Maryland Child Welfare Performance Indicators. 4th Annual Child Welfare Accountability Report
AuthorShaw, Terry V.
MetadataShow full item record
Other TitlesResearch in Support of Child Welfare Policy & Programs
Annual Child Welfare Accountability Report
AbstractExecutive Summary: The Child Welfare Accountability Act of 2006 (Maryland Family Law, Section 1301-1311 inclusive) specified the development and implementation of a process to measure the efficiency and effectiveness of child welfare services in Maryland that addresses the safety, permanency and well-being of children in the care and custody of the state. A set of performance indicators were established that encompassed and expanded upon extant federal measures in four areas of child welfare practice: 1. Child abuse and neglect, 2. Protecting children in out-of-home care from abuse and neglect, 3. Permanency and stability of children in out-of-home care, and 4. Effectiveness of efforts to address the health, mental health, education, and well-being of children in out-of-home care. This report, the fourth report completed, describes and documents the performance indicators mandated in the Act for the period July 1, 2009 through June 30, 2010 and compares the states progress in relation to outcomes from prior years. A separate companion report entitled "Quality Assurance Processes in Maryland Child Welfare" describes and evaluates Quality Assurance processes in calendar year 2010. Acknowledgements: This rport was prepared by faculty and staff at the University of Maryland, School of Social Work's Ruth H. Young Center for Families & Children (RYC) in partnership with staff at the Department of Human Resources, Social Services Administration (DHR/SSA). Diane DePanfilis, Terry V. Shaw and Haksoon Ahn co-manage the interagency agreement that supports the development of this report. Terry V. Shaw developed the performance indicators found in this report with the assistance of David Ayer from DHR/SSA. Carnitra White, Richard Larson, David Ayer and Linda Carter at DHR/SSA guided the activities of the outcomes measurment and performance indicators process.
Table of ContentsExective Summary; Summary of Findings; Summary of Federal Outcome Measures covered in the CWAA; Summary of Recommendatons for Measurement of Maryland's Child Welfare System Performance; Methods for Calculating Maryland's Child Welfare Performance Indicators; MD CHESSIE; Modifications of Indicators; 5-1303 Child Abuse and Neglect; 5-1303.1 Recurrence of abuse or neglect; 5-1303.3 Maltreatment of Children Remaining in the Home after CPS Investigation; 5-1303.2 Supervisory Review of Screened Out Cases; 5-1303.4 Timeliness of CPS Investigations; 5-1303.5 Service Provision and Safety Outcomes for Indicated and Unsubstantiated Cases of Abuse and Neglect; 5-1304 Protecting Children in Out-of-Home Care from Abuse and Neglect; 5-1304.1 Abuse or Neglect of Children in State Custody; 5-1304.2 Abuse or Neglect after Release from Out-of-Home Care; 5-1305 Permanency and Stability of Children in Out-of-Home Care; 5-1305.5 Out-of-Home Placement Type; 5-1305.2 Multiple Placements in a One-Year Period; 5-1305.3 Placement with Siblings; 5-1305.4 Exits from Out-of-Home Care; 5-1305.1 Time to Exit from Out-of-Home Care; 5-1305.8 Re-Entry into Out-of-Home Care; 5-1305.6 Number of Available Foster and Treatment Foster Homes; 5-1305.7 Regulation of Foster and Treatment Foster Homes; 5-1306 Addressing the well-being of children in out-of-home care; 5-1306.1 Comprehensive Assessments; 5-1306.2 Health Examinations; 5-1306.3 School Enrollment; Measuring Child Welfare Performance in Maryland; Recommendations for Improvements of Performance Indicators; References; Appendix A: Summary of Maryland Performance Indicators
Series/Report No.Child Welfare Research;
SponsorsFUNDING SOURCE: Maryland Department of Human Resources, Social Services Administration
Abused children--Services for--Evaluation
University of Maryland, Baltimore. School of Social Work--Projects and Reports
Foster Home Care
Foster Home Care--standards
Identifier to cite or link to this itemhttp://hdl.handle.net/10713/643
