Title IV-E
California Well-Being Project
Department of Health and Human Services
&
Department of Probation
October 28, 2014
California Well-Being Project
Objective
• To test child welfare interventions designed to decrease
reliance on foster care and shorten the time children have
open welfare cases.
•Improve permanency and well-being outcomes
•Increase child safety without over reliance in out-of-home care
Goals
2
October 28, 2014
•Improve service array
•Engage families through individualized case work
DHHS & Probation–Title IV-E Waiver
Participating Counties
Cohort 1
Cohort 2
7/1/07 – 9/30/19
10/1/14 – 9/30/19
Alameda
Butte
Los
Angeles
Lake
Sacramento
San
Diego
San
Francisco
Santa
Clara
Sonoma
3
October 28, 2014
DHHS & Probation–Title IV-E Waiver
How Does It Work?
Flexible use of federal foster care funding
Must include child welfare and probation – DHA in
Sacramento County
Capped funding allocation based on 5-year average (2008-2012)
Requires maintenance of base spending level
4
October 28, 2014
DHHS & Probation–Title IV-E Waiver
How Does It Work? (continued)
Counties must implement prevention and family centered
practices
Requires reinvestment of savings into child welfare and
probation Well-Being Project activities
The evaluation component will include process, outcomes
and costs
Counties may opt out with fiscal repercussions
5
October 28, 2014
DHHS & Probation–Title IV-E Waiver
Estimated Full Year Budget Comparison
6
Federal
Funds
Local
Share
$49.5 M
$107.1 M
$156.6
million
Federal
Funds
Local
Share
$66.3 M
$107.1 M
October 28, 2014
$173.4
DHHS & Probation – Title IV-E Waiver
million
How Are Savings Generated?
Additional
federal
funds
(waiver)
Increased
Investment in
Better
Outcomes
7
October 28, 2014
Base
amount
(five-year
average)
Decreased
number of
children in
out-of-home
care
Unchanged
local
spending
Reduced
entries and
re-entries
DHHS & Probation – Title IV-E Waiver
Increased
Investment
in Better
Outcomes
SAVINGS
Potential Benefits to Sacramento County
•$12.3 million in flexible federal funding for FY 14/15
Increased federal funding
Use of flexible dollars and
reinvestment of future
savings into programs…
•Annualized $16.7 million through FY 18/19 (plus
inflator)
•Prevention
•Wrap-around
•Intensive family reunification
•Evidence-based programs
•Increased reunification for CPS children
•More timely permanency for foster children
…for better outcomes
•Reduced re-entries into CPS
•Reduced recidivism for Probation children
•Reduced entry into systems due to effective
prevention
8
October 28, 2014
DHHS & Probation – Title IV-E Waiver
If total costs in a given year exceed the level
of additional funding, the County will be
required to absorb those excess costs with
local funding
9
October 28, 2014
DHHS & Probation – Title IV-E Waiver
Variables Affecting Level of County Risk
Caseloads
Placement Costs
Operation/Admin Costs
Realignment Growth
10
October 28, 2014
DHHS & Probation – Title IV-E Waiver
High Risk Scenarios
Length Of Stays
Entries & Reentries
Group Home Placements
Out-of-County Placements
Out-of-State Placements
11
October 28, 2014
DHHS & Probation – Title IV-E Waiver
Department
Positions
(FTEs)
Full Year
Staff Costs*
Contracts*
DHHS
24
$2.6
$7.5
$10.1
Probation
12
$1.5
$2.7
$4.2
2
$0.3
__
$0.3
38
$4.4
$10.2
$14.6
DHA
Subtotal
Aid Payments
TOTAL
$2.0
38
$4.4
$10.2
*millions
12
Total*
October 28, 2014
DHHS & Probation – Title IV-E Waiver
$16.6
Other Considerations
Mitigating risk
• Funds set aside to cover unforeseen cost increases
Early opt out costs
• County would have to pay back all waiver money spent on
services that are not Title IV-E eligible under traditional
funding structure
Sustainability
• How would County fund waiver-related programs after the
waiver period (FY19-20)?
