Foster Care Adoption in the United States: A State by State Analysis of Barriers & Promising Approaches Commissioned by the National Adoption Day Coalition: CONDUCTED BY THE URBAN INSTITUTE CHILD WELFARE RESEARCH PROGRAM *Please note that the following report is embargoed until Wednesday, November 17, 2004 at 1:00 p.m. EST The National Adoption Day Coalition is comprised of eight partners – The Alliance for Children’s Rights, Casey Family Services, Children’s Action Network, Congressional Coalition on Adoption Institute, Dave Thomas Foundation for Adoption, Freddie Mac Foundation, and Target Corporation – that work to draw special attention to foster children waiting for permanent families and to celebrate all loving families that adopt. Web site: www.nationaladoptionday.org The Urban Institute is a nonprofit, nonpartisan policy research and educational organization established in Washington, D.C., in 1968. Its staff investigates the social, economic, and governance problems confronting the nation and evaluates the public and private means to alleviate them. The Institute disseminates its research findings through publications, its web site, the media, seminars, and forums. This study was conducted by: Jennifer Ehrle Macomber, Cynthia Andrews Scarcella, Erica H. Zielewski and Rob Geen. Web site: www.urban.org INTRODUCTION According to the most recent statistics available, in the United States in 2002, 129,000 children were in foster care systems nationwide waiting to be adopted. These children found themselves in this circumstance because their parents could no longer provide for their care. Child welfare agencies and courts around the country have made efforts to find families to adopt these children, but significant barriers have continued to impede the process. As a result, many of these children remain in foster care for years without having a place to call home. Moreover, when they age out of care usually at age 18, they are without permanent connections to families needed for success as adults. The foster care adoption process is complex and afflicted by many potential barriers, some of which are easier to address than others. Some barriers might even be considered necessary, in that they exist to protect a child’s best interests or a parent’s rights. For example, some children are not psychologically ready to be adopted, and some older children may choose not to be adopted. Similarly, the process may slow to ensure that parents have the opportunity to appeal court decisions or to obtain sufficient services to address their needs. Thus, even in a perfect system, some adoptions would not move quickly and some would not happen at all. There are parts of the adoption process, however, that can be improved, and states are implementing a variety of strategies to do so. The 1997 Adoption and Safe Families Act (ASFA) made significant changes to child welfare policy by setting timelines and practice guidelines for achieving permanent outcomes for children. As a result of this legislation and a renewed focus on permanency outcomes, more children are moving through the adoption process. In 1998, 37,000 children were adopted. In 1999, the number of adoptions rose to 47,000. And in 2002, 53,000 children were adopted nationwide. For years, the field has speculated about why children remain in foster care and why the adoption process is not timely. Research has looked at particular aspects of the process and barriers faced by particular states or localities. Foster Care Adoption in the United States: A State-by-State Analysis of Barriers & Promising Approaches goes one step further by providing the first national look across states at the barriers to the adoption process, as well as promising approaches to address them. This report comes at a critical time. With the policy changes brought about by ASFA and increased numbers of children moving through the adoption process, the barriers to adoption and the need for promising approaches are more acute. This report describes the complexities, progress and struggles states are experiencing in implementing new ASFA policies to move children toward adoption. It also offers policymakers a first-time comprehensive look into the barriers and progress at the national and state levels, and provides practitioners with the opportunity to learn from each other’s challenges and successes. The National Adoption Day Coalition commissioned the Urban Institute to conduct this study using information relevant to adoption from states’ Child and Family Services Reviews (CFSRs). CFSRs are administered by the U.S. Department of Health and Human Services (DHHS) and are designed to help states improve child welfare services and identify areas where technical assistance can lead to program improvements.1 This report is organized into the following sections: How Does Adoption Work? ………………………………………………………… Stages of Adoption ………………………………………………………………..… Research Methodology……………………………………………………………… Guidelines to Research ……………………………………………………….……. Key Findings: Barriers to Foster Care Adoption………………………………. Key Findings: Promising Approaches to Foster Care Adoption…………… Why Is This Research Important? ……………………………….……………….. What Can Be Done to Improve the Foster Care to Adoption Process? …… Glossary and Key Acronyms…….………………………………………………… Table 1: Barriers Across States…………………………………………………… Table 2: Promising Approaches Across States………………………………… State Profiles…………………………………………….………………………….… 2 3 4 6 7 9 11 13 14 16 17 18 1 The current CFSR process began as early as 1998 and is concluding in 2004. States may have made changes to their adoption processes since completing their CFSRs that are not reflected in this report. 1 HOW DOES ADOPTION WORK? Moving children into adoptive homes requires several steps, as well as a complex interplay between the child welfare agency and the courts, both of which play key roles in shaping the adoption process. (See Figure 1.) The movement of a child’s case through the system is marked by several key stages. (For a complete description of these stages, see the Glossary on page 13.) Figure 1: Stages to Adoption Child Welfare Agency Courts ENTRY Finding of abuse / neglect Agency Factors Case Management - Resources Identify placement Initiate concurrent planning Establish change / goal Diligent search PERMANENCY PLANNING Hold hearing TERMINATE PARENTAL RIGHTS (TPR) Conduct proceedings for TPR Provide legal services Conduct proceedings for appeal Recruit adoptive home Select adoptive home Approve adoptive home Adoption subsidy / establish services Prepare / transition child and family Provide post-adoption services ADOPTIVE PLACEMENT Conduct proceedings for adoption POSTADOPTION 2 STAGES OF ADOPTION Entry A child first enters the child welfare system most often due to abuse or neglect suffered at the hands of his or her parents. At this point, the child is removed from his or her home and the child welfare agency assesses the child’s needs and identifies a placement best suited for the child. The court makes a finding of abuse or neglect. In identifying a placement, the agency may seek a family who is interested in adopting the child, which may speed the adoption process if it is later determined the child can not be reunified with his or her parents. However, if the finding of abuse or neglect is not timely in the courts, future permanency hearings may be delayed. In face, adoption efforts can begin at placement. Permanency Planning After a child is placed in care, the child welfare agency begins a process called “permanency planning.” This process involves the development of a plan with a permanency goal to eventually return the child home (reunification) or place the child in an alternate living arrangement (e.g., adoption, legal guardianship, permanent placement with relatives, or other planned permanent living arrangement). Agencies may implement a practice called concurrent planning to simultaneously pursue reunification and another permanency option, should reunification fail. The court must hold a permanency hearing for the child within 12 months of a child’s entry into care to confirm the goal for the child and order the appropriate actions to support it. Termination of Parental Rights (TPR) If it is determined that the child welfare agency will make efforts to place the child for adoption, the process of terminating parental rights begins. This process involves conducting a diligent search for the child’s absent parents and/or extended birth family members, conducting court proceedings, providing legal services for the parents, and conducting proceedings should the parent appeal the TPR. In some cases, a parent may voluntarily relinquish his or her parental rights. Adoptive Placement States vary as to when they begin the process of finding an adoptive placement for the child. Some begin during concurrent planning, while others wait until TPR proceedings have been finalized. This process involves recruiting, selecting and approving the appropriate home. The court then conducts adoption proceedings, while the agency sets up a subsidy and establishes services for the adoptive family, and prepares the family and child for the adoption. All adoptive families are eligible to receive an adoption subsidy to assist with care expenses. Post-Adoption After the adoption is finalized, the child is no longer in the custody of the state, and the new adoptive family assumes full responsibility for the child’s care. States may provide post-adoptive services to ensure a smooth transition into the adoptive home for both the child and the adoptive family. The child welfare agency and the courts play key roles in the adoption process. The operations of these entities can significantly affect how cases move toward adoption. Two aspects of organizational operation are of particular interest: Case Management Case management refers to how the courts or the child welfare agency handles a case. Specifically, how do organizational structure, employee beliefs and information systems affect the movement of a case through the agency or courts? Resources Resources include monetary and human resources the court or the child welfare agency has to carry out the organization’s operations. 3 RESEARCH METHODOLOGY The data for this analysis were taken from the states’ Child and Family Services Reviews (CFSR). The CFSR is a tool used by the federal government to ensure that state child welfare agencies conform to federal child welfare requirements. Congress mandated CFSRs through amendments to the Social Security Act in 1994, and ASFA of 1997 further specified the review process, requiring a more hands-on assessment of states' conformity with a set of indicators. The process is designed to help states improve child welfare services and the outcomes for families and children who receive services by identifying promising approaches and needs within state programs, as well as areas where technical assistance can lead to program improvements. CFSRs are administered by the Children's Bureau, Administration for Children and Families (ACF), U.S. Department of Health and Human Services. The review process is a collaborative effort between the federal and state governments. A review team made up of both state and federal staff members conducts the reviews and evaluates state performance. The team relies on information from a variety of sources in making decisions about a state's performance, including a statewide assessment completed by the state’s members of the review team; onsite reviews of a sample of children and families served by the state; statewide aggregate data; and interviews with state and community representatives. The CFSR results in three documents: the statewide assessment, a final review, and a subsequent program improvement plan (PIP). The PIP provides a plan for addressing outcomes that are not determined to be in substantial conformity. The CFSR review process began in 1998 and will conclude in 2004. States will be reviewed again in five years. This report assessed all three CFSR documents when available. Final reviews were obtained for 50 states and the District of Columbia. Statewide assessments were available for 45 states and the District of Columbia. Program improvement plans were obtained for 42 states and the District of Columbia. The state profiles indicate when one of these documents was not available and, therefore, not included in the analysis. 4 The assessment of barriers and promising approaches was conducted in three stages: Extraction An “extraction document” was created for each state by cutting and pasting information relevant to adoption from the CFSR documents. Specifically, state report items 7, 9, 27, 28, 44 and 45; statewide assessment outcome questions 4, 6 and 11; and the systemic factor on foster and adoptive homes were included. Information from these items and questions specifically addressed issues of adoption, including permanency goals, TPR, adoptive parent recruitment and the ICPC (Interstate Compact for Placement of Children). Other sections of the reports were also reviewed and information on staffing, training, organizational structure and agency resources was extracted when it was relevant to adoption. Assessment The next step was to assess the extraction document for barriers and promising approaches at each of the stages of adoption. When a state reported a particular barrier or promising approach, it was entered into a barriers and promising approaches table for that state. (See state profiles.) A barrier included any difficulty or obstacle that hampered efforts to move children into adoptive homes. Promising approaches included any innovative practice, approach, improvement, program or policy that reportedly enhanced adoption efforts. Given the small number of applicable cases, barriers and promising approaches reported in the onsite reviews were not included unless they were corroborated by another source, like the stakeholder interviews. Checking One staff member conducted the assessment and created the state table. A second staff member checked the table of barriers and promising approaches against the extraction to ensure appropriate items were extracted and placed in correct stages. Team members met frequently to discuss questionable items and ensure the placement of items in stages was consistent. To provide context for the barriers and promising approaches, each state profile also includes a set of key indicators related to adoption, such as foster caseload numbers, number of children waiting to be adopted (defined as children whose parents’ parental rights have been terminated and/or have a goal of adoption), and the number of children adopted and by whom. Demographic characteristics for some of these groups are included. Data are offered for 1999 through 2001, and for 2002, when available. National estimates for 2001 are also provided for comparison. These indicators were obtained from the Adoption and Foster Care Analysis and Reporting System (AFCARS), which provides a compilation of state reports on the numbers and characteristics of children waiting to be adopted and those who have been adopted. States may have more current data than what is available in the federal AFCARS. Spending on adoption services for each state is also provided in the profiles. The Urban Institute Child Welfare Survey, conducted in 1997, 1999, 2001 and 2003, collected state child welfare expenditures for the previous state fiscal year (SFY) (e.g., SFY’s 1996, 1998, 2000 and 2002, respectively). The spending figure provided in each state profile includes Title IV-E expenditures on adoption and the corresponding calculated required state match. Title IV-E funding represents the majority of spending on adoption and related activities. For those states that were unable to provide Title IV-E adoption expenditures (seven states in 2001 and six states in 2003), data provided by the Department of Health and Human Services were used. 5 GUIDELINES TO RESEARCH A few key points are important to keep in mind when reviewing these findings: Number but Not Magnitude of Promising Approaches and Barriers This analysis simply identifies when a particular promising approach or barrier is reported; it does not indicate the magnitude of a particular barrier or approach. For example, two very difficult barriers may be comparable to 15 mild barriers in terms of the challenge those barriers present to a state. States’ Report of Promising Approaches and Barriers This analysis is based on states’ reports of barriers and promising approaches. It is important to remember that just because a barrier or promising approach is not reported, it does not mean that one does not exist. For example, it is most accurate to say “48 states report barriers in the TPR stage.” It would not be accurate to say “48 states have barriers in the TPR stage.” Time Lapse This analysis is based on the first round of CFSRs, most of which were conducted between 2000 and 2004. Much may have changed since that time, particularly for those conducted early in the process. However, these data provide a useful baseline for assessing future change. Ideally, a follow-up study will be conducted to allow states to comment on this particular assessment and provide new and updated information. CFSR Item Ratings In the CFSR final review for each state, the review team rates states by labeling a set of items as either a strength or area needing improvement. Six of these items were determined to be particularly relevant to adoption. Table 1 shows the number of states that received a rating of strength for each item related to adoption. The remaining states were labeled as needing improvement in these areas. Ratings for these items for all the states can be found online at http://www.acf.hhs.gov/programs/cb/cwrp/results.htm. Table 1: CFSR Items CFSR Final Report Items Item 7: Permanency goal Item 9: Timely adoption Item 27: Permanency hearing process Item 28: TPR process Item 44: Process for ethnic/racial diversity in recruitment Item 45: Process for use of cross-jurisdictional homes States Given a Rating of Strength for Item (Percent and Number) 9.6% 5 11.5% 6 50% 26 42% 22 40% 21 90% 47 This report builds on the CFSR analysis, but goes a step further by identifying promising approaches and barriers at specific stages of adoption. The CFSR ratings on particular items informed the identification of specific promising approaches and barriers, yet much of the information for this analysis was drawn from the supporting text for the different ratings, as well as the Program Improvement Plans (PIPs) and statewide assessments. 6 KEY FINDINGS: BARRIERS TO FOSTER CARE ADOPTION The adoption process is complex, and states face many barriers to moving children toward adoption. The stages where states most commonly report barriers are described below. It is important to remember, however, that some barriers are easier to address than others. In fact, some barriers are inherent to the adoption process and may exist for important reasons. For example, youth over the age of 14 may choose not to be adopted. Similarly, parents have the right to appeal a termination of their parental rights. Thus, regardless of how well a system functions, it may not be possible to move all children toward adoption quickly. However, identifying the stages where barriers occur and what specifically thwarts states’ efforts may guide improvements where they can be made. Top Five Stages Where States Report Barriers (See Table 2 on page 16.) 1) Conduct TPR Proceedings Conducting TPR proceedings involves a back-and-forth relationship between the child welfare agency and the courts. The two have to work together to file the petition, hold the hearings and finalize the TPR. Most states (48) report significant barriers in this stage, which can delay the adoption process. Some of the more commonly mentioned barriers occur when the courts and agencies are reluctant to terminate parental rights without an adoptive home identified; when parents request another chance or have substance abuse problems; or when prior services provided by the agency were not sufficient to address parents’ problems. 2) Recruit Adoptive Home The vast majority of states (47) report barriers to finding sufficient adoptive homes. Without sufficient homes, adoptions may be delayed or not even occur. The two most commonly mentioned barriers at this stage are finding homes for special-needs children (i.e., older children, sibling groups, and children with behavioral problems and disabilities) and finding homes to reflect the racial and ethnic diversity of the children. 3) Child Welfare Case Management Child welfare case management refers to aspects of the child welfare agency, such as staffing and paperwork that affect the adoption process. Many states (43) report barriers around agency case management that delay the adoption process. Some of the more commonly mentioned barriers include staff turnover (i.e., a new caseworker “starts fresh” each time), high caseloads, insufficient staff training, lack of communication with the courts, delays when cases are transferred from an ongoing case unit to an adoption unit, and incomplete case records (TPR cannot proceed without certain information). 4) Court Case Management Court case management refers to aspects of court processes, such as staffing and paperwork that affect the adoption process. Most states (43) report barriers in court case management that delay the adoption process. Some of the more frequently reported barriers include continuances, crowded dockets, difficulty scheduling hearings, judicial beliefs about adoption, and lack of communication with the child welfare agency. 5) Establish/Change Goal The permanency goal should be appropriate and determined in a timely manner. Most states (42) report barriers to establishing or changing the child’s goal to adoption, which may mean adoption is not pursued in a timely manner or not pursued at all. Some of the commonly mentioned barriers occur when an agency does not consider the goal of adoption early enough in the case process or maintains the goal of reunification for too long. Additionally, workers and/or older children themselves may prefer a permanency goal of long-term foster care or independent living, presenting a barrier to establishing a goal of adoption for youth. 7 Other Stages Where States Report Barriers Barriers can occur throughout the adoption process. While it is important to highlight some of the more commonly reported stages, there are other stages where states report barriers. Child Welfare and Court Resources Many states (32) report barriers in attaining child welfare resources. Most report a lack of staff and agency attorneys. Many states (21) also report insufficient court resources, most commonly a lack of judges, attorneys and administrative staff. Initiate Concurrent Planning A majority of states (32) report barriers around initiating concurrent planning. Concurrent planning involves exploring reunification while simultaneously exploring alternative permanency options should reunification fail. While ASFA encourages states to implement this practice, states vary in whether and how they implement these procedures. Many states implement the procedures in policy, yet a common sentiment is that concurrent planning exists in “form but not function.” The states that have effectively implemented concurrent planning report that it is a promising approach in improving the adoption process. Conduct Proceedings for Appeal A majority of states (30) report barriers around conducting proceedings when a child’s birth parents appeal the termination of parental rights. Most of these states report the appeal process to be very lengthy, sometimes taking years. Approve Adoptive Placement Many states (32) report delays around approving an adoptive placement. Some commonly reported barriers include delays in completing home studies, difficulties completing the ICPC process for interstate adoptions, and the absence of a “dual-licensing” process for foster parents, meaning that if foster parents decide they want to adopt, they have go through an additional approval process for adoption after already completing the approval process to be a foster parent. Finding of Abuse/Neglect Some states (8) report barriers around the formal finding of abuse or neglect; specifically, the adjudication process takes so long that it may delay the permanency process. For example, a child may be in care 12 months and eligible for the permanency hearing, but the child’s case may not yet be adjudicated. Diligent Search A portion of states (20) report barriers in the diligent search for parents. In this stage, the agency searches for the child’s biological parents, which is necessary in order to terminate parental rights. Most states reporting a barrier at this stage believe the diligent search should happen earlier in the case process. Provide Legal Services Some states (15) report that providing legal services for biological parents to protect their interests in TPR proceedings presents a barrier in proceeding with TPR. Conduct Proceedings for Adoption Interestingly, only 12 states report barriers around conducting proceedings for adoption, suggesting TPR and recruiting sufficient homes are the primary points where the adoption process slows. 8 KEY FINDINGS: PROMISING APPROACHES TO FOSTER CARE ADOPTION Interest in achieving permanency outcomes for children through adoption has grown significantly in recent years, as evidenced in the ASFA legislation and the growing numbers of children moving through the adoption process. This report provides further evidence of this interest, as shown in the numerous promising practices undertaken by states to address barriers to adoption. The stages where states most commonly report promising practices are described below. It is notable that states are reporting a variety of promising practices to address many of the most significant barriers. Top Five Stages Where States Report Promising Approaches (See Table 1 on page 15.) 1) Recruit Adoptive Home Almost every state (50) reports improved efforts to find adoptive homes for waiting children. Some of the most commonly reported practices at this stage include conducting extensive recruiting campaigns using a variety of media, using exchanges and Web sites, and organizing a range of recruiting events and activities. States frequently report contracting or collaborating with other agencies to conduct recruitment activities. 2) Child Welfare Case Management Most states (45) report attempts to address barriers around child welfare case management. Some commonly reported practices include reorganizing staff to create adoption units or specific adoption positions, providing additional training on adoption, and creating permanency task forces or committees. 3) Approve Adoptive Home Most states (38) report efforts to improve the process of approving adoptive homes. This process involves background checks, a home study, adoptive parent training, and, if the adoption is in another state, completion of the Interstate Compact for Placement of Children (ICPC). Some of the commonly reported practices for improving this process include dual-licensing foster and adoptive parents so foster parents do not have to go through another approval process if they chose to adopt, expediting home studies, collaborating with neighboring states to complete the ICPC process, and enlisting contracts to conduct all or part of the approval process. 