Page 1 of 60 Accessibility If you would like to receive this publication in another format please telephone the Industry, Workforce and Transformation Branch, Department of Human Services on 1300 650 172. Unless indicated otherwise, this work is made available under the terms of the Creative Commons Attribution 3.0 Australia license. The license DOES NOT apply to any software, artistic works, images, photographs or branding, including the Victorian Coat of Arms, the Victorian Government logo and any Victorian Government departmental logos. To view a copy of this license, visit creativecommons.org/licenses/by/3.0/au It is a condition of this Creative Commons Attribution 3.0 License that you must give credit to the original author who is the State of Victoria. Authorised and published by the Victorian Government, 1 Treasury Place, Melbourne. ISBN 978-0-7311-6641-1 (print) ISBN 978-0-7311-6642-8 (on-line) March 2014 [2141112]. This document may also be downloaded from the Department of Human Services web site at: www.dhs.vic.gov.au Page 2 of 60 Table of contents 1. 2. Minister’s foreword ............................................................................................ 5 Executive summary........................................................................................... 8 Drivers for reform A new vision for reform Approach to reform 3. 3.1 3.2 4. 4.1 4.2 5. 5.1 5.2 5.3 5.4 6. 6.1 7. 8. 8.1 8.2 9. 9.1 9.2 9.3 9.4 9.5 9.6 9.7 9.8 9.9 9.10 9.11 9.12 8 10 11 Development of this plan................................................................................. 14 Sector consultation The views of children and young people 14 15 Victoria’s out-of-home care system ................................................................. 18 A history of reform The current system 18 20 The case for reform......................................................................................... 24 Identified challenges ‘Performance’ of the system The balance of investment System integration 24 25 26 28 A new vision for reform ................................................................................... 29 Reform strategy 29 Approach to reform ......................................................................................... 33 Longer-term reform deliverables ..................................................................... 36 A new funding model A new service delivery platform 36 37 Immediate reform actions................................................................................ 38 Improve the safety and wellbeing of children and young people in residential care 38 Tender the delivery of therapeutic, outcomes-focused, care and support services 39 Implement an outcomes monitoring framework 40 Develop a complementary plan for Aboriginal children and young people 43 New governance arrangements 45 Improving processes and reducing the administrative burden ....................................... 46 Improving health and education outcomes .................................................................... 46 Establishing local networks ............................................................................................ 47 Increase focus on stability and permanency 48 Explore professionalised in-home support 49 Provide additional support to reduce sexual exploitation 49 Improve leaving care support 50 Trial a new approach to kinship care 52 Better engage foster carers 52 Improving carer recruitment ........................................................................................... 53 Respecting and listening to foster carers ....................................................................... 53 New approaches to commissioning 53 10. Next steps ....................................................................................................... 54 11. References ..................................................................................................... 55 Appendix A – Statement of principles ............................................................................. 56 Appendix B – Outcomes framework ................................................................................ 57 Page 3 of 60 This page has been left blank intentionally Page 4 of 60 1. Minister’s foreword Government, service providers and the community have a responsibility to do all we can to make sure the care vulnerable children and young people receive sets them on the path to a good life. Currently across Victoria, more than 6,400 children and young people are living in out-of-home care. They are being looked after by thousands of foster, kinship, permanent and residential carers – and many other support staff – who work tirelessly to make sure that these children and young people live happy, safe and rewarding lives. Effectively caring for and improving the life outcomes of our most vulnerable and disadvantaged children and young people is an enormous challenge. At the heart of the challenge lies the fact that no government-funded or delivered system can ever truly replace a good parent in a child’s life. This reality must drive our efforts to ensure we do a better job in supporting families to provide safe, stable, nurturing homes for all children and young people. Where families fail in looking after children, safety, stability and nurturing must be provided through our alternative care arrangements. Every year, the number of young Victorians who need out-of-home care is growing, and both government and the community are under increasing pressure to deliver the financial and human resources required to keep pace. Despite the good outcomes achieved for many children, multiple reports and inquiries here, inter-state and overseas have catalogued the challenges facing out-ofhome care systems and warned the structure is under significant stress. The traumatic impact of abuse and neglect on children and young people is significant. We know failure to provide stable, supportive care can further magnify this impact. This Government is responding to the range of challenges confronting the broad child protection system. In May 2012, we published Victoria’s Vulnerable Children – Our Shared Responsibility Directions Paper and allocated $336 million over four years from the 2012–13 Budget. That funding, together with allocations made in the 2011–12 and 2013–14 Budgets has taken the Victorian Government’s additional investment in vulnerable children and families to more than $650 million over the past three Budgets. Through the complementary Victoria’s Vulnerable Children – Our Shared Responsibility Strategy 2013–2022, released in May 2013, the Victorian Government has formally accepted a shared responsibility for improving outcomes for vulnerable children. This is underpinned by our commitment to work better across portfolios that have responsibility for the health, social and economic determinants of vulnerability. In December 2013, the Government released a baseline performance data report as an important first step to understanding the challenges faced by vulnerable children and young people. This sets the baseline from which annual performance reports will measure our progress in reducing vulnerability and improving the lives of the most vulnerable Victorians. Page 5 of 60 This plan is a statement of our intent to fundamentally reform the way the out-of-home care system operates in order to drive better personal, social and economic outcomes for children and young people in care. The proposed reforms align with our new model for integrated human service delivery – Services Connect – that is driving a more integrated and holistic approach to working with vulnerable Victorians. It also reflects the importance of a collaborative approach to reform between government, service providers, clients and other stakeholders – as recommended in the report Service Sector Reform: A roadmap for community and human services reform. Through these reforms we intend to move our historical program-based funding for out-of-home care to a system that is more focused on the client and the outcomes we aspire to. To achieve this, we need a system that more closely integrates family support, preservation and reunification services with those that provide out-of-home care; a system that provides incentives for positive outcomes and is delivered from a local area-based platform. We want to provide the flexibility that is needed to encourage innovation in how best to meet the needs of children and young people in care, their families and their carers. We have consulted with service providers, the Commission for Children and Young People and other stakeholders to define this plan and will continue this collaborative approach throughout implementation. We recognise success depends on the support and input of service providers and experts as well as children and young people themselves. To begin this process, the Victorian Government will undertake a tender process during 2014 for the delivery of a more holistic, flexible and therapeutic care and support service for children in outof-home care and their families. This new approach will focus on the outcomes sought – as opposed to service types, inputs or outputs. It will seek to create a service response which focuses on the overarching goal for each child and young person in a placement – whether this is successful reunification with parents; placement in a stable, permanent care arrangement; or transition to independence. Other immediate priorities to strengthen our system are to: Realise legislative and practice reforms to help provide permanency and stability for children. Investigate opportunities to better support and grow our vital foster carer workforce. Increase the role of the non-government sector in assessing and supporting kinship care arrangements. Establish a practical approach to monitoring the outcomes being achieved for children and young people in care. Based on this information, a process for reporting on the wellbeing of children and young people in the care of each service provider will also be established. Commence immediate actions to improve the safety and wellbeing of children and young people in residential care. Develop a complementary plan for Aboriginal children and young people in out-of-home care. Explore innovative approaches to commissioning, targeted at preventing entry to care, supporting transition from residential care and improving leaving care supports. Establish a more collaborative and effective approach to governance – and through this – identify and act on opportunities for practical system improvements. Page 6 of 60 The specification and implementation of change will take time, but it is enormously important. This holistic approach to reform will benefit both children and the sector. Importantly, the implementation of the plan will be supported by a funding package totalling $128 million over the next four years. I look forward to working with service providers, carers and children and young people in care to make this plan a reality. The Hon. Mary Wooldridge MP Minister for Community Services Page 7 of 60 2. Executive summary This plan articulates a reform strategy for out-of-home care that will deliver a more integrated, client-centred and outcomes-focused service system. It builds on Victoria’s leadership in out-ofhome care and human services reform to present both immediate and longer-term actions to achieve three overarching goals: Improved outcomes – improved personal, economic and social outcomes for children and young people in out-of-home care. Reduced demand – slow the growth in the number of children and young people being placed in out-of-home care over the long-term. Sustainable delivery – create the foundation for a more sustainable, efficient and effective outof-home care system. Drivers for reform The Victorian Government is committed to driving improvement across the delivery of human services. The Government’s recent policy statement Services Connect: Better services for Victorians in need demonstrates the need for a more integrated, holistic, effective, efficient and sustainable human services system. Specifically, it highlights the need for more integrated service delivery, a stronger focus on outcomes and supporting service provider innovation through a more flexible approach to funding. The evidence for these reform directions is clear in the Service Sector Reform: a roadmap for community and human services reform. Recent reviews and reports also highlight the overall structure of the statutory child protection and out-of-home system is under significant stress and that the need for improvement and reform is pressing. Current challenges facing the system range from rising demand to a fragmented system that is not designed to enable the innovation and outcomes we aspire to achieve. In January 2011, the Victorian Government initiated the Protecting Victoria's Vulnerable Children Inquiry to investigate systemic problems of Victoria's child protection system. The final report, tabled in Parliament in February 2012, found: ‘there are major and unacceptable shortcomings in the quality of care and outcomes for children and young people placed, as a result of statutory intervention, in Victoria’s out-of-home care system. Further, the Inquiry considers there are a number of long-term factors impacting on the outcomes and sustainability of the current approach to providing accommodation and support services to children in out-of-home care. Major reform of the policy framework, service provision and funding arrangements for Victoria’s out-of-home care system is therefore urgently required.’1 Department of Premier and Cabinet 2012. Report of the Protecting Victoria’s Vulnerable Children Inquiry Department of Premier and Cabinet, Melbourne, p.233. 1 Page 8 of 60 The Victorian Government is committed to reform of the out-of-home care system. In May 2012, the Victorian Government published Victoria’s Vulnerable Children – Our Shared Responsibility Directions Paper and announced a program of investment to support reform. That funding, together with allocations made in the 2011–12 and 2013–14 Budgets has taken the Victorian Government’s additional investment in vulnerable children and families to more than $650 million over the past three Budgets. This out-of-home care plan is part of a broader suite of initiatives to improve outcomes for vulnerable children. The Victoria’s Vulnerable Children – Our Shared Responsibility Strategy 2013– 2022 (Vulnerable Children’s Strategy), released in May 2013, includes three goals focused on reducing child vulnerability. As of March 2014, 63 actions have been implemented and a further 40 are underway. This plan is a key mechanism to achieve goal three within the Vulnerable Children’s Strategy. Goals and achievements Goal 1: Prevent abuse and neglect Reforms and achievements include: Additional 1,000 early childhood intervention service places each year to support children with a disability or developmental delay from birth until school age. A new Maternal and Child Health Memorandum of Understanding is now in place with the DEECD and the Municipal Association of Victoria for 2012–2015. Expanded the Enhanced Maternal and Child Health Service. Reform of Student Support Services to help strengthen the early identification of children and young people at risk. New student online case system to support service delivery to vulnerable students. Established national Foundation to Prevent Violence Against Women and their Children. Goal 2: Act earlier when children are vulnerable Reforms and achievements include: Children, Youth and Families Amendment Bill 2013 to make the court experience more child-friendly. Provide more than 1,000 additional places over four years in voluntary Men's Behaviour Change Programs. Establish two new demonstration sites for the Adolescent Family Violence initiative. New operating model for statutory child protection. An additional 89 front-line child protection practitioners. Victoria Police established Taskforce Astraea to tackle child exploitation on the internet. Victoria Police has established 27 Family Violence Teams and 27 Sex Office and Child Abuse Investigation Teams across the state. Page 9 of 60 Goals and achievements Goal 3: Improve outcomes for children in statutory care Reforms and initiatives include: Permanent Care and Stability Project – to increase rates of timeliness of permanent care arrangements. Zero fee training places for young people leaving care. Springboard program to assist young people leaving care to access education and employment. Pilot to assist in implementing Aboriginal guardianship in Victoria. Release of the five year plan for out-of-home care. A more child-friendly legal system and a new children’s court in Broadmeadows; and state-wide roll-out of new model conferences. 