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Child Welfare Outcomes 2000: