Options for Allocating State Child Welfare Dollars to Wisconsin Counties Prepared for the Wisconsin Department of Children and Families Christine Durkin Adam Hartung Sara Kock Jennifer Russ Paul Waldhart Problem ● Current formula may not match resources to need as effectively as it could ● To form our alternatives: ● Literature review ● Surveys ● Interviews ● With other states ● With Wisconsin counties Overview ● Current policy ● Alternatives ● Recommendation ● Cross-county collaboration Background Number of Reports/Cases per 1,000 Children ● State supervised, county administered system ● Differences in demand for services 30 28.8 25 20 19.9 15.7 15 11.0 10 6.4 5 2.7 0 10 Highest 10 Poorest Counties Poverty Counties Average Report Rates Average Investigation Rates 10 Lowest 10 Richest Counties Poverty Counties Average Substantiation Rates Background State Basic County Allocations (In Millions) ● Funded with state and local dollars ● Declining state revenues ● Limiting property tax levy $300 $290 $280 $270 $260 $250 $240 $230 '05 '06 '07 '08 Year '09 '10 '11 Current Policy In 1986, Wisconsin allocated child welfare money based on: 1. Total population 2. Residents enrolled in Medicaid 3. Property values State Child Welfare Dollars County A 1986 County A 2011 Alternatives ● We examined two alternatives: 1. Risk Factor: More risk = More $ 2. Workload: More demonstrated need = More $ ● We considered but eliminated: 3. Updating the current formula 4. Percent-For-Service: DCF reimburses counties a percentage of service costs 5. Performance-Based Contracting: DCF purchases outcomes, counties sell outcomes Alternative #1: Allocation based on Risk Factors Step 1 County need for child welfare services = β1Number of children in single parent families + β2Number of children living in poverty + ԑ(error) Step 2 County risk number = 0.33(Number of children in single-parent families in county) + 0.67(Number of children living in poverty in county) β1 / (β1+ β2) = 0.33 and β2 / (β1+ β2) = 0.67 0.33 + 0.67 = 100% Alternative #1: Allocation based on Risk Factors Step 1 County need for child welfare services = β1Number of children in single parent families + β2Number of children living in poverty + ԑ(error) Step 2 County risk number = 0.33(Number of children in single-parent families in county) + 0.67(Number of children living in poverty in county) Step 3 County allocation = (County risk number / Sum of risk numbers for all counties) x Total CFA funding available Alternative #1: Allocation based on Risk Factors Step 1 County need for child welfare services = β1Number of children in single parent families + β2Number of children living in poverty + ԑ(error) Step 2 532= 0.33 (400) + 0.67 (600) Step 3 $866,400= (532 / 35,000) x $57 million Alternative #2: Allocation based on Workload More cases and/or more labor-intensive cases = More $ ● Children’s Research Center developed a framework ● DCF would: 1. Calculate time spent on each service area per case 2. Use eWiSACWIS to determine the number of cases 3. Calculate county workload (time per case x # of cases) 4. Allocate funds based on county’s proportion Example County Workforce Estimate County Service Area CPS Intake Screened-In CPS Reports Screened-Out CPS Reports CPS Investigation/Assessment Investigated Cases w/out Substantiation Investigated Cases with Substantiation Child and Family Services New Child Case Ongoing Child Case Number of Worker Cases per Hours/Case Month per Month Total Worker Hours 127 75 1.1 0.3 140 22 95 8.1 773 23 13.4 309 13 14 9.5 6.6 127 1,139 Total County Workload Demand in Worker Hours County Proportion of State Aid 2,512 hrs 6.2% Goals ● Effective ● Matches need with resources ● Minimal potential for cheating ● Equitable ● Measures need regularly ● Equal spending per person Estimated County Allocation per Person, by Percent of County Population Living in Poverty CURRENT POLICY County Allocation per Person $80 R² = 