140 new therapeutic residential and foster care places. Comprehensive educational and health assessments and learning mentors for children in out-of-home care. The Victorian Government has also developed this plan in consultation with the sector and key stakeholders to define a clear reform strategy for the next five years. A new vision for reform More fundamental reform is required to reset how out-of-home care is funded and delivered across Victoria. Simply tweaking the current system by further increasing funding levels or establishing new stand-alone programs will not lead to the sustainable, systemic improvement we aspire to achieve. This plan recognises that some reform will take time to be achieved and that we must balance our effort between longer-term enablers and immediate opportunities to achieve the best results. The reform strategy is summarised in Figure 1 below. Page 10 of 60 Figure 1: Out-of-home care reform strategy The reform strategy is informed by the multiple reviews and policy statements, including the Report of the Protecting Victoria’s Vulnerable Children’s Inquiry, which have shown there is a clear need to further improve outcomes being achieved for children and young people in out-of-home care. It also recognises there is a pressing need to ensure that the out-of-home care system and other support services that children, young people and their families rely on are structured and function as efficiently and effectively as possible. Approach to reform The journey that begins with the release of this plan will not be complete for several years – and is in reality an ongoing process. The Victorian Government is committed to working collaboratively with non-government organisations and other stakeholders to deliver on the whole-of-government commitment to improving outcomes for children and young people in out-of-home care, as articulated in the Vulnerable Children’s Strategy and in this plan. The reform process this plan signals will be a complex one. It is essential that it proceeds cautiously – but not so cautiously that we unnecessarily delay the opportunity for significant reform. Figure 2 summarises the process and timing for development and delivery of this reform plan. Page 11 of 60 Figure 2: Out-of-home care reform approach Page 12 of 60 Achieving the longer-term reform directions needed will require us to reconsider the types of services government funds; the mix of these services; the funding models and mechanisms we use; who is funded to deliver the services; and the spread of services across the state. The key longer-term deliverables are: A new funding model that supports more innovative services and promotes a stronger focus on the outcomes we achieve for children and young people. A process to establish a more integrated service delivery platform that better supports placement prevention and reunification, and responds better to the needs of children and young people in or exiting care. These two deliverables combine to support achievement of the overarching objectives of this plan to improve outcomes, reduce demand and enhance sustainability of the system. Importantly, they will build placement capacity across the state by unlocking current resources and creating much needed flexibility to support new approaches to how we find the safest, most stable and nurturing care arrangements for vulnerable children and young people. These longer-term deliverables will be informed by further consultation and a number of immediate reform actions. Three immediate reform actions identified include: A tender process for the allocation of new funding to trial new approaches to therapeutic care across the state. This new approach will place a more explicit focus on outcomes to be achieved for children in care and service providers will be encouraged to innovate to provide a more tailored service response for each child in their care. They will also be required to provide support to the child, their family and their carer to achieve each child’s case plan goals. Trial of a new outcomes framework for all children and young people in care. Utilising an appropriate information management platform, the Victorian Government will establish a statewide planning, assessment and outcomes-measurement system for use by all governmentfunded out-of-home care providers. We will regularly report on the results of this process. We will also report regularly on a number of additional measures that will provide a picture of overall agency performance. Development of a complementary plan for Aboriginal children and young people that identifies specific actions to address the overrepresentation of Aboriginal children and young people in out-of-home care and improve outcomes. To support this work the Victorian Government will establish a Reform Advisory Group which will be linked with the Community Sector Reform Council. This group will provide technical advice to the Department of Human Services (department) on the implementation of this plan and support appropriate consultative and information sharing processes to ensure that all service providers remain informed and engaged in the reform process. Informed by this advice and the experience of the immediate reform actions, the department will provide an options paper to the Victorian Government at the end of 2014 on the proposed direction for the long-term reform deliverables. Page 13 of 60 3. Development of this plan 3.1 Sector consultation In the spirit of improved collaboration and service co-design between government, service providers and clients, this plan has been developed with considerable input from out-of-home care service providers. During 2013, a series of workshops were held to consider how the out-of-home care system could be refined to achieve improved outcomes for children and young people in care. All organisations funded to deliver out-of-home care services in Victoria were invited to attend. The Department of Human Services, the Department of Education and Early Childhood Development and the Commission for Children and Young People also participated. At the conclusion of these sessions, a group of service providers presented a formal submission to the Victorian Government to inform the development of this plan.2 This submission outlined sector challenges and opportunities, and offered a series of immediate, medium and long-term actions for consideration. Broadly, it called for: Measurable outcomes that respond to the needs and promote the wellbeing and development of children and young people in out-of-home care. More flexible, place-based services that can be tailored to the needs of children and young people. Fair and adequate funding arrangements. Workforce arrangements that support improved quality and responsiveness. Inclusive and representative area-based governance arrangements. Consultations concerning the specific challenges confronting Aboriginal children and young people in out-of-home care were also held in mid to late 2013, facilitated by the Commissioner for Aboriginal Children and Young People, Mr Andrew Jackomos. These consultations provided an opportunity for Aboriginal community controlled organisations and other providers to develop a submission for this plan and map out a process for further contribution to the complementary plan for Aboriginal children and young people.3 2 Anglicare Victoria, Berry Street, EW Tipping, Centre for Excellence in Child and Family Welfare, MacKillop Family Services, Salvation Army, Victorian Aboriginal Child Care Agency, Wesley Mission Victoria 2013. Five Year Plan for Out of Home Care Submission from Victorian out of home care Community Service Organisations. The full text of that submission is available at:www.cfecfw.asn.au/sites/www.cfecfw.asn.au/files/5_Year_Plan_Submission.pdf 3 A joint submission from Victorian Aboriginal Community Controlled Organisations and Community Service Organisations 2013. Koorie Kids: Growing Strong in their Culture. The full text of that submission is available at: www.ccyp.vic.gov.au/downloads/submissions/submission-koorie-kids-growing-strong-in-their-culture-nov13.pdf Page 14 of 60 The submission, provided in November 2013, highlighted concerns with the persistent and growing overrepresentation of Aboriginal children and young people in care, and the out-of-home care system’s failure to ensure these children and young people remain connected with their families, community and culture. Concerns with poor outcomes and high rates of involvement with the youth justice system were also highlighted. The submission made a clear link with this overrepresentation and Australia’s history of dispossession of Aboriginal people and historical child removal practices. The submission recommended seven priorities that the complementary plan for Aboriginal children should consider: Priority One: develop an Aboriginal child and youth-focused cultural outcomes framework for out-of-home care, from entry to exit, which embeds Aboriginal children’s rights around selfdetermination. Priority Two: create a comprehensive approach to address the cultural needs of Aboriginal children and young people in out-of-home care. Priority Three: build the capacity of Aboriginal families and communities to care for their children. Priority Four: place all Aboriginal children and young people in out-of-home care under the care, authority and case contracting/management of an Aboriginal community controlled organisation. Priority Five: extend and enhance the coverage of the Aboriginal child welfare sector so Aboriginal children and young people can access early intervention, home-based, residential and permanent care within the broader suite of out-of-home care services in the area they live. Priority Six: grow and better support Aboriginal carers. Priority Seven: ensure compliance to meet the intent of legislative requirements in the Children, Youth and Families Act 2005 as it relates to Aboriginal children and young people. The process for developing the complementary plan for Aboriginal children and young people is outlined later in this plan. 3.2 The views of children and young people The primary aim of this plan is to drive improvements for children and young people in out-of-home care. Every child and young person has the right to participate in the decisions that will impact on their lives. As discussed throughout this plan, one of our system’s main failings is that we do not systematically collect information about how well children and young people in care are faring – and in particular information from children and young people themselves. This plan proposes a means for much stronger, systematic engagement with children and young people in care concerning their experiences. We will collate information about their education, health and social outcomes, which will further inform policy and service provision into the future. While we have not historically had a systemic approach to ensuring the voices of children and young people in care are adequately heard, our new approach to gathering outcomes information will address this. Page 15 of 60 The CREATE Foundation’s Report Card 2013 4 was based on a national survey of more than 1,000 children and young people in care (162 from Victoria). It was designed to provide a benchmark for how the system is faring in 2013 from the perspective of these children and young people. It dealt with outcomes across all of the Looking After Children life domains (the framework used by all Victorian out-of-home care providers) and the National Standards for Out-of-Home Care. One of the issues the survey explored were the factors of ‘good’ and ‘not good’ placements – as described by children and young people in care. The following finding was of note: ‘without doubt, the experience of a warm, caring and supportive relationship defined the good placements.’ 5 This relationship provided the foundation for other important positive outcomes in the areas of education, social and family connectedness, health and so on. This is not a surprising finding, but it underscores the vital role that foster, kinship or residential carers – and others – play in driving better outcomes for children and young people. It also underscores the importance of knowing you are living in a stable, permanent home. Providing this crucial relationship in the life of all children and young people in care is at the heart of our long-term vision for out-of-home care in Victoria. The Report Card provides a comprehensive picture of the things that are important to children and young people. It echoes the findings of the survey and focus groups undertaken by the CREATE Foundation to support the work of the Protecting Victoria’s Vulnerable Children Inquiry (Cummins Inquiry). That research identified a number of issues of importance to children and young people in care, highlighting: The importance of having someone within their care environment with whom they have an emotional connection. The importance of participating in decisions that affect them. The importance of feeling and being safe in their placement. The CREATE report undertaken for the Cummins Inquiry identified a significant difference in feedback received from children and young people placed in home-based care compared with those who live in residential care. While the majority of children in home-based care spoke positively about their carers and generally being happy in their placements, those in residential care expressed real concerns regarding safety and with the negative influence and impact of some of the young people they were placed with. Negative peer influence is an issue all young people and their families will need to deal with from time to time. For children and young people in out-of-home care, however, the impact of negative influences can be more significant. This is due in part to the fact that for some children and young people their own experience of abuse and neglect makes them highly vulnerable to external influences and often contributes to a range of extreme behaviour. It is further magnified by the absence of strong parental figures in their lives, setting the clear values and boundaries all children and young people need. 4 McDowall, J.J 2013. Experiencing out-of-home care in Australia: The views of children and young people (CREATE Report Card 2013), Sydney: CREATE Foundation. 