Safely Increasing Connection to Community-Based Services: A Study of Multidisciplinary Team Decision Making for Child Welfare Referrals

Initial child welfare screening decisions, traditionally made by an individual worker, determine if a family will receive further intervention by child protective services. A multi-disciplinary team (MDT) decision-making approach for child welfare referrals aims to provide a more thorough assessment of needs and strengths and to connect families to appropriate community-based providers. This study examined 159 child welfare referrals handled by MDTs compared to 331 referrals handled via the traditional screening approach. The study used a pseudo randomization procedure to assign referrals to the study conditions: Referrals logged on 2.5 days of the week were assigned to the treatment group; all others were assigned to the comparison group. Referrals handled by an MDT were more than four times as likely as those not handled by an MDT to be referred to community-based organizations ( OR = 4.32, p < .001). There were no statistically significant differences in families’ engagement with community-based organizations or child welfare outcomes. MDTs are a promising step in the initial process of connecting families to services, although they did not affect this study’s longer-term outcomes.

Instrumentation to Understand the Child Protective Services Decision-Making Processes

When children come to the attention of the child welfare system, they become involved in a decision-making process in which decisions are made that have a significant effect on their future and well-being. The decision to remove children from their families is particularly complex, yet surprisingly little is understood about this decision-making process. As a result, instrumentation has been developed and adapted over the past 20 years to further understand variations in child welfare outcomes that are decision-based and, in particular concerning the removal decision, in order to provide a more thorough understanding of the intersecting factors that influence caseworker decisions. This chapter presents research and the development and use of this instrument, drawing from the decision-making ecology as the underlying rationale for obtaining the measures. The instrument was based on the development of decision-making scales used in multiple studies and administered to child protection caseworkers in several states. This effort is part of a larger program of research that seeks to better understand decision-making processes in child welfare systems in order to promote fairness, accuracy, and improved outcomes among children and families.

Utilizing Strategic Management and Planning to Improve Child Welfare Outcomes

This article should be treated as a tool for thinking about or rethinking how strategic management and planning can be used to achieve better outcomes for the children and families serviced by social service systems. The article summarizes some of the challenges facing the field of child welfare; identifies the benefits of utilizing strategic management and planning to improve outcomes, create accountability and achieve sustainable system reform; and explores relevant research on strategic management and planning for governmental agencies and non-profit organizations.

Outcomes and savings associated with the Quality Parenting Initiative

Though several training and support programs for foster carers improve child behaviors, few have been shown to have a large impact on child welfare outcomes such as permanency. Additionally, most training and support programs are expensive. The Quality Parenting Initiative (QPI) aims to improve outcomes at low cost by empowering foster carers as well as caseworkers. This paper uses administrative data to show that the earliest implementation of QPI shortened stays in care for children who were reunified. Savings from shorter stays in care are estimated to be more than three times greater than expenditures.

Implementing a Provider Partnership to Improve Substance Abuse and Child Welfare Outcomes in Urban High-Needs Parents

This Practice Note describes the implementation of a partnership between child welfare and substance use providers in New York City, with the aim of supporting cross-systems collaboration and improving outcomes for dually involved families. Specifically, this report focuses on improving both coordination and communication between a preventive child welfare service provider (Montefiore Family Treatment & Rehabilitation Program), an outpatient substance abuse treatment provider (Montefiore Division of Substance Abuse), and the local department of social services (New York City Administration for Children’s Services). This article identifies general challenges with collaboration, describes how this collaboration was created and implemented in New York City, and provides guidance for other entities that are attempting to create similar collaborations.