13
October 28, 2014
DHHS & Probation – Title IV-E Waiver
QUESTIONS
14
October 28, 2014
DHHS & Probation – Title IV-E Waiver
Child Protective Services
Michelle Callejas
Deputy Director
15
October 28, 2014
DHHS & Probation – Title IV-E Waiver
Achieving Better Outcomes
Increased
Safety
16
October 28, 2014
More
Prevention
Timely and
of Abuse
Successful
and Neglect
Permanency
DHHS & Probation – Title IV-E Waiver
17
Safety
Prevention
Permanency
• Safety
Organized
Practice (SOP)
• Focus on
children 6 and
older
• Intensive
Family Finding
and Kinship
Support
October 28, 2014
DHHS & Probation – Title IV-E Waiver
Safety
Prevention
Permanency
• SOP is
engagement
model
• Expanding
services in
Family
Resource
Centers
• Competitive
process
• Similar to Signs
of Safety
18
October 28, 2014
• Letters of
Interest (LOI)
• RFP
DHHS & Probation – Title IV-E Waiver
Providers
Staff
• Contracting for permanency and
prevention services
• $1.1 million for FY 14-15
• $36 million over 5 years
•Partnering with providers to achieve
outcomes
•Support local and state evaluation efforts
•Support policy development and training
•Ensure compliance with CWS/CMS
requirements
19
October 28, 2014
DHHS & Probation – Title IV-E Waiver
Safety
Permanency
Prevention
Continuous Quality
Improvement
20
October 28, 2014
DHHS & Probation – Title IV-E Waiver
If chosen interventions do not lead to
expected outcome improvements then
we will not continue investing in them
21
October 28, 2014
DHHS & Probation – Title IV-E Waiver
Year 1- Stable
Year 2 – 5%
(ages 0-18)
Year 3 – 4%
(ages 0-18)
Year 4 – 2%
(ages 0-18)
Year 5 – 2%
22
October 28, 2014
(ages 0-18)
DHHS & Probation – Title IV-E Waiver
$7 Million
Over 5 years
23
October 28, 2014
DHHS & Probation – Title IV-E Waiver
Sacramento In Care - Ages 0 - 17 Child Welfare
5000
4000
3000
2000
1000
0
Sacramento
24
October 28, 2014
Jul-07
Jul-08
Jul-09
Jul-10
Jul-11
Jul-12
Jul-13
Jul-14
4142
3880
3877
3191
2701
2260
2214
2471
DHHS & Probation – Title IV-E Waiver
Sacramento Children Entering Care Age 0-17
Child Welfare
3 000
2 500
2 000
1 500
1 000
500
0
Sacramento
25
October 28, 2014
JUL 05 - JUL 06 - JUL 07 - JUL 08 - JUL 09 - JUL 10 - JUL 11 - JUL 12 - JUL 13 JUN 06
JUN 07
JUN 08
JUN 09
JUN 10
JUN 11
JUN 12
JUN 13
JUN 14
2 642
2 367
2 011
2 441
1 317
1 229
1 176
1 359
1 781
DHHS & Probation – Title IV-E Waiver
QUESTIONS
26
October 28, 2014
DHHS & Probation – Title IV-E Waiver
Probation
Brian Lee
Division Chief
27
October 28, 2014
DHHS & Probation – Title IV-E Waiver
Achieving Better Outcomes
Decreased
Entries
28
October 28, 2014
Reduced
Recidivism
Prevent
Delinquency
DHHS & Probation – Title IV-E Waiver
29
Entries
Recidivism
Prevention
• Wraparound
Services
(WRAP)
• MultiSystemic
Therapy
(MST)
• Functional
Family
Therapy (FFT)
October 28, 2014
DHHS & Probation – Title IV-E Waiver
Providers
Staff
• $11.7 million over five
years
•Assist with outcome, audit and service
delivery
•Cross-over youth practice model and other
cross-systems initiatives
•Case management and supervision
30
October 28, 2014
DHHS & Probation – Title IV-E Waiver
25% reduction
Decreased time in
out-of-home
placement
31
October 28, 2014
DHHS & Probation – Title IV-E Waiver
QUESTIONS
32
October 28, 2014
DHHS & Probation – Title IV-E Waiver