5 McDowall, J.J 2013. Experiencing out-of-home care in Australia: The views of children and young people (CREATE Report Card 2013), Sydney: CREATE Foundation, p.34. Page 16 of 60 The young people consulted in the CREATE Foundation study emphasised the importance of assessing and matching young people before they are placed within a particular residential care unit. Numerous reviews have identified that in some cases appropriate matching of young people to placements had not been possible. This was due primarily to the system’s inability to keep pace with the rising demand for placements – particularly in home-based foster care. This feedback is important and relevant to the aspirations of this plan. Improving the system’s capacity to match children and young people with appropriate placements is a major issue the plan must address. To date, our system has been responding to this issue via the establishment of ‘contingency’ units – short-term residential care arrangements, which are not recurrently funded, and which offer no certainty or stability to the child in care or the service provider. These arrangements are not ideal for supporting the development of a strong emotional connection with a carer, which children and young people have identified as central to a good placement. Significant efforts are already underway to reduce the use of contingency placements. Later in this plan we outline our proposed approach to increasing placement capacity in order to maximise opportunities for the development of the stable and nurturing relationships children and young people have identified as essential. Page 17 of 60 4. Victoria’s out-of-home care system 4.1 A history of reform Victoria has a long history of leadership in out-of-home care. The shape of out-of-home care has changed considerably in recent decades, and will inevitably continue to change. The evolution of Victoria’s out-of-home care system is illustrated in Figure 3 and detailed below. Figure 3: Victoria's history of reform Pre-1950, nearly all children in care lived in residential care. Many of these were living in large facilities operated by non-government organisations or one of the large state-run institutions of Allambie, Turana, Baltara or Winlaton. From the 1950s, more children and young people started moving into small family group home arrangements. Family group homes were typical suburban houses where a married couple would provide care for up to four children, in addition to any children of their own. In most of these cases, the husband would undertake paid employment outside the home, while his partner provided full-time care for the children. This move away from large institutions towards more normal home-like environments reflected the growing awareness that such facilities provided far from ideal homes for children and young people. Evidence of abuse and neglect of children in care within these institutions has now clearly emerged, and the ramifications of this treatment still impacts the lives of many of these now adult care leavers – a fact acknowledged by the Victorian and other governments through their respective apologies to people abused and neglected in their care. Page 18 of 60 During the 1970s the closure of large institutions created further momentum for home-based care arrangements. Non-government organisations were supported to move away from congregate care towards family group home arrangements and an expanded foster care program. By the 1980s, around half of all children in care were living in some form of residential care compared to 85 per cent in 1960. Most of these children were aged 10–18 years, with younger children more often placed in foster care. The last large state-run residential institution – Allambie – was closed in 1990. In the decade that followed, the range of home-based care options expanded further and the move towards kinship care gathered pace as government set a clear policy preference for children to be cared for within their existing family or social networks wherever appropriate. Changes in industrial arrangements and the increasingly complex behaviours of children and young people placed in care also saw a shift away from family group homes towards rostered residential care services, where a rotating shift of staff oversee day-to-day care. Today no family group homes remain, and all children in residential care are cared for by a rostered staff team. The recent focus of reform has been on investment in therapeutic care responses. This has been informed by our growing understanding of the impact of neglect, abuse and trauma on a child’s developing brain and type of care responses this requires. Services such as Take Two, therapeutic residential care and therapeutic foster care have provided many volunteer carers and staff with a much deeper understanding of how to care appropriately for children placed with them. This evolution of out-of-home care has led to a system that is shaped very differently to that of the 1950s. Currently, only about seven per cent of children and young people reside in residential care; 50 per cent in kinship care; 21 per cent in foster care; and 22 per cent in permanent care (often with kin or a previous foster carer). This structure reflects the Victorian Government’s preferred ‘hierarchy of responses’ for children in out-of-home care. Wherever possible, the preferred option is to prevent children and young people entering care in the first place. Many families experiencing difficulties are supported day-by-day to provide safe, stable, nurturing care for their own children. Victoria’s relatively low out-of-home care placement rates reflect the fact that placement in care is seen as a last resort, a step taken only when the risk of harm to the child requires it. Where families fail to look after their children, however, alternative care arrangements are required and must provide a safe, stable and nurturing home for these children. Informed by an assessment of each child or young person’s best interests, our preferred forms of placement are: 6 1. Kinship care – where care is provided by a relative or existing member of the child or young person’s social network. Kinship care has the benefit of both maintaining a child within their family/network and minimising any unnecessary intrusion in family life by government. 2. Foster care – where care is provided by a volunteer carer in their own home – supported by a community service organisation. 3. Residential care – where care is provided in small, community-based houses staffed by rostered employees. 6 Wherever possible children and young people who are unable to return to parental care will be placed on permanent care orders. These orders grant guardianship of the child to a permanent carer – who is most commonly a family member or a foster carer who had been caring for the child. Page 19 of 60 4.2 The current system Since 2002, the number of children and young people in out-of-home care has grown by 5.3 per cent per annum (Figure 4).7 This far exceeds the growth in Victoria’s 0–17 years population, which has increased by only 0.5 per cent per annum. For Aboriginal children and young people in care the rate of growth has been even higher – 9.5 per cent per annum against a total Aboriginal 0–17 years growth rate of 2.2 per cent per annum.8 Figure 4: Growth in the out-of-home care population This rate of growth is significant, but compared with other Australian states and territories it is relatively modest. During the period 2002 to 2013, the out-of-home care populations in New South Wales and Queensland grew by 116 per cent and 150 per cent respectively, compared to Victoria’s growth of 77 per cent.9 Victoria’s placement rate is the lowest in the country at 5.0 per thousand children and young people aged 0–17 years. This is below the Australian rate of 7.7 per thousand. New South Wales’ rate of 10.5 is more than double the Victorian rate, as is the Northern Territory’s rate of 11.8 per thousand. 7 Department of Human Services data. 8 Department of Human Services data Department of Human Services Data – drawn from Steering Committee for the Review of Government Service Provision 2013, Report on Government Services 2014, Productivity Commission, Canberra. 9 Page 20 of 60 Whilst comparatively contained, a key contributor to the growth in the number of children and young people in care in Victoria has been the increasing length of care placements. 10 The proportion of children staying in (non-permanent) care for five years or more has almost doubled over the last decade.11 This fact demands attention, both to ensure opportunities to reunite children with parents are not being lost and to ensure more timely placement of children in stable, permanent care arrangements where appropriate. There is an urgent need to do a better job in making timely decisions about the long-term care of children, where there is minimal chance that the factors that led to their removal from home will change. Within Victoria there are significant variations in placement rates and placement types between areas (Figure 5 and Figure 6).12 In part this reflects differences in levels of socio-economic disadvantage but is also likely influenced by service availability, variations in practice and service effectiveness on the part of both government departments and service providers. Figure 5: Placement rate by area Department of Premier and Cabinet 2012. Report of the Protecting Victoria’s Vulnerable Children Inquiry, Department of Premier and Cabinet, Melbourne. 11 Department of Premier and Cabinet 2012. Report of the Protecting Victoria’s Vulnerable Children Inquiry, Department of Premier and Cabinet, Melbourne, pp. 243-244. 10 Department of Human Services data (Note that ‘area’ relates to the area of the agency or DHS outlet providing out-ofhome care services). 12 Page 21 of 60 The situation for Victorian Aboriginal children and young people is particularly concerning, as illustrated in Figure 5. The average placement rate of 59 per thousand far exceeds the nonAboriginal rate of five per thousand, and is slightly higher than the Australian average for Aboriginal children (56.9). This is clearly an issue that requires significant focus as this plan, and the complementary plan for Aboriginal children and young people, is implemented. Figure 6: Placement types by area The care profile of out-of-home care has changed significantly over the past decade, illustrated in Figure 7 below.13 In particular, there has been a distinct shift away from foster care towards kinship care. This reflects a deliberate policy of placing children and young people in kinship care wherever it is possible and in their best interests to do so, in order to maintain family relationships and connections. It also reflects the ongoing challenge of attracting and retaining volunteer foster carers. 13 Department of Human Services data. Page 22 of 60 Figure 7: Change in out-of-home care The shift towards kinship care is generally positive for the children, young people and families concerned. However, it does mean an increased role for government as government-employed child protection practitioners are responsible for the case management and supervision of the majority of kinship care placements (around 2,500 compared to the 750 placements supported by non-government organisations).14 One of the issues that this plan will need to tackle is how we create a stronger role for the nongovernment sector in providing support for children in kinship care and their carers. The assessment and support of out-of-home carers and children in care are core skills of the nongovernment sector and future reforms should acknowledge and build on this expertise. Figure 7 also illustrates that there has been a considerable reduction in the proportion (though not the number) of children and young people who are in permanent care placements with a secure and stable caregiver. Given the importance of stable care arrangements to a child or young person’s healthy development, there is a clear need for a much stronger focus on timely planning to improve permanency and stability through more permanent care placements. 14 Child protection practitioners now oversee around 43 per cent of all placements – up from 33 per cent ten years ago. Page 23 of 60 5. The case for reform 5.1 Identified challenges Reviews and reports over the past decade have demonstrated a number of challenges for out-ofhome care. Table 1: Identified challenges Increasing client complexity Children and young people in out-of-home care have experienced significant abuse or neglect. There is evidence to suggest that for many children, they are entering care from increasingly complex family environments, and this is subsequently impacting on their own needs and behaviours whilst in care. Appropriately meeting their needs is an ongoing challenge for carers and other staff. Rising demand The demand to find suitable new placements tests the capacity of the system to deliver quality care and diverts from efforts to prevent placements or reunite children with families. A fragmented system The historical approach of funding narrowly-defined service types has contributed to a situation where very few individual organisations now provide the holistic, integrated suite of services that families with a child in care, or at risk of entering care, need. As a result, in most parts of the state, a family with a child placed in out-ofhome care may have dealt with one organisation when they received initial family services support; a second if they received more intensive placement prevention supports; a third when their child entered care; and a fourth when plans to return the child home were enacted. With every change of worker and organisation, existing relationships are lost; assessments are repeated; and the family has to tell their story again to a new set of workers. Services are not always where they need to be Some services are unavailable in some parts of the state, and overall service Outcomes are not measured adequately The outcomes sought for children and young people in care have not been appropriately articulated, and adequate outcomes data has not been availability does not necessarily accord with demand or demographic factors. collected and assessed. The existing funding model does not provide incentives for a stronger focus on achieving outcomes. Innovation has been stifled A program-specific approach to funding has meant that service providers have not been given the flexibility to innovate and develop new service models or more tailored responses that better meet the needs of children in care. Innovation has occurred but in inefficient and inconsistent ways. Page 24 of 60 Performance is variable Every day, the lives of thousands of children and young people in out-ofhome care are improved by the efforts of the foster, kinship, permanent and residential carers who look after them. However, we know that we can and need to do better in some areas. Statutory obligations around timely stability planning or development of cultural support plans for Aboriginal children in care have sometimes not been met. The approach to governance – and the establishment of effective ways to identify and resolve issues that affect service effectiveness – has been haphazard. In the area of placement provision, some service providers have consistently failed to provide the number of placements they are funded for, and the department’s approach to addressing poor performance has been inconsistent. As a result, there are some service providers who, over the course of a year, fall well short of delivering on their contractual obligations. Numerous factors have contributed to this scenario – chief among which is the ongoing challenge of attracting and retaining volunteer foster carers. However, the resultant mismatch between contracted targets and actual performance is unsustainable and needs to be addressed. Performance of placement prevention, reunification and leaving care support services has also been variable, with some of these services unavailable in some parts of the state. Timely supports are needed to prevent children entering care; to enable their safe return home; or to ensure a successful transition to independence. Training and keeping staff is a challenge There has been significant workforce capacity and retention issues both within and outside of government. This concerns both the volunteer and paid workforce. The need to address these challenges is at the core of the reform directions and approach articulated in this plan. 5.2 ‘Performance’ of the system Our ability to meaningfully assess the performance of the system has been limited by a lack of readily available outcomes data concerning children in care. Given this lack of data, our analysis of performance in this section is, by necessity, focused on the much narrower aspects of service availability and continuum, and provider performance against funded placement targets. There are significant variations in the types of services available across different areas and in provider performance against funded targets. In home-based care, some service providers receive funding to care for more than 250 children while others are funded for as few as five. Similar variability exists for residential care, with individual service providers caring for between two and 100 children. Page 25 of 60 During 2012–13, service providers received funding to provide around 1,950 foster care placements each night; however only around 1,550 placements were provided – a difference of around 400. This equates to an average performance level of 80 per cent, although some providers perform at close to 100 per cent while others are performing below 50 per cent. 15 This mismatch between funding and performance needs to be addressed as part of our reform approach. There is a need to unlock the significant resources invested across the system in order to maximise the impact of the funding we have available. In recent years, total expenditure on placement and placement support programs by the Victorian Government has increased significantly, and many service providers also report they have invested significant amounts of funding from sources other than government to support children and young people in out-of-home care. Investment has increased significantly over the past five years, but much of the increased investment is benefitting a relatively small number of children. Much of this new investment has been directed towards expanding our capacity to meet the therapeutic needs of children in care – in particular through specific therapeutic residential and home-based care placements. These are important and effective placements, however they are currently available for only a small proportion of the total number of children and young people in care. Over the past five years, the number of children and young people in residential and foster care has risen only slightly – the great majority of growth in placement numbers has been for children in kinship care arrangements. It is important that we continue to provide more opportunities for children and young people in care to receive the therapeutic care responses many of them need. One way of doing this is to continue to increase the number of therapeutic placements available. However, we also need to make sure that we capitalise on the growing body of knowledge and expertise within the system so that a larger proportion of carers and staff – not just those working in specific therapeutic foster or residential care programs – are equipped to provide therapeutic care responses. 