0.4812 $70 $60 $50 $40 $30 $20 $10 $0% 5% 10% 15% 20% 25% 30% Percent of County Population Living in Poverty 35% Estimated County Allocation per Person, by Percent of County Population Living in Poverty CURRENT POLICY $80 $70 $60 $50 $40 $30 $20 $10 $- RISK FACTOR FORMULA $50 R² = 0.4812 R² = 0.7744 $40 $30 $20 $10 $- 0% 10% 20% 30% 0% 40% 10% 20% WORKLOAD METHOD $40 R² = 0.2372 $30 $20 $10 $0% 10% 20% 30% 40% 30% 40% Goals ● Effective ● Matches need with resources ● Minimal potential for cheating ● Equitable ● Measures need regularly ● Equal spending per person ● Lower Additional Cost to DCF ● Acceptable to Counties ● Methodology ● Magnitude of gains & losses ● Number of gainers & losers Magnitude of Changes in County Allocation, by Percent of County Population Living in Poverty RISK FACTOR FORMULA WORKLOAD METHOD Aggregate Change in County CFA (in Millions) $3 $2 $1 $0 -$1 -$2 -$3 Highest 1st Poverty Quartile Counties 2nd Quartile 3rd Quartile Lowest 4th Poverty Quartile Counties Highest 1st Poverty Quartile Counties 2nd Quartile Percent of County Population Living in Poverty 3rd Quartile Lowest 4th Poverty Quartile Counties Changes in County Allocation, by Percent of County Population Living in Poverty RISK FACTOR FORMULA WORKLOAD METHOD 16 Number of Counties 14 12 10 8 6 4 2 Highest 1st Poverty Quartile Counties 2nd Quartile 3rd Quartile Lowest 4th Poverty Quartile Counties Highest 1st Poverty Quartile Counties 2nd Quartile 3rd Quartile Lowest 4th Poverty Quartile Counties Percent of County Population Living in Poverty Decreased CFA No Change in CFA Increased CFA Implementation Considerations ● Leaky bucket ● Receiving more state dollars may reduce county funding ● County levy limits ● Larger burden on counties who cannot raise revenue ● Solution: “No harm” exemption ● Large fiscal impacts on counties ● Significant declines would be hard to absorb ● Solution: Gradual implementation Recommendation Risk Factor Formula ● Effective: ● Matches resources to need ● Data manipulation unlikely ● Equitable: ● Updated yearly ● Counties with similar poverty rates treated alike ● Low additional cost to DCF ● Counties likely will find it moderately acceptable County Interviews and Surveys In-person interviews with county Human Services Departments ● 2 small (Marquette and Richland) ● 3 medium (Dodge, Rock, and Sauk) ● 2 large (Milwaukee’s BMCW and Dane) On-line survey to all counties on cross-county collaborations for CPS ● 11 responses from across the state County Interviews and Surveys Four themes from counties 1. The importance of block grants and flexibility 2. The role of local decision-making 3. Differences between BMCW and counties 4. Constraints of state mandates Cross-County Collaborations Suggestions for collaboration ● High-Risk or Catastrophic Case Insurance Pool ● Access and intake ● Training ● Foster care training for parents ● Specialized and high-cost services ● Use of teleconferencing for training Cross-County Collaborations Some counties still won’t give up local control ● Screen-in discretion ● Out-of-county institutions ● Debate over where to locate a new regional service hub or institution Cross-County Collaborations How DCF can facilitate ● “Lay the groundwork” for the first meeting ● Provide information collected by DCF ● Reduce or help navigate state mandates ● If DCF provides new funds: ● Help fund portions of specialized staff ● Grants for start-up services/institutions for multi-county collaborations Cross-County Collaborations Problems to avoid ● Too many changes at once ● Poor budgeting and unrealistic expectations ● Lack of buy-in among stakeholders ● Unaccountable governing bodies Conclusion ● We explained: ● CPS demands and funding ● Two alternatives ● Themes from county interviews and surveys ● We recommend: ● DCF adopt the Risk Factor Formula ● DCF encourage and facilitate cross-county collaboration For further information Contact the La Follette