status Report for CY 2017 9 D. Family Assessment Response Reports That Changed Track to Investigations A total of 13,247 reports of child abuse and neglect were accepted by DCF in CY 2017 and assigned to the FAR track. FAR Annual Status Report for CY 2017 Of those, 9% (n=1,180) were changed to the Investigation track. 10 E (1): Prior Child Protective Services History for FAR Families Accepted in CY 2017 FAR: CPS History and Prior Substantiated Reports by Region • 31.5% of FAR families with an accepted FAR report in CY 2017 had at least one prior CPS report. (68.5% had no prior reports) • 18.2% of these families had at least one substantiated report prior to their first FAR report. • 22.4% of FAR families received a prior report more than 12 months before their first FAR report. 100% 90% 80% 70% 60% 50% 40% 30% 29.3% 20% 10% 17.8% 33.4% 21.2% 31.8% 30.9% 29.2% 17.3% 16.3% 16.8% Region 3 Region 4 Region 5 35.7% 31.5% 21.4% 18.2% Region 6 Statewide 0% Region 1 Region 2 Prior Report Prior Substantiated Report (N=10,082 (10,140 families with FAR reports accepted in 2017 - 58 families missing Region information) FAR Annual Status Report for CY 2017 11 E (2). Analyzing Subsequent Reports Using Survival Analysis A statistical technique, Survival Analysis, was conducted to determine what proportion of FAR and CSF families has not received a subsequent report in a given time period.  Survival Analysis is used to analyze data in which the time until the event is of interest. In this case, it is the time to a subsequent report or a substantiated subsequent report.  Survival Analysis provides the least biased method for calculating subsequent reports as it accounts for cases that have had enough time to have a subsequent or a substantiated subsequent report and those that have not. FAR Annual Status Report for CY 2017 12 E (3). Analysis of Subsequent Reports for FAR Families Survival Analyses indicated: Cumulative Proportion of FAR Families with No Subsequent Report at End of Time Interval 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% • • 83% 74% • 63% 56% 52% 49% • • • • 0 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 63 66 69 Months Since 1st FAR Approval Black N=8,021 MST=42.3 Hispanic N=12,015 MST=45.5 White N=20,913 MST=64.4 (N=43,354; 3,895 missing Race/Ethnicity) FAR Annual Status Report for CY 2017 Other N=2,405 MST=69.0 Total N=43,354 MST=55.0 83% of FAR families have not received a subsequent report within 6 months of their first FAR approval date. 74% of FAR families have not received a subsequent report within 12 months of their first FAR approval date. 63% of FAR families have not received a subsequent report within two years of their first FAR approval date. 56% of FAR families have not received a subsequent report within three years of their first FAR approval date. 52% of FAR families have not received a subsequent report within four years of their first FAR approval date. 49% of FAR families have not received a subsequent report within five years of their first FAR approval date. Unadjusted survival rates to the first subsequent report indicate that there are statistical differences among race/ethnicity groups. FAR families whose race/identity is identified as “Other” had the best subsequent report rate when compared to all other groups (Median Survival Time (MST)=69 months). FAR families identified as “Black” had the worst subsequent report rate when compared to all groups. Survival rates for Black, Hispanic, and Other differed significantly from White. 13 E (4). Analysis of Substantiated Subsequent Reports for FAR Families Survival Analyses indicated: Cumulative Proportion of FAR Families • 96% of FAR families have not received substantiated subsequent with No Substantiated Subsequent Reports at End of reports within 6 months after their first FAR approval date. Time Interval • 94% of FAR families have not received substantiated subsequent 96% 94% 100% reports within 12 months after their first FAR approval date. 90% 87% 85% 83% 90% • 90% of FAR families have not received substantiated subsequent 80% reports within two years after their first FAR approval date. 70% • 87% of FAR families have not received substantiated subsequent 60% reports within three years after their first FAR approval date. 50% • 85% of FAR families have not received substantiated subsequent 40% reports within four years after their first FAR approval date. 30% • 83% of FAR families have not received substantiated subsequent 20% reports within five years after their first FAR approval date. 10% • Unadjusted survival rates to the first substantiated subsequent 0% report indicate that are statistical