5.3 The balance of investment Children, young people and families involved with child protection and out-of-home care will often access a wide range of services, such as early childhood, mental health, homelessness, or family violence services. A major aim of the Services Connect reforms is to create more integrated human services across multiple programs and portfolio areas. Through stronger integration and coordination, we seek to create a more effective and efficient response that better meets the needs of vulnerable Victorians. The analysis below takes a narrower focus, examining five service groupings which many children and families involved with child protection and out-of-home care will access – family support services; specialist placement prevention and reunification services; home-based care; residential care; and leaving care support services. Figure 8 16 17 illustrates the proportion of funding currently allocated to each of these services. 15 This variation in performance, combined with the pricing structure of our funding model, means that some agencies effectively received funding of around $14,000 for each foster care placement they provided, whilst others received in excess of $50,000 per placement. 16 Department of Human Services data. 17 Variation in the proportion of funding of some services allocated across DHS’ four divisions has also been noted – for Page 26 of 60 Figure 8: Program funding The high unit cost of residential care means that it accounts for almost half of all expenditure. While good quality residential care is an essential part of any effective out-of-home care system, we must ensure that it is used only when it is the most appropriate placement option. Residential care cannot be seen as a default ‘placement of last resort’, but must rather be used only when it is the best placement option for a child or young person. As part of our reform directions, as we develop more innovative and flexible approaches to home-based care provision, residential care will increasingly become the preferred placement option only for those young people whose needs and behaviours are so significant that they require a more expert, therapeutic and heavily supervised care response. The reform of the system will need to consider the balance of investment across this spectrum and introduce a broader range of support options. Central to this will be ways in which funding might better support more targeted placement prevention and reunification efforts. While innovative programs such as Stronger Families and the recently expanded Cradle to Kinder programs are having an impact, we must explore more opportunities to improve our approach to family preservation by making better use of existing resources. Family services play a vital role in preventing the issues that can lead to involvement with child protection and out-of home care. A good case could be made that Victoria’s ability to contain its growth in out-of-home care relative to other jurisdictions has been due in large part to the growth in family services over the past decade. example the East Division has only 7 per cent of the total state funding for placement prevention services – compared with 38 per cent in the North and South Divisions. Page 27 of 60 We must continue to explore opportunities to better leverage off the family services platform to prevent child protection involvement and entry to care. We should also explore how we better utilise the knowledge and skills of family services professionals in the reunification of children with their families. In doing this we must strike a balance with the need for family services to continue to support families at the very early stage of crisis and difficulty. 5.4 System integration In addition to varying levels of investment, the services offered across areas have been fragmented. A key example of this fragmentation is the divide that exists between the delivery of family support, placement prevention, reunification, out-of-home care and leaving care services. Ideally, children, young people and families in any part of the state should have access to a range of integrated, high quality services that prevent placement; offer a wide range of suitable placement types; support reunification; and enable transition to independence. This has not been the case. Across the state, around 120 organisations are funded to deliver at least one of these five services. Of these, around 90 organisations deliver just one service. Only seven agencies deliver the full spectrum of services. Of these only four deliver the full spectrum within any one Department of Human Services local area.18 While diversity of providers offers service users greater choice and can sometimes stimulate innovation, it is also appropriate to consider whether our current structure facilitates the integrated responses highly vulnerable children, young people and families need. 90 agencies deliver just one service. Fewer than ten agencies deliver the full spectrum of services. We need to explore how service integration might be improved in future. This does not necessarily mean that only large organisations capable of delivering a full range of services can be effective in achieving positive client outcomes. But it does mean that we need to pursue much greater integration and coordination of services at the local level. 18 Department of Human Services data. Page 28 of 60 6. A new vision for reform The structure and performance of the system of statutory child protection and out-of-home care have been the focus of a number of reviews and reports over the past decade – each of them highlighting the challenges and shortcomings of the existing system and warning that the entire system is under significant stress. Within this context the Victorian Government has been pursuing a broad reform agenda, aimed at creating a more integrated, holistic, effective, efficient and sustainable human services system. These reform directions were clearly outlined in the May 2013 publication Services Connect: Better services for Victorians in need, which outlined the vision for a new model of integrated human services delivery in Victoria. This plan for out-of-home care is based on that vision, and informed by multiple reviews and policy statements, including the Report of the Protecting Victoria’s Vulnerable Children Inquiry (Cummins report). The Cummins report, which was released in February 2012, made 90 recommendations to strengthen and improve the protection and support of vulnerable young Victorians – including the development of this plan for out-of-home care. The Victorian Government’s initial response, Victoria’s Vulnerable Children – Our Shared Responsibility Directions Paper was released in May 2012. In May 2013, a whole-of-Victorian-Government strategy, Victoria’s Vulnerable Children – Our Shared Responsibility Strategy 2013–2022 was released. This underlined the shared commitment that exists across government to improve outcomes for vulnerable children, young people and families. It created a performance management framework to monitor these outcomes and committed to the establishment of local cross-government and community networks to drive improved service responses. Services Connect is the model for integrated human services in Victoria, designed to connect people with the right support, address the whole range of a person’s or family’s needs, and help people build their capabilities to improve their lives. All of the out-of-home care reforms will be based on integration and workability with this ‘joined-up’ service model that places the client at the centre of all practice. On 1 November 2013, Service Sector Reform: a roadmap for community and human services reform was released. This report made several recommendations on the themes of government and the community sector working better together; client and community-led services; more focus on outcomes; reducing red tape; and creating better value. In response, the Victorian Government has adopted a number of principles (see Appendix A) and created the Community Sector Reform Council to advise on the implementation of community and human services reform. 6.1 Reform strategy Simply tweaking the current system by further increasing funding levels or establishing new standalone programs will not lead to the sustainable, systemic improvement we aspire to achieve. More fundamental reform is required to reset how out-of-home is funded and delivered across Victoria. This plan recognises that some reform will take time to be achieved and that we must balance our effort between longer-term enablers and immediate opportunities to achieve the best results. The reform strategy is summarised in Figure 9 below. Page 29 of 60 Figure 9: Out-of-home care reform strategy The reform strategy is guided by three overarching goals for out-of-home care. These goals reflect the changes we aspire to achieve for clients, providers, government and the wider community: Improved outcomes – improved personal, economic and social outcomes for children and young people in out-of-home care. Reduced demand – slow the growth in the number of children and young people being placed in out-of-home care over the long-term. Sustainable delivery – create the foundation for a more sustainable, efficient and effective outof-home care system. Page 30 of 60 These goals are informed by seven reform directions. Reform directions are necessary to provide a set of more specific criteria against which we can assess the suitability of reform deliverables identified to achieve our overarching goals. The seven reform directions are: 1. Government as commissioner of outcomes. There will be a strong focus on articulating, measuring and improving outcomes for all children and young people in out-of-home care. 2. Less prescription and more flexibility to support service provider innovation. This will help inform the design of a more flexible funding model that supports innovation, whilst still ensuring appropriate levels of oversight and accountability. 3. A more integrated and coordinated service system that holistically meets client needs. This will include greater integration of services that maintain and reunite families, and those that provide out-of home care; and an improved capacity to provide the placements children need, not just the placements that are available. 4. A more collaborative approach to system governance. Government and service providers at the central and local level need to work together more effectively to shape long-term reform and address immediate issues impacting on the effectiveness and efficiency of the system. 5. Processes that support service co-design between government, service providers and clients. Including a more appropriate division of roles and responsibilities between government and non-government services; and effective, collaborative governance arrangements that support system improvement. 6. A stronger focus on productivity and efficiency – maximising public value from investment. All governments across the western world are examining ways in which they can maximise the impact of public investment. For out-of-home care in Victoria, government and service providers must work together to identify opportunities to become more productive. 7. Targeted efforts to address overrepresentation of Aboriginal children and young people in care and improve their outcomes. The massive overrepresentation of Aboriginal children in care must be addressed. The complementary plan for Aboriginal children and young people in out-of-home care will assist with this. The reform strategy also articulates the longer-term deliverables and immediate actions required to realise the overarching goals of this plan. This approach recognises the need for both an investment in more fundamental system reform – which will take time to design and implement – and more immediate reform opportunities that can be achieved in the shorter-term to deliver early benefits. The longer-term deliverables are: A new funding model – we need to change the way we fund to drive a stronger focus on outcomes; offer more flexibility to service providers to innovate and deliver better services; and unlock the potential impact of our existing resources. A new service delivery platform – we need an approach that will create a more integrated and effective service system. Page 31 of 60 The more immediate actions are to: Improve the safety and wellbeing of children and young people in residential care. Tender the delivery of a new therapeutic, outcomes-focused, care and support service. Implement outcomes monitoring framework. Develop a complementary plan for Aboriginal children and young people. Establish more collaborative governance arrangements. Increase the focus on stability and permanency. Explore professionalised in-home support. Provide additional support to reduce sexual exploitation. Improve leaving care support. Support kinship care. Support foster carers. Develop new approaches to commissioning. The following sections provide a detailed breakdown of how the plan will be implemented (Section 7); the focus of the long-term reform deliverables (Section 8); and immediate reform actions (Section 9). Together, the longer-term reform deliverables and immediate reform actions form the focus of work for this plan. Page 32 of 60 7. Approach to reform The journey that begins with the release of this plan will be implemented over several years – and is in reality an ongoing process. The Victorian Government is committed to working collaboratively with non-government organisations and other stakeholders to deliver on the whole-of-government commitment to improving outcomes for children and young people in out-of-home care, as articulated in the Victoria’s Vulnerable Children – Our Shared Responsibility Strategy 2013–2022 and in this plan. It is essential the reform process this plan signals proceeds cautiously – but not so cautiously that we unnecessarily delay the opportunity for significant reform. Figure 10 summarises the process and timing for development and delivery of this reform plan. Page 33 of 60 Figure 10: Out-of-home care reform approach Page 34 of 60 In 2014, the key focus will be on initiating the immediate reform actions and using insights from these alongside broader research and consultation to develop options papers on each of the longer-term reform deliverables. In 2015, the focus turns to finalising the longer-term deliverables and ensuring key structures are in place to support roll-out. Assuming key components of the plan come together as anticipated, an implementation blueprint will be released in the second half of 2015 to inform roll-out in 2016. To assist the reform process, the Victorian Government will establish a Reform Advisory Group which will be linked with the Community Sector Reform Council. This group will provide technical advice to the Department of Human Services (department) on the implementation of a new out-ofhome care system. This will be supported by appropriate consultative and information sharing processes to ensure that all service providers remain informed and engaged in the reform process. Informed by this advice, the department will provide a set of options papers to the Victorian Government addressing the issues of alternative funding models and approaches to improving service integration. Page 35 of 60 8. Longer-term reform deliverables Achieving the longer-term reform directions needed will require us to reconsider the types of services government funds; the mix of these services; the funding models and mechanisms we use; who is funded to deliver the services; and the spread of services across the state. The key deliverables can be broadly summarised as: A new funding model that supports more innovative services and promotes a stronger focus on the outcomes we achieve for children and young people. A process to establish a more integrated service delivery platform that better supports placement prevention and reunification, and responds to the needs of children and young people in or exiting care. These two deliverables combine to support the achievement of the overarching objectives to improve outcomes, reduce demand and enhance sustainability. 