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Quality Assurance Processes in Maryland Child Welfare. 4th Annual Child Welfare Accountability ReportAhn, Haksoon; Esaki, Nina; Gregory, Gillian, M.S.W.; Melz, Heidi; O'Connor, Julia, M.S.W.; Shaw, Terry V. (2010-12)Executive Summary: The Child Welfare Accountability Act of 2006 (Maryland Family Law, Section 1301-1311 inclusive) specified the development and implemntation of a proces to measure the efficiency and effectiveness of child welfare services in Maryland that addresses the safety, permanency and well-being of children in the care and custody [of] the Maryland Department of Human Resources/the Local Departments of Social Services. The Quality Assurance Process in Maryland Child Welfare does this through the evaluation of quality assurance and system implementation processes in Maryland's child welfare system. The state of Maryland made great strides in 2010 towards achieving the development of an integrated, comprehensive Quality Assurance system. Acknowledgements: This report was compiled by faculty and staff at the University of Maryland, School of Social Work's Ruth H. Young Center for Families & Children (RYC) in partnership with staff at the Department of Human Resources, Social Service Administration (DHR/SSA). Terry V. Shaw, Nina Esaki, Haksoon Ahn, and Diane DePanfilis co-managed the interagency agreement for the Quality Assurance process. Gillian Gregory and Julia O'Connor led the Local Supervisory Review process and Foster Parent Survey. Heidi Melz oversaw the Family Centered Practice evaluation component. Carnitra White, Richard Larson, David Ayer and Linda Carter at DHR/SSA guided the activities related to the Quality Assurance process. The Quality Assurance unit at DHR/SSA includes Linda Carter, Josephine Lambert, and Jewel Wilson-Crawford. A separate companion report, "Maryland Child Welfare performance Indicators: 4th Annual Child Welfare Accountability Report," describes Maryland's performance on the outcome and performance measures outlined by the Child Welfare Accountability Act.
Primary care pediatricians' experience, comfort and competence in the evaluation and management of child maltreatment: Do we need child abuse experts?Lane, W.G.; Dubowitz, H. (Elsevier, 2009)Objective: We assessed the self-reported experience, comfort and competence of primary care pediatricians in evaluating and managing child maltreatment (CM), in rendering opinions regarding the likelihood of CM, and in providing court testimony. We examined pediatricians' need for expert consultation when evaluating possible maltreatment. Methods: A questionnaire was mailed to 520 randomly selected AAP members. Pediatricians were asked how frequently they evaluated and reported children for suspected maltreatment, and whether child abuse pediatricians were available to and used by them. Pediatricians were asked to rate their knowledge, comfort and competence in the management of CM. Demographic information was also gathered. Pediatricians' experience with CM, their comfort, self-reported competence, and need for expert assistance is described. Logistic regression was used to assess factors that predicted pediatricians' sense of competence while controlling for covariates found to be significant in bivariate analyses. Results: One hundred forty-seven questionnaires were eligible for analysis. The majority of respondents had little experience evaluating and reporting suspected CM, and was interested in having expert consultation. While pediatricians often felt competent in conducting medical exams for suspected maltreatment, they felt less competent in rendering a definitive opinion, and did not generally feel competent to testify in court. Sense of competence was particularly low for sexual abuse. Increased practice experience and more courses in CM led to increased sense of competence in some areas. Conclusions: Pediatricians acknowledged many limitations to providing care to maltreated children, and expressed interest in subspecialist input. Practice implications: These findings add additional support to the American Board of Pediatrics' decision to create a Child Abuse Pediatrics subspecialty. The findings also indicate a need to ensure funding for fellowship training programs in this field. Copyright 2009 Elsevier Ltd. All rights reserved.
Child neglect: Relation to child temperament and family contextHarrington, D.; Black, M.M.; Starr, R.H., Jr.; Dubowitz, H. (American Psychological Association, 1998)Relationships among neglect and child and family characteristics were examined in a sample of 121 urban, low-income families with a child under 30 months. Maternal reports of more difficult child temperament predicted emotional neglect; family context was indirectly related, as mothers in well functioning families with more support reported their children as being less difficult. Neither child temperament nor family context was related to physical neglect.