differences among 0 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 63 66 69 race/ethnicity groups: FAR families identified as Other had a Months Since 1st FAR Approval better and FAR families identified as Black had a worse Black Hispanic White Other Total substantiated subsequent report rate than those identified as N=8,021 N=12,015 N=20,913 N=2,405 N=43,354 White. Although the substantiated subsequent report rate between black and white was statistically significant, the difference was small. (N=43,354; 3,895 missing Race/Ethnicity) FAR Annual Status Report for CY 2017 14 E (5). Summary of Findings: Prior and Subsequent Reports for FAR Families  There were no statistically significant differences by race after adjusting for significant predictors. Risk factors that play a substantive role in predicting the outcome of subsequent reports include:     Age of victim is under five Higher risk category level Single parent families Homelessness      Primary caregiver has alcohol/drug problem Prior injury to child resulted in CAN Child has delinquency history Child is developmentally disabled Child has mental/behavioral health problems  Most FAR families did not have a substantiated subsequent report.  There were no statistically significant differences by race after adjusting for significant predictors Risk factors that play a substantive role in predicting the outcome of substantiated subsequent reports include:  Age of victim is under five  Higher risk category level  Single parent families FAR Annual Status Report for CY 2017     Homelessness Number of prior investigations (3) Primary caregiver has alcohol/drug problem Child is medically fragile 15 F (1). Prior Child Protective Services History for CSF Families Active in CY 2017 CSF: CPS History and Prior Substantiated Reports by Region 100% 90% • 80% 70% 60% 51.4% 53.6% 50.8% 56.3% 51.1% 51.4% 44.4% 50% 40% 30% 27.2% 26.8% 20.2% 20.1% 20% 16.3% 20.4% 13.9% • 51.4% of all CSF families have at least one prior CPS report. Of the families that had a prior CPS report, the highest proportion occurred more than 12 months before their CSF episode start date. 10% 0% Region 1 Region 2 Region 3 Prior Report Region 4 Region 5 Region 6 Statewide Total Prior Substantiated Report (N= 1,705; 98 missing LINK data) FAR Annual Status Report for CY 2017 16 F (2). Analysis of Subsequent Reports for CSF Families Cumulative Proportion of CSF Families with No Subsequent Reports at End of Time Interval by Race Survival Analyses indicated: • 79% of CSF families have not received a subsequent report within 6 months of their CSF episode end date. • 67% of CSF families have not received a subsequent report within 12 months of their CSF episode end date. • 53% of CSF families have not received a subsequent report within two years of their CSF episode end date. • 45% of CSF have not received a subsequent report within three years of their CSF episode end date. • 40% of CSF have not received a subsequent report within four years of their CSF episode end date. • Wilcoxon (Gehan) statistic 9.23 showed significant difference between races (p=.026). 100% 90% 79% 80% 67% 70% 53% 60% 45% 50% 40% 40% 37% 30% 20% 10% 0% 0 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 63 66 Months After Episode End Date Black Hispanic (N=6,368, 119 missing race/ethnicity) FAR Annual Status Report for CY 2017 White Other TOTAL 17 F (3). Analysis of Substantiated Subsequent Reports for CSF Families Survival Analyses indicated: Cumulative Proportion of CSF Families with No Substantiated Subsequent Reports at End of Time Interval by Race 95% 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 0 3 6 91% 9 86% 82% 80% • 95% of CSF families have not received substantiated subsequent reports within 6 months of their CSF episode end date. • 91% of CSF families have not received substantiated subsequent reports within 12 months of their CSF episode end date. • 86% of CSF families have not received substantiated subsequent reports within two years of their CSF episode end date. • 82% of CSF families have not received substantiated subsequent reports within three years of their CSF episode end date. • 80% of CSF families have not received substantiated subsequent reports within four years of their CSF episode end date. • There were no statistically significant differences in substantiated subsequent report rates between races. 77% 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 63 66 Months After Episode End Date Black (N=6,368, 119 missing race/ethnicity) FAR Annual Status Report for CY 2017 Hispanic White Other TOTAL 18 F (4). Summary of Findings: Prior and Subsequent Reports for CSF Families  CSF families tend to have a more extensive CPS history.  