8.1 A new funding model The current funding model has created a fragmented and inflexible system. Children and families involved with the out-of-home care system are forced to engage with multiple organisations and workers, and service providers are unable to deliver services that would better meet client needs due to the restrictions placed around how funds can be used. Funding inflexibility drives a focus on just the presenting issue rather than a holistic response to individual or family needs and has resulted in a narrow focus – delivering out-of-home care placements – at the expense of placement prevention or reunification services. The Victorian Government seeks a system where funding to agencies is more significantly focused on outcomes rather than almost exclusively on outputs. Under such an arrangement, contracts would be awarded on the basis of defined outcomes, with much less prescription over the intervention employed to achieve those outcomes. Innovative child, youth and family-focused services could be encouraged and supported. As part of the development and implementation of the new funding model, consideration will be given to how all available funding might be freed up to create a system that can be better tailored towards the specific needs of each child. The Victorian Government seeks a system where funding to agencies is more significantly focused on outcomes rather than almost exclusively on outputs. Options to be considered include a model structured around a common base payment linked to each placement, which is then bolstered by an additional child-attached funding package, based on assessed needs. Packages could be reviewed on a periodic basis to ensure they keep pace with the changing needs of children and young people in care and reflect an efficient level of funding. Page 36 of 60 8.2 A new service delivery platform Vulnerable children and families involved with the out-of-home care system, or on the cusp of involvement, should not be forced to engage with multiple organisations and workers simply because it is administratively convenient for government or service providers. The Victorian Government seeks a system that is more integrated, with a seamless continuum of services, and which meets service delivery requirements differently as appropriate to specific communities. One way to achieve this is to reconfigure out-of-home care services on a local area basis and encourage integration by procuring ‘packaged’ services from a specified number of providers in each area. Through this process – supported by the new funding model – we would seek to create greater integration between the services intended to maintain or reunite children and young people with their families, and those that provide alternative care and post placement supports. This does not necessarily mean that only large organisations capable of delivering a wide range of service responses can be effective in achieving positive client outcomes – but it does mean that much greater integration and coordination of services will be sought and supported at the local area level. One way to achieve a more integrated service system is to reconfigure on a local area basis and encourage an integrated service delivery model by procuring ‘packaged’ services from a specified number of providers. There are various types of organisational arrangements that might be pursued to achieve this more integrated approach, but a ‘one size fits all’ formula is unlikely to work for every part of the state. Any reconfiguration of services will need to be mindful of the impact on transient populations (such as homeless children and families) and some specific cohorts – such as Aboriginal Victorians or culturally and linguistically diverse groups. Given the high rate of Aboriginal children and young people in out-of-home care, we must be particularly mindful to ensure that any reconfiguration of the service system will be of benefit to Aboriginal children, young people and families. The Victorian Government has a clear commitment – expressed in various documents including the Human Services Aboriginal Strategic Framework 2013–2015 – to improving outcomes for Aboriginal people in Victoria; working in partnership with Aboriginal Victorians to achieve this; and ensuring the cultural competence of human services. The submission from Aboriginal community controlled organisations and other service providers stated an aspiration for all Aboriginal children and young people in care to be cared for and/or case managed by Aboriginal organisations. Service reconfiguration offers opportunities to test this vision, where it is appropriate and in the best interests of Aboriginal children and families to do so. Also for consideration is the role of government in the future provision of out-of-home care. Currently, government child protection practitioners oversee around half of all out-of-home care placements and the appropriateness of this arrangement requires review. Page 37 of 60 9. Immediate reform actions 9.1 Improve the safety and wellbeing of children and young people in residential care This plan is focused on improving outcomes for all children and young people in out-of-home care. Within the out-of-home care population, however, the relatively small number of children and young people who live in residential care are often those who have experienced the greatest levels of trauma, and who therefore require the most expert therapeutic care and support. Part of the long-term vision we seek for the Victorian out-of-home care system is for children and young people to only be placed in residential care when it is the best placement option for them – as opposed to the only placement option. Accordingly, our long-term vision is that the proportion of children and young people placed in residential care will reduce over time and that all residential care placements will become therapeutic placements – where the child or young person’s therapeutic needs are met and our successes measured against the achieved outcomes. The Victorian Government has already started down this reform path, securing the 40 trial placements with ongoing funding, adding another 40 places and committing to a further 60 places in the next eighteen months, taking the total to 140 before the end of 2015. Making this direction a reality will take time and significant reform. As a starting point we will need to create alternative placement options to accommodate some of the children and young people residing in residential care, whose needs could be better met in new, therapeutic home-based care or other non-residential care arrangements. This will be achieved through tailored funding packages to provide individualised placement solutions for some children and young people currently living in residential care. Page 38 of 60 Realising this vision will require a process whereby all children and young people residing in residential care, and those who might enter residential care in the future, are assessed to determine their suitability for an appropriately supported therapeutic home-based care arrangement. During 2014 a locally led process will review the current life situation of all children and young people residing in residential care. This review will have two main aims: 1. To assess the potential for each child or young person to be placed in alternative, nonresidential care arrangements by making greater use of tailored funding packages to provide therapeutic home-based care. These packages will be funded at levels commensurate with the care needs of the child or young person. 2. To identify any one-off supports that might immediately improve the safety and wellbeing of each child and young person in residential care. As a first priority, the circumstances of children and young people in contingency placements will be assessed. Based on the results of this assessment, a tender process – outlined below – will occur during 2014 for the delivery of a more holistic, flexible, efficient and therapeutic care and support service. 9.2 Tender the delivery of therapeutic, outcomes-focused, care and support services During 2014, the Victorian Government will begin a tender process for the delivery of a more holistic, flexible, efficient and therapeutic care and support service. Funding will initially be made available in this way for a two-year period in order to test a new approach, more clearly focused on the outcomes sought for children and young people – as opposed to service types, inputs or outputs. The funding will build placement capacity in each division – one benefit of which will be a reduced reliance on inappropriate contingency arrangements – and an increase in the number of children and young people living in more stable, nurturing and cost effective placements. The new service will also test our capacity to take a more integrated approach to the achievement of longer-term case plan goals for children and young people in out-of-home care. Led by a ‘key worker’, the new service will work with children, young people, their families, carers, child protection staff and others to achieve each child’s overarching case plan goal – whether this is for reunification with parents; placement in stable, permanent care arrangements; or a transition to independence. The process will seek submissions from service providers for the provision of therapeutically informed care and support services that will: Meet the therapeutic needs of children and young people. This will be measured by monitoring the outcomes achieved. Appendix B provides a proposed set of personal outcome indicators to be monitored as part of this new approach. Adopt a more flexible and tailored approach. Children, young people and carers are the focus of support – including through the effective use of brokerage funding. Page 39 of 60 Support children, carers and families through the provision of a ‘key worker’. The key worker role will be consistent with the vision articulated in the Services Connect delivery model – where one worker will lead the implementation of the child or young person’s case plan. This means that the key worker may be required to play a lead role in reuniting children with their parents; in supporting a child’s transition to permanent care; or in supporting their transition to independence. Regardless of case plan direction or placement type, the key worker will follow the child and play a lead role in supporting the child, their family and their carer in the achievement of these goals. Access other programs and services. The service provider will integrate with and leverage off other programs and services in a local area to achieve the specified outcomes and the fulfilment of the child’s case plan. Explore all alternatives to residential care. Supporting the transition of children and young people from residential care to well supported therapeutic foster or kinship care placements, where this is appropriate, will be a priority, through the use of tailored and flexible supports for carers and children. Demonstrate cultural sensitivity. The care will ensure that Aboriginal children and young people in care remain genuinely connected to their community and culture. This submission process offers service providers an opportunity to consider their approach to outof-home care and develop new responses that will drive improved outcomes, service integration and greater efficiencies. It is an important first step in the broader reform agenda. An evaluation of the services established through this process, and in particular the outcomes achieved, will inform the further reform of out-of-home care. 9.3 Implement an outcomes monitoring framework The existing out-of-home care system has not had a systematic approach to articulating and monitoring the outcomes we want to achieve for children and young people. While there is regular reporting on data such as placement stability and critical incidents, and occasional studies such as the Child and Family Services Outcomes Survey, the lack of a systematic approach to monitoring outcomes has been one of the system’s most significant weaknesses. While this is the case, the Victorian out-of-home care system does make use of a practice framework – Looking After Children (LAC) – that offers a strong platform for a much more comprehensive understanding of the outcomes being achieved for children and young people in care. In 2007 an initial analysis of a sample of children and young people in care, based on their agency held LAC records was undertaken. A second analysis was then conducted in 2011 – looking at the records of another sample of around 500 children. The findings from both cohorts of children were very similar and showed that while the majority of the children in care were faring well in most areas of their lives, there was a sizable proportion (up to 40 per cent) who were not doing well in at least some areas. Page 40 of 60 The 2011 data had an additional question which asked whether the child had had a previous assessment and if so what change there had been in each of seven areas of their lives (health, education, family and social relationships, and so on). Of the approximately 60 per cent who had been in care long enough to have had a previous assessment, around half had improved outcomes across all areas of their life after they came into care. This type of insight into how children are faring in our care is extremely valuable – however it is not appropriate that this level of understanding can only be gained episodically and in administratively complex and costly ways. The first step in addressing this will be the adoption of a set of agreed outcomes for children and young people in care. Services Connect: Better services for Victorians in need outlined a high-level set of outcomes (outlined in Figure 11) and while these will be the subject of future consultation and refinement, they provide a sound starting point.19 Figure 11: Indicative outcomes for children and young people in care These outcomes will build on those contained in the Victoria’s Vulnerable Children’s – Our Shared Responsibility Strategy 2013–2022 and fulfil the strategy’s commitment to develop further measures around the wellbeing of children in out-of-home care. 19 Page 41 of 60 Within the broad categories of economic, personal and social/community outcomes, more specific outcomes can be articulated. This is outlined in Figure 12 below. Figure 12: Indicative outcomes framework for out-of-home care Personal Children and young people in Strong skills for life and meaningful participation. and leaving out-of-home care enjoy good health and Strong engagement in