School’s publications office at 608-263-7657 or publications@lafollette.wisc.edu Or see www.lafollette.wisc.edu/publications/workshops.html Thank you APPENDIX SLIDES Alternative #1 Risk Factor Coefficient Summary Risk Factors Number of Children Living in Poverty Number of Children in Single-Parent Families Constant Coefficients Standard Error 0.0795*** (0.0129) 0.0386** (0.0157) 14.83 (19.66) Number of Observations 72 Counties R-Squared 0.974 *** p<0.01, ** p<0.05, * p<0.1 Source: Authors, calculated using DCF (2010) and ACS (2010) data Estimated County Allocation per Person Under Current Policy, by Percent of County Population Living in Poverty $80 R² = 0.4812 County Allocation Per Person $70 $60 $50 $40 $30 $20 $10 $0% 5% 10% 15% 20% 25% 30% Percentage of County Population Living in Poverty 35% Estimated County Allocation per Person Under Risk Factor Formula, by Percent of County Population Living in Poverty $50 R² = 0.7744 County Allocation Per Person $40 $30 $20 $10 $- 0% 5% 10% 15% 20% 25% 30% Percentage of County Population Living in Poverty 35% Estimated County Allocation per Person Under Workload Method, by Percent of County Population Living in Poverty $40 County Allocation Per Person R² = 0.2372 $30 $20 $10 $0% 5% 10% 15% 20% 25% 30% Percentage of County Population Living in Poverty 35% Magnitude of Changes in County Allocation using The Workload Method, by Percent of County Population Living in Poverty Aggregate Change in County CFA (in Millions) $3 $2 Aggregate County Increase in CFA $1 $0 Aggregate County Decrease in CFA -$1 -$2 -$3 Highest 1st Poverty Quartile Counties 2nd Quartile 3rd Quartile Lowest 4th Poverty Quartile Counties Percent of County Population Living in Poverty Note: 1st quartile are those counties with highest levels of poverty Changes in County Allocation using Risk Factor Formula, by Percent of County Population Living in Poverty 16 Number of Counties 14 12 10 9 9 7 8 6 4 2 - 7 9 7 7 6 4 2 Highest 1st Poverty Quartile Counties 3 2 2nd Quartile Decreased CFA 3rd Quartile Lowest 4th Poverty Quartile Counties Percent of County Population Living in Poverty Note: 1st quartile are those counties with highest levels of poverty No Change in CFA Increased CFA Changes in County Allocation using Workload Method, by Percent of County Population Living in Poverty 16 Number of Counties 14 14 Decreased CFA 11 12 10 8 7 8 9 8 6 6 4 2 - 3 Increased CFA 3 1 Highest 1st Poverty Quartile Counties 2nd Quartile No Change in CFA 1 1 3rd Quartile Lowest 4th Poverty Quartile Counties Percent of County Population Living in Poverty Note: 1st quartile are those counties with highest levels of poverty Percent Change in CFA Funding under Risk Factor Formula 200.0% 150.0% 100.0% 50.0% 0.0% -50.0% -100.0% Percent Change in CFA Allocation under Workload Method 200.0% 150.0% 100.0% 50.0% 0.0% -50.0% -100.0% Background Number of Reports/Cases per 1,000 Children ● State supervised, county administered system ● Differences in demand for services 30 28.8 25 20 19.9 15.7 15 11.0 10 6.4 5 2.7 0 10 Poorest Counties Average Report Rates Average Investigation Rates 10 Richest Counties Average Substantiation Rates Background State Basic County Allocations (In Millions) ● Funded with state and local dollars ● Declining state revenues ● Limiting property tax levy $300 $290 $280 $270 $260 $250 $240 $230 '05 '06 '07 '08 Year '09 '10 '11 Estimated County Allocation per Person, by Percent of County Population Living in Poverty CURRENT POLICY County Allocation per Person $80 R² = 0.4812 $70 $60 $50 $40 $30 $20 $10 $0% 5% 10% 15% 20% 25% 30% Percent of County Population Living in Poverty 35% Estimated County Allocation per Person, by Percent of County Population Living in Poverty CURRENT POLICY $80 $70 $60 $50 $40 $30 $20 $10 $- RISK FACTOR FORMULA $50 R² = 0.4812 $40 R² = 0.7744 $30 $20 $10 $0% 10% 20% 30% $40 0% 10% 40% WORKLOAD METHOD 20% R² = 0.2372 $30 $20 $10 $0% 10% 20% 30% 40% 30% 40%