4) Hold Permanency Hearing Most states (36) report progress around holding permanency hearings. For many states, hearings were reported to be timely and effective. States report the use of tracking systems, improvements in scheduling, and Court Improvement Project (CIP) Bench Books as means for improving hearings and their timeliness. 5) Establish Adoption Subsidy/Services Most states (35) report efforts to establish services and subsidies to assist adoptive families. These states often report that such supports can improve the stability of adoptive placements and are important to ensure the well-being of adopted children. 9 Other Stages Where States Report Promising Approaches States are also making significant efforts to improve the adoption process at many other stages. Conduct TPR Proceedings Many states (34) report making efforts to improve TPR proceedings and are succeeding at ensuring more timely filings and hearings. Some of the more commonly reported efforts made at this stage include the use of mediation programs, the support and use of voluntary relinquishments and open adoptions, the use of tracking or “tickler” systems to inform courts and agencies of hearings, and the development of protocols to guide the process. Provide Post-Adoption Services A majority of states (35) report providing or making plans to provide post-adoption services. States vary in the types of services they are providing, ranging from respite care to counseling, and also vary in the extent to which these services have been implemented (e.g., some states are planning services, while others already provide them). Court Case Management Many states (32) report attempts to improve court case management. Some commonly reported efforts include assistance provided by Court Improvement Projects (CIPs), training of judges and attorneys, and efforts to improve communication and collaboration with the child welfare agency (e.g., through task forces, committees, liaisons, etc). Child Welfare and Court Resources While resources are also frequently a barrier, many states report promising approaches in attaining child welfare resources (21 states) and court resources (11 states), most often increases in staff. Initiate Concurrent Planning Over half of states (26) report some success around initiating concurrent planning practices. Frequent improvements include new training for staff or court personnel. In some cases, states report training foster parents to be potential adoptive parents through foster-to-adopt programs in an effort to better implement concurrent planning. Select Adoptive Placement Thirty-three states report success around selecting adoptive homes for children. Most commonly, states report an effective use of cross-jurisdictional homes, which entails matching children with potential families throughout the state. Other states provide training and additional information to foster parents around becoming an adoptive parent of the child in their care. States may provide caseworkers with additional assistance in selecting an appropriate adoptive placement. States also report organizing matching events, where potential adoptive families can meet children waiting to be adopted. Establish/Change Goal Some states (18) report success around establishing and changing permanency goals. These states are able to establish timely and appropriate goals for the children in their care. Some strategies for doing this include revisiting goals for older children, utilizing family group conferencing, and creating committees or roundtable meetings to review the goals of particular cases. Prepare/Transition Child and Family Some states (21) report promising approaches in preparing the child and family for adoption. Some of these approaches include providing preparation services, developing mentoring programs, and offering mental health services to families. Often states use contract agencies to perform these services. 10 WHY IS THIS RESEARCH IMPORTANT? This first-time comprehensive national look at adoption from foster care reveals tremendous complexities in the process and finds that states are quite similar in the challenges they face . There are extraordinary tensions in balancing children’s needs and parent’s rights. States have an interest in moving children into permanent homes quickly, yet at the same time must protect the parent’s right to parent and rights during a termination process. There is also a required extensive interplay between agencies and courts at several stages in the adoption process. As a result of these tensions and complexities, this report finds that many states report barriers at similar stages in the foster adoption process. States are also reporting an array of promising approaches to address these problems. Reveals Complexity of the Process of Adoption from Foster Care This report documents how the foster care to adoption process requires a complex interplay between the child welfare agencies and the courts. Each of these agencies has its own mission, system of operations, and organizational culture making coordination of efforts extremely challenging. Highlights a Set of Barriers Most States Face Given the complexity of the process, states face many barriers to moving children toward adoption. Moreover, the vast majority of states report facing similar barriers, including difficulties in terminating parental rights (48 states), recruiting adoptive homes (47 states), child welfare case management (43 states), court case management (43 states), and establishing / changing permanency goals (42 states). Highlights a Set of Promising Approaches in Which Most States are Engaged Interest in achieving permanency outcomes for children who cannot be reunited with their birth families has grown significantly in recent years. This report provides further evidence of this interest, as shown in the numerous promising practices undertaken by states to address barriers to adoption. States report the most efforts to improve the adoption process in recruiting adoptive homes (50 states), child welfare case management (45 states), approving adoptive homes (38 states), holding permanency hearings (36 states), and establishing adoption subsidies / services (35 states). Points to Persistent Barriers Most States Face Many of the significant barriers are at stages of the adoption process in which many states also report promising approaches. This suggests that States are aware of some of the most difficult issues and are taking steps to address them. This also suggests that despite significant promising approaches, some barriers are persistent and may require significant time and resources to resolve. Three barriers are of particular note: finding adoptive homes, case management, and addressing TPR tensions. However, some barriers are inherent to the adoption process and may exist for important reasons. For example, youth over the age of 14 may choose not to be adopted (although care should be taken to address what that youth is really saying). Similarly, parents have the right to appeal a termination of their parental rights. Thus, regardless of how well a system functions, it may not be possible to move all children toward adoption quickly. Points to Barriers Many States Face but Few Have Addressed The report also shows that for some stages of the adoption process where many states report barriers, few states report promising practices to address them. Specifically, many states report barriers around providing sufficient legal services during TPR proceedings, but few report promising approaches to address this problem. Similarly, many states report that the appeals process in TPR has significant barriers, and yet few have come up with promising approaches for addressing this problem. Point to Stages of the Adoption Process that States Have Yet to Focus On There are a number of areas for which states do not report facing major barriers, and also do not identify many promising practices. These areas include completing diligent searches for birth 11 fathers and relatives, preparing and transitioning the child and adoptive family, and conducting the adoption proceedings. Suggests Strategies to Improve TPR Barriers around terminating parental rights (TPR) reflect the significant tensions courts and agencies face in struggling to balance protecting parental rights with protecting children’s interests. This report documents some promising approaches states have already implemented that might be enhanced, and replicated in other localities around the country. Streamlined and efficient process: ensuring complete case records, implementing “tickler” systems to remind agency and court of timelines Sufficient resources at critical stages: adding agency lawyers; providing representation for parents in appeals; and offering services for parents to address problems Alternative approaches: allowing for open adoption; exploring voluntary relinquishments; and implementing mediation programs Suggests Approaches for Recruiting Adoptive Homes Many states report promising approaches to recruiting adoptive homes, yet still report this as a barrier. This report suggests some promising approaches that states are implementing, many of which might be further explored and enhanced. Planned and comprehensive recruitment: developing comprehensive statewide and local plans; implementing a strategic planning process; and targeting the most applicable families Improved approval and selection processes: creating an efficient and customer-friendly process; implementing dual-licensing of foster and adoptive parents; and informing relative caregivers about the option of adopting Sufficient services: providing subsidies similar or equal to foster care; offering supplemental services similar to foster care services; and developing pre- and post-adoption services Suggests Methods for Improving Case Management Courts and child welfare agencies must interact at several stages in the adoption process. Effective coordination and case management practice in both agencies is vital to ensuring a smooth process. States report several promising approaches in this area that might be explored in other localities. Coordination between child welfare and courts: developing liaison positions; creating jointly staffed committees or oversight boards; implementing processes for sharing information Resources to process cases efficiently: expanding the number of judges, attorneys, and administrative staff Agency Reorganization: designating staff for adoption functions only; creating adoption units, changing how judges and cases are assigned; and forming committees to review adoption cases 12 WHAT CAN BE DONE TO IMPROVE THE FOSTER CARE TO ADOPTION PROCESS? While states are making substantial efforts to improve the process of transitioning foster children to adoption and to address specific barriers, there is still much work to be done to ensure that all children find the permanent, loving families they need and deserve in a timely manner. The findings from this study suggest that the following recommendations may help in better understanding and addressing the barriers to adoption that states still face: Direct Future Adoption Opportunities Grants toward Addressing Identified Barriers The Federal Adoption Opportunities Program (AOP), through grants to innovative state and local agencies, seeks to eliminate barriers to adoption and help find permanent families for children who would benefit from adoption, particularly children with special needs. DHHS, which administers the program, may want to focus future AOP grants on exploring strategies for addressing the barriers identified in this study as the most common and persistent or those not yet addressed by many states. Some of the promising approaches could also be targeted for adoption opportunity grants. Use the National Child Welfare Resource Centers to Provide Technical Assistance DHHS funds 12 national resource centers to provide training and technical assistance to state and local child welfare agencies. These Centers, in particular the National Resource Center for Family Centered Practice and Permanency Planning and the National Child Welfare Resource Center for Adoption, could garner resources and expertise to provide technical assistance around the barriers identified in this study. These resource centers could also be used as a repository for information on promising approaches. In addition, private resources such as the Casey Center for Effective Child Welfare Practice provide at no fees technical assistance, training, and consultation to public and private state agencies. Focus on Coordination between the Child Welfare Agencies and the Courts Two of the five most reported barriers (terminating parental rights and establishing / changing permanency goals) reflect the complex and difficult interplay between child welfare agencies and the courts at several stages in the adoption process. Heightened attention needs to be given to the role of the courts in the adoption process, and the vital importance of ensuring coordination between courts and child welfare agencies. Ensure Workforce Issues a Place on the Agenda for Improvement Case management issues in both the courts and child welfare agencies were among the most cited barriers in the adoption process. A greater focus and higher priority on staffing issues, organizational culture, and information systems must be part of the national and state agendas to improve the foster adoption process. Conduct Research to Identify Effective Strategies Not enough is not known about what works for stages of the process where many promising practices are reported, yet there are still significant barriers. Rigorous research will be needed to identify particularly effective approaches in recruitment, terminating parental rights, or case management. Research will also be needed to determine where states are making changes and what new barriers and approaches are emerging. This report provides a baseline, but more research will be needed to document change and progress in addressing barriers. Encourage Peer-to-Peer Learning Child welfare administrators, policy makers, and legislators can use the state-level information provided in the report as a springboard for sharing ideas about promising approaches. While the report is not able to provided detailed information on particular approaches, the hope is that states will contact each other to learn more about particular approaches. 13 GLOSSARY & KEY ACRONYMS GLOSSARY Entry Stages When a child is abused or neglected, he or she may be removed from the birth family and placed in foster care. Adoption efforts may begin in these early stages, if states seek potential adoptive homes for children when identifying a temporary foster care placement. Adoption efforts may be impeded if the finding of abuse or neglect is delayed. Identify Placement: The child welfare agency seeks a placement for the child when abuse or neglect has been determined, and the child cannot remain at home. This placement might be in a home with relatives, a non-relative foster family, a temporary shelter or a group home. Finding of Abuse/Neglect: Around the time the child is removed from home and placed, the court conducts a process, often referred to as adjudication, to render a judicial decision about whether the allegations of abuse or neglect are true, and whether or not the birth family is willing or able to correct the situation. Permanency Planning After a child is placed in care, the child welfare agency begins what is called “permanency planning.” A plan is developed to either eventually return the child home (reunification) or place the child in a permanent alternate living arrangement (i.e., adoption, legal guardianship, permanent placement with a relative, or other planned permanent living arrangement). Initiate Concurrent Planning: Concurrent planning involves exploring reunification while at the same time exploring alternative permanency options should reunification fail. Establish/Change Goal: Children in care are given a permanency goal to guide the efforts on their behalf. This goal might be adoption, reunification, living with a relative or guardian, long-term foster care, or emancipation. Hold Hearing: A permanency hearing must be held for a child within 12 months of a child’s entry into care. At the hearing, it is determined whether the child will be returned home, placed for adoption with TPR, referred for legal guardianship, or placed in another planned permanent living arrangement, if no other option is appropriate. States may use tracking or “tickler” systems to inform courts and agencies of hearings. Termination of Parental Rights (TPR) Stages If it is determined that efforts will be made to place the child for adoption, the child’s parents’ parental rights must be terminated to make the child “free” for adoption. TPR permanently eliminates all rights that a parent has to make decisions about his or her child and is a necessary step before parental rights can be granted to another individual or individuals. In some cases, the parents may voluntarily relinquish their parental rights. The TPR process involves several steps: Diligent Search: If the child’s parents are not accessible, the agency or court must conduct a search to find and notify them. Conduct TPR Proceedings: The court conducts proceedings to terminate parental rights. To begin proceedings, a petition to terminate is filed. States vary in whether the court or the agency files the petition. States also vary in the legal grounds required for termination. Provide Legal Services: In the legal proceedings for TPR, the parents are often appointed legal representation. There are no national standards and states may vary in whether and how such services are provided. 14 Conduct Proceedings for Appeal: A child’s parents may appeal a TPR. An appeal is an attempt to have the final order of a court changed by seeking the review of a higher court. Adoptive Placement An adoptive placement, or resource, is sought for children moving toward a goal of adoption. Recruit Adoptive Home: This stage refers to state efforts to find potential adoptive placements for children, including the development of campaigns using a variety of media, the use of exchanges and Web sites, and the organization of recruiting events and activities. Select Adoptive Home: In this stage, the agency selects the placement that is best for a particular child. This process is often referred to as “matching” a child with a family. Approve Adoptive Home: The process of approving an adoptive resource typically involves background checks, a home study, adoptive parent training, and, if the adoption is in another state, completion of the ICPC (Interstate Compact for Placement of Children). Conduct Proceedings for Adoption: At this stage, the court conducts legal proceedings in which the adoptive parents take the child as their lawful child. The adoptive parents assume permanent responsibility for providing for the child, and the child is no longer legally connected to his or her previous parents. Establish Adoption Subsidy/Services: States provide a subsidy to adoptive parents to help assist with the child’s care. The amount of the subsidy can vary by state and the needs of the child. The federal government reimburses states for a portion of the subsidy, and some states choose to use state funds to increase the subsidy amount. States also may provide additional services, such as tuition reimbursement. Prepare/Transition Child and Family: Services are often provided to the family and the child to help them prepare for the adoption. Services can vary from meetings with a caseworker to therapeutic services provided by mental health professionals. Post-Adoption Stage Once the adoption is finalized, a child is no longer in the custody of the state and the new adoptive parents assume full responsibility for the child’s care. To ensure a smooth transition into the adoptive home for both the child and the adoptive family, states may provide post-adoptive services. Provide Post-Adoption Services: States may provide a range of services to the family after the adoption is finalized. These services can range from providing referral lists to offering respite care to making counseling services available. KEY ACRONYMS CIP: Court Improvement Project TPR: Termination of Parental Rights ASFA: Adoption and Safe Families Act CFSR: Child and Family Services Review PIP: Program Improvement Plan (part of CFSRs) ICPC: Interstate Compact for Placement of Children DHHS: Department of Health and Human Services 15 Table 1: Barriers at Stages of Adoption Across States X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Court resources X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Court case management X X X X X X X X X X X X X X X Child welfare resources X X X Agency Factors Child welfare case management X X Provide post-adoption services X X X X X X X X Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family X X X X X Provide legal services X X X X Conduct TPR proceedings X X X X X X X X X X X X X X X X X Approve adoptive home X X X Select adoptive home X X X X X Recruit adoptive home X X X X X X X X X PostAdoption Adoptive Placement Conduct proceedings for appeal X Establish/change goal Initiate concurrent planning X X X X Diligent search X Hold hearing Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Finding of abuse/neglect Identify placement Entry Termination of Parental Rights (TPR) Permanency Planning X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 16 X X X X Table 2: Promising Approaches at Stages of Adoption Across States X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Court resources X X X Court case management X X X X Child welfare resources Select adoptive home Recruit adoptive home Provide legal services Conduct proceedings for appeal Conduct TPR proceedings Diligent search X X X X X X X X X X X X X X Child welfare case management X X X Agency Factors Provide post-adoption services X X X X X X X Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family X Hold hearing Establish/change goal Initiate concurrent planning X PostAdoption Adoptive Placement Approve adoptive home Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Finding of abuse/neglect Identify placement Entry Termination of Parental Rights (TPR) Permanency Planning X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 17 X UNITED STATES Barriers and Promising Approaches2 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption Barrier States (Percent and Number) Promising Approach States (Percent and Number) Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal Hold hearing Diligent search Conduct TPR proceedings Provide legal services Conduct proceedings for appeal Recruit adoptive home Select adoptive home Approve adoptive home Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family 12% 16% 63% 82% 59% 39% 94% 29% 59% 92% 29% 63% 24% 45% 29% 6 8 32 42 30 20 48 15 30 47 15 32 12 23 15 14% 6% 51% 35% 71% 14% 67% 6% 12% 98% 65% 75% 8% 69% 41% 7 3 26 18 36 7 34 3 6 50 33 38 4 35 21 Provide post-adoption services* 29% 15 69% 35 84% 63% 84% 41% 43 32 43 21 88% 41% 63% 22% 45 21 32 11 AGENCY FACTORS Child Case management Welfare Resources Courts Case management Resources * Sixty-nine percent of states report promising approaches for both providing post-adoption services and establish adoption subsidy/services. Since many of the promising approaches reported for providing post-adoption services were plans for services that had not necessarily been implemented, establish adoption subsidy/services was selected for inclusion in the top five stages where promising approaches were reported. 2 Green shading refers to the top five stages where barriers are reported. Blue shading refers to the top five stages where promising practices are reported. 18 ALABAMA Highlights Alabama reported barriers in five of the top five stages where barriers most commonly occur: establish/change goal; conduct TPR proceedings; recruit adoptive home; child welfare case management; and court case management. Alabama reported promising approaches in five of the top five stages where promising approaches most commonly occur: recruit adoptive home; hold hearing; child welfare case management; approve adoptive home; and establish adoption subsidy/services. A promising approach of interest: Alabama conducts child specific recruitment efforts that include weekly television features of waiting children in three of the four major markets in the state, a quarterly Waiting Children newsletter, and the use of adoption listings and exchanges. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2001 – April 1, 2002 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption Barrier Promising Approach Identify placement X Lack of early and intensive Finding of abuse/neglect Initiate concurrent planning X Not happening consistently Establish/change goal X Parents not informed of timelines, Hold hearing X Diligent search Conduct TPR proceedings X Not filed on time, workers X New permanency specialist Provide legal services Conduct proceedings for appeal Recruit adoptive home X Numerous and lengthy appeals X Lack of homes for special-needs X Targeted recruitment, use of Select adoptive home X Relatives not informed of Approve adoptive home X Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services X searches reunification goal maintained for too long, reluctance to establish adoption goal Hearings not timely, not effective in moving towards permanency reluctant to file, judges hesitant to terminate, decision delays, parents given too many chances children, lack of recruitment in small rural counties benefits, inconsistent effort to find adoptive families when foster parents don’t adopt ICPC delays with home studies, foster parent adoption not timely Lengthy legal adoption process X Workers lack knowledge, need higher subsidy rates X X Planning training for workers, curriculum for staff on time frames X Tracking system position to work with counties exchanges, community-focused efforts, cross-jurisdictional homes sought, recruitment contracts X Contracts for training X Medicaid coverage for children who move into Alabama Lack of training on preparing children X Services provided by Alabama Post Adoptions Connections AGENCY FACTORS Child Case management Welfare X Lack of adoption training, case X Training provided, tracking forms, Resources Case management X X Crowded dockets, permanency X X Training on permanency, sample Courts Resources 19 transfer issues, time to complete paperwork, staff turnover Lack of staff for adoption process training participation low, continuances, inconsistent in following ASFA adoption manual for staff, coordination with other agencies Staff hired to assist counties court orders developed by CIP Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -5,511 567 2000 10.1 5,621 653 2001 -5,859 839 2001 Nation -542,000 65,000 2002 6.6 5,875 -- 1,013 1,162 1,288 126,000 1,535 2 28 36 24 5 4 3 28 35 26 5 4 2 25 33 31 6 4 3 32 32 28 4 -- ------- 53 46 <1 <1 -<1 54 45 1 <1 -1 52 46 1 <1 -2 45 34 12 2 <1 6 ------- 153 -38 -- 202 13 41 46 238 14 31 47 50,000 -48 88 249 -30 57 1 49 37 12 1 -- 3 49 33 13 3 -- 3 47 33 16 1 -- 2 46 34 16 2 -- 1 48 33 15 3 0 51 46 2 --1 41 58 1 --1 42 56 -1 -1 35 38 16 1 1 8 41 56 0 0 0 2 ----- 0 98 2 0 0 97 3 0 59 17 23 0 44 56 0 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent ALASKA Highlights Alaska reported barriers in five of the top five stages where barriers most commonly occur: establish/change goal; conduct TPR proceedings; recruit adoptive home; child welfare case management; and court case management. Alaska reported promising approaches in five of the top five stages where promising approaches most commonly occur: recruit adoptive home; hold hearing; child welfare case management; approve adoptive home; and establish adoption subsidy/services. A promising approach of interest: Alaska developed a Balloon Project to promote permanency for children who have been in foster care for a long time. This project involved hiring over a dozen new staff and increasing the number of attorneys available to process cases. Several other projects grew out of the Balloon Project, including the Home Study Project, designed to expedite home studies; Project Succeed, which implements procedures to search for adoptive families; and a process called Simple New Adoption Process (SNAP) that is designed to expedite the adoption process. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2001 – June 24, 2002 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption Promising Approach X Established, but not implemented Establish/change goal X Delays in decisions to change Hold hearing X Diligent search Conduct TPR proceedings X X Filing delays, court reluctance to Provide legal services Conduct proceedings for appeal Recruit adoptive home X Lack of effective plan, need for Select adoptive home X Difficulty identifying placements Approve adoptive home X Delays in conducting home X Dual licensing, home studies X Lack of services, no X Subsidy incentive program for Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Courts Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning Resources Case management Resources consistently goal, tribes uncomfortable with ASFA time frames Hearing delays, continuances granted, too much focus on parents’ needs over child’s needs Relative search delays X CIP working with hearing timelines grant TPR, compelling reasons not documented, TPR culturally unacceptable Native homes X Child-specific recruitment, use of national exchanges, developing campaign for children with behavior issues studies developmental disability subsidy X expedited special-needs children Child’s medical needs not addressed X Services needed X Program in development X High caseloads X New pilot streamlines concurrent X Lack of adoption specialists X High caseloads, continuances X adoption process, recognizing tribal adoptions, staff training Hiring new staff X More attorneys for cases Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -2,248 689 2000 6.8 2,193 582 2001 -1,993 553 2001 Nation -542,000 65,000 2002 9.7 2,072 -- 830 780 772 126,000 667 7 39 35 17 3 1 4 40 34 19 2 1 4 39 33 22 2 1 3 32 32 28 4 -- ------- 9 28 2 58 1 2 9 25 2 60 1 2 9 27 1 62 <1 1 45 34 12 2 <1 6 ------- 137 24 63 -- 202 22 66 93 278 21 57 97 50,000 -48 88 190 -67 99 4 53 34 7 2 -- 3 38 45 14 1 -- <1 51 34 13 2 -- 2 46 34 16 2 -- 0 53 28 17 1 0 14 28 10 47 1 1 4 30 9 37 1 20 5 26 8 36 -26 35 38 16 1 1 8 7 34 4 49 1 5 ----- 59 0 41 0 53 0 47 0 59 17 23 0 63 0 37 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent ARIZONA Highlights Arizona reported barriers in five of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; court case management; establish/change goal; and child welfare case management. Arizona reported promising approaches in five of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; approve adoptive home; hold hearing; and establish adoption subsidy/services. A promising approach of interest: Arizona streamlined the process for approving adoptive placements by allowing potential adoptive parents who had adopted another child within the prior three years or were licensed foster parents to simply add an addendum to their previous certification or foster home licensing home study. In addition, first-degree relatives, such as grandparents, were no longer required to be certified to adopt a related child. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2000 – September 24, 2001 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Barrier Identify placement Finding of abuse/neglect X Dependency and TPR processes joined Initiate concurrent planning X Not fully implemented, more Establish/change goal X Adoption not considered for older Hold hearing X Hearing delays, continuances X Following ASFA timelines, pre- Diligent search Conduct TPR proceedings X Workers reluctant to create legal X Streamlined TPR process Provide legal services Conduct proceedings for appeal Recruit adoptive home X Lengthy appeals process X Lack of homes for older children, X Specialized recruitment unit, Select adoptive home Approve adoptive home X Delays in processing ICPC cases, training needed Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Courts X Improved planning policies, finding homes that will accept children with goal of adoption children orphans, not filing for TPR lack of diverse homes delays in home studies and criminal checks Conduct proceedings for adoption Establish adoption subsidy/services PostAdoption Promising Approach hearing mediation performance-based contracts, incentives for minority recruiting, use of exchanges X Use of cross-jurisdictional homes X Certification process streamlined, certification for first-degree relatives removed X Amount of time child required to be in home reduced X Adoption promotion and support services, subsidy program with medical coverage X Children lack needed services X Services provided X Increased workloads, backlogs, X Training provided, Families for Resources Case management X Crowded court calendars X Use of one family/one judge Resources X Delays due to judges’ rotations staff turnover Kids Initiative working on backlogs approach Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -7,034 2,633 2000 31.9 6,475 1,817 2001 -6,050 1,306 2001 Nation -542,000 65,000 2002 28.8 6,211 -- 3,051 2,370 2,553 126,000 2,150 6 41 35 18 <1 0 4 39 33 23 1 -- 2 35 33 28 2 -- 3 32 32 28 4 -- ------- 11 48 33 2 0 5 11 45 37 2 0 6 10 48 35 2 <1 6 45 34 12 2 <1 6 ------- 761 20 40 -- 853 18 40 94 938 22 47 94 50,000 -48 88 793 -51 94 1 45 39 15 1 -- 1 45 37 17 1 -- 1 49 30 18 2 -- 2 46 34 16 2 -- 2 49 32 16 2 0 13 56 28 1 <1 2 11 56 26 3 -5 10 44 38 2 -7 35 38 16 1 1 8 9 43 41 1 0 6 ----- 43 19 38 <1 43 15 42 <1 59 17 23 0 26 38 36 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent ARKANSAS Highlights Arkansas reported barriers in five of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; court case management; establish/change goal; and child welfare case management. Arkansas reported promising approaches in four of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; approve adoptive home; and hold hearing. A promising approach of interest: focusing on finding homes for children, Arkansas engages in general and childspecific recruitment through a number of recruitment tools, and uses private agencies and community organizations to expand its recruitment efforts. Adoption staff receives training and technical assistance on adoptive home recruitment, and there are plans to create a statewide recruitment campaign for African-American and older children. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2000 – July 9, 2001 STAGES OF ADOPTION Entry Permanency Planning Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal Barrier X Difficulty with concurrent planning X Lack of urgency to move kids to permanency, or change goals of adoption for older children when no home is available; agency won’t pursue permanency goals unless believes court supports Hold hearing Termination of Parental Rights (TPR) Adoptive Placement PostAdoption X Diligent filing and scheduling of hearings, meeting with judges to improve hearings Diligent search X Interests of absent fathers not Conduct TPR proceedings X Workers reluctant to TPR, some X Strong filing process Provide legal services Conduct proceedings for appeal Recruit adoptive home X Special-needs recruitment is X Recruiting families to reflect Select adoptive home X Delays in selecting home if foster X pursued judges do not TPR “uneven,” reluctance to use national registries parent is not adopting diversity of kids, recruitment contracts with private agencies, use of ICPC to recruit homes Promoting and supporting foster parent and relative adoptions Contracts for home studies and adoption summaries Approve adoptive home X Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services X Increased services such as support groups and training AGENCY FACTORS Child Case management Welfare X Lack of communication between Resources Case management Resources X Some judges not following ASFA Courts Promising Approach caseworker and adoption worker, belief that older children will not find adoptive placement X Training on ASFA and recruitment provided, planning to recentralize adoption and field staff Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -2,919 287 2000 9.0 3,045 63 2001 -2,959 250 2001 Nation -542,000 65,000 2002 10.3 2,952 -- 867 817 810 126,000 974 5 36 31 26 2 <1 4 31 33 29 3 -- 3 30 33 31 3 1 3 32 32 28 4 -- ------- 42 55 2 <1 <1 2 41 54 2 -<1 2 38 56 2 <1 -5 45 34 12 2 <1 6 ------- 318 26 66 -- 325 34 64 94 362 35 57 89 50,000 48 88 297 -56 81 4 41 31 20 4 -- 3 39 27 25 6 -- 2 41 33 19 5 -- 2 46 34 16 2 -- 3 38 34 21 5 0 40 53 2 <1 <1 4 37 57 4 1 -2 33 62 3 -<1 2 35 38 16 1 1 8 33 61 2 0 0 4 ----- 52 29 19 0 69 17 14 0 59 17 23 0 87 0 13 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent CALIFORNIA Highlights California reported barriers in four of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; establish/change goal; and child welfare case management. California reported promising approaches in four of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; hold hearing; and establish adoption subsidy/services. A promising approach of interest: the California Adoption Initiative increased funding and made statutory, regulatory, policy and practice reforms that focus on achieving legal permanency for children in foster care. The initiative also provides technical assistance to adoption workers, thereby improving casework practice. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2001 – September 23, 2002 STAGES OF ADOPTION Entry Permanency Planning Establish/change goal Termination of Parental Rights (TPR) Adoptive Placement X Mandated concurrent planning, X Lack of diligence in efforts to achieve permanency for older children X X done especially well for younger children Legislative changes mandating adoption reassessment every six months, shorter reunification time frames, synchronized time frames for siblings Regular hearings held X No TPR unless adoptive home X Allow for open adoptions Provide legal services Conduct proceedings for appeal Recruit adoptive home X Lack of targeted recruitment X Use of a variety of recruitment identified, agency not filing TPR strategies, lack of adoptive families X Resources Case management Resources methods including media recruitment Use of cross-jurisdictional homes X Delays in the home study process X Changed regulations around payment rates to remove financial disincentives to adopting cross-jurisdictionally Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Courts Promising Approach Hold hearing Diligent search Conduct TPR proceedings Select adoptive home Approve adoptive home Conduct proceedings for adoption Establish adoption subsidy/services PostAdoption Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning X Post-adoption services provided X Belief among workers that services will cease when children are adopted, that services differ from those that are offered to foster parents, and that older children are unadoptable X Increased reimbursement rate to private agencies to encourage greater partnership between public and private agencies X Increased funding for county adoption agencies Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 (in thousands) Children whose parents’ parental rights have been terminated 1999 -117.9 6,911 2000 258.7 112.8 9,791 2001 -107.2 999 2001 Nation -542.0 65,000 2002 385.2 100.5 -- 9,894 12,632 7,714 126,000 6,358 4 52 30 12 2 <1 4 47 32 15 2 <1 6 40 34 17 2 <1 3 32 32 28 4 -- ------- 31 32 34 1 2 <1 31 31 36 1 2 <1 34 23 38 1 1 3 45 34 12 2 <1 6 ------- 6,344 32 56 -- 8,776 18 47 90 9,180 18 42 92 50,000 -48 88 8,713 -44 93 2 64 26 7 1 -- 2 57 29 10 2 0 3 52 31 12 2 <1 2 46 34 16 2 -- 2 51 30 14 2 -- 20 43 32 1 2 3 22 35 34 1 1 8 17 31 37 <1 1 13 35 38 16 1 1 8 23 29 41 1 2 6 ----- 48 9 43 0 46 7 47 0 59 17 23 0 48 6 47 <1 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent COLORADO Highlights Colorado reported barriers in four of the top five stages where barriers most commonly occur: establish/change goal; conduct TPR proceedings; recruit adoptive home; and child welfare case management. Colorado reported promising approaches in four of the top five stages where promising approaches most commonly occur: recruit adoptive home; hold hearing; child welfare case management; and approve adoptive home. A promising approach of interest: Colorado developed a uniform format for assessment of foster and adoptive homes. The county conducts criminal checks and safety inspections, and trains families on how to provide safe care. Once certified for foster care, a family does not need another home study if it decides to adopt. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2001 – June 17, 2002 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning X Staff training on planning, birth X Adoption for older youth not X Hold hearing X Hearings not timely X Diligent search Conduct TPR proceedings X Reluctance to pursue TPR in X Notable gains for younger Provide legal services Conduct proceedings for appeal Recruit adoptive home X Lack of recruitment for special- X Statewide recruitment campaign, Approve adoptive home Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Courts parents impelled to either engage in services or relinquish rights Expedited planning for children under 6, increased emphasis on permanency for teens, Family Group Mediation conferencing Improved compliance with timing, timely hearings for younger kids, tracking system Establish/change goal considered, delays in changing goals some cases, inconsistent filing, TPR based on age rather than case history needs children, lack of adequate efforts to find homes, small pool of waiting families Select adoptive home PostAdoption Promising Approach Resources Case management Resources children, open adoption promoted X X Workers not completing background checks, training not required by state X recruitment handbook, targeted recruitment, use of exchanges, effort to recruit out-of-state and cross-jurisdictional families Track approved homes, crossjurisdictional barriers removed Assessments streamlined, standardized home studies, plans for video on ICPC for legal staff X Certain services may not be available once adopted X Foster/adoptive parents do not feel supported X Family advocates help families access services X Belief children are unadoptable X Staff training on permanency, X X Recruiters hired X Permanency training based on age, ethnicity, and/or disabilities; paperwork delays; poor casework practice; case transfer delays Staff limitations permanency for teens, and preparing for TPR hearings Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -7,639 1,211 2000 26.2 7,533 1,267 2001 -7,138 695 2001 Nation -542,000 65,000 2002 34.5 9,209 -- 1,682 1,788 1,469 126,000 2,118 2 29 36 29 4 1 2 29 35 30 4 1 4 36 32 24 3 1 3 32 32 28 4 -- ------- 19 47 30 2 1 1 21 45 30 3 <1 2 19 45 32 1 <1 2 45 34 12 2 <1 6 ------- 713 53 53 -- 691 61 49 95 611 52 54 92 50,000 -48 88 840 -49 92 4 45 33 15 3 -- 3 49 32 14 2 -- 3 51 28 15 2 -- 2 46 34 16 2 -- 2 49 29 17 3 -- 21 51 24 1 -<1 17 52 28 2 1 1 18 50 27 2 1 2 35 38 16 1 1 8 18 47 30 2 1 3 ----- 66 10 24 0 63 10 47 <1 59 17 23 0 57 12 32 <1 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent CONNECTICUT Highlights Connecticut reported barriers in five of the top five stages where barriers most commonly occur: establish/change goal; conduct TPR proceedings; recruit adoptive home; child welfare case management; and court case management. Connecticut reported promising approaches in four of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; approve adoptive home; and establish adoption subsidy/services. A promising approach of interest: in Connecticut, the judicial branch created a case management protocol to improve timeliness in the scheduling and hearing of cases. In addition, the appellate court worked collaboratively with the juvenile court to prioritize appeals to parental rights terminations and streamline the process for moving them to resolution. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2001 – April 8, 2002 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning X Lack of clarity on policies and Establish/change goal X Long-term foster care and Hold hearing X Diligent search X Conduct TPR proceedings X Provide legal services Conduct proceedings for appeal Recruit adoptive home X Lack of homes, lack of a mass procedures independent living are viewed as appropriate goals Hearing results not binding, hearings viewed as adversarial Lack of diligent searches for fathers Contested TPRs cause delays, TPR not pursued until adoptive home is identified, workers do not file media campaign to raise awareness Select adoptive home Approve adoptive home PostAdoption AGENCY FACTORS Child Case management Welfare Case management Resources minor children X Case management protocol implemented by court, open adoptions encouraged X Process to prioritize appeals X Generalized recruitment strategy, committee to coordinate efforts, specific efforts for special-needs kids, use of exchanges agencies for permanency services, revisions to ICPC policy X Training and support for parents X Older kids prefer independent living services to adoption X to stabilize placements, services provided Planned training on preparing children for adoption X College tuition available to foster X Services provided using AOP X Staff turnover X Permanency Task Force and children but not adopted children Resources Courts X Permanent plan required for all X Contracts with out-of-state Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services Promising Approach grant, support programs for families X X Backlogs, hearing delays, lack of attorney contact with children X permanency planning units and teams promote permanency, training provided Adoption consultant for technical assistance and case reviews CIP working with agency to improve permanency Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -7,487 115 2000 35.6 6,996 151 2001 -7,440 -- 2001 Nation -542,000 65,000 2002 31.9 6,007 -- -- -- -- 126,000 1,044 ------- ------- ------- 3 32 32 28 4 -- ------- ------- ------- ------- 45 34 12 2 <1 6 ------- 403 11 52 -- 499 7 46 45 444 12 52 16 50,000 -48 88 617 -44 86 <1 49 37 12 2 -- <1 47 38 13 1 -- 1 55 32 12 1 -- 2 46 34 16 2 -- 0 45 37 17 1 0 30 34 12 <1 <1 24 31 38 18 --12 32 28 31 --9 35 38 16 1 1 8 27 35 26 0 0 11 ----- 58 23 19 0 62 25 13 0 59 17 23 0 61 26 13 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent DELAWARE Highlights Delaware reported barriers in four of the top five stages where barriers most commonly occur: establish/change goal; conduct TPR proceedings; recruit adoptive home; and court case management. Delaware reported promising approaches in five of the top five stages where promising approaches most commonly occur: recruit adoptive home; hold hearing; child welfare case management; approve adoptive home; and establish adoption subsidy/services. A promising approach of interest: Delaware provides post-adoptive services to all adoptive families through Adoptive Families with Information and Support (AFIS). AFIS provides support groups and group counseling sessions. It also provides therapeutic services to address adoption-related issues expressed in difficulties in family relationships or the child or adolescent’s behavior at any time following the adoption. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: October 1, 1998 – March 12, 2001 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Barrier X Exploring relatives’ homes X Hold hearing X Diligent search Conduct TPR proceedings X Lengthy time to TPR, courts X Increased number of petitions Provide legal services Conduct proceedings for appeal Recruit adoptive home X Appeals not timely X Lack of homes, especially diverse X Contracting with private agency X Planning implemented Delays in establishing goals, lack of planning for juvenile justice cases Tracking not always working, guardians not appointed for all children sometimes hesitant to TPR, requirement that agency must provide reunification services for 12 months before termination homes and homes for special needs children Select adoptive home PostAdoption X Timely hearings, tracking system for hearings filed X Approve adoptive home X Training delays, ICPC delays, Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services X delays in background checks Placement in adoptive home for 12 months before finalization X to recruit minority families, use of exchanges, media recruitment, community college course on adoption for interested families Permanency planning committee selects home Planning to consolidate approval, training and supervision X Adoption assistance and subsidies available X Services provided for family and child X Gaps in services AGENCY FACTORS Child Case management Welfare Courts Promising Approach Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal X Services available to all adoptive families X Multi-Disciplinary Treatment Resources X Lack of funding to implement X Case management X X Resources X ASFA Backlogs, continuances, difficulty scheduling hearings Lack of funds to address backlogs Teams, permanency planning committee reviewing adoption cases, collaboration with court Permanency coordinator position, reallocated staff to permanency Committee with agency to address systemic barriers Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -1,193 123 2000 2.5 1,098 181 2001 -1,023 192 2001 Nation -542,000 65,000 2002 3.5 886 -- 950 939 918 126,000 3,117 1 40 46 13 <1 -- 2 37 41 19 1 <1 4 34 36 25 1 -- 3 32 32 28 4 -- ------- 67 27 6 ---- 68 26 6 ---- 62 32 5 ---- 45 34 12 2 <1 6 ------- 33 8 66 -- 103 20 75 71 117 18 54 97 50,000 -48 88 133 -45 92 -58 42 ---- -58 32 10 --- 2 51 36 10 1 -- 2 46 34 16 2 -- 0 38 38 23 1 0 39 52 6 --3 55 39 4 --2 62 28 10 ---- 35 38 16 1 1 8 61 29 10 0 0 0 ----- 67 26 7 0 69 25 6 0 59 17 23 0 58 28 14 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent DISTRICT OF COLUMBIA Highlights The District of Columbia reported barriers in five of the top five stages where barriers most commonly occur: establish/change goal; conduct TPR proceedings; recruit adoptive home; child welfare case management; and court case management. The District of Columbia reported promising approaches in four of the top five stages where promising approaches most commonly occur: hold hearings; recruit adoptive homes; approve adoptive homes; and child welfare case management. A promising approach of interest: the District of Columbia made efforts to improve timeliness in terminating parental rights. The state implemented a Diligent Search Unit to locate absent parents and relatives. An initiative to collocate corporation counsel with agency staff was undertaken, and case processing systems for new and older cases were improved. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2000 – July 30, 2001 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption Barrier Identify placement Finding of abuse/neglect Promising Approach X Child Protection Mediation Program prior to adjudication Initiate concurrent planning X Not occurring in reunification Establish/change goal X Lack of ongoing planning, Hold hearing X Diligent search Conduct TPR proceedings X Reluctance to file, reluctance to X Diligent Search Unit in place X Planning to prioritize TPR cases, Provide legal services Conduct proceedings for appeal X Lengthy appeals X Consolidation of hearings to Recruit adoptive home X Lack of adoptive families X Recruitment process in place, Select adoptive home X Families hesitant to participate in Approve adoptive home X ICPC problems with Virginia and Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services X AGENCY FACTORS Child Case management Welfare Resources Courts Case management Resources cases adoption not considered soon enough Not held in timely manner, lack of clarity on roles of participants TPR without adoptive home, not processed in timely manner X Increased efforts X Hearing improvements improved case processing avoid appeal delays award-wining Wednesday’s Child program high-risk placements Maryland, lack of dual licensure, homes not uniformly approved Biological parents can appeal TPR after adoption finalized X Reduced time to home study, planning to dually license homes Contract to approve placements X High caseloads, lack of complete X Staff training, permanency X X Backlog of cases, judges not X CIP’s Remedial Project reviewing X X case plans, turnover Staff shortage consistently assigned to cases, inconsistency of court report formats Lack of staff to file motions, limited legal counsel and assistance, insufficient legal resources staffing to review cases cases, training provided, planning to improve handling of child welfare cases Additional resources to address backlogs, counsels provided to judges, assigning judge to adoption calendar Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -3,466 44 2000 9.3 3,054 -- 2001 -3,339 -- 2001 Nation -542,000 65,000 2002 18.2 3,321 -- -- 1,086 1,148 126,000 1,178 ------- 1 27 48 23 1 <1 1 21 45 32 2 1 3 32 32 28 4 -- ------- ------- 97 <1 1 --2 96 <1 1 --2 45 34 12 2 <1 6 ------- 166 39 62 -- 319 16 71 73 230 5 61 57 50,000 -48 88 252 -68 62 1 41 43 14 2 -- 2 35 45 16 3 -- 3 24 52 16 5 -- 2 46 34 16 2 -- 0 25 42 29 4 0 98 ----2 97 1 2 --1 100 ----<1 35 38 16 1 1 8 99 0 0 0 0 -- ----- 70 8 22 1 80 0 20 0 59 17 23 0 73 <1 27 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent FLORIDA Highlights Florida reported barriers in four of the top five stages where barriers most commonly occur: establish/change goal; conduct TPR proceedings; recruit adoptive home; and court case management. Florida reported promising approaches in five of the top five stages where promising approaches most commonly occur: recruit adoptive home; hold hearing; child welfare case management; approve adoptive home; and establish adoption subsidy/services. A promising approach of interest: a significant number of adoptions in Florida are the result of out-of-state placements with relatives. Florida reports having an outstanding ICPC office to facilitate these placements. Florida also has a system in place to pay the receiving state for services that lead to these placements (i.e., home study, recruitment, training and visits). Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2000 – August 6, 2001 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Barrier X Intensive relative searches X Goals not established in timely Hold hearing Diligent search X Delays in identifying absent Conduct TPR proceedings X Lack of timely filings for older and X Timely filings, can file for TPR Provide legal services X Children not always routinely X Conduct proceedings for appeal Recruit adoptive home X More children needing homes X Various media recruitment, use manner and not clear to everyone involved, lack of involvement of pertinent parties X Timely hearings, tracking system parents special-needs children assigned a guardian ad litem (GAL) than available homes Select adoptive home Approve adoptive home of exchanges, targeted recruitment, designated recruitment staff, working with private agency out-of-state placements X Paying court costs X Health services for adopted children, monthly cash subsidies X Preparation services, supervising placements during finalization, contracts with out-of-state agencies for placement services Provide post-adoption services AGENCY FACTORS Child Case management Welfare Courts early if parents show insufficient efforts, court gives priority to TPR cases Legal services provided X ICPC office effective at facilitating Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family PostAdoption Promising Approach Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal Resources Case management Resources X Specialized adoption program provides services throughout the adoption process, children without special needs referred to private agency for adoption X Crowded court docket X Shortage of GALs Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -34,292 0 2000 58.3 36,608 0 2001 -32,477 3,720 2001 Nation -542,000 65,000 2002 74.2 31,963 -- 4,610 5,395 7,850 126,000 8,126 4 32 37 24 3 1 3 33 35 26 4 1 4 35 30 26 4 <1 3 32 32 28 4 -- ------- 50 44 5 <1 <1 1 49 36 11 <1 0 4 45 42 9 <1 0 4 45 34 12 2 <1 6 ------- 1,355 44 47 -- 1,629 22 45 50 1,493 30 53 63 50,000 -48 88 2,206 -52 66 1 47 35 16 2 -- 1 49 34 14 2 -- 2 51 32 13 2 -- 2 46 34 16 2 -- 2 52 29 16 2 -- 40 48 11 <1 -1 35 45 15 -<1 5 34 47 13 <1 -6 35 38 16 1 1 8 36 50 9 0 0 5 ----- 51 27 23 0 47 24 29 0 59 17 23 0 36 26 38 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent GEORGIA Highlights Georgia reported barriers in five of the top five stages where barriers most commonly occur: establish/change goal; conduct TPR proceedings; recruit adoptive home; child welfare case management; and court case management. Georgia reported promising approaches in four of the top five stages where promising approaches most commonly occur: recruit adoptive home; hold hearing; child welfare case management; and approve adoptive home. A promising approach of interest: Georgia reports making significant strides in the early identification of permanent placements for children. Foster parents adopt many children in Georgia. The state contracts with agencies to provide a child’s life history and foster-to-adoptive home conversion to facilitate timely adoptive placements. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2000 – July 16, 2001 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning Promising Approach X Early use of permanent homes X Practice, use of foster-adopt homes Establish/change goal X Appropriate goals not established X Implementation of online case Hold hearing X X Timely hearings Diligent search Conduct TPR proceedings X Filing delays, lack of X Increase in TPRs, TPR provision Provide legal services Conduct proceedings for appeal Recruit adoptive home X Lack of homes, difficulty recruiting X Contracts with private agencies, Select adoptive home X Foster parents not provided X Approve adoptive home X Insufficient ICPC resources, state X in timely manner, stable cases not given adequate attention Permanency issues not always adequately addressed documentation of compelling reasons minority families, information reporting requirements differ, staff attitudes on interstate placement, arranging visits Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Resources Courts Case management Resources plan within ASFA time frames developing statewide plan, media efforts, targeted recruitment, county recruitment accountability Many foster parent adoptions, cross-jurisdictional matching meetings, contract to provide life histories Contracts for assessments and placement supervision, contracts for out-of-state adoptions, work with South Carolina for placements X Contracts for services, training for workers on child preparation X Development of contracts for community-based services X Staff turnover, high caseloads X Created Office of Adoption, process streamlined, training X Overbooked calendars, routine continuances, crowded dockets X Added one juvenile court judge in each circuit Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -11,991 1,323 2000 45.3 11,024 1,511 2001 -13,175 1,545 2001 Nation -542,000 65,000 2002 53.1 13,149 -- 2,713 2,875 4,329 126,000 3,254 5 27 36 27 4 1 4 31 35 26 4 -- 3 32 33 29 4 -- 3 32 32 28 4 -- ------- 59 31 5 <1 <1 5 60 31 3 0 <1 5 60 32 3 -<1 4 45 34 12 2 <1 6 ------- 1,129 23 39 -- 1,080 18 35 69 899 19 30 51 50,000 -48 88 934 -35 74 2 44 38 14 2 -- 1 39 41 17 3 -- <1 45 36 17 2 -- 2 46 34 16 2 -- 1 44 34 18 3 -- 55 42 2 -<1 2 56 36 2 -<1 6 48 37 6 -1 9 35 38 16 1 1 8 50 38 5 0 0 7 ----- 73 17 10 0 75 17 8 0 59 17 23 0 75 15 11 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent HAWAII Highlights Hawaii reported barriers in five of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; court case management; establish/change goal; and child welfare case management. Hawaii reported promising approaches in four of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; approve adoptive home; and hold hearing. A promising approach of interest: Hawaii implemented court orders that include language to require parents to provide medical, prenatal and birth information about the child when the child is taken into custody. This information can be essential to securing adoptions later. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2002 – July 14, 2003 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption Finding of abuse/neglect Initiate concurrent planning Establish/change goal Hold hearing Diligent search Conduct TPR proceedings Promising Approach X Parents must share medical and birth information when child is taken into custody X Inconsistency in use and X definitions Not always appropriate or timely X Concurrent planning required X Timely hearings X Delays in court processing, X Timely filings and reasons Provide legal services Conduct proceedings for appeal Recruit adoptive home X Lengthy appeals process X Lack of Hawaiian homes, X Adoption Connection does some Select adoptive home X Approve adoptive home X delays in assessing and receiving services, parents need more time for treatment contracted recruiter not focused on viable placements Too many children placed in nonHawaiian homes on mainland, out-of-state considered before cross-jurisdictional placements, loss of culture for children ICPC delays due to home studies appropriate recruitment, use of exchange X Contracts for private home studies, training provided by Adoption Connection, dual licensing, no new training for foster parents to adopt Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Courts Barrier Identify placement Resources Case management Resources X Training not always accessible, case transfer delays X Worker turnover X Crowded dockets, continuances X Training provided, streamlining adoption process with courts, effective decision-making model Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -2,205 1,102 2000 6.0 2,401 1,156 2001 -2,584 1,120 2001 Nation -542,000 65,000 2002 11.4 2,762 -- 1,161 1,207 1,160 126,000 847 6 35 30 21 8 <1 8 32 29 24 7 <1 8 33 27 25 8 1 3 32 32 28 4 -- ------- 3 11 3 2 72 9 3 10 3 2 20* 20 3 8 2 1 20* 29 45 34 12 2 <1 6 ------- 281 47 62 -- 280 43 54 80 260 52 63 83 50,000 -48 88 349 -59 81 4 58 32 7 --- 4 53 36 7 <1 -- 5 54 27 12 1 -- 2 46 34 16 2 -- 5 57 26 11 1 -- 4 13 1 1 80 <1 2 13 1 1 18 * 4 2 9 3 3 21 * 17 35 38 16 1 1 8 2 7 2 0 51 37 ----- 44 0 56 0 48 0 52 0 59 17 23 0 47 1 51 <1 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent *These data are missing the percentage of children who are Native Hawaiian because these data were not reported. As a result, these race/ethnicity percentages may not add up to 100 percent. IDAHO Highlights Idaho reported barriers in five of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; court case management; establish/change goal; and child welfare case management. Idaho reported promising approaches in four of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; hold hearing; and establish adoption subsidy/services. A promising approach of interest: Idaho’s Supreme Court Committee to Reduce Delays for Children in Foster Care and the child welfare agency created a partnership to expedite permanency for children. Together they amended Idaho’s Child Protective Act to incorporate additional ASFA requirements into law; provide training on permanency for medical, judicial and social service personnel; and produce an electronic bench guide to guide the hearing process. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2002 – May 12, 2003 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal on parent’s rights, reunification goal maintained for too long X Court training X Committee reviews of permanency planning X Reluctance to pursue TPR, X Internal reviews of all proposed Provide legal services Conduct proceedings for appeal Recruit adoptive home X Lengthy appeals X Lack homes for older children, X Targeted recruitment, award- Select adoptive home Approve adoptive home X Insufficient training, waiting lists Prepare/transition child and family X Timely hearings particularly for older children; parents given too much time courts discourage recruitment before TPR Resources Case management Resources TPRs, reduced wait time for filing winning Wednesday’s Child program for home studies X Accessing services is X problematic, lack of transportation, tribes have trouble accessing state services Older children sometimes refuse adoption, children unprepared, workers lack knowledge on preparing for adoption, lack of services for older youth Provide post-adoption services AGENCY FACTORS Child Case management Welfare Courts X Not implemented consistently X Courts delay changing goal, focus Promising Approach Hold hearing Diligent search Conduct TPR proceedings Conduct proceedings for adoption Establish adoption subsidy/services PostAdoption Barrier X Services now at regional offices X Beginning statewide foster and adoptive parent coalition, working to improve regional capacity to provide services X High caseloads, lack of training X Planning specialized adoption X Inconsistency among judges and X Supreme Court committee to on adoption, delays in completing paperwork, incomplete paperwork decisions, continuances training, decentralized adoption services, partnership with court reduce delays, electronic bench guide, permanency training Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -959 13 2000 3.4 1,015 378 2001 -1,114 242 2001 Nation -542,000 65,000 2002 3.7 1,246 -- 86 379 243 126,000 274 1 38 37 21 2 -- 5 33 30 29 4 <1 <1 23 33 33 9 1 3 32 32 28 4 -- ------- 1 56 34 7 -2 3 76 9 11 <1 -- 2 79 11 9 <1 -- 45 34 12 2 <1 6 ------- 107 19 71 -- 140 18 47 73 132 34 66 79 50,000 -48 88 118 1 52 39 7 1 -- 8 48 31 12 1 -- 2 55 24 17 2 -- 2 46 34 16 2 -- 3 48 31 14 3 0 12 74 7 4 1 3 3 61 24 4 5 4 8 62 12 14 4 -- 35 38 16 1 1 8 14 67 14 3 3 0 ----- 30 60 10 0 42 36 22 0 59 17 23 0 38 41 21 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent 54 78 ILLINOIS Highlights Illinois reported barriers in five of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; court case management; establish/change goal; and child welfare case management. Illinois reported promising approaches in five of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; approve adoptive home; hold hearing; and establish adoption subsidy/services. A promising approach of interest: Illinois has implemented a number of changes in its adoption process, including changing the case responsibilities of adoption workers so that they can concentrate on adoption/guardianship assessment and decision-making functions. Project HEART (Helping to Ease Adoption Red Tape), a volunteer committee, has also aided the adoption effort through such accomplishments as reducing the time required to process fingerprints for prospective adoptive families and establishing two new courtrooms in Cook County to hear cases involving TPR. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2002 – September 15, 2003 Note: Program Improvement Plan not available STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal X Prolonged pursuit of reunification, Hold hearing Diligent search Conduct TPR proceedings X Need to locate parent earlier X Inadequate case documentation, Provide legal services Conduct proceedings for appeal Recruit adoptive home X X Lengthy appeals process X Lack of homes, difficulty finding X Delays in initial adjudication parents given many chances to comply, goals outdated because only judge changes goals, use of long-term foster care X Timely hearings right of incarcerated parent to be present, hesitation to TPR without home identified, lack of services to fathers Inconsistent provision for parents homes for special-needs children Select adoptive home Approve adoptive home PostAdoption Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Courts Resources Case management Resources Promising Approach X Targeted recruitment, media campaigns X Many foster care conversions, use of cross-jurisdictional homes X ICPC delays X Expedited fingerprinting process, improved training programs X Availability of subsidies X Counseling and legal services X Need more orchestration and X More families receiving adoption X Delays transferring cases from X Restructured courts, private X Scheduling delays, continuances, X Reforms to partnership with evaluation of services caseworker to adoption worker, caseworker turnover notice to parents not timely, lack of coordination between court divisions, attorney turnover preservation services agencies, and child welfare; use of contracts juvenile courts, state’s attorneys, and other parties; CIP implemented Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -34,327 16,651 2000 134.4 29,565 11,531 2001 -28,202 7,718 2001 Nation -542,000 65,000 2002 143.3 24,344 -- 17,020 12,391 10,166 126,000 6,770 5 39 37 18 1 <1 5 38 36 20 1 <1 5 37 33 24 1 <1 3 32 32 28 4 -- ------- 77 16 5 <1 <1 2 75 18 5 <1 <1 2 73 20 5 <1 <1 2 45 34 12 2 <1 6 ------- 7,028 7 69 -- 5,664 8 68 95 4,107 9 62 97 50,000 -48 88 3,585 -66 98 1 37 42 19 2 -- 1 40 40 18 2 -- 1 40 39 19 2 -- 2 46 34 16 2 -- 0 42 34 20 2 0 80 15 4 <1 <1 1 77 16 5 <1 <1 2 77 17 5 <1 0 2 35 38 16 1 1 8 72 20 5 0 0 2 ----- 100 0 <1 0 100 0 0 0 59 17 23 0 100 0 <1 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent INDIANA Highlights Indiana reported barriers in five of the top five stages where barriers most commonly occur: establish/change goal; conduct TPR proceedings; recruit adoptive home; child welfare case management; and court case management. Indiana reported promising approaches in four of the top five stages where promising approaches most commonly occur: hold hearings; recruit adoptive homes; approve adoptive homes, and establish adoption subsidy/services. A promising approach of interest: Indiana has increased cross-state adoptions through the Indiana Adoption Initiative Web page. The state also has a collaborative tri-state initiative with Ohio and Kentucky to recruit adoptive families for waiting children. Indiana reports a strong ICPC that helps facilitate successful placements across state lines. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2000 – August 20, 2001 Note: Statewide Assessment not available STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption Barrier Promising Approach Identify placement X Lack of early searches for fathers Finding of abuse/neglect Initiate concurrent planning X Not implemented consistently, not Establish/change goal X Plans not reflective of goals, Hold hearing X Backlogs X ASFA compliant, hearings more Diligent search Conduct TPR proceedings X Law to file TPR regardless of X Timely filings and hearings Provide legal services Conduct proceedings for appeal Recruit adoptive home X X Delays with appeals X Lack of diverse families to match X Increased legal services Select adoptive home Approve adoptive home X Delays with home studies, long X Strong ICPC X Services scarce in rural areas X Expanded use of subsidies and Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Resources Courts Case management Resources Note: Statewide Assessment not available. X Increased efforts to locate relatives defined and formalized families not engaged in planning child’s best interests Attorney fees exceed funds kids in care time between training and licensing, lack of disclosure of child’s needs, families choose private agencies X frequent than required, combined review with permanency hearing X Initiative to encourage cross- county recruitment, tri-state initiative with Ohio and Kentucky availability of Medicaid Older children refuse adoption, mental health needs not met X Lack of communication, staff turnover X Inexperienced workers X Lack of communication, delays, beliefs about timelines X Added staff for hearings Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -8,933 1,408 2000 27.6 7,482 1,008 2001 -8,383 1,128 2001 Nation -542,000 65,000 2002 39.3 8,640 -- 2,632 1,966 2,392 126,000 2,365 2 31 35 27 4 1 2 30 32 32 4 1 2 29 32 32 5 1 3 32 32 28 4 -- ------- <1 <1 100 ---- 48 47 3 <1 -2 46 49 3 <1 <1 3 45 34 12 2 <1 6 ------- 759 23 57 -- 1,147 24 51 62 878 25 52 52 50,000 -48 88 920 -59 49 1 43 36 18 3 -- 1 39 38 19 4 -- 1 41 35 19 3 -- 2 46 34 16 2 -- 1 40 33 22 5 0 -<1 100 ---- 43 53 2 -<1 2 50 45 3 <1 -2 35 38 16 1 1 8 43 53 2 0 0 2 ----- 39 46 15 0 30 52 18 0 59 17 23 0 33 48 19 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent IOWA Highlights Iowa reported barriers in four of the top five stages where barriers most commonly occur: establish/change goal; recruit adoptive home; child welfare case management; and court case management. Iowa reported promising approaches in three of the top five stages where promising approaches most commonly occur: hold hearing; recruit adoptive home; and establish adoptive subsidy/services. A promising approach of interest: Iowa contracts with the Iowa Foster and Adoptive Parents Association to provide post-adoption support for adoptive families, including support groups, respite care, and adoption helpers who contact families after adoption finalization to offer support. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2002 – May 19, 2003 STAGES OF ADOPTION Entry Permanency Planning Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal Barrier X Plans not always put into practice X Goals not listed in child’s file, parents not given enough services or sufficient time to work toward reunification Hold hearing Termination of Parental Rights (TPR) Diligent search Conduct TPR proceedings PostAdoption X Lengthy paternity searches X Timelines exceed ASFA requirements Courts X Prioritization of custody and placement of children cases X No local recruitment, insufficient Select adoptive home Approve adoptive home X Home study backlog, ICPC AGENCY FACTORS Child Case management Welfare family team meetings, alternative dispute resolution of hearings, tracking and alert system, judges focused on child welfare issues Recruit adoptive home Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services X Routinely used X Establishing appropriate goals, X Timely hearings, dates set at end Provide legal services Conduct proceedings for appeal Adoptive Placement Promising Approach focus on targeted recruitment, lack of diverse homes, lack of timely registration on exchanges X Efforts to find diverse families, recruitment project for specialneeds children, use of exchanges and out-of-state agencies barriers and delays X Financial and medical assistance for special-needs adoptions X Lack of effective transitional planning X Contract with Iowa Foster and Adoptive Parent Group to provide support services X Delays in assigning workers, high Resources X Case management X Resources X caseloads, difficulty with adoption of older children with special needs Loss of permanency resources due to budget cuts Continuances, crowded dockets, delayed hearings, lengthy decision making, varying views of permanency and TPR Lack of attorneys X Mediation by CIP, prioritizing of cases involving placement, training, resource manual provided to judges Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -4,854 922 2000 30.9 5,068 826 2001 -5,202 961 2001 Nation -542,000 65,000 2002 36.1 5,238 -- 1,044 1,019 1,130 126,000 1,284 2 33 33 26 5 1 2 32 31 29 6 1 2 34 28 29 7 1 3 32 32 28 4 -- ------- 19 64 6 4 <1 7 18 64 5 3 1 10 14 66 6 3 <1 10 45 34 12 2 <1 6 ------- 764 38 49 -- 729 39 52 73 661 46 51 77 50,000 -48 88 871 -54 74 1 44 38 15 2 -- 2 45 34 18 2 -- 2 44 32 19 4 -- 2 46 34 16 2 -- 2 49 29 19 2 0 18 64 5 3 1 8 20 66 6 3 -5 21 63 6 3 1 6 35 38 16 1 1 8 19 66 7 2 1 6 ----- 76 24 0 0 71 29 0 0 59 17 23 0 68 32 0 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent KANSAS Highlights Kansas reported barriers in three of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; and child welfare case management. Kansas reported promising approaches in four of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; hold hearing; and establish adoption subsidy/services. A promising approach of interest: Kansas uses a private contractor to provide specialized adoption services for all children waiting for families. In addition to providing a full array of services, including recruiting and assessing prospective adoptive families and intensive pre- and post-adoption services, the contractor prepares the child for placement. The contractor also maintains a family database to facilitate the matching of children and families. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2000 – August 6, 2001 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Identify placement Finding of abuse/neglect Initiate concurrent planning Courts warrants X Adoption goal made early X More hearings than required, developing tickler system Diligent search Conduct TPR proceedings X TPR occurring too quickly and Provide legal services Conduct proceedings for appeal X Lengthy process taking up to 18 Recruit adoptive home X Shortage of homes for older and may be inappropriate, concern about creating legal orphans Resources Case management Resources X Timely filing of petitions, TPR achieved early months special-needs children, not engaged in targeted recruitment for children that present placement challenges, child welfare agency managers know little of recruitment activities X Adoption exchanges, statewide recruitment effort, contract agencies exploring ways to target ethnic communities, crossjurisdictional process eased by use of single contractor X Use of cross-jurisdictional homes X Subsidy amount cut back, Medicaid increasingly the only service authorized Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Promising Approach X Not occurring when case Establish/change goal Hold hearing Select adoptive home Approve adoptive home Conduct proceedings for adoption Establish adoption subsidy/services PostAdoption Barrier X Availability of subsidies X Preparation services X Contractor provides postadoption services X Transition between contract agencies as goals change may impede process X Contractor provides full array of adoption services and maintains a family database to facilitate matching Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -6,774 987 2000 25.2 6,569 1,190 2001 -6,409 1,350 2001 Nation -542,000 65,000 2002 15.9 6,190 -- 1,757 1,910 2,063 126,000 2,082 2 26 29 32 9 2 2 27 27 32 10 2 2 28 27 32 9 2 3 32 32 28 4 -- ------- 29 61 6 2 <1 3 29 60 7 1 <1 3 30 59 7 1 <1 3 45 34 12 2 <1 6 ------- 566* 58 39 -- 468 37 36 83 428 39 29 73 50,000 -48 88 450 -22 83 <1 39 35 22 4 -- -40 33 21 6 <1 -42 34 19 5 -- 2 46 34 16 2 -- 1 45 31 18 5 0 27 59 8 2 -4 28 59 5 2 1 5 20 72 3 1 -5 35 38 16 1 1 8 26 63 8 1 0 2 ----- 57 16 27 0 66 13 21 1 59 17 23 0 61 13 26 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent * In 1999, the state miscoded contract agency adoptions as “private” adoptions, resulting in an under reporting of adoptions by 250 or more. KENTUCKY Highlights Kentucky reported barriers in five of the top five stages where barriers most commonly occur: establish/change goal; conduct TPR proceedings; recruit adoptive home; child welfare case management; and court case management. Kentucky reported promising approaches in four of the top five stages where promising approaches most commonly occur: hold hearing; recruit adoptive home; approve adoptive home; and establish adoption subsidy/services. A promising approach of interest: Kentucky uses Comprehensive Assessment and Training Services in approving potential adoptive families. This program includes a comprehensive and multidimensional child and family assessment. In addition, Kentucky has developed adoption support networks and resource home mentors. Kentucky also provides adoption subsidies that are equal to foster care payments. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: October 1, 2001 – March 3, 2003 Note: Statewide Assessment not available STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Barrier Promising Approach Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal X Lack training and implementation X Reluctance of some courts to X Used to expedite permanency X Frequent use of goal of adoption Hold hearing X X Agency goal to have frequent Diligent search Conduct TPR proceedings X Not timely, judicial reluctance to Provide legal services Conduct proceedings for appeal Recruit adoptive home X Lengthy appeals X Lack of diverse homes; lack of change goal from reunification or grant permanent custody to relatives Not consistently timely, agency tracks hearing rather than the courts case review conferences grant TPR homes for teenagers, sibling groups, medically fragile children and African-American youths X Planning to address diversity, Select adoptive home X Approve adoptive home X Conduct proceedings for adoption Establish adoption subsidy/services X Provide post-adoption services AGENCY FACTORS Child Case management Welfare Resources Courts Case management Resources special-needs program does targeted recruitment and promotes cross-jurisdictional placements, use of media and outreach, neighborhood-based recruitment model Change in caseworkers' attitudes toward foster parent adoption, use of cross-jurisdictional homes Use of comprehensive assessment and training services X Adoption subsidies equal to Prepare/transition child and family PostAdoption for older children X Staff turnover X Crowded court dockets, delays in scheduling foster care payments, tuition waiver for adopted children Support networks, mentors, tuition waiver bill for foster children who are adopted Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -5,942 196 2000 16.1 6,017 121 2001 -6,165 52 2001 Nation -542,000 65,000 2002 18.9 6,814 -- 1,789 2,018 1,932 126,000 1,932 2 32 36 27 3 <1 2 28 35 31 4 <1 2 26 31 36 6 <1 3 32 32 28 4 -- ------- 29 65 <1 <1 -7 24 68 1 <1 -7 22 71 1 <1 -6 45 34 12 2 <1 6 ------- 360 35 40 -- 398 24 36 51 573 16 52 74 50,000 -48 88 552 -51 81 2 41 37 18 2 -- 2 46 32 17 4 -- 1 39 37 20 4 -- 2 46 34 16 2 -- 1 37 35 24 3 0 28 59 ---13 36 58 2 <1 1 3 34 59 3 -<1 4 35 38 16 1 1 8 30 65 3 0 0 1 ----- 58 42 1 <1 73 24 <1 0 59 17 23 0 69 31 <1 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent LOUISIANA Highlights Louisiana reported barriers in three of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; and child welfare case management. Louisiana reported promising approaches in five of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; approve adoptive home; hold hearing; and establish adoption subsidy/services. A promising approach of interest: Louisiana’s CFSR determined that permanency hearings are timely and productive. Stakeholders attribute this success to having a person who serves as a liaison between the child welfare agency and the court, using court staff to search for absent parents, and adopting the Bench Book developed by the Court Improvement Program to guide the hearing. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2002 – September 8, 2003 Note: Program Improvement Plan not available STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal X Delays in adjudication X Required and effective X Goals reviewed regularly by court and agency X Timely hearings, courts must Diligent search X report continuances, adopted CIP Bench Book on hearings Court staff search for absent parents More TPRs occurring, TPRs done in accordance with ASFA Conduct TPR proceedings X Delays due to lack of sufficient X Provide legal services Conduct proceedings for appeal Recruit adoptive home X Lack of homes for older children X Diverse pool of homes, regional services for parents or inability to establish reasonable efforts and those with many needs Select adoptive home X Approve adoptive home X Resources Case management Resources and state plans, use of exchanges Use of cross-jurisdictional and out-of-state homes Efficient use of ICPC, use of contracts for home studies X Time between TPR and adoption finalization lengthy X Delays in approving subsidy, subsidy is less than foster care rate, heirship law discourages adoption, lack of services Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Courts Promising Approach Hold hearing Conduct proceedings for adoption Establish adoption subsidy/services PostAdoption Barrier X Subsidy provided X Services for families, preparation for children X Services provided, resource centers throughout state X Delays in processing documentation X Liaison between court and agency, initiative helped reduce backlog X CIP, training for judges, rules and forms developed, compliance reports required, liaison between court and agency Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -5,581 375 2000 25.0 5,406 514 2001 -5,024 553 2001 Nation -542,000 65,000 2002 17.4 4,829 -- 1,477 1,542 1,441 126,000 1,472 1 28 39 29 2 -- 1 27 36 32 4 -- 1 25 34 33 6 -- 3 32 32 28 4 -- ------- 63 36 1 <1 -1 60 37 1 <1 -2 59 38 1 <1 <1 2 45 34 12 2 <1 6 ------- 356 11 46 -- 476 13 41 89 470 12 36 91 50,000 -48 88 487 -44 90 1 37 45 15 2 -- 1 35 41 22 2 -- <1 38 41 17 3 -- 2 46 34 16 2 -- 1 41 37 18 3 0 64 34 <1 1 -1 60 37 1 <1 -2 58 39 <1 1 -2 35 38 16 1 1 8 58 46 1 0 0 2 ----- 81 15 4 0 76 17 7 0 59 17 23 0 75 16 9 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent MAINE Highlights Maine reported barriers in five of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; court case management; establish/change goal; and child welfare case management. Maine reported promising approaches in four of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; approve adoptive home; and establish adoption subsidy/services. A promising approach of interest: Maine’s Adoption Guides project seeks to increase the number of specialneeds adoptions, decrease the average length of time in foster care, decrease the incidence of adoption disruptions, and enhance adoptive family functioning. Adoption Guides social workers provide educational and more general forms of support to families. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2002- July 25, 2003 Note: Program Improvement Plan not available STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption Barrier Promising Approach Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal X Not implemented consistently X Use of long-term foster care as a Hold hearing Diligent search Conduct TPR proceedings X Lack searches for absent parents X Lack of policies to promote open Provide legal services Conduct proceedings for appeal Recruit adoptive home X Lengthy appeals cause delays X Lack of homes for special needs X Effective general recruitment, Select adoptive home Approve adoptive home X Delays completing home studies X X Effective ICPC, service contracts Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services permanency goal, extension of reunification goal, adoption for youth not pursued, therapeutic providers promote long-term foster care to maintain payments adoption, TPR hearings not prioritized, compelling reasons not documented, lack of services prevents filing for TPR, some judges not willing to TPR children numerous efforts in place, Cross Agency Collaborative in place Use of cross-jurisdictional homes with other states X Significant delays after TPR X Adoption subsidies cut, lack of services, needs not addressed X Program that supplements subsidies X Program to provide services for special-needs adoptions AGENCY FACTORS Child Case management Welfare X Insufficient training, paperwork X Maine Adoption Guides Resources Case management X X Crowded dockets, waiting lists X Committee of the Courts, training Courts Resources delays, beliefs on adoption and permanency, staff turnover Lack of staff for recruiting demonstration project to aid adoptions, adoption tracking tool X provided, resource materials for attorneys, court forms developed Increased resources, new wired chambers for children Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -3,154 688 2000 13.6 3,191 735 2001 -3,226 -- 2001 Nation -542,000 65,000 2002 13.2 3,084 -- 1,098 1,101 1,008 126,000 984 3 34 43 18 2 -- 4 32 38 23 2 <1 3 30 36 28 2 1 3 32 32 28 4 -- ------- 3 90 1 2 <1 5 2 83 3 2 <1 10 2 78 3 2 <1 16 45 34 12 2 <1 6 ------- 202 13 19 -- 379 17 20 100 364 10 21 99 50,000 -48 88 285 -25 98 1 37 48 13 2 -- <1 46 40 14 1 -- 3 46 34 15 3 -- 2 46 34 16 2 -- 0 46 32 21 1 0 2 92 1 5 -1 2 91 1 2 -4 3 87 1 1 1 9 35 38 16 1 1 8 1 77 2 3 0 16 ----- 1 90 10 0 0 95 6 0 59 17 23 0 <1 85 15 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent MARYLAND Highlights Maryland reported barriers in four of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; court case management; and establish/change goal. Maryland reported promising approaches in two of the top five stages where promising approaches most commonly occur: recruit adoptive home and approve adoptive home. A promising approach of interest: each local child welfare department has a comprehensive recruitment plan to actively recruit a diverse group of prospective adoptive parents on an ongoing basis. Recruitment plans include, but are not limited to, specific strategies to reach all parts of the community, strategies for training staff to work with diverse communities, and procedures for the timely search for prospective adoptive parents for a waiting child. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: Not Available Note: Statewide Assessment and Program Improvement Plan not available STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal X Exists in form not function X Delays in establishing goals, goal Hold hearing X Promising Approach of reunification kept too long by courts, no tracking system to monitor cases, long-term foster care goals used too often Delays in holding hearings, attorney requests, workers unprepared Diligent search X Efforts to locate absent parents, paternity tests funded by CIP Conduct TPR proceedings X Delays filing TPRs, scheduling X Mediation process implemented Provide legal services Conduct proceedings for appeal Recruit adoptive home X X Lengthy appeals process X Reluctant to recruit until after X Comprehensive plan for Select adoptive home X Approve adoptive home X Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services X delays, not using provision to waive “reasonable efforts” Waiting lists for parents TPR, lack of homes for children with special needs, out-of-state families not actively recruited Lack of use of out-of-state homes, particularly D.C. Dual licensing not consistent, ICPC delays Delays in completing paperwork for finalization AGENCY FACTORS Child Case management Welfare Resources X Recruitment and use of out-of- Courts Case management X Resources X state resources impacted by financial restraints Continuances granted, proreunification philosophy Lack of sufficient personnel by CIP, TPR coordinator employed by CIP recruiting diverse families X Dual licensing helpful, use of ICPC X Staff to assist in case management hired by CIP Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -13,455 1,304 2000 18.7 13,113 1,693 2001 -12,564 1,749 2001 Nation -542,000 65,000 2002 1.0 12,026 -- 2,806 3,076 3,302 126,000 3,007 1 28 41 26 4 1 2 28 38 29 4 1 1 28 34 30 5 2 3 32 32 28 4 -- ------- 79 19 1 <1 <1 1 80 18 1 -1 81 17 1 0 <1 1 45 34 12 2 <1 6 ------- 592 24 50 -- 548 14 54 98 815 16 45 98 50,000 -48 88 631 -51 98 1 41 41 16 1 -- 2 36 46 15 1 -- 1 43 39 16 2 -- 2 46 34 16 2 -- 1 43 37 18 2 0 72 27 <1 <1 <1 1 68 27 2 -1 2 73 22 2 -<1 3 35 38 16 1 1 8 73 23 1 0 0 2 ----- 61 6 33 0 55 4 41 <1 59 17 23 0 51 3 46 <1 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent MASSACHUSETTS Highlights Massachusetts reported barriers in four of the top five stages where barriers most commonly occur: establish/change goal; conduct TPR proceedings; court case management; and child welfare case management. Massachusetts reported promising approaches in four of the top five stages where promising approaches most commonly occur: recruit adoptive home; hold hearing; child welfare case management; and approve adoptive home. A promising approach of interest: Massachusetts has made several efforts around matching children with adoptive families. Monthly regional meetings are held to review all the children not in pre-adoptive homes and all the families awaiting children. Quarterly matching meetings are held around the state to give prospective adoptive families a chance to meet waiting children. The agency initiated an aggressive matching protocol to ensure that those children with a goal of adoption are matched with an appropriate family as soon as possible. For example, to provide more supports to waiting families, regional staff members engage these families with regular contact and information. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2000 - July 23, 2001 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption Barrier Promising Approach Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal X Lack of clarity in changing goals Hold hearing X Reports to prepare for hearings X Timely hearings Diligent search Conduct TPR proceedings X X Delays in getting documentation, X Effective process for filing TPRs Provide legal services X X Long time to adjudication for children in residential facilities not distributed, hearings not viewed as effective Delays in locating absent parents debate around how much time to give parents Lack of attorneys for parents and children, attorneys not visiting children Conduct proceedings for appeal Recruit adoptive home X Use of exchanges, aggressive Select adoptive home X Approve adoptive home X ICPC delays with home studies Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services X Difficulty accessing services AGENCY FACTORS Child Case management Welfare Resources Courts Case management Resources and paperwork, difficulty negotiating subsidies with ICPC X statewide campaign, looking at non-traditional families as homes Matching protocol, case meetings to select matches Increased funding for out-of-state home studies, protocols developed to eliminate barriers X Paperwork delays, attorneys not X Meetings to address systemic X Continuances X Committees to address court visiting child clients barriers barriers to adoption Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -11,169 927 2000 37.2 11,619 897 2001 -11,568 720 2001 Nation -542,000 65,000 2002 51.2 12,529 -- 3,278 3,147 2,912 126,000 3,098 3 40 41 16 1 <1 3 39 39 19 1 <1 3 40 37 19 1 <1 3 32 32 28 4 -- ------- 20 44 25 <1 2 9 16 45 25 <1 2 12 14 42 26 <1 2 16 45 34 12 2 <1 6 ------- 922 9 52 -- 861 16 54 85 778 19 56 89 50,000 -48 88 808 -60 95 <1 45 42 13 1 -- 1 48 37 13 1 -- 1 49 33 16 1 -- 2 46 34 16 2 -- 1 49 33 16 1 0 24 52 21 <1 1 3 22 50 20 1 2 6 17 52 23 1 2 6 35 38 16 1 1 8 15 50 25 0 1 8 ----- 99 0 1 0 99 0 1 0 59 17 23 0 99 0 1 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent MICHIGAN Highlights Michigan reported barriers in four of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; child welfare case management; and court case management. Michigan reported promising approaches in five of the top five stages where promising approaches most commonly occur: recruit adoptive home; hold hearing; child welfare case management; approve adoptive home; and establish adoption subsidy/services. A promising approach of interest: Michigan attributes success with its adoption services to fostering a unique partnership between public and private agencies. Michigan has put in place a variety of contracts to find placements, provide post-adoption services, and address the backlog of children waiting for adoption. The state also has contracts with tribes for adoption services for Native American children and contracts with outof-state providers to provide placement services. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2001 – September 9, 2002 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Establish/change goal Hold hearing X Hearings not held consistently, do X Timely and appropriate goals X CASA program, court case Diligent search Conduct TPR proceedings X Concerns about creating legal X Timely filings, decision to file Provide legal services Conduct proceedings for appeal Recruit adoptive home X Frequent and lengthy appeals X Need more targeted recruitment, X Contracts with private agency for Select adoptive home Approve adoptive home X Requirements are a barrier for X X Contracts for the provision of X Difficulty obtaining subsidy X Financial support and medical of formal policy on planning not always adequately address permanency issues orphans, TPR delays, judges lack consistency around TPR lack of diverse homes, lack of homes for teens and children with special needs some families, ICPC process slow approval tracking system made at permanency hearing, time frames exceed ASFA, attorneys assist workers on TPR recruitment, use of exchanges, various media recruitment, targeted recruitment efforts, development of locality homes Use of cross-jurisdictional homes training, contracts with out-ofstate providers for placement services X Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Courts Promising Approach X Not well understood or used, lack Conduct proceedings for adoption Establish adoption subsidy/services PostAdoption Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning subsidies available for children with special needs Mentoring system in place X Published service directory, service provision contracts X High caseloads X Case reviews addressing barriers Resources X Redistributed adoption staff to X Case management Resources X X other areas, lack of needed staff Continuances, crowded dockets to adoption for individual children, partnerships with private agencies and tribes, changes to documentation process Planning to increase adoption staff allocations CIP, pilot mediation program Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -20,300 5,166 2000 129.7 20,034 5,226 2001 -20,896 6,174 2001 Nation -542,000 65,000 2002 162.4 21,251 -- 8,495 7,745 7,839 126,000 6,874 6 36 34 20 3 1 6 33 32 24 4 2 6 32 30 26 5 1 3 32 32 28 4 -- ------- -----100 -----100 4 4 <1 <1 -91 45 34 12 2 <1 6 ------- 2,446 41 43 -- 2,804 35 41 96 2,979 35 38 96 50,000 -48 88 2,826 -40 95 1 47 34 16 2 -- 2 43 37 16 3 -- 2 43 36 17 2 -- 2 46 34 16 2 -- 1 44 32 20 2 0 52 42 4 1 <1 1 50 41 4 1 <1 5 49 40 4 1 -6 35 38 16 1 1 8 43 46 4 1 0 5 ----- 54 9 37 0 57 10 34 0 59 17 23 0 54 9 37 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent MINNESOTA Highlights Minnesota reported barriers in one of the top five stages where barriers most commonly occur: conduct TPR proceedings. Minnesota reported promising approaches in four of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; approve adoptive home; and establish adoption subsidy/services. A promising approach of interest: Minnesota’s Public/Private Adoption Initiative (PPAI) allows the agency to contract with licensed adoption agencies to assist with the adoption of children in state guardianship. Based on children’s needs, the public agencies may request services from a menu of exclusive services provided by the private agency, including family and child preparation, placement support, development of placement plan along with completing home studies, training, and finalization services. The private agencies are also responsible for finding homes for the children in care, particularly hard-to-place children. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2000 – May 14, 2001 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal Hold hearing Diligent search Conduct TPR proceedings Promising Approach X Continued application X Parents given more time to resolve issues, hesitation to TPR without adoptive home identified X Open adoptions encouraged, awareness and respect for tribal traditions and Indian Child Welfare Act (ICWA) Provide legal services Conduct proceedings for appeal Recruit adoptive home X Use of newspapers, television, Select adoptive home X Approve adoptive home X Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family PostAdoption Barrier Provide post-adoption services X Subsidy lower than foster care subsidy brochures and Web sites; Public/Private Adoption Initiative (PPAI) to find homes for children Seeking foster parents and relatives, use of crossjurisdictional homes Adoption study using elements of foster care licensing study, some counties paying a private agency in receiving state to conduct home study if ICPC process is long X Adoption assistance for extra expenses for special-needs child X Program that employs adoptive X parents to develop supports for other adoptive families Use of “parent liaisons” AGENCY FACTORS Child Case management Welfare Resources X Training, permanence task force X $3 million per fiscal year Courts X Experienced public defenders, Case management Resources allocated to fund PPAI county attorneys and GALs typically stay with case Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -8,996 1,763 2000 27.6 8,530 1,480 2001 -8,167 1,332 2001 Nation -542,000 65,000 2002 32.4 8,052 -- 2,147 1,839 1,670 126,000 1,618 4 29 35 24 7 2 3 26 32 28 8 3 3 24 29 31 10 3 3 32 32 28 4 -- ------- 31 44 6 8 1 9 31 44 6 8 <1 10 32 43 7 9 <1 10 45 34 12 2 <1 6 ------- 633 28 26 -- 614 30 25 99 567 36 29 99 50,000 -48 88 626 -27 99 2 40 42 16 1 -- 2 41 39 18 <1 -- 2 48 33 16 1 -- 2 46 34 16 2 -- 3 46 31 19 1 0 33 46 4 --17 29 48 4 --18 22 54 7 --16 35 38 16 1 1 8 22 54 9 0 0 15 ----- 32 44 25 <1 32 41 26 <1 59 17 23 0 28 48 25 <1 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent MISSISSIPPI Highlights Mississippi reported barriers in five of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; court case management; establish/change goal; and child welfare case management. Mississippi reported promising approaches in four of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; hold hearing; and establish adoption subsidy/services. A promising approach of interest: Mississippi began a pilot project, the ASAP project, with Southern Christian Services in two regions to develop a replicable model to establish trained and competent therapists to handle post-adoption issues for families supervised by the agency. A Crisis Intervention Team is included in these services. The ASAP program offers pre- and post-adoption services statewide and helps families with problem behaviors like ADHD. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: October 1, 2002 – February 9, 2004 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Barrier X Not consistently implemented X Goal not always given, goal of X Required by state Hold hearing X Not always timely, SACWIS data X Automated ticklers alert staff to Diligent search Conduct TPR proceedings X X Reluctance to TPR in kin cases or Provide legal services Conduct proceedings for appeal Recruit adoptive home X No process to ensure recruitment reunification maintained too long not entered to allow for tracking, different court structures hinder uniform planning Need to search earlier to reflect ethnic and racial diversity, regions do their own recruitment plans, no system to track or evaluate, Vietnamese and Hispanic placements needed Approve adoptive home Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Resources X Homes found by placement committee across jurisdictional boundaries; approved parents interact with available children through television, radio, Web sites and picnics X Evaluating more relative and foster homes for adoption X Subsidy is helpful X Pre- and post-adoption therapeutic services, help with access to mental health services X See prepare/transition child and family above Provide post-adoption services AGENCY FACTORS Child Case management Welfare Resources Courts Case management due dates if parent is involved Select adoptive home PostAdoption Promising Approach Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal X Training needed, large caseloads X Staff shortages X Training needed; delays with X paperwork, serving parties and appointing legal counsel; large backlog; scheduling difficulties Lack of administrative resources, lack of legal counsel X Committee to review cases and help expedite permanency Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -3,196 289 2000 4.5 3,292 256 2001 -3,443 240 2001 Nation -542,000 65,000 2002 5.2 2,686 -- 2005 2094 1582 126,000 3,117 2 21 34 28 12 4 1 23 31 29 11 5 1 19 30 30 13 7 3 32 32 28 4 -- ------- 69 31 <1 -<1 <1 69 31 --<1 -- 64 36 <1 ---- 45 34 12 2 <1 6 ------- 237 9 52 ---- 288 18 54 89 266 17 54 82 50,000 -48 88 216 -62 65 1 33 47 19 1 -- 1 33 43 18 4 -- -42 37 19 3 -- 2 46 34 16 2 -- 0 37 33 24 6 0 49 49 --2 <1 55 44 <1 ---- 63 37 --<1 -- 35 38 16 1 1 8 51 46 2 0 1 0 ----- 74 26 <1 0 65 30 1 4 59 17 23 0 ----- CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent MISSOURI Highlights Missouri reported barriers in five of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; court case management; establish/change goal; and child welfare case management. Missouri reported promising approaches in three of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; and approve adoptive home. A promising approach of interest: in 1999, Missouri created the statewide Second Level Matching Team (SLM), which brings representatives from around the state together to find homes for children in need through preliminarily matching of waiting children and waiting families from across Missouri and other states. The intent of the SLM team was to erase geographical barriers to permanency by working collaboratively and to update adoptive family records across the state. However, as the SLM team has progressed, team members have begun to address general adoption issues faced by local staff and are helping to define best adoption practice across the state. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: October 1, 2002 – December 8, 2003 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Hold hearing X Lack of process to track, hearings Diligent search Conduct TPR proceedings X Search for fathers delayed X Filings not timely, often need Provide legal services Conduct proceedings for appeal X Recruit adoptive home X Lack of homes for older and X Select adoptive home Approve adoptive home X Multiple steps and delays in ICPC X X Extensive and specialized Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Courts Promising Approach X Not occurring X Reluctance to make goal Conduct proceedings for adoption Establish adoption subsidy/services PostAdoption Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal adoption, focused on reunification may be "paper" reviews adoptive family identified, judicial hesitancy if insufficient services Lack of legal services for parents X Appeals court mandated by special-needs children, no statewide recruitment plan, recruitment not conducted all year due to limited funds processing impact timeliness statute hears TPR appeals quickly Contracts to recruit for specialneeds children, partnering with an adoption exchange to recruit for minority children, team finding homes throughout state Use of cross-jurisdictional homes training for adoptive parents X Subsidies lower than foster care subsidy, delays in finalization of subsidies across jurisdictions X Post-adoption services no longer available due to budget cuts X Belief that special-needs children X Data sharing with courts to track Resources X X Case management X Lack of communication and role Resources not adoptable, worker turnover, poor communication and role clarity with court Resources issues due to budget cuts; staff shortages clarity with agency, judicial bias for reunification X hearings, planning TPR review tool, protocol to access legal resources Grant for recruitment and training, seeking additional resources for legal representation Court's Bench Book of best practices improved judiciary focus on permanency planning Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -12,577 2,150 2000 22.3 13,181 1,527 2001 -13,349 1,612 2001 Nation -542,000 65,000 2002 35.6 13,052 -- 581 520 510 126,000 816 2 28 35 28 5 1 2 27 34 32 5 1 2 26 32 35 5 1 3 32 32 28 4 -- ------- 43 55 1 <1 <1 <1 47 51 1 <1 <1 1 45 53 1 <1 <1 <1 45 34 12 2 <1 6 ------- 849 24 60 -- 1,265 25 68 93 1,102 29 66 96 50,000 -48 88 1,542 -71 95 1 45 33 17 4 -- 2 42 35 17 3 -- 3 47 32 16 3 -- 2 46 34 16 2 -- 3 43 32 19 3 0 40 58 1 1 <1 <1 39 58 1 1 <1 1 39 59 2 <1 -<1 35 38 16 1 1 8 37 60 2 0 0 0 ----- 67 8 24 1 72 5 22 1 59 17 23 0 67 9 24 1 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent MONTANA Highlights Montana reported barriers in one of the top five stages where barriers most commonly occur: recruit adoptive home. Montana reported promising approaches in four of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; approve adoptive home; and establish adoption subsidy/services. A promising approach of interest: Montana created information system reports to aid in moving children to permanency. One report lists children in care 12 or more of the last 22 months. This report is sent monthly to each judicial district and local child welfare office. The report helps both the court and the social worker know which children are approaching the time to petition for termination of parental rights. Reports listing children whose parents have had their rights terminated and children for whom an exception has been documented were also created. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2002 – August 19, 2002 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning X Lack of families to take Establish/change goal Hold hearing X Inconsistency in timely hearings, concurrent placements courts and attorneys not sold on purpose of hearings, only held if TPR is planned, continuances X Monthly TPR notification reports sent, timely TPR filings X Numerous and lengthy appeals X Few homes for older and special- needs children, need more Native American homes Select adoptive home Approve adoptive home Conduct proceedings for adoption Establish adoption subsidy/services PostAdoption Prepare/transition child and family Provide post-adoption services Resources Case management Resources X Various recruitment strategies, X circulate child’s social histories around state, use of exchanges Part of Interstate Coalition to share information New training curriculum, contracts to provide services in other states, specialized training, contracts for home studies X Training may not prepare families X X Certain funds for foster children X Subsides for hard-to-place adequately and not provided consistently, workloads cause assessment delays not available after adoption, subsidy rates are lower than foster care rates children X Transition plan developed and implemented for each child X Lack of services, services for foster children not available after adoption, high rate of disruptions AGENCY FACTORS Child Case management Welfare Courts X Consistently implemented X Family group decision making Diligent search Conduct TPR proceedings Provide legal services Conduct proceedings for appeal Recruit adoptive home Promising Approach X Permanency planning teams in X Lack of staff place, efforts to create a Native American adoption agency Regional Permanency Specialists X X Child Protection Unit works with courts to finalize adoptions Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -2,156 690 2000 4.4 2,180 717 2001 -2,008 631 2001 Nation -542,000 65,000 2002 7.0 1,912 -- 3,143 3,131 3,015 126,000 2,907 2 25 28 33 11 1 3 25 29 31 10 2 2 25 30 32 11 1 3 32 32 28 4 -- ------- 2 70 4 19 1 4 3 66 5 23 <1 3 2 65 5 25 <1 3 45 34 12 2 <1 6 ------- 188 33 42 -- 238 42 48 83 275 32 40 90 50,000 -48 88 234 -41 93 2 46 30 19 3 -- 1 53 29 16 2 -- 3 42 33 19 3 -- 2 46 34 16 2 -- 0 45 36 18 1 0 1 73 2 19 1 4 <1 72 7 14 <1 6 4 67 7 22 --- 35 38 16 1 1 8 2 71 8 18 0 0 ----- 78 3 20 0 76 1 23 0 59 17 23 0 86 2 12 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent NEBRASKA Highlights Nebraska reported barriers in five of the top five stages where barriers most commonly occur: establish/change goal; conduct TPR proceedings; recruit adoptive home; child welfare case management; and court case management. Nebraska reported promising approaches in four of the top five stages where promising approaches most commonly occur: hold hearing; approve adoptive home; establish adoption subsidy/services; and child welfare case management. A promising approach of interest: the Collaborations Between Child Welfare Agencies and Court Systems to Facilitate Timely Permanency project aims to improve collaborations between child welfare agencies and court systems to facilitate timely adoptions. It consists of collaborative work groups in three urban counties, which include all juvenile judges, child protection personnel, attorneys, and Court Appointed Special Advocate (CASA) representatives. It also consists of implementation and evaluation of Permanency Planning Family Group Conferences for children who will not be reunified with their parents. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 2001- July 2002 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption X Tendency to establish Hold hearing X Diligent search Conduct TPR proceedings X X Delays in filing for TPR, Provide legal services Conduct proceedings for appeal Recruit adoptive home X Not effectively utilizing targeted Select adoptive home Approve adoptive home X Delays in conducting home Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Courts Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal Resources Case management Resources guardianship rather than adoption as a case goal, goals not routinely reassessed for appropriateness Timely hearings inconsistent due to continuances Lack of paternity identification unwillingness to consider open adoptions, hesitancy to pursue TPR, tribal preferences Promising Approach X Timely hearings held X Permanency promoted by mediation recruitment strategies, use of registries lacking X studies, lack of thorough training for potential adoptive families, lengthy ICPC process Delays in obtaining finalization X Contracts for home studies X Many children eligible for subsidies and services X Post-adoption services are lacking X Poor casework practice, X Coordination with courts, some X Data system issues X Continuances frequently granted X CIP, collaboration with agency specialized adoption workers need additional adoption training counties have contracts with private agencies for the provision of various services Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -5,146 231 2000 8.6 5,674 258 2001 -6,254 199 2001 Nation -542,000 65,000 2002 9.1 6,430 -- 437 488 352 126,000 410 4 39 35 19 3 <1 4 35 37 21 2 2 2 33 39 22 4 1 3 32 32 28 4 -- ------- 17 64 11 5 <1 2 20 61 10 8 <1 2 22 58 10 9 <1 2 45 34 12 2 <1 6 ------- 279 43 38 -- 293 18 56 74 292 5 51 69 50,000 -48 88 308 -57 75 1 43 41 13 2 -- -42 41 16 2 -- 1 43 34 19 3 -- 2 46 34 16 2 -- 1 49 35 14 2 0 19 70 7 2 -1 22 68 4 4 -2 16 69 8 5 <1 2 35 38 16 1 1 8 15 69 9 5 0 2 ----- 15 37 48 0 13 40 47 0 59 17 23 0 44 11 39 7 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent NEVADA Highlights Nevada reported barriers in five of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; court case management; establish/change goal; and child welfare case management. Nevada reported promising approaches in three of the top five stages where promising approaches most commonly occur: recruit adoptive home; approve adoptive home; and hold hearing. A promising approach of interest: Nevada developed an Adoption Buddy System to recruit families, help families through the adoption process, and provide support after the adoption. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: October 1, 2002 – February 23, 2004 Note: Statewide Assessment and Program Improvement Plan not available STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement children with likely goal of adoption X Not well understood, focus is Establish/change goal X Older children (14+) must consent Hold hearing X Diligent search Conduct TPR proceedings X Delays in filing, reluctance to Provide legal services Conduct proceedings for appeal Recruit adoptive home Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family linear to adoption goal before changed, slow goal change Inadequate information in case plans Resources X Timely hearings, scheduling improvements seek TPR without adoptive home X Lack of representation for parties X Lack of Spanish-speaking and X Expedited and timely appeals X Materials translated into Spanish, X ICPC barriers, other states X Use of cross-jurisdictional homes X Spanish-speaking trainers, X X Support provided by Adoption Hispanic homes, lack of homes for therapeutic and older youth refusing to provide services or will not do “free” case management Not working toward adoption with older children, lack of policies to prepare children Provide post-adoption services AGENCY FACTORS Child Case management Welfare Resources Courts Case management Promising Approach X Use of foster-adopt homes for Finding of abuse/neglect Initiate concurrent planning Select adoptive home Approve adoptive home PostAdoption Barrier Identify placement use of exchanges and media service agreements in other states Buddy System X Support provided by Adoption Buddy System X Slow paperwork X No uniform court tracking system, coordination of calendars, X Shortage of attorneys Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 ---- 2000 4.0 1,615 67 2001 -2,959 131 2001 Nation -542,000 65,000 2002 7.0 3,018 -- -- -- 593 126,000 536 ------- ------- 2 30 33 27 7 2 3 32 32 28 4 -- ------- ------- ------- 25 57 7 1 2 9 45 34 12 2 <1 6 ------- 123 -33 -- 231 -28 83 243 21 28 95 50,000 -48 88 251 -36 96 3 56 28 13 --- 3 60 26 10 2 -- 1 61 26 12 1 -- 2 46 34 16 2 -- 1 48 34 16 1 0 17 75 7 1 -1 23 60 13 1 1 2 23 62 12 1 2 -- 35 38 16 1 1 8 26 56 9 0 3 5 ----- 62 20 18 0 80 6 14 0 59 17 23 0 67 12 21 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent NEW HAMPSHIRE Highlights New Hampshire reported barriers in four of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; court case management; and establish/change goal. New Hampshire reported promising approaches in three of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; and approve adoptive home. A promising approach of interest: New Hampshire made efforts to improve training for adoptive parents. The adoption training was adapted to offer a more comprehensive curriculum. The state implemented a course called Making the Transition from Fostering to Adoption for foster parents considering adoption. Distance learning courses were added to give caregivers flexibility in scheduling courses around family and work obligations. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2002 – June 9, 2003 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal X Hold hearing X Diligent search Conduct TPR proceedings X X Delays in initiating TPR process, Provide legal services Conduct proceedings for appeal Recruit adoptive home X Lengthy and numerous appeals X Language and ethnicity barriers in X Implemented and effective Appropriate goals not timely, delays in service provision Often become full evidentiary hearings, judges reluctant to finalize permanent plans Lack of search for absent parents refusal to TPR without adoptive home, parents given extra time, lengthy trials, high standards of “beyond reasonable doubt” recruitment, no recruitment until TPR X Community partners, targeted Select adoptive home X Approve adoptive home X Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services recruitment, statewide and out-ofstate efforts, use of exchanges Collaborative effort to share homes with private agencies Distance learning courses, no additional home study needed for foster parent adoptions, new training curriculum for adoptive parents, ICPC manual for courts X Services provided, transition to adoption course offered X Collaborating with private agency to provide services AGENCY FACTORS Child Case management Welfare Courts Promising Approach X Lack of birth family social studies X Delays in adjudication hearings X Permanency team reviewing Resources Case management X Staffing shortages X Crowded dockets, some probate Resources X courts part time, continuances, attorney conflicts, ASFA viewed as non-applicable to court, attorney turnover, lack of attorney preparation Lack of judges and attorneys cases, central adoption program, working with court, case sharing Plan to hire staff X X CIP protocols, training for judges, collaboration with agency to improve permanency timelines Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -1,385 257 2000 2.2 1,311 195 2001 -1,288 122 2001 Nation -542,000 65,000 2002 2.9 1,291 -- 289 283 230 126,000 1,947 5 45 40 10 1 -- 2 39 42 16 1 <1 2 32 39 24 3 -- 3 32 32 28 4 -- ------- 2 89 3 1 -5 1 87 5 1 -6 1 86 7 1 -5 45 34 12 2 <1 6 ------- 62 11 66 -- 97 13 66 76 95 5 65 88 50,000 -48 88 114 -67 97 -48 40 10 2 -- 1 44 45 8 1 -- -47 40 12 1 -- 2 46 34 16 2 -- 2 33 37 26 2 0 -87 7 --6 2 86 8 -3 1 3 88 5 -1 2 35 38 16 1 1 8 1 90 1 0 1 6 ----- 76 8 16 0 81 16 3 0 59 17 23 0 78 14 8 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent NEW JERSEY Highlights New Jersey reported barriers in five of the top five stages where barriers most commonly occur: establish/change goal; conduct TPR proceedings; recruit adoptive home; child welfare case management; and court case management. New Jersey reported promising approaches in five of the top five stages where promising approaches most commonly occur: recruit adoptive home; hold hearing; child welfare case management; approve adoptive home; and establish adoption subsidy/services. A promising approach of interest: New Jersey implemented the Fost-Adopt program statewide in January 2000. The program was designed to identify children for whom reunification is not likely to occur. The program implements concurrent planning at the time of the foster placement. The Fost-Adopt parents agree to provide foster care with a commitment to adopt should that become the child’s goal. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: October 1, 2002 – March 22, 2004 Note: Program Improvement Plan not available STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption Promising Approach X No formal planning, lack of clarity X Not established in timely manner, X Fost-Adopt program in place X Revisiting goals for older children Hold hearing X Not timely, families lack input X Planning training for staff on Diligent search Conduct TPR proceedings X Delays filing and scheduling Provide legal services Conduct proceedings for appeal X X Lengthy and numerous appeals, Recruit adoptive home X Lack of homes for children with Select adoptive home X Approve adoptive home X Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services X Lack of early search for fathers goal of reunification held too long, working with families TPRs, reluctance to grant without adoptive home, open adoptions not promoted, parent evaluations delayed, lack of reasonable effort Lack of attorneys no deadlines for decisions behavioral issues, lack of agency responsiveness to inquiries Lack of support for relatives who want to adopt, available kids not wanted by approved families Child maltreatment in potential adoptive homes, ICPC barriers X Lack of medical insurance X X Efforts to find homes for longestwaiting children, targeted recruitment X Foster parents given preference, funding families to visit New Jersey kids X Adoption subsidy available Barriers to accessing services, lack of pre-adoptive services X Services not available statewide X Services and supports provided X Language barriers, large X Restructuring to one worker/one Resources X Lack of staff X Case management X Crowded dockets, judges do not X Resources X AGENCY FACTORS Child Case management Welfare Courts Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal caseloads, incomplete paperwork, case transfer delays, worker turnover adhere to ASFA, continuances Lack of attorneys family model, permanency training, cooperation with court technical assistance provided by permanency units Planning for adoption specialist in each office Education for judges on ASFA, cooperation with agency Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -9,494 3,655 2000 46.4 9,794 4,129 2001 -10,666 4,905 2001 Nation -542,000 65,000 2002 42.1 11,442 -- 4,427 5,032 5,618 126,000 5,752 4 41 30 18 6 1 4 40 30 20 5 1 6 39 29 20 5 1 3 32 32 28 4 -- ------- 71 18 8 1 <1 3 69 18 7 1 <1 5 68 18 7 <1 <1 6 45 34 12 2 <1 6 ------- 732 15 62 -- 832 14 58 90 1,028 16 53 90 50,000 -48 88 1,365 -43 93 1 59 30 10 <1 -- 1 58 30 10 2 -- 1 57 30 12 <1 -- 2 46 34 16 2 -- 1 57 29 12 1 0 65 22 9 <1 <1 3 66 22 7 1 -5 66 21 7 1 <1 6 35 38 16 1 1 8 65 21 7 0 0 7 ----- 80 20 0 0 80 20 0 0 59 17 23 0 83 17 0 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent NEW MEXICO Highlights New Mexico reported barriers in five of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; child welfare case management; court case management; and establish/change goal. New Mexico reported promising approaches in five of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; approve adoptive home; hold hearing; and establish adoption subsidy/services. A promising approach of interest: New Mexico has developed successful public-private adoption initiatives. The state contracted with a number of private agencies to recruit, train, study and provide supports to adoptive families. For example, to expedite home studies for adoptive and foster families, New Mexico contracts with licensed social workers to complete the assessments. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2000 – August 27, 2001 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal X Working to allow children’s court to finalize adoption as part of abuse/neglect proceedings Planning full implementation X Inappropriate goals, all stakeholders not involved X Parents given too much time X TPR timely, relinquishment Provide legal services Conduct proceedings for appeal Recruit adoptive home X Lack of attorneys X Large number of appeals X Lack of Native American homes, X Contracts for recruitment, varied X Timely, consolidated hearings lack of homes for older and special-needs children, fewer homes for more kids with goal of adoption counseling offered X Approve adoptive home X Lengthy ICPC process, time Conduct proceedings for adoption Establish adoption subsidy/services X Families must hire own attorney frames for home studies too long X Low subsidy for therapeutic care cases, challenge negotiating subsidies, lack of attorneys Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Courts X X Goal of adoption set early Hold hearing Diligent search Conduct TPR proceedings Select adoptive home PostAdoption Promising Approach X recruitment efforts, targeted recruitment, use of exchanges, bilingual materials, coordination with other states Successful utilization of relative adoptions and keeping sibling groups together Contracts for training, licensed social workers contracted to do home studies, addressing ICPC issues X Legislation to allow agency to X negotiate higher subsidy rates, proposal to eliminate subsidy means tests Contracts for support to families X Services provided, including family preservation X Staff turnover X Adoption Obstacle Removal Resources X High vacancy rates X Case management X Crowded dockets, high caseloads X Resources X X for attorneys, scheduling delays Lack of attorneys, inadequate compensation for attorneys Team to address barriers, training provided Taking steps to address staffing issues Consent decree affects permanency, training provided More funds for GALs Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -1,941 53 2000 12.0 1,912 22 2001 -1,757 14 2001 Nation -542,000 65,000 2002 14.4 1,885 -- 878 822 668 126,000 516 2 32 42 23 1 -- 2 31 37 29 2 -- 2 29 38 30 2 -- 3 32 32 28 4 -- ------- 9 26 59 6 <1 1 8 28 56 6 <1 2 9 25 57 7 -3 45 34 12 2 <1 6 ------- 258 71 51 -- 347 20 52 83 369 27 56 89 50,000 -48 88 275 -63 87 1 33 46 17 3 -- 1 47 38 14 <1 -- 1 37 43 17 3 -- 2 46 34 16 2 -- 1 47 33 18 1 0 -46 54 ---- 4 30 59 1 4 2 6 34 56 4 <1 1 35 38 16 1 1 8 7 30 56 3 0 4 ----- 2 66 32 0 5 62 33 0 59 17 23 0 28 45 27 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent NEW YORK Highlights New York reported barriers in five of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; court case management; establish/change goal; and child welfare case management. New York reported promising approaches in three of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; and approve adoptive home. A promising approach of interest: New York tracks adoption through the Adoption Monitoring System (AMS), which enables agencies to monitor the progress of each child who has a goal of adoption from the date the goal is set to the finalization of the adoption. State agency adoption staff provides training and technical assistance on the utilization of AMS. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2000 – June 18, 2001 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal Hold hearing X Delays in decision making X Not timely, may take place before Diligent search X Need to search for birth parents Conduct TPR proceedings X Provide legal services Conduct proceedings for appeal Recruit adoptive home X Process takes significant time X Lack of adoptive families Select adoptive home X Not sought early enough, potential X Disposition often delayed months X Working to implement fact finding hearing sooner and discuss voluntary surrenders Meeting standards for timeliness not facilitated by laws and regulations, termination for siblings with different fathers takes time, lack of documentation homes need more information, kinship caregivers hesitant Approve adoptive home PostAdoption Courts birth fathers and involve them X Outreach, media, adoption fairs; automated photo listing process; regional adoption specialists X Many foster parents adopt adoptive parents, background check process improved X Court procedures take too long Provide post-adoption services X Resources Case management Resources X Implementing strategies to locate X Well-regarded training for Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family AGENCY FACTORS Child Case management Welfare Promising Approach X Services not as generous as they are for foster children X Some children not prepared, families need to know about child’s history and problems Need for more after care, better referrals and follow-up X High caseloads, paperwork, and staff turnover; workers do not know adoption options; resistance to older children adoptions; transferring cases to adoption cumbersome; need better coordination with courts Staffing shortages X X Litigious culture X Shortage of judges X Services provided X Adoption Monitoring System allows for case tracking, contract to identify barriers to permanency, project to improve collaboration between court and child welfare systems, staff training Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -51,159 14,707 2000 280.2 47,118 12,519 2001 -43,365 8,559 2001 Nation -542,000 65,000 2002 383.8 40,753 -- 18,762 17,325 14,840 126,000 14,760 2 32 36 26 3 1 2 32 35 28 3 1 1 30 35 30 4 1 3 32 32 28 4 -- ------- 49 12 14 <1 <1 25 48 12 15 <1 <1 25 48 11 15 <1 <1 25 45 34 12 2 <1 6 ------- 4,864 3 28 -- 4,234 5 33 98 3,934 6 40 98 50,000 -48 88 3,160 -38 97 <1 28 41 25 5 0 <1 32 38 26 4 -- 1 34 37 25 4 -- 2 46 34 16 2 -- 0 33 37 25 4 0 50 11 14 <1 <1 25 47 12 13 <1 <1 29 46 13 14 <1 <1 27 35 38 16 1 1 8 45 15 15 0 0 25 ----- ----- ----- 59 17 23 0 ----- CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent NORTH CAROLINA Highlights North Carolina reported barriers in 4 of the top 5 stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; court case management; and child welfare case management. North Carolina reported promising approaches in 4 of the top 5 stages where strengths most commonly occur: recruit adoptive home; child welfare case management; hold hearing; and establish adoption subsidy / services. A strength of interest: North Carolina’s Special Children Adoption Incentive Fund provides incentives to counties and private agencies to place special needs children. Money received from the fund must be used to enhance the adoption programs in the counties and in the private agencies. Agencies have used additional funding from the state for increased recruitment, specialized services to adoptive families and children, hiring more adoption workers, specific adoption training, and post-adoptive services. Barriers & Promising Approaches Child and Family Service Review (CFSR) period under review: October 1, 1998 – March 26, 2001 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Barrier Identify placement Finding of abuse / neglect Initiate concurrent planning Establish / change goal Hold hearing X Hearings timely, automated system provides timeline alerts Diligent search Conduct TPR proceedings X Locating and serving parents X No state law for time from filing to Provide legal services Conduct proceedings for appeal Recruit adoptive home X termination Services for parents needed X Not pursued until after TPR Select adoptive home Approve adoptive home Conduct proceedings for adoption Adoption subsidy / establish services PostAdoption Prepare / transition child and family Provide post-adoption services AGENCY FACTORS Child Case Management Welfare Courts Promising Approaches X Filing timely, case information tracked X Recruitment efforts; contracts for X X X Additional services needed (i.e. college tuition) recruiting; use of exchanges, website, media Staff work with crossjurisdictional state agencies Better communication between agency and courts X Subsidy increased, special adoption fund to aid special needs adoptions X Services needed X Belief that adoption difficult for X Designation and training of Resources X Agency lacks counsel X Case Management X Belief that adoption difficult for X Resources X Limited time older children older children, training for judges needed, continuances adoption staff, caseworker continuity, contracts, permanency review committees, agency initiatives Special adoption funds, have staff attorneys Judicial continuity, court improvement project, pilot mediation project, fewer continuances, GAL program Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parental rights have been terminated 1999 -11,339 1,757 2000 20.0 10,847 2,134 2001 -10,130 2,047 2001 Nation -542,000 65,000 2002 30.6 9,527 -- 3,603 3,715 3,337 126,000 3,133 3 31 34 26 5 1 3 30 32 29 7 1 3 28 30 32 8 1 3 32 32 28 4 -- ------- 54 39 6 1 <1 1 54 37 6 2 <1 1 52 39 5 2 <1 2 45 34 12 2 0* 6 ------- 949 26 57 -- 1,337 28 53 93 1,327 30 57 93 50,000 -48 88 1,324 -62 98 4 46 32 16 2 -- 4 45 34 15 2 <1 4 45 30 18 3 1 2 46 34 16 2 -- 3 47 28 19 3 0 52 42 4 1 1 1 45 43 7 1 1 4 48 37 6 2 1 7 35 38 16 1 1 8 44 41 6 1 1 7 ----- 56 25 19 <1 50 26 25 <1 59 17 23 0 56 23 21 <1 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race / Ethnicity (in percent) Black White Hispanic American Indian / Alaska Native Asian / Pacific Islander / Native Hawaiian Unknown / Two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race / ethnicity (in percent) Black White Hispanic American Indian / Alaska Native Asian / Pacific Islander / Native Hawaiian Unknown / Two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent * In 2001, 884 children with a race of Asian/Pacific Islander/ Native Hawaiian were waiting to be adopted on September 30, 2001. This 0% reflects rounded estimates. NORTH DAKOTA Highlights North Dakota reported barriers in 4 of the top 5 stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; court case management; and child welfare case management. North Dakota reported promising approaches in 3 of the top 5 stages where strengths most commonly occur: recruit adoptive home; child welfare case management; and hold hearing. A strength of interest: North Dakota contracts with Lutheran Social services and the Village Family Service Center to provide Adults Adopting Special Kids (AASK), a program to provide special needs adoption services. This interagency collaborative is a model that provides high quality, nationally accredited services to children and families. The AASK staff meets monthly with CFS to plan for the program and review cases. Barriers & Promising Approaches Child and Family Service Review (CFSR) period under review: April 2000 – September 2001 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption Barrier X Practiced when appropriate X Timely and appropriate goals Hold hearing X Holds hearings in timely manner, established tracking system Diligent search Conduct TPR proceedings X Delays in filing, delays also occur Provide legal services Conduct proceedings for appeal Recruit adoptive home X X Delays getting decisions X No targeted recruitment strategy Select adoptive home Approve adoptive home Conduct proceedings for adoption Adoption subsidy / establish services Prepare / transition child and family Provide post-adoption services when working with tribes, hesitancy to TPR Requests by parents for Native American families, local resistance to using internet and other forms of national recruitment X Agency has contributed extra resources to enhance recruitment X Use cross-jurisdictional homes X Lack of available services and accessible services in rural areas AGENCY FACTORS Child Case Management Welfare X Caseload standards have caused Resources Case Management X Contract needs more resources X Judges are not sufficiently trained Resources X Courts Promising Approach Identify placement Finding of abuse / neglect Initiate concurrent planning Establish / change goal a waiting list of children and families to be served regarding permanency issues, district courts not accountable for timeliness, delays in scheduling Fixed number of judges X Adoption caseload standards have been implemented, new Guardian Ad Litem program that focuses on permanency for children Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parental rights have been terminated 1999 -1,143 332 2000 2.7 1,129 262 2001 -1,167 191 2001 Nation -542,000 65,000 2002 4.6 1,197 -- 409 343 322 126,000 340 22 30 26 20 1 1 15 32 22 26 4 <1 14 28 25 27 6 1 3 32 32 28 4 -- ------- 5 64 3 25 2 1 3 62 4 26 3 2 3 59 3 31 2 2 45 34 12 2 0* 6 ------- 139 44 73 -- 105 27 69 32 145 36 56 63 50,000 -48 88 137 -60 51 48 32 14 4 1 -- 42 34 18 5 1 -- 28 32 21 13 6 -- 2 46 34 16 2 -- 37 36 15 11 1 0 5 73 7 14 --- 4 79 5 10 -3 5 66 4 23 -1 35 38 16 1 1 8 6 66 7 9 0 12 ----- 31 66 3 0 59 41 0 0 59 17 23 0 47 53 0 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race / Ethnicity (in percent) Black White Hispanic American Indian / Alaska Native Asian / Pacific Islander / Native Hawaiian Unknown / Two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race / ethnicity (in percent) Black White Hispanic American Indian / Alaska Native Asian / Pacific Islander / Native Hawaiian Unknown / Two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent * In 2001, 884 children with a race of Asian/Pacific Islander/ Native Hawaiian were waiting to be adopted on September 30, 2001. This 0% reflects rounded estimates. OHIO Highlights Ohio reported barriers in four of the top five stages where barriers most commonly occur: establish/change goal; recruit adoptive home; court case management; and child welfare case management. Ohio reported promising approaches in two of the top five stages where promising approaches most commonly occur: recruit adoptive home and establish adoption subsidy/services. A promising approach of interest: Ohio implemented the Post Adoption Special Services Subsidy (PASSS) program in 1992. PASSS is funded solely by state general revenue funds and allows families to apply for services after adoption finalization. PASSS funding can be used for medical services, residential treatment care and mental health services. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2001 – May 20, 2002 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal Barrier X Little evidence in practice X Use of goal of long-term foster care as permanency option Hold hearing Diligent search Conduct TPR proceedings Provide legal services Conduct proceedings for appeal X Hearings not timely Recruit adoptive home X Lack of homes for special-needs Courts Resources Case management Resources permanency for children by agency, family group conferencing X Delays due to frequency and length of appealed cases children, lack of adoptive homes that reflect ethnic and racial diversity of children X Use of registries, recruitment X initiative to target families for children with special needs, enlisting private agencies Using cross-jurisdictional homes X Allowing local offices to determine parameters for Title IV-E Adoption Assistance eligibility requirements Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare X Aggressive pursuit of X Timely filing of TPRs Select adoptive home Approve adoptive home Conduct proceedings for adoption Establish adoption subsidy/services PostAdoption Promising Approach X Providing post-adoption services, providing funding for respite care X Lack of coordination with courts, inability to systematically track cases through adoption process X Lack of coordination with agency, crowded court dockets, continuances X Pool of experienced judges available for assignment to courts upon request Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -20,078 590 2000 124.1 20,365 3,035 2001 -21,584 4,919 2001 Nation -542,000 65,000 2002 267.1 21,012 -- 3,476 4,439 5,929 126,000 5,738 3 28 30 31 7 2 3 27 29 31 8 2 3 27 28 31 9 2 3 32 32 28 4 -- ------- <1 <1 <1 --99 48 44 2 <1 -6 54 38 3 <1 <1 5 45 34 12 2 <1 6 ------- 1,868 -56 -- 2,044 29 41 92 2,230 26 35 96 50,000 -48 88 2,396 -39 96 7 49 29 13 2 -- 6 48 29 14 3 -- 5 47 30 15 3 -- 2 46 34 16 2 -- 4 44 29 20 3 0 51 47 <1 <1 <1 2 43 46 4 <1 <1 8 45 45 3 0 <1 7 35 38 16 1 1 8 46 44 3 0 0 8 ----- 67 16 18 0 65 18 16 0 59 17 23 0 68 16 16 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent OKLAHOMA Highlights Oklahoma reported barriers in four of the top five stages where barriers most commonly occur: establish/change goal; conduct TPR proceedings; child welfare case management; and court case management. Oklahoma reported promising approaches in four of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; approve adoptive home; and establish adoption subsidy/services. A promising approach of interest: Oklahoma revamped its adoption program in 1999 and created the Swift Adoption Program. Barriers to adoptive placement were identified and solutions were implemented, resulting in the doubling of full-time staff devoted to adoptions; the creation of specialized and centrally administered units in the six areas of the state; the awarding of contracts to review adoption cases, gather relevant information, and prepare child profile summaries; the awarding of contracts for the completion of adoptive family assessments; and an arrangement with a copy center to replicate adoption records. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: October 1, 2000 – March 18, 2002 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement X Adjudication slowed by jury trials, Initiate concurrent planning Establish/change goal X X Reunification goal maintained for Hold hearing Diligent search Conduct TPR proceedings X Lack of a thorough hearing X Fathers not identified and located X Parents entitled to jury trial, Provide legal services Conduct proceedings for appeal Recruit adoptive home X Lengthy appeals process Select adoptive home Approve adoptive home PostAdoption Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Courts Barrier Identify placement Finding of abuse/neglect hearings can be postponed if there is an ongoing criminal case Not implemented consistently too long minimal use of exceptions X Process in place for obtaining TPRs in accordance with ASFA X Targeted recruitment strategies X Lengthy ICPC process X Use of out-of-state homes encouraged; agency contracting out ICPC services and supervision of placements to receiving state agencies X Subsidies helping many families move to permanence X Children not ready for adoption X Resource library, retreats, referral information X Communication gaps between Resources X Case management X Resources Promising Approach adoption and permanency workers, lack of understanding of the adoption process Delays in making appropriate changes to permanency goals due to worker turnover Continuances, scheduling delays for ICWA, inexperienced attorneys X Partnerships with outside agencies for adoption purposes Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -8,173 25 2000 17.8 8,406 18 2001 -8,674 -- 2001 Nation -542,000 65,000 2002 21.8 8,812 -- 1,832 1,767 2,390 126,000 2,435 3 30 33 30 4 <1 3 29 33 31 4 1 3 32 31 29 5 0 3 32 32 28 4 -- ------- 31 49 5 14 <1 1 25 47 4 11 -12 25 46 5 11 -14 45 34 12 2 <1 6 ------- 825 28 41 -- 1,067 31 46 99 956 25 49 99 50,000 -48 88 987 -53 95 2 39 37 19 3 -- 1 41 35 19 4 -- 1 40 37 20 2 -- 2 46 34 16 2 -- 1 46 32 18 3 0 23 57 4 10 <1 7 25 51 7 12 1 5 18 58 5 11 1 7 35 38 16 1 1 8 19 53 4 12 0 12 ----- 42 24 35 <1 36 21 43 0 59 17 23 0 43 15 42 1 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent OREGON Highlights Oregon reported barriers in five of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; court case management; establish/change goal; and child welfare case management. Oregon reported promising approaches in three of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; and establish adoption subsidy/services. A promising approach of interest: Oregon has a statewide program to use mediation services with selected TPR cases to facilitate appropriate “openness” in adoptive placements. The mediation focuses on bringing birth and adoptive families to consensus about future family relationships and may encourage voluntary parental release of children. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2000 – June 4, 2001 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning X Lack of staff, lack of worker Establish/change goal X Hold hearing Diligent search Conduct TPR proceedings X X X TPR referral packets, compelling Provide legal services Conduct proceedings for appeal X Appeals delays, increase in Recruit adoptive home X Children with significant special training, linear planning Plan influenced by available placements and perception of court, goals not reexamined Not always timely, lack of training Lack of staff training reasons not understood needs viewed as unadoptable, recruiting may not begin until legally freed Courts X Mediation and voluntary relinquishments, process in place X Initiatives to place longest-waiting X Approve adoptive home X Home study delays, paperwork Conduct proceedings for adoption Establish adoption subsidy/services X Lack of urgency to finalize children, diligent recruitment program, use of regional exchanges Family selection process, project for out-of-state adoptions delays adoptions post-TPR X Subsidy less than foster care subsidy, subsidy applications complicated Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare X Improved planning appeals Select adoptive home PostAdoption Promising Approach X Staff hired for adoption assistance applications X Contract to establish postadoption resources center X Paperwork delays, problems in X Adoption program centrally Resources X X Case management X Resources X case flow between offices, high caseloads, lack of training, need staff realignment, tracking issues Added staff positions ending, lack of legal representation for agency Crowded court calendars, backlogs, continuances, lack of training, scheduling problems Lack of consistency in appointing attorneys for children, lack of Attorney General involvement prior to TPR administered, state legal and placement specialists provide assistance Additional staff in place X Bench Book developed by CIP, training provided by CIP, Legal Assistance Program Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -9,278 -- 2000 29.5 9,193 -- 2001 -8,966 -- 2001 Nation -542,000 65,000 2002 31.3 9,101 -- 3,000 3,150 2,680 126,000 2,518 6 46 36 12 <1 <1 5 47 35 12 1 <1 4 48 34 13 1 0 3 32 32 28 4 -- ------- 11 62 8 3 1 15 10 60 9 3 1 18 10 59 10 3 1 18 45 34 12 2 <1 6 ------- 765 9 44 -- 831 12 47 98 1,071 12 49 99 50,000 -48 88 1,115 -51 99 <1 47 40 11 1 -- <1 51 34 14 1 -- <1 48 35 15 2 -- 2 46 34 16 2 -- 0 52 33 14 1 0 --12 --88 12 71 12 4 1 1 8 71 13 4 <1 3 35 38 16 1 1 8 8 67 15 1 1 7 ----- 31 36 33 0 34 30 37 0 59 17 23 0 37 26 37 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent PENNSYLVANIA Highlights Pennsylvania reported barriers in four of the top five stages where barriers most commonly occur: conduct TPR proceedings; court case management; establish/change goal; and child welfare case management. Pennsylvania reported promising approaches in five of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; approve adoptive home; hold hearing; and establish adoption subsidy/services. A promising approach of interest: Pennsylvania established the Statewide Adoption Network (SWAN), a collaborative effort to serve children and prospective adoptive families. Available services include preparation of children for the adoption process and a continuum of post-adoption services, ranging from counseling to respite care. SWAN also manages the statewide recruitment efforts on behalf of all counties. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2001 – August 26, 2002 STAGES OF ADOPTION Entry Permanency Planning Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning X Not implemented consistently, Establish/change goal X judges lack understanding of process Delays in goal change, adoption not pursued for younger children who express disinterest Hold hearing Termination of Parental Rights (TPR) Adoptive Placement PostAdoption X Timely hearings, tracking systems Diligent search Conduct TPR proceedings X Delays in searches X Failure to pursue TPR in timely Provide legal services Conduct proceedings for appeal Recruit adoptive home X X Lengthy appeals Select adoptive home Approve adoptive home Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare manner, “pro-reunification mentality, TPR not filed without adoptive home Lack of guardians and attorneys X Increased efforts to find parents X Project to address termination barriers through protocols and policies X Various media and targeted recruitment, use of exchanges, hotlines addressing language barriers Use of cross-jurisdictional homes X Home study delays, no dual X X Network of agencies licensed to X Misperception about services, X Statewide staff and adoptive licensing, no separate training for adoptive parents subsidies differ from foster care do evaluations in other counties and states parent education on subsidies X Services to prepare children for adoption X Not consistently available in all X Services provided, peer support X Belief that older children are X Permanency training, network to counties, accessibility issues unadoptable, views against TPR and adoption programs X Resources Courts Promising Approach serve children and prospective adoptive families, permanency roundtables reviewing cases Adoption library of laws, policies and best practices Training provided Case management X Crowded dockets, continuances, X Resources X X Increased resources belief that older children are unadoptable, involvement of multiple judges and attorneys Lack of attorneys and GALs Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -22,690 846 2000 67.9 21,631 1,008 2001 -21,237 942 2001 Nation -542,000 65,000 2002 78.3 21,434 -- 4,891 5,210 4,808 126,000 4,240 2 32 38 24 4 1 2 31 37 26 4 1 2 30 35 28 5 1 3 32 32 28 4 -- ------- 54 32 12 0 1 <1 57 32 10 <1 1 <1 56 33 10 <1 <1 <1 45 34 12 2 <1 6 ------- 1,454 18 62 -- 1,712 16 57 93 1,564 19 61 90 50,000 -48 88 2,020 -58 69 1 44 38 15 2 -- 1 40 39 18 3 -- 1 43 33 19 3 -- 2 46 34 16 2 -- 1 41 35 20 3 0 57 37 5 <1 <1 1 56 37 7 <1 <1 1 46 44 9 <1 1 <1 35 38 16 1 1 8 53 38 8 0 0 0 ----- 44 50 6 <1 58 37 5 0 59 17 23 0 77 18 5 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent RHODE ISLAND Highlights Rhode Island reported barriers in five of the top five stages where barriers most commonly occur: establish/change goal; conduct TPR proceedings; recruit adoptive home; child welfare case management; and court case management. Rhode Island reported promising approaches in five of the top five stages where promising approaches most commonly occur: recruit adoptive home; hold hearing; child welfare case management; approve adoptive home; and establish adoption subsidy/services. A promising approach of interest: eighty percent of Rhode Island adoptions are foster parent adoptions, and many of these have developed some degree of openness with the birth family through the concurrent planning model. Rhode Island also uses open adoptions and mediation, which stakeholders report result in a greater willingness of biological parents to accept TPR without a hearing to further expedite the adoption process. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: October 1, 2002 – March 8, 2004 Note: Program Improvement Plan not available STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption Promising Approach X Lack of foster homes willing to Establish/change goal X Hold hearing X Diligent search Conduct TPR proceedings X Reluctance to seek TPR for older X Expedited filing of TPRs, Provide legal services Conduct proceedings for appeal Recruit adoptive home X X Lengthy appeals process X Lack of homes to meet childrens’ X Appeals reduced by mediation X Contracts for recruitment, use of Select adoptive home X X Adoption staff helping Approve adoptive home Conduct proceedings for adoption Establish adoption subsidy/services X X Services not always available X Adoption Rhode Island contract Prepare/transition child and family X X Provide post-adoption services X Supports needed X X Underutilization of Adoption X Family-centered practice Resources X X Case management X Crowded dockets, older children AGENCY FACTORS Child Case management Welfare Courts Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning Resources participate, not implemented statewide Extending goal of reunification, inappropriate goals Not always held unless contested decisions, not timely children, refusal to TPR without adoptive home, delays in filing, not adhering to timelines Lack of legal services for agency needs, reluctance to use outside placements and exchanges Delays in identifying children who need a home ICPC delays Waiting lists for services for families Rhode Island, older children viewed as unadoptable, lack of collaboration with courts Lack of staff viewed as unadoptable, lack of collaboration with agency X Training for all foster parents , implementation of service model X Transportation to hearings mediation process for voluntary relinquishment, approval of open adoptions targeted recruitment caseworkers with placement X Dual training of parents to provide services, adoption subsidies provided Support staff for families, training for mental health providers, preparation services for children Community agencies offer support programs implemented, partnership with Adoption Rhode Island, training for staff, policy committee Adoption support staff, added staff to Adoption and Foster Care Preparation Unit Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -2,621 87 2000 9.0 2,302 238 2001 -2,414 253 2001 Nation -542,000 65,000 2002 10.1 2,383 -- 339 399 409 126,000 397 2 35 37 25 2 -- 1 28 33 34 3 1 1 31 29 33 5 1 3 32 32 28 4 -- ------- 32 45 13 1 1 7 28 47 19 1 2 3 30 50 16 1 1 3 45 34 12 2 <1 6 ------- 292 30 81 -- 260 38 78 100 267 44 78 100 50,000 -48 88 256 -80 99 1 45 37 14 2 -- 2 52 30 15 1 -- 3 53 30 14 1 -- 2 46 34 16 2 -- 3 49 32 14 2 0 26 46 13 2 1 13 26 54 15 <1 1 4 24 47 13 2 2 11 35 38 16 1 1 8 25 55 12 2 0 6 ----- 61 7 32 0 64 6 30 <1 59 17 23 0 54 10 36 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent SOUTH CAROLINA Highlights South Carolina reported barriers in five of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; court case management; establish/change goal; and child welfare case management. South Carolina reported promising approaches in three of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; and approve adoptive home. A promising approach of interest: South Carolina has taken steps to address judicial barriers to timely permanency, including joint training of county directors, supervisors and attorneys on appropriate and effective treatment plans; working with the Bench Bar Committee and the Children’s Law Project to address such issues as court continuances; and training for judges and attorneys on expediting permanency for children in care. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2002 – June 23, 2003 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption X Lack of concurrent planning X Establishing goals not timely X Hearings not timely, agency Diligent search Conduct TPR proceedings X X Reluctance of judges to TPR, Provide legal services Conduct proceedings for appeal Recruit adoptive home X Not recruiting families that reflect Promising Approach attorney must request hearing, no system to track overdue hearings Lack of search for parents filings not timely, court focused on reunification the ethnic and racial diversity of children in care X Various recruitment methods, collaborative project with Georgia Select adoptive home Approve adoptive home X Use of cross-jurisdictional homes X New licensing process to Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services X Preservation services for families AGENCY FACTORS Child Case management Welfare Courts Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal Hold hearing expedite approval of foster homes as adoptive homes experiencing difficulties X Staff turnover Resources X Loss of agency attorneys due to Case management Resources X Continuances X Overcrowded court dockets, X Contracting with private agencies for adoption services, training, designated adoption workers budget cuts insufficient number of attorneys, limited court time X Judicial training Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -4,545 620 2000 22.1 4,525 593 2001 -4,774 753 2001 Nation -542,000 65,000 2002 10.9 4,818 -- 2,199 2,015 2,157 126,000 1,961 3 30 31 32 4 1 3 27 30 33 7 1 3 28 27 34 7 1 3 32 32 28 4 -- ------- 65 33 1 <1 <1 <1 63 35 <1 <1 <1 <1 63 35 1 <1 <1 <1 45 34 12 2 <1 6 ------- 456 11 52 -- 378 16 53 95 384 14 55 100 50,000 -48 88 340 -58 91 2 44 38 14 2 -- 2 47 32 18 1 -- 3 43 32 18 4 -- 2 46 34 16 2 -- 2 45 35 17 2 0 61 37 1 ---1 64 35 1 <1 <1 -- 58 39 2 1 -<1 35 38 16 1 1 8 60 36 2 0 0 1 ----- 57 43 0 0 68 31 1 0 59 17 23 0 67 32 <1 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent SOUTH DAKOTA Highlights South Dakota reported barriers in three of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; and court case management. South Dakota reported promising approaches in four of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; approve adoptive home; and establish adoption subsidy/services. A promising approach of interest: South Dakota’s public agency has developed a strong partnership with the state’s Children’s Home Society. The agency contracts with Children’s Home Society to approve adoptive families in the two largest offices, conduct child-specific recruitment for children in residential treatment centers, and provide ongoing support for the child and adoptive family after placement. South Dakota’s public agency also joined with Children’s Home Society to apply for a Federal Adoption Opportunities Grant to promote and support permanency for sibling groups. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: October 1, 2000 – October 22, 2001 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Barrier Identify placement that might adopt Finding of abuse/neglect Initiate concurrent planning Establish/change goal Hold hearing Diligent search X Not following ICWA early X No concurrent planning process Conduct TPR proceedings X Provide legal services Conduct proceedings for appeal X Significant increase in the number Recruit adoptive home X Cannot begin recruitment until X Delays in TPR of fathers after mothers’ rights have been terminated Tribal courts reluctant to grant TPR, refusal by some judges to grant TPR for older children TPR is finalized, not enough Native American homes Resources agency every month to circuit court judges and tribal courts with a list of children in care and the status of the case as a way to highlight dates for TPR X Number of homes available increased through contracts, use of adoption exchanges X Streamlined process for fosteradopt placements Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Resources Courts Case management X Report sent by child welfare of appeals Select adoptive home Approve adoptive home PostAdoption Promising Approach X Look to place with foster parents X Adoption subsidy offered to all families X Providing post-adoption services for all adoptive families X Contractors to provide services X Lack of compliance with time frames X ASFA training Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -1,101 198 2000 2.0 1,215 238 2001 -1,367 332 2001 Nation -542,000 65,000 2002 1.9 1,406 -- 284 311 411 126,000 448 9 26 32 28 5 <1 4 33 29 32 3 <1 3 29 29 32 7 1 3 32 32 28 4 -- ------- 3 34 4 58 <1 1 3 34 5 57 -2 2 34 3 58 <1 3 45 34 12 2 <1 6 ------- 84 61 51 -- 94 72 56 51 97 57 42 65 50,000 -48 88 145 -34 96 1 45 39 10 5 -- 4 55 27 14 --- 2 52 37 7 2 -- 2 46 34 16 2 -- 1 54 31 12 1 0 2 46 4 46 -1 -37 6 51 -5 2 41 11 41 -4 35 38 16 1 1 8 1 34 4 57 0 4 ----- 63 22 15 0 69 10 21 0 59 17 23 0 72 17 10 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent TENNESSEE Highlights Tennessee reported barriers in four of the top five stages where barriers most commonly occur: establish/change goal; conduct TPR proceedings; recruit adoptive home; and child welfare case management. Tennessee reported promising approaches in five of the top five stages where promising approaches most commonly occur: recruit adoptive home; hold hearing; child welfare case management; approve adoptive home; and establish adoption subsidy/services. A promising approach of interest: Tennessee established regional adoption service teams that serve each of the 12 geographic regions in the state. They are responsible for providing case management for children awaiting adoptive placements, preparing children for adoption, recruiting and preparing adoptive families, and providing placement and post-placement services. They also work with birth parents that want to make a voluntary plan of adoption for their child. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2001 – June 3, 2002 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal X Appropriate goal not established Hold hearing Diligent search Conduct TPR proceedings X Not identifying fathers early on X Unwillingness of agency Provide legal services Conduct proceedings for appeal Recruit adoptive home X Lengthy appeals process X Lack of homes for children with Select adoptive home Approve adoptive home in timely manner X Timely hearings attorneys to pursue TPR unless they are sure it will be granted, hesitancy to TPR on the part of judges and workers, minimal use of exceptions special needs X Foster parents lack information X Implementing several new recruitment strategies X Use of cross-jurisdictional homes X Curriculum for dual-approval of foster and adoptive parents Conduct proceedings for adoption Establish adoption subsidy/services PostAdoption Promising Approach X Increased adoption assistance rates, implementing electronic fingerprinting Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Resources Courts Case management Resources X Poor casework practice, backlog X Regional adoption service teams, X X Staff increased X Training by CIP in cases Legal services in agency lacking training for all new adoption staff Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -10,796 992 2000 19.0 10,144 397 2001 -9,679 480 2001 Nation -542,000 65,000 2002 16.5 9,359 -- 1,666 2,044 2,289 126,000 2,346 2 24 34 30 8 2 2 27 36 29 5 1 2 27 33 33 5 <1 3 32 32 28 4 -- ------- 48 49 2 <1 <1 <1 46 50 2 <1 <1 2 43 52 2 <1 <1 3 45 34 12 2 <1 6 ------- 382 16 38 -- 431 11 43 82 646 14 40 81 50,000 -48 88 922 -40 84 1 45 34 17 3 -- 1 35 41 20 3 -- 1 35 38 22 5 -- 2 46 34 16 2 -- 2 34 36 25 4 0 37 59 2 1 -<1 38 56 3 --3 31 57 5 <1 -8 35 38 16 1 1 8 35 54 3 0 0 7 ----- 76 21 3 0 74 19 7 0 59 17 23 0 72 20 9 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent TEXAS Highlights Texas reported barriers in five of the top five stages where barriers most commonly occur: establish/change goal; conduct TPR proceedings; recruit adoptive home; child welfare case management; and court case management. Texas reported promising approaches in five of the top five stages where promising approaches most commonly occur: recruit adoptive home; hold hearing; child welfare case management; approve adoptive home; and establish adoption subsidy/services. A promising approach of interest: in Texas, the Court Improvement Project (CIP) facilitated the creation of cluster courts, which handle CPS cases exclusively and utilize a traveling judge who hears cases in a cluster of counties. CIP is working with the Children’s Justice Act (a federal grant administered concurrently with CIP) to initiate mediation of CPS cases in all cluster courts. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: October 1, 2000 – February 11, 2002 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal X Court goals not always in child’s best interest Promising Approach X Use of concurrent planning X Process to establish timely and appropriate goals X Hearings occur often Hold hearing Diligent search Conduct TPR proceedings X Pursued when adoption unlikely, Provide legal services Conduct proceedings for appeal Recruit adoptive home X Not pursued until TPR, lack of X Use of exchanges, recruitment Select adoptive home Approve adoptive home X Delays between application for X X Dual licensing of foster/adoptive X Adoptive families deterred by cost X Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Courts Barrier use of exceptions rare homes for the many children available licensure and receipt of training homes, home study process standardized Creation of pools of attorneys to provide legal services X Adoption subsidies for all families X Adoption preparation services for children X Services provided by contractor X Worker turnover, roles of courts Resources X Case management X Resources programs, and advisory committee; diverse pool of adoptive homes Use of cross-jurisdictional homes and agency unclear, lack of training, lack of collaboration with contractors Lack of legal representation and staff Roles of courts and agency unclear X Contracts, co-location with contract agency staff, designated staff to move cases toward adoption X CIP cluster courts Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -16,326 5,067 2000 67.4 18,190 5,483 2001 -19,739 6,104 2001 Nation -542,000 65,000 2002 73.1 21,353 -- 6,616 7,200 7,931 126,000 8,517 4 30 33 29 4 -- 5 31 31 29 4 0 5 31 29 30 4 -- 3 32 32 28 4 -- ------- 33 30 33 <1 <1 4 31 31 34 <1 <1 4 31 31 33 <1 <1 4 45 34 12 2 <1 6 ------- 2,054 36 52 -- 2,040 44 53 93 2,319 51 53 73 50,000 -48 88 2,295 -54 82 3 49 32 15 1 -- 3 53 30 13 1 -- 4 55 29 12 1 -- 2 46 34 16 2 -- 3 58 26 11 2 0 30 30 36 <1 <1 4 26 32 37 1 <1 5 24 32 39 <1 <1 5 35 38 16 1 1 8 25 33 37 0 0 5 ----- 61 21 19 <1 49 27 24 <1 59 17 23 0 50 25 25 <1 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent UTAH Highlights Utah reported barriers in four of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; establish/change goal; and child welfare case management. Utah reported promising approaches in four of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; hold hearing; and establish adoption subsidy/services. A promising approach of interest: Utah has an extensive private-public post-adoption statewide support network. The agency has established a three-year plan to improve adoption support, including a Web site, a free lending library, classes throughout the state, a chat room, referral numbers, a statewide newsletter, adoption competency training for mental health workers, Child and Family Services and education staff, post-adoption workers assigned to support families statewide, and ongoing assessment with families through a Federal Adoption Opportunities Grant. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2002 – April 28, 2003 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal X Appropriate goal for child not established Promising Approach X Use of foster/adopt homes X Use of child and family team meetings for all cases Hold hearing Diligent search Conduct TPR proceedings X TPRs not filed in timely manner, X Allow for open adoptions Provide legal services Conduct proceedings for appeal Recruit adoptive home X Lack of Spanish-speaking staff X Collaborating with private agency Select adoptive home Approve adoptive home Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Resources Courts Barrier Case management Resources X Hearings held in timely manner significant differences among the tribes with respect to filing TPR impacting recruitment, lack of process for diligent recruitment X and an adoption exchange to recruit adoptive homes Utilizing out-of-state homes X Adoption subsidies available to families that are adopting X Service gaps X Wide array of services and X No effort by staff to attain X Coordination with courts, adoptions for older children supports available to support adoption, initiative around postadoption support services collaboration with other organizations, services, community groups X Lack of Spanish-speaking staff, rural nature of state impacts service delivery X Coordination with child welfare Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -2,273 245 2000 10.6 1,805 310 2001 -1,957 254 2001 Nation -542,000 65,000 2002 8.4 2,025 -- 325 371 336 126,000 456 4 27 32 31 5 1 9 29 32 26 3 -- 6 30 32 28 3 1 3 32 32 28 4 -- ------- 5 67 19 2 2 6 4 58 23 5 1 10 5 61 25 1 2 7 45 34 12 2 <1 6 ------- 369 58 77 -- 303 66 77 76 349 71 85 77 50,000 -48 88 335 -77 78 8 43 37 12 <1 -- 8 51 30 11 1 -- 9 54 27 10 1 -- 2 46 34 16 2 -- 9 52 28 10 1 0 2 34 20 1 -43 3 55 19 2 1 21 6 52 28 3 3 9 35 38 16 1 1 8 5 54 26 2 0 13 ----- 47 47 6 0 60 32 8 0 59 17 23 0 65 27 8 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent VERMONT Highlights Vermont reported barriers in five of the top five stages where barriers most commonly occur: establish/change goal; conduct TPR proceedings; recruit adoptive home; child welfare case management; and court case management. Vermont reported promising approaches in three of the top five stages where promising approaches most commonly occur: hold hearing; recruit adoptive home; and child welfare case management. A promising approach of interest: stakeholders interviewed in the CFSR praised the child welfare agency for its work in partnerships with other agencies to establish a strong network of post-adoption services to support adoptive families and children. Services are available through a statewide consortium. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: October 1, 1998 – April 30, 2001 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption Identify placement Finding of abuse/neglect Promising Approach X Merit hearings not scheduled, adjudication delays Initiate concurrent planning X Use of legal-risk foster-adopt placements Establish/change goal X Goals not always set in planned Hold hearing X Diligent search Conduct TPR proceedings X Hearings and decisions not manner, not reexamined, and not clear to everyone involved in case; lack of adoption planning for older children Some judges hold hearings only if disagreement on goals timely, time from filing to determination lengthy, compelling reasons not documented Lack of legal representation Provide legal services Conduct proceedings for appeal Recruit adoptive home X Select adoptive home X Resistance to out-of-state and Approve adoptive home X Foster parents not completing X Lack of adoptive homes, particularly minority families and homes for children with special needs; lack of statewide strategy X Timely hearings X Timely filings, increase in filings X Collaborative recruitment efforts using various media approaches, cross-jurisdictional activities, use of exchanges, outreach to Abenaki community, planned recruitment for older children cross-jurisdictional placements required paperwork for adoption Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Courts Barrier X Strong service network X One worker per office responsible X Permanency team reviewing Resources X Lack of staff X Case management X High caseloads, backlogs, high X Resources X for spectrum of adoption activities attorney turnover Lack of judges, attorneys and courtrooms cases, centralizing worker supervision Additional staff assigned to adoptive program CIP addressing backlogs, case management protocol, training Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -1,445 351 2000 4.8 1,318 184 2001 -1,360 238 2001 Nation -542,000 65,000 2002 6.8 1,538 -- 403 252 298 126,000 515 4 28 29 32 6 1 2 23 26 38 10 3 1 22 28 40 7 1 3 32 32 28 4 -- ------- 2 96 1 <1 -1 2 96 1 <1 -1 2 96 1 <1 -1 45 34 12 2 <1 6 ------- 139 23 41 -- 122 18 51 86 116 17 48 85 50,000 -48 88 153 -46 83 1 43 39 16 1 -- 2 48 31 18 1 -- 3 41 34 22 2 -- 2 46 34 16 2 -- 6 42 29 19 3 0 4 96 ----- 5 90 3 -2 1 -95 ---5 35 38 16 1 1 8 6 93 0 0 0 1 ----- 74 9 10 7 73 3 24 0 59 17 23 0 82 7 12 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent VIRGINIA Highlights Virginia reported barriers in five of the top five stages where barriers most commonly occur: establish/change goal; conduct TPR proceedings; recruit adoptive home; child welfare case management; and court case management. Virginia reported promising approaches in five of the top five stages where promising approaches most commonly occur: recruit adoptive home; hold hearing; child welfare case management; approve adoptive home; and establish adoption subsidy/services. A promising approach of interest: under Virginia’s comprehensive adoption assistance program, adopted children receive the same level of care they received in foster care. Adoption assistance payments equal foster care payments, including those for therapeutic care. The program also provides adoption assistance for children in residential treatment facilities. Virginia contributes state funds toward adoption assistance payments and to pay for services not covered by Medicaid. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2002 – July 7, 2003 STAGES OF ADOPTION Entry Permanency Planning Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal Barrier X Planning not mandated X Goal of reunification maintained Adoptive Placement X Timely hearings, future hearings scheduled at each hearing Diligent search Conduct TPR proceedings X Filing not timely, lengthy process, Provide legal services Conduct proceedings for appeal X Lengthy appeals, increase in Recruit adoptive home X Lack of homes for older and X Targeted recruitment, contracts Select adoptive home X X Statewide matching parties/ Approve adoptive home X parents given too much time appeals, full evidentiary hearings special-needs children, lack of diverse homes Lack of information for foster parents Foster/adoptive parent training not mandatory Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family PostAdoption for recruitment meetings X Dual licensure of homes, home study template to remove crossjurisdictional barriers X Comprehensive adoption X Lack of adoption counseling services provided to children, family preparation lacking Provide post-adoption services AGENCY FACTORS Child Case management Welfare Courts X Increased use for too long Hold hearing Termination of Parental Rights (TPR) Promising Approach X X X High caseloads Resources X Lack of staff, lost funding for Case management X Crowded court dockets, Resources X Localities lack funds for attorneys assistance program, collaborative efforts with private agencies Contract with University of Virginia to conduct attachment assessments for pre-adoptive and adoptive families Family preservation and legal services provided, respite care X Partnerships with private agencies, new permanency unit, collaboration with court recruitment position continuances, high caseloads X Developed protocols, training, collaboration with agency, working to identify best practices, calendar management improved by CIP Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -6,778 749 2000 15.7 6,789 640 2001 -6,866 484 2001 Nation -542,000 65,000 2002 23.3 7,109 -- 2,178 2,132 1,947 126,000 1,489 4 38 41 16 1 -- 5 36 40 18 1 <1 4 34 38 23 1 -- 3 32 32 28 4 -- ------- 54 39 4 <1 1 2 53 39 4 <1 <1 3 54 37 4 <1 <1 4 45 34 12 2 <1 6 ------- 326 16 38 -- 448 21 34 93 495 18 37 96 50,000 -48 88 424 -32 96 2 46 37 15 --- <1 36 42 19 3 -- <1 40 40 17 3 -- 2 46 34 16 2 -- 0 41 35 22 2 0 45 45 6 -2 2 46 44 5 -<1 5 41 46 5 -1 8 35 38 16 1 1 8 51 39 4 0 0 6 ----- 78 16 6 0 78 17 6 0 59 17 23 0 78 16 6 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent WASHINGTON Highlights Washington reported barriers in five of the top five stages where barriers most commonly occur: establish/change goal; conduct TPR proceedings; recruit adoptive home; child welfare case management; and court case management. Washington reported promising approaches in four of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; approve adoptive home; and establish adoption subsidy/services. A promising approach of interest: to address the problem of court continuances due to a lack of adequate representation for parents, Washington implemented a three-year Defense Representation pilot project in three counties. Washington reports that the project provided increased representation and reduced continuances in those counties. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: October 1, 2002 – November 3, 2003 Note: Program Improvement Plan not available STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption Promising Approach X Use of linear planning X Families given too much time, Hold hearing X Diligent search Conduct TPR proceedings X Delays, continuances, judges X Timelines followed, especially for Provide legal services X X Improved representation for Conduct proceedings for appeal Recruit adoptive home X Appeals cause delays X Lack of homes for older children, X Use of exchanges, contracts for Select adoptive home Approve adoptive home X Barriers in homes of choice X Delays in completing home X Contracts for placement, staff Conduct proceedings for adoption Establish adoption subsidy/services X lack of services for parents, lack of consistency in setting timelines for families Continuances, lack of representation for families reluctant to TPR, filings not timely Lack of attorneys for parents X Staff training on planning X Two planning reviews for each case younger children families lack of diverse homes studies, ICPC delays, time from finalized TPR to finalized adoption lengthy Adoption hearings limited recruitment, grant received for special needs recruitment training on ICPC, consistent home study format X Support payments frozen in time, X Financial barriers to adopting X Lack of training, paperwork X Training provided, regional support services needed children with special needs removed, support program includes medical and other services Prepare/transition child and family Provide post-adoption services AGENCY FACTORS Child Case management Welfare Courts Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal delays, staff turnover X Resources Case management X Delays, insufficient court time, Resources X Lack of attorneys and judges adoption consortium facilitates public-private case staffing Planning to hire staff crowded dockets X Improving representation Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -8,688 3,368 2000 31.3 8,945 2,216 2001 -9,101 1,854 2001 Nation -542,000 65,000 2002 35.3 8,738 -- 3,720 2,669 2,302 126,000 3,361 7 45 31 14 3 <1 4 41 32 20 3 <1 3 40 31 22 5 <1 3 32 32 28 4 -- ------- 17 59 12 5 1 7 18 58 11 5 1 7 18 57 12 5 1 8 45 34 12 2 <1 6 ------- 1,047 24 52 -- 1,141 20 49 97 1,204 26 50 98 50,000 -48 88 1,077 -54 99 2 58 32 8 1 -- 1 56 32 9 1 -- 1 57 31 10 1 <1 2 46 34 16 2 -- 2 61 27 9 1 0 5 37 11 2 <1 45 13 64 12 4 1 6 12 63 11 5 1 7 35 38 16 1 1 8 11 61 14 5 1 7 ----- 59 37 <1 3 59 39 <1 2 59 17 23 0 100 0 0 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent WEST VIRGINIA Highlights West Virginia reported barriers in five of the top five stages where barriers most commonly occur: establish/ change goal; conduct TPR proceedings; recruit adoptive home; child welfare case management; and court case management. West Virginia reported promising approaches in two of the top five stages where promising approaches most commonly occur: recruit adoptive home and child welfare case management. A promising approach of interest: West Virginia state statute, child welfare department policy and the rules of procedure issued by the State Supreme Court contain provisions for the establishment and operation of Multidisciplinary Treatment Teams (MDT). Each MDT is supposed to provide periodic review of each case until permanency is achieved. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2001 – May 6, 2002 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption X Fathers not identified and Finding of abuse/neglect Initiate concurrent planning Establish/change goal X Adoption not used for older Hold hearing X Promising Approach involved early children, delays in changing goals, lack of clear goals Hearings not consistent, judges reluctant to schedule Diligent search X Collaborating with Child Support Enforcement Agency Conduct TPR proceedings X Delays in seeking TPR, relatives X Increased TPR filings, courts Provide legal services Conduct proceedings for appeal Recruit adoptive home X Lack of a statewide plan, lack of X Recruiter hired, partnership with Select adoptive home X Approve adoptive home Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services X AGENCY FACTORS Child Case management Welfare Courts Barrier Identify placement Resources Case management Resources must pursue TPR independently homes for older youth and sibling groups Foster parents and relatives not encouraged to adopt, lack of information Home study delays comply with ASFA private agency, strong crossjurisdictional plan X Not all relatives receive subsidies X Adoptive parents not feeling supported X Lack of services and medical insurance, college tuition and independent living services not available to adopted children X High caseloads, belief that older X Staff training, multi-disciplinary X X Continuances, court delays X Adoption staff hired children are unadoptable, lack of training, staff turnover, case transfer delays, data not being documented in tracking system Lack of dedicated adoption staff teams review case plans X Attorneys hired Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -3,169 12 2000 8.2 3,388 23 2001 -3,298 87 2001 Nation -542,000 65,000 2002 6.8 3,220 -- 779 766 731 126,000 1,021 4 31 41 23 2 <1 4 29 39 25 4 <1 4 29 32 29 5 1 3 32 32 28 4 -- ------- 16 82 1 -<1 1 10 81 1 -<1 7 8 83 1 <1 -8 45 34 12 2 <1 6 ------- 312 27 26 -- 352 17 26 82 362 26 29 92 50,000 -48 88 361 -26 98 1 43 40 14 2 -- 1 33 45 20 2 -- 1 40 37 18 4 -- 2 46 34 16 2 -- 1 43 34 20 2 0 9 87 1 --3 15 76 3 --6 7 84 1 -<1 8 35 38 16 1 1 8 6 85 1 0 0 8 ----- 80 4 16 1 82 3 15 0 59 17 23 0 79 3 19 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent WISCONSIN Highlights Wisconsin reported barriers in five of the top five stages where barriers most commonly occur: conduct TPR proceedings; recruit adoptive home; court case management; establish/change goal; and child welfare case management. Wisconsin reported promising approaches in three of the top five stages where promising approaches most commonly occur: recruit adoptive home; child welfare case management; and hold hearing. A promising approach of interest: the process for recruiting foster and adoptive homes in Wisconsin is a joint effort between the counties, private child-placing agencies, and the DCFS. The state's Special Needs Adoption Program (SNAP) has taken a lead role in working with licensing and recruiting entities to ensure that recruitment strategies are developed to recruit a diverse pool of adoptive families. SNAP annually identifies targeted recruitment strategies. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2002 – April 18, 2003 STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption X Not investigating fathers and Finding of abuse/neglect Initiate concurrent planning X Not established until after Establish/change goal X Not establishing appropriate goal reunification has failed for child in a timely manner X Not pursuing TPR without Provide legal services Conduct proceedings for appeal Recruit adoptive home X Lengthy appeals process X Further efforts needed recruiting X Timely hearings identified adoptive home; delays due to late filings, scheduling hearings, parents requesting jury trial, extensions/continuances; hesitancy to TPR cross-jurisdictional homes Select adoptive home Approve adoptive home Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services Resources Case management Resources Promising Approach paternal relatives as possible placement Hold hearing Diligent search Conduct TPR proceedings AGENCY FACTORS Child Case management Welfare Courts Barrier Identify placement X Targeted recruitment strategies, extensive recruitment for specialneeds children X Available to families X Belief that older children are unadoptable, agency emphasis on reunification, need better cross jurisdictional relationships Lack of agency attorneys X X Court bias toward reunification X Lack of attorneys to file TPR petitions X Contracting with private agencies to increase adoption program capacity and maintain quality services Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -10,868 323 2000 33.8 10,504 341 2001 -9,497 357 2001 Nation -542,000 65,000 2002 45.9 8,744 -- 1,993 1,964 2,049 126,000 1,911 5 27 38 27 3 1 2 26 35 31 4 1 2 22 32 35 7 3 3 32 32 28 4 -- ------- 57 36 3 4 <1 1 53 39 3 4 -1 52 40 3 4 -2 45 34 12 2 <1 6 ------- 642 19 71 -- 736 25 76 99 754 21 77 99 50,000 -48 88 1,028 -79 100 2 41 40 14 3 -- 3 42 37 17 2 -- 7 44 34 14 2 -- 2 46 34 16 2 -- 6 41 35 15 3 0 42 47 6 5 --- 39 48 7 5 1 1 36 47 7 3 <1 7 35 38 16 1 1 8 40 44 8 2 0 6 ----- 74 14 13 0 69 19 12 0 59 17 23 0 74 14 12 <1 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent WYOMING Highlights Wyoming reported barriers in two of the top five stages where barriers most commonly occur: conduct TPR proceedings and recruit adoptive home. Wyoming reported promising approaches in five of the top five stages where promising approaches most commonly occur: recruit adoptive home; hold hearing; child welfare case management; approve adoptive home; and establish adoption subsidy/services. A promising approach of interest: to enhance the timeliness of permanency hearings, Wyoming added a judge to the juvenile court, and the Court Improvement Project created a Bench Book. Stakeholders noted that permanency hearings appear to be occurring in a timely manner for children recently entering care. Barriers and Promising Approaches Child and Family Service Review (CFSR) period under review: April 1, 2001 – July 8, 2002 Note: Statewide Assessment not available STAGES OF ADOPTION Entry Permanency Planning Termination of Parental Rights (TPR) Adoptive Placement PostAdoption Barrier Identify placement Finding of abuse/neglect Initiate concurrent planning Establish/change goal Hold hearing Diligent search Conduct TPR proceedings X Lengthy time to TPR, no filing Provide legal services Conduct proceedings for appeal Recruit adoptive home X Court delays in processing X Lack of adoptive families, no TPR X Not used consistently X Not held in timely manner X Bench Book developed by CIP X Absent parent location efforts CIP addressing TPR delays without adoptive home, contested terminations require jury trials, no TPRs on reservations inhibits recruitment, no statewide plan X Use of exchanges, targeted recruitment Select adoptive home X Use of cross-jurisdictional and Approve adoptive home X Conduct proceedings for adoption Establish adoption subsidy/services Prepare/transition child and family Provide post-adoption services X Medicaid provision differs for foster care Resources Case management Resources out-of-state placements, adoption information retreats for foster parents Grants for special-needs family training X Subsidies for special-needs adoptions X Preparation services for children X AGENCY FACTORS Child Case management Welfare Courts Promising Approach X Staff training, cooperating with private agency, coordinating with CIP to facilitate timely adoptions X Backlogs, child welfare cases not a priority, crowded dockets X CIP educating courts, permanency unit created X One judge added by CIP, planning to create children’s permanency unit in attorney general’s office Indicators OVERVIEW Spending on adoption services (in millions) Children in foster care on September 30 Children whose parents’ parental rights have been terminated 1999 -774 107 2000 0.5 815 89 2001 -965 91 2001 Nation -542,000 65,000 2002 1.0 929 -- 145 125 129 126,000 121 2 35 40 19 4 -- 2 23 43 26 6 -- 2 25 34 32 7 1 3 32 32 28 4 -- ------- 6 80 12 2 --- 6 79 12 2 -1 6 85 6 2 -1 45 34 12 2 <1 6 ------- 45 50 86 -- 61 41 85 82 46 28 95 93 50,000 -48 88 50 -88 92 -49 31 13 7 -- -39 41 15 5 -- -30 50 17 2 -- 2 46 34 16 2 -- 2 44 37 15 2 0 11 71 9 2 -7 8 79 12 2 --- -72 20 7 2 -- 35 38 16 1 1 8 6 81 12 0 0 2 ----- 78 8 13 0 76 0 24 0 59 17 23 0 75 10 16 0 CHILDREN WAITING TO BE ADOPTED Total number Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races CHILDREN ADOPTED Total number Within 24 months of latest removal (in percent) Time between TPR and adoption less than 12 months (in percent) Receiving a subsidy (in percent) Age (in percent) Under 1 year 1-5 years 6-10 years 11-15 years 16+ Unknown Race/ethnicity (in percent) Black White Hispanic American Indian/Alaska Native Asian/Pacific Islander/Native Hawaiian Unknown/two or more races Adopted by (in percent) Foster parent Non-relative Relative Step-parent