education, training or employment. Access to appropriate housing and security of tenure. Children and young people in Enjoy good mental health. and leaving out-of-home care are safe and positively Enjoy good physical health. connected to friends, family and their local and cultural Make positive personal choices and show positive communities through healthy and supportive relationships. wellbeing. Social/ Community behaviour. Are free of problematic alcohol and drug use and its effects. Successfully manage issues connected to any disability. Successfully manage issues connected to trauma or disaster. Have a strong and positive connection to their community and culture. Economic Children and young people in Strong skills for life and meaningful participation. and leaving out-of-home care have the skills and support necessary to participate in the economy to their fullest Strong engagement in education, training or employment. Access to appropriate housing with security of tenure. capacity. It is not possible to genuinely commit to a plan that seeks to improve outcomes for children and young people without a means of tracking and reporting on those outcomes. The second step will therefore be an investment in a system that enables this. It will be built around the LAC framework mentioned above. The establishment of this system will sharpen our focus on outcomes and drive actions to improve them. Appendix B outlines the proposed indicators that will be used to monitor performance against these outcomes. These will be subject to further refinement as the new approach is implemented and assessed during 2014 and beyond. The success of this approach will depend on our capacity to ensure a comprehensive assessment of children and young people, to create a baseline against which outcome achievement can be measured. Page 42 of 60 Importantly, this approach will engage with children and young people in out-of-home care – seeking their views on their care experiences; the things they aspire to; the outcomes being achieved; and the positive and negative aspects of their lives. It will also actively engage with carers – drawing on their knowledge of the children and young people they are caring for and giving them an opportunity to provide feedback on current outcomes and needs. A further key benefit of implementing this approach is that it will identify the many successes that are currently being achieved for children and young people in out-of-home care. Too often we have focused on issues and reports that emphasise failures. While we must face up to and address such failings, the reality is that many children and young people in care reside in loving, nurturing arrangements where their developmental needs are being well met. A capacity to celebrate successes, whilst also holding the system accountable when things go wrong, will be of major benefit. In order to be truly effective, the Victorian Government will implement a process for reporting on the results of this new approach. A set of key outcomes will be identified and results for each service provider shared. By sharing this information, service providers and government will develop a fuller understanding of how children and young people in care are faring in different parts of the state and on a provider-by-provider basis. It will stimulate consideration of systemic, policy and practice changes that might further drive improved outcomes. We will also report regularly on a number of additional measures that will provide a picture of overall agency performance. 9.4 Develop a complementary plan for Aboriginal children and young people As outlined earlier in this plan, Aboriginal children and young people are significantly overrepresented in child protection and out-of-home care. There are multiple and complex historical, social, community, family and individual factors that have led to this overrepresentation. There has been a real risk for Aboriginal children and young people placed in care that they would lose connection with their family, community and culture. The CREATE Foundation’s Report Card 2013 identified that the approximately 300 Indigenous children and young people surveyed were less likely to understand why they were in care compared to non-Indigenous children and young people. It also found that only one third of Indigenous children and young people responded as feeling ‘quite’ or ‘very connected’ to their culture or community, with another third feeling they were ‘not at all’ or only ‘a little’ connected.20 The existing Children, Youth and Families Act 2005 specifically recognises the particular needs and vulnerabilities of Aboriginal children and young people. However, the Protecting Victoria’s Vulnerable Children Inquiry (Cummins Inquiry) suggested that there is a need to further identify different ways to improve outcomes for Aboriginal children and young people, and that this would require focused effort across all areas of government activity and within Aboriginal communities. To this end, the Victorian Government created the new position of Commissioner for Aboriginal Children and Young People as part of the new independent Commission for Children and Young People. In July 2013, Mr Andrew Jackomos was appointed as the first Commissioner for Aboriginal Children and Young People. He is playing a key role in informing the development of this plan and the complementary plan for Aboriginal children and young people in out-of-home care 20 McDowall, J.J 2013. Experiencing out-of-home care in Australia: The views of children and young people (CREATE Report Card 2013), Sydney: CREATE Foundation, p.49. Page 43 of 60 through both the Taskforce 1,000 project (see below) and the November 2013 submission Koorie Kids: Growing Strong in their Culture. The following statement taken from that submission expresses a view that is very consistent with the directions we need to be taking in Victoria, not only for Aboriginal children and young people, but also for all: ‘Underpinning the plan must be a serious and sustainable focus on tackling the underlying causes of the growth of Aboriginal children in care. Aboriginal children in Victoria represent a small population of just under 16,000 children; most are already known to service providers. But the first significant service intervention these children and families experience, too often, may be admission to out-of-home care. This just does not make sense. So much more could be done to reduce the growth of Aboriginal children in out-of-home care if there were wider availability of well‐designed and evidence-informed prevention and early intervention services.’21 Taskforce 1,000 Taskforce 1,000 takes its name from the approximately 1,000 Aboriginal children and young people who currently live in out-of-home care in Victoria. The project is based on the recognition that this is far too large a number of children to be living in care – yet at the same time, a small enough number to enable government and service providers to examine why they are in care; their physical, spiritual and cultural wellbeing; and any barriers that may be preventing reunification with their family. The taskforce will draw on the collective resources of government and service providers – both Aboriginal and non-Aboriginal – at the area level, to understand the experience of Aboriginal children in care, their families and communities. The taskforce is intended to be about actions – not processes. A major objective is to inform the complementary plan for Aboriginal children and young people by identifying how we might: Improve the stability, life outcomes and cultural connections of Aboriginal children and young people in care. Reduce rates of entry to care for Aboriginal children and young people. Improve opportunities to reunite Aboriginal children and young people with their parents where it is in their best interests to do so. The taskforce will focus its attention initially on four Department of Human Services local areas which have a high Aboriginal population, preparing an initial report on these areas by the end of June 2014 to inform next steps. In addition to shaping the complementary plan, the work of the taskforce will initiate actions at the local level that immediately improve the wellbeing of Aboriginal children and young people in care. Importantly, the findings will also be of great benefit to the local networks being established through the Victoria’s Vulnerable Children – Our Shared Responsibility Strategy 2013 – 2022 as it will inform these networks about cross-government actions that may improve outcomes for local Aboriginal children and young people in care. 21 A joint submission from Victorian Aboriginal Community Controlled Organisations and Community Service Organisations 2013. Koorie Kids: Growing Strong in their Culture. Page 44 of 60 9.5 New governance arrangements Underpinning all of our reforms will be a commitment to collaborative governance of the out-ofhome care system. One of the principles adopted by the Victorian Government as contained in the Service Sector Reform: A roadmap for community and human services reform report (Shergold report) concerns shared governance: ‘Shared governance – all providers of publicly-funded services (whether public service agencies, not-for-profit organisations, social enterprises or private businesses) should be regarded as “coproducers” of government services, jointly contributing to service design and sharing responsibility for program delivery.’22 A further principle emphasises the importance of effective partnerships between government and non-government agencies: ‘Partnership – the collaborative relationship between the public service agencies and nongovernment organisations that together deliver government programs – should be founded on appreciation of the constraints under which all sides operate, mutual respect, reciprocated trust, authentic consultation, genuine negotiation and a shared recognition of common purpose.’23 An area like out-of-home care, perhaps more than most others, relies on such effective, mature partnerships, underpinned by a strong approach to governance. Feedback received during the consultation process for this plan has identified that too often the volatile and demanding nature of work in this area acts against these principles. This is true at the local level, where complex decisions are being made daily about a myriad of issues concerning children and young people. It is also true centrally, as decisions are being made about policy directions that shape outcomes for children and young people. Improved compliance with these principles underpins a number of steps to be taken during 2014 and beyond. There are three key activities that will support new governance arrangements: Improving processes and reducing administrative burden. Improving health and education outcomes. Establishing local networks. 22 Shergold, P, AC 2013. Service Sector Reform: A roadmap for community and human services reform, Melbourne. 23 Shergold, P, AC 2013. Service Sector Reform: A roadmap for community and human services reform, Melbourne. Page 45 of 60 Improving processes and reducing the administrative burden In addition to the Reform Advisory Group to be established to support longer-term reform directions, a System Improvements Working Group will be established to identify and resolve practical impediments to the effective functioning of the out-of-home care system. Consultation with service providers during the development of this plan identified a number of practical issues that, if resolved, will offer concrete improvements to the way the system operates. Some of these require policy responses; some require better working relationships at the local level; some may require additional or redirected funding; others require the removal of ‘red tape’ restrictions or a re-engineering of existing processes. Examples of some of the issues that have been identified and which warrant further consideration include: The opportunity to streamline existing foster carer training and assessment processes to better support timely carer accreditation and the supply of carers. A more contemporary and comprehensive approach to foster carer recruitment. The establishment of a more consistent approach across the Victorian Government to the treatment of client expense funding which streamlines the administrative requirements imposed by some parts of government. Addressing the barriers to more collaborative and respectful engagement with foster carers. Building more effective working relationships at the local level between child protection, placement co-ordination and out-of-home care agency staff. A more consistent 'panel-based' approach for identifying suitable placements for children entering care or those who require a change in placement. In some jurisdictions, panel-based approaches – where multiple placement providers meet with the Department of Human Services to find appropriate placement solutions – result in better placement outcomes being achieved. A range of other administrative issues including the paper-based systems used for the reporting of critical incidents, and some elements of the quality-of-care processes, have also been identified. Improving health and education outcomes In the 2011–12 State Budget, the Victorian Government committed $12.8 million over four years for the Health and Education Assessments Initiative for children and young people in out-of-home care. Through programs such as the Pathway to Good Health, Take Two, and the roll-out of health assessments for all young people in residential care, the Victorian Government has facilitated new, comprehensive approaches to understanding and responding to the health needs of children and young people placed in out-of-home care. However, there continue to be gaps and barriers to access to health care for vulnerable children and young people in out-of-home care. In the area of education, a range of administrative arrangements between the Department of Human Services, the Department of Education and Early Childhood Development, the Catholic Education Office, Independent Schools Victoria, the Municipal Association of Victoria and the Early Page 46 of 60 Learning Association of Australia seek to support and prioritise the educational and developmental needs of children and young people in out-of-home care. These arrangements have had some success to date. However, they are too inconsistently applied and often viewed as a ‘bolt-on’ approach, which further complicates the already complex task of supporting vulnerable children and young people to engage and succeed in education. For these reasons, the Victorian Government has begun a review of the governance arrangements of a range of health and education activities for children and young people in out-of-home care, and has established an integrated Health and Education Governance Group. This group will comprise senior representatives from across government, the Principal Commissioner for Children and Young People and non-government service providers with responsibility for education and health matters for children and young people in care. Linking with the local networks described below, the new approach will inform collaborative and localised decision-making processes and monitoring arrangements to ensure more timely and coordinated responses to the needs of vulnerable children. These groups will also be supported by the results of a new data agreement between the Departments of Human Services and Education and Early Childhood Development. This agreement has enabled the two departments to match data that identifies all children in out-ofhome care within school data records. It will enable a much richer understanding of how children in care are performing at school. Establishing local networks The Victoria’s Vulnerable Children – Our Shared Responsibility Strategy 2013–2022 committed to the establishment of local networks ‘…to ensure local information sharing and coordination of service provision and planning relevant to vulnerable children.’24 These networks will be made up of senior representatives from the community sector and state, local and federal government. As noted in the strategy: ‘These networks will also be an important tool in accountability as they provide a means by which, at key points within a service system, managers can be accountable for outcomes both jointly as a group but also individually in relation to their specific responsibilities.’25 Implementation of these networks will commence during the first quarter of 2014. One network will be established in each of the Department of Human Services’ 17 local areas, with four networks to be established before the middle of 2014. The remaining networks will be established by the end of 2015. The networks will be important vehicles for ensuring a strong focus on the outcomes being achieved for children and young people in out-of-home care at the local level. Progress against a number of key indicators will be tracked and monitored by this group, and actions taken to drive improvements at the local level. The networks will link with and be informed by the Health and Education Governance Group described above. Victorian Government 2013, Victoria’s Vulnerable Children – Our Shared Responsibility Strategy 2013-2022, State Government of Victoria, Melbourne, p.24. 