There were no statistically significant differences by race. Risk factors that play a substantive role in predicting the outcome of subsequent reports include:  Age of victim is under five  Higher risk category level  Region*    Single parent families Prior caregiver has alcohol problem Unemployment  Similarly, most families do not receive a substantiated subsequent report within two years of the end of their CSF episode. There were no statistically significant differences by race. Risk factors that play a substantive role in predicting the outcome of substantiated subsequent reports include:  Age of victim is under five  Higher risk category level  Region*    Number of prior investigations (3) Primary caregiver has alcohol/drug problem Unemployment *Additional research is planned to understand regional differences. Given the vast differences in populations and community profiles, region is likely a proxy for factors inherent in the population. FAR Annual Status Report for CY 2017 19 G. Services Commonly Provided to Families Referred to The Community Support for Families Program Top 10 Services Received by CSF Families in CY 2017 Utilization of Natural Supports 42.4% Mental Health (child) 41.7% Housing 38.9% Food Assistance 33.5% Mental Health (parent) 32.9% Advocacy 31.0% Recreation 31.0% Energy Assistance/Utilities 30.5% Employment Services 29.5% Parenting Skills, Education and Support 27.5% (n=1,373) FAR Annual Status Report for CY 2017 20 I. Referred Families Who Were Enrolled in the Community Support for Families Program: 2,273 family referrals to CSF in CY 2017 299 (13.2%) were “referral only” (i.e., family opts to not participate – no contact is made with a Community Partner Agency). 131 (5.8%) were open or pending as of 12/31/17 1,843 (81.1%) of the referrals resulted in an episode in 2017 223 (9.8%) of the CSF episodes were classified as “evaluation only” (i.e., episode open fewer than 45 days and there was no Family Team Meeting or Plan of Care established with the CSF. ) FAR Annual Status Report for CY 2017 21 J. Families Receiving a Family Assessment Response in 2017 by Race and Ethnicity FAR: Race/Ethnicity CSF: Race/Ethnicity White (nonHispanic) 42% Missing 8% Missing 2% White (nonHispanic) 35% Other 4% Other 5% Any Hispanic 27% Black (nonHispanic) 18% Families with FAR DRSID protocols accepted in CY 2017 (n=10,140) FAR Annual Status Report for CY 2017 Black (nonHispanic) 20% Any Hispanic 39% Families who received services from CSF during CY 2017 (n= 2,037) 22 K. Reason for Discharge from The Community Support for Families Program by Race and Ethnicity 100% 5.4% 90% 2.5% 15.8% 80% CSF: Reason For Discharge by Caregiver Race 2.0% 4.3% 4.1% 3.3% 4.6% 10.8% 3.8% 10.3% 76.7% 78.1% 8.2% 4.0% 3.9% 11.5% 70% 60% 50% 40% 73.8% 85.7% 77.0% 30% 20% 10% 0% Black (n=279) Completed Treatment New DCF Report Received FAR Annual Status Report for CY 2017 Hispanic (n=520) White (n=494) Family Discontinued Client/Family Moved Other (n=49) Statewide (n=1,342) Agency Discontinued: Administrative Other 23 L. Comparison of The Needs Identified and The Needs Addressed for Families Referred to the Community Support for Families Program CSF: Family Needs Identified and Addressed* Resource Management/Basic Needs 78.8% 43.8% 48.3% Social Support System Parenting Skills 32.4% Coping Skills 30.5% Physical Health 13.9% Life Skills History of Child Abuse and Neglect 4.4% Substance Abuse/Use 5.8% None FAR Annual Status Report for CY 2017 30.8% 14.0% 12.3% 14.6% 5.9% 5.7% *Please note: The needs addressed may not align exactly with the needs identified as ‘needs identified’ are collected at intake and in the course of working with a family sometimes new needs are developed or discovered. 5.3% 2.2% 2.6% 4.7% 0% (n= 1,373) 31.6% 28.4% 36.3% Household Relationships Emotional/Behavior 78.3% 10% 20% Needs Identified 30% 40% 50% 60% 70% 80% 90% 100% Needs Addressed 24 H. DCF’s Staff Development and Training Practices Relating to Intake Differential Response System (DRS) Training Series • • • • 10 Days of Training Best Practice Principles Assessment of Safety and Risk Critical Thinking DRS Trainings include: • • • • • • • • • • Best Practice: FAR and Investigations Group Care: Investigation Worker Safety Health and Wellness Sexual Abuse: Minimal Facts for 1st Responders Human Trafficking CT Drug Threat - Substance Use Genograms Legal Intimate Partner Violence • Training series was offered four times during CY 2017 - 107 unique participants. • Investigations Policy 34-2 – Online Training: 683 DCF staff successfully completed in CY2017 FAR Annual Status Report for CY 2017 25