25 Victorian Government 2013, Victoria’s Vulnerable Children – Our Shared Responsibility Strategy 2013-2022, State Government of Victoria, Melbourne. p.24. 24 Page 47 of 60 Work undertaken as part of the Taskforce 1,000 project, and outcomes gathered via the proposed outcomes framework discussed earlier, will also provide valuable information to these networks, identifying areas where additional focus and effort is needed to improve personal, economic and community outcomes for children and young people in care. 9.6 Increase focus on stability and permanency For children and young people in out-of-home care for whom safe reunification with their family is not a realistic prospect, the best outcomes are achieved through stable, long-term placements. The Cummins Inquiry found that on average it takes around five years for a child to be placed on a permanent care order.26 This is an excessively long period of time considering the importance of stable, secure care arrangements to healthy development and is an issue that must be addressed. The Stability Planning and Permanent Care project began in November 2012 and its final report will be completed by June 2014. It has reviewed the circumstances of each child in out-of-home care who is under ten years old and subject to a permanent care case plan, or who has been in out-of-home care for longer than 12 months and is without a stability plan. The project has identified a number of factors impacting on the system’s capacity to achieve stability in a more timely way. These cross over the areas of practice, policy and legislation. As an important first step to improving our approach to stability and permanency, the Victorian Government will consider legislative amendments – many of which were proposed in the Cummins Inquiry – to remove barriers to permanent care. Amendments to be considered will include: Simplification of the current scheme of protective orders to create better alignment between approved case plan directions and the scope of protective orders. The impact of conditions placed on permanent care orders – and in particular the appropriateness of placing parental contact conditions on these orders. Opportunities to reduce the number of court hearings and the complexity of court processes. Another issue identified by carers as impacting on their willingness to become permanent carers concerns the provision of support after a Permanent Care Order has been granted. The potential for strengthening support post a Permanent Care Order is one of the issues that will need to be considered as part of the review of the current funding model. Achieving permanent care in a timely way also requires focused case planning and the recruitment and assessment of suitable permanent carers. Opportunities for practice improvements in this area will be explored at the local level through consideration of the creation of ‘stability planning’ panels – which will monitor, track and resolve barriers to permanency for children and young people. These panels will be made up of departmental and non-government representatives and will leverage off existing forums established at the local level. Department of Premier and Cabinet 2012. Report of the Protecting Victoria’s Vulnerable Children Inquiry, Department of Premier and Cabinet, Melbourne, p.229. 26 Page 48 of 60 9.7 Explore professionalised in-home support It is particularly challenging to find suitable placements for children and young people with more complex needs. This difficulty has contributed to an increased reliance on residential care or inappropriate contingency placements – which have too often become the placement of last resort for many children, rather than the placement that will best meet their needs. There is a need for more innovative, home-based placement options for some of these children and this will be explored through the tender process outlined in section 9.2 above. One option, which would potentially increase opportunities for children and young people to find suitable homebased care placements, is through the introduction of a professionalised in-home support model. Internationally, various models of this nature exist, however in Australia there are a number of taxation and industrial award-related barriers that have prevented it being a care option. Through the Council of Australian Governments, the Victorian Government has been advocating for the legislative and policy changes that would overcome these barriers. Together with other bodies such as the independent Commission for Children and Young People, the Victorian Government will continue to lobby the Commonwealth Government to reach agreement on how the barriers to a professional foster care model might be overcome. Beyond this advocacy role, the roll-out of new funding will offer service providers the opportunity to propose new types of placement arrangements, better suited to the needs of some of these children and young people. 9.8 Provide additional support to reduce sexual exploitation In January 2013, the Royal Commission into Institutional Responses to Child Sexual Abuse was established to investigate how institutions with a responsibility to children have managed and responded to allegations and instances of child sexual abuse. The Royal Commission has been appointed for three years until 2015 and will address how legislation, policies and practices can be improved to prevent and protect children and young people against sexual abuse. Young people in out-of-home care are highly vulnerable to sexual exploitation – both as a result of their own histories of trauma, but also because they are often specifically targeted and groomed by abusers. Work undertaken by the Office of Professional Practice within the Department of Human Services has demonstrated that the risk of sexual exploitation can be managed and reduced. In 2012, specialist best practice resources were published by the Victorian Government and specific training is being delivered jointly by the Office of the Principal Practitioner and Victoria Police. About 2,000 child protection practitioners, police, service providers and residential care workers have been trained together during 2013, sharing data and experience, to better protect vulnerable young people. As part of this plan, it is the Victorian Government’s intention to provide additional support for this joint training and to put in place strong arrangements to ensure that persons suspected to be targeting, grooming or exploiting young people in care are actively pursued by police. Page 49 of 60 As part of this work, service providers that deliver out-of-home care services will be required to have a formal child sexual exploitation prevention and response strategy in place. The Commission for Children and Young People will be requested to undertake an annual audit of randomly identified children and young people in out-of-home care and report to the Minister for Community Services on the quality of service delivery they are receiving. Police are working with the Department of Human Services to 'disrupt' offenders by letting them know that they are being watched. This avoids having to get sworn statements from abuse victims before police can act. New grooming laws, which have passed the Victorian Parliament, will give us more opportunities to secure criminal convictions. The laws reflect a better understanding of the dynamics of sexual abuse and sexual exploitation. They give us much wider scope because they are actually going to pick up the enticement, manipulation and grooming – and we have lacked capacity to do that before. The problem of sexual exploitation of vulnerable children and young people is not a new one, but this approach to dealing with it is new and we expect will have a significant impact in keeping children safe. 9.9 Improve leaving care support In any young person’s life, the transition from living in the family home to independence can be difficult. Navigating the wide range of life challenges including securing affordable housing, employment and/or education opportunities, as well as establishing new support structures and friendships is challenging for most young people. In the broader community, the majority of young people remain with their parents until well into their twenties. But young people in out-of-home care leave at age 18 and this transition can be extraordinarily difficult for some, sometimes resulting in homelessness, poverty and an ongoing cycle of disadvantage. In Australia, all states and territories offer support of some kind to young people exiting care. In the Victorian context, a range of government-funded programs such as Post Care Support, Information and Referral services, mentoring services and the Springboard program assist young people transition from out-of-home care. These programs are having an impact, but could be improved. The operation of these services, and how we can increase their impact, is one of the issues we will consider as part of the longer-term reforms outlined in this plan. This will include the exploration of opportunities to continue to support young people post-care beyond 21 years of age. In order to achieve better outcomes for care-leavers, we need to better understand what happens to young people when they leave care and how they can be better supported. We also need to recognise that improving support for young people both while in care and post leaving care has downstream benefits for government – reducing reliance on services such as homelessness supports, corrections and drug and alcohol support services. In 2012, the Victorian Government engaged the Australian Institute of Family Studies to conduct the Beyond 18 study: The longitudinal study on leaving care, which is the first five-year longitudinal research study of young people transitioning from care in Victoria. The study will run to the end of June 2017 and includes four waves of data collection and repeat face-to-face interviews with a group of young people who leave care between 16 and 18 years of age. It is anticipated that this study will provide evidence to improve effective transition from out-of-home care and better focus our attention on the impact of earlier and better supports post-care. Page 50 of 60 While this research will provide further valuable insights to shape future policy responses, we are already aware of some areas where specific action is required. The Australian Institute of Health and Welfare highlights the strong link between the homelessness and child protection systems – noting that each year approximately 30,000 of the 100,000 children and young people who access homelessness services have been the subject of a substantiated notification of abuse or neglect.27 Further research has identified that there is a very clear relationship between having been placed in out-of-home care as a child and lifetime durations of homelessness. In simple terms, people engaged with the homelessness service system who also have a history of out-of-home care are significantly more likely to spend a longer time homeless over their lifetime than respondents who had never been in state care.28 Intervening early to support a young person’s transition from out-of-home care to adulthood will therefore have significant benefits not only for that young person, but also for service systems, including the homelessness system. Currently, planning occurs with young people prior to leaving care to ensure they have a smooth transition. Transition planning is meant to be holistic, considering the range of needs to transition to independence, including post-care accommodation options. However, there is an opportunity to do better both in terms of planning and support offered so that young people have access to appropriate and stable accommodation that meets their needs. The Victorian Government will focus on strengthening the housing and support pathways for young people leaving care so that they have access to appropriate and stable housing and the necessary supports to aid the transition to independent living. Young people will be supported to access a range of housing options including private rental and sharing with friends and extended family. In some instances, young people leaving out-of-home care may be supported through one of the three new, 40-bed Youth Foyers, which provide stable accommodation and support to access education, employment and training. The Victorian Government has invested significantly in tackling homelessness and has focused on trialling innovative approaches to homelessness; investigating models to target early intervention and prevention; and the better allocation of resources to areas where they are most needed and will have the greatest impact. There is an opportunity to continue to develop housing services for young people so that support is focused on their economic and social participation. Such participation, supported by stable housing, is crucial for young people to establish and maintain independent living. Our leaving care programs will continue to support young people up to the age of 21 years and through this plan government will identify ways in which improved outcomes for young people leaving care can be achieved. By strengthening and streamlining both transition planning and housing and support pathways, we have an opportunity to ensure young people exiting care are able to access and sustain housing that best suits their needs, and as far as possible divert them from homelessness. We will also be reviewing existing data to clarify the needs of young people leaving care and identify those that will require more intensive support. 27 Australian Institute of Health and Welfare 2012. Children and young people at risk of social exclusion: links between homelessness, child protection and juvenile justice. Data linkage series no. 13 Cat. no. CSI 13. Canberra: AIHW. 28 Johnson, G and Chamberlain, C 2008. From Youth to Adult Homelessness, Australian Journal of Social Issues, Vol. 43, No. 4, Summer 2008. Page 51 of 60 9.10 Trial a new approach to kinship care As noted earlier, the past decade has seen a significant and deliberate shift towards kinship care as the primary form of out-of-home care. While kinship care arrangements maintain a child’s connection with their biological family, there can be little doubt that in some instances these placements require greater levels of support and monitoring than can be provided by government child protection practitioners. Recommendation six of the Shergold report states: ‘While decisions on the most appropriate approach to service delivery should be based on a careful evaluation of the most effective way of creating public value, the default position should be an expectation that an increasing range of government services will be delivered by non-government organisations.’29 Successive Victorian Governments have long been of the view that the assessment and support of carers and children in out-of-home care is most effectively provided by the non-government sector. The shift towards kinship care has worked against this position. The Victorian Government has already started to respond to this issue through funding nongovernment services to provide support for around 750 kinship care placements, as well as a range of support and information services. The reform process needs to consider opportunities to build further on this recognition of the non-government sector’s capacity in this area. The tender process outlined above will encourage service providers to outline their approach to providing tailored and innovative kinship care support services, to enable the transfer of children and young people from contingency or other non-family based placements, to good quality kinship care arrangements. 9.11 Better engage foster carers Like other jurisdictions, Victoria is facing a challenge with the recruitment of volunteer foster carers and has also experienced a fundamental shift away from foster care towards kinship care as the predominant type of out-of-home care placement. Foster carers are and will continue to be vitally important to the out-of-home care system. There is a clear need for action that arrests the comparative decline in the supply of foster carers in Victoria. There is no single, simple solution to this. A combination of actions – which will require changes to funding arrangements, practice, policy and the culture of the system – will be required. In addition to exploring new approaches through the reform of the out-of-home care funding model, the following actions will be considered. 29 Shergold, P, AC 2013. Service Sector Reform: A roadmap for community and human services reform, Melbourne, p. 48. Page 52 of 60 Improving carer recruitment There is a need to improve our current approach to carer recruitment and retention. The Recruitment and Retention of Foster Carers in Victoria report was completed in late 2013. The report examined the characteristics, motivations and marketing approaches that support the attraction and retention of carers. The report recommends moving towards a more contemporary marketing approach. During 2014, consultation with service providers will consider these recommendations. The potential for funding a state-wide marketing campaign is one of the issues to be further considered in collaboration with service providers. Respecting and listening to foster carers A recurring observation of many foster carers is the failure of the system to adequately seek their views when decisions about the child or young person they care for are being made. In the worst cases, carers have expressed the view that they are treated disrespectfully by workers and others. Despite practice innovations such as care teams, and the longstanding expectation of consultation with and respectful treatment of carers, it is clear that more must be done. One of the process improvements to be considered by the System Improvements Working Group will be an examination of simple ways to improve engagement with foster carers. Both funded service providers and child protection staff have a responsibility to improve performance in this area. 9.12 New approaches to commissioning Social impact bonds are one of a number of innovative funding models which have been developed in various countries around the world to help deliver programs aimed at better addressing complex social challenges. They are essentially ‘pay for success’ contracts with the public sector where a commitment is made to pay for improved social outcomes that result in public sector savings. They support social innovation by providing a mechanism for investors to fund programs based on early intervention, prevention or breaking the cycle of dependence. They offer the potential to achieve significantly better social outcomes and deliver future cost savings for government. The Victorian Government is actively investigating the feasibility of social impact bond trials in various portfolios as part of its broad agenda for public sector reform. Several opportunities exist to test the suitability of this approach in supporting better outcomes for children and young people in care, at risk of entering care, and leaving care. During 2014, the Victorian Government will develop a business case to pilot a social impact bond in three areas relevant to this plan: services that prevent entry to care and/or support reunification of children and young people in care with their parents services that support transition from residential care to appropriately supported home-based care placements services to improve the life outcomes for young Victorians leaving out-of-home care. Pending the outcome of the business case, further collaboration with stakeholders to implement a social impact bond trial in some or all of these areas will commence. Page 53 of 60 10. Next steps The immediate next step in progressing this plan will be the establishment of the Reform Advisory Group and the Systems Improvement Working Group. An appropriately resourced reform secretariat will also be appointed in early 2014. As part of their initial work, the two groups will develop a set of more detailed milestones to track and report on progress with both the long-term and immediate actions committed to in this plan. A process for ensuring effective feedback to all interested stakeholders will also be established. Some key milestones already in place include: The assessment of children and young people in residential care placements, to determine immediate support needs and the potential for alternative placement arrangements, scheduled to commence in April 2014. To undertake the tender process for the allocation of new, tailored funding packages for the provision of therapeutic home-based care based on the results of this assessment, during 2014. The establishment of the outcomes information system, and a framework for reporting on the outcomes achieved, and wider agency performance measures, to be in place during the third quarter 2014. The establishment of Taskforce 1,000 and the development of an initial report for government based on findings in four areas, to be completed by the end of June 2014. The implementation of the plan will be supported by a funding package totalling $128 million over the next four years. The Victorian Government is committed to working collaboratively with non-government organisations and other stakeholders to deliver on the whole-of-government commitment to improving outcomes for children and young people in out-of-home care, as articulated in the Victoria’s Vulnerable Children – Our Shared Responsibility Strategy 2013–2022 and in this plan. Page 54 of 60 11. References Anglicare Victoria, Berry Street, E W Tipping, Centre for Excellence in Child and Family Welfare, MacKillop Family Services, Salvation Army, Victorian Aboriginal Child Care Agency, and Wesley Mission Victoria 2013. Five Year Plan for Out of Home Care Submission from Victorian out of home care Community Service Organisations July 2013, http://www.cfecfw.asn.au/sites/www.cfecfw.asn.au/files/5_Year_Plan_Submission.pdf. A joint submission from Victorian Aboriginal Community Controlled Organisations and Community Service Organisations 2013. Koorie Kids: Growing Strong in their Culture, http://www.ccyp.vic.gov.au/downloads/submissions/submission-koorie-kids-growing-strong-in-theirculture-nov13.pdf. Australian Institute of Health and Welfare 2012. Children and young people at risk of social exclusion: links between homelessness, child protection and juvenile justice. Data linkage series No. 13 Cat. No. CSI 13. Canberra: AIHW. Department of Premier and Cabinet 2012. Report of the Protecting Victoria’s Vulnerable Children Inquiry, Department of Premier and Cabinet, Melbourne. Johnson, G and Chamberlain, C 2008. From Youth to Adult Homelessness, Australian Journal of Social Issues, Vol. 43, No. 4, Summer 2008. McDowall, J.J 2013. Experiencing out-of-home care in Australia: The views of children and young people (CREATE Report Card 2013), Sydney: CREATE Foundation, http://www.create.org.au/create-report-card-2013. SCRGSP (Steering Committee for the Review of Government Service Provision) 2013, Report on Government Services 2014, Productivity Commission, Canberra. Shergold, P, AC 2013. Service Sector Reform: A roadmap for community and human services reform, Melbourne, www.dhs.vic.gov.au/about-the-department/plans,-programs-andprojects/projects-and-initiatives/cross-departmental-projects-and-initiatives/service-sector-reform. Victorian Government 2013, Victoria’s Vulnerable Children – Our Shared Responsibility Strategy 2013-2022, State Government of Victoria, Melbourne, http://www.dhs.vic.gov.au/about-thedepartment/plans,-programs-and-projects/plans-and-strategies/victorias-vulnerable-childrenstrategy-2013. Page 55 of 60 Appendix A – Statement of principles In order to provide quality and culturally-specific services for vulnerable Victorians, the Victorian Government supports the following principles: Achieving the best outcomes for clients – the overriding goal of government policies and programs, and the prime objective of those organisations that implement them, should be to ensure that service delivery maximises public value and improves the quality of life of the people who use them. A holistic approach – the elements of multiple disadvantage are complex and so the support services provided should be ‘joined-up’ and ‘wrapped-around’ the individual or family in need. Partnership – the collaborative relationship between the public service agencies and nongovernment organisations that together deliver government programs should be founded on appreciation of the constraints under which all sides operate, mutual respect, reciprocated trust, authentic consultation, genuine negotiation and a shared recognition of common purpose. Shared governance – all providers of publicly-funded services (whether public service agencies, not-for-profit organisations, social enterprises or private businesses) should be regarded as ‘co-producers’ of government services, jointly contributing to service design and sharing responsibility for program delivery. Provider choice – the vibrant diversity of community service organisations should be recognised as a strength and harnessed to provide the public with a greater choice of highquality programs and a range of providers able to deliver services in different ways. Program flexibility – services should be evidence-based and responsive to the distinctive needs of a neighbourhood, region or area and/or tailored to the particular circumstances faced by communities of interest. Citizen control – individuals and families who require community support should be encouraged and empowered to take greater control of the services they require to live a full and independent life. Public accountability – public accountability should focus on outcome performance rather than simply complying with process, with a particular emphasis on the effective use of funding received to achieve agreed outcomes for the public and on measuring the longer-term social impact of programs and services. Early intervention – while the immediate need for expenditure on crisis management must be acknowledged, there should be a progressive move towards increased investment in crisis prevention through early intervention. Facilitation – the Victorian Public Service should measure its success by its ability to facilitate cross-sectoral collaboration in providing government services and programs, seeing its role as that of ‘system stewardship’. Page 56 of 60 Appendix B – Outcomes framework Outcome Indicators to be monitored Personal Children and young people in out-of-home care enjoy good health and wellbeing Children and young people in out-of home care enjoy good mental health Each child’s total difficulties score on the SDQ/emotional and behavioural problem scale (tracked during course of placement). Percentage (and number) of children (0–17 years) whose total difficulties score on the SDQ/emotional and behavioural problem scale is ‘of concern’. Percentage (and number) of children receiving effective treatment for emotional and behavioural problems. Percentage (and number) of children (15–17 years) engaged in self-harm (past month). Children and young people in out-of home care enjoy good physical health Percentage (and number) of children (0–2 years) fully immunised. Percentage (and number) of children (5–17 years) where physical activity meets national recommendations (1 hour moderate/vigorous activity each day). Percentage (and number) of children (0–17 years) where fruit and vegetable consumption meets national recommendations (two serves fruit and five serves vegetable each day). Children and young people in out-of-home care make positive personal choices and show positive behaviour Children and young people in out-of Percentage (and number) of young people (15–17 years) who have smoked cigarettes (past year). home care are free of problematic alcohol and drug use and its effects Percentage (and number) of young people (15–17 years) who have drunk alcohol (past month). Percentage (and number) of young people (15–17 years) who have used illicit drugs (past month). Page 57 of 60 Outcome Indicators to be monitored Economic Children and young people in out-of-home care have the skills and support necessary to participate in the economy to their fullest ability Children and young people in out-of home care have strong skills for life and meaningful participation in the economy Children and young people in out-ofhome care have strong engagement in education, training some form of early childhood learning.30 Percentage (and number) of 16–17 year olds with learner’s driving permit. Percentage (and number) of children (3–4 years) who attend kindergarten/preschool. Percentage (and number) of children (5–14 years) in full-time education. Percentage (and number) of young people (15 years and over) in full time education or work. people in out-ofhome care have access to appropriate housing with security of tenure Percentage (and number) of young people (15 years and over) with part-time jobs. and/or employment Children and young Percentage (and number) of babies and young children (0 –2 years) engaged in Percentage (and number) of young people (15 years and over) who have developed ‘many’ skills for employment. Percentage (and number) of children who are happy at school. Percentage (and number) of children who have had two or more placements in the past year. Percentage (and number) of young people (15 years and over) who have a clear and achievable plan for where they will live when they exit care. Percentage of young people that have exited from care who independently maintain stable housing after six months. 30 Includes child care, playgroup, parent-child lesson story-time at library or toy library. Page 58 of 60 Outcome Indicators to be monitored Social/community Children and young people in out-of-home care are safe and positively connected to friends, family and their local and cultural communities through healthy and supportive relationships Children and young people in out-ofhome care have safe and positive personal Percentage (and number) of children definitely attached to at least one caregiver. Percentage (and number) of children who are picked on or bullied. Percentage (and number) of children (5–17 years) who frequently see friends outside school. Percentage (and number) of children who have a trusted adult who they can turn to when they have a problem or crisis. Percentage (and number) of children who have no contact with father. Percentage (and number) of children who have no contact with mother. Percentage (and number) of children who report feeling ‘safe and secure’. Percentage (and number) of children who report feeling ‘at home’. Percentage (and number) of children (5–17 years) who are participating in a relationships Children and young people in out-ofhome care have safe and stable home environments Children and young people in out-ofhome care have a strong and positive connection to their community and culture ‘wide range’ of leisure activities both in and outside school. Percentage (and number) of children who attend events or participate in groups relevant to their culture. Percentage (and number) of Aboriginal children placed with extended family or other Aboriginal carer. Percentage (and number) of Aboriginal children who have a finalised cultural support plan. Percentage (and number) of Aboriginal children who get enough opportunities to participate in their own community events and activities Percentage (and number) of Aboriginal children whose key worker is Aboriginal. Page 59 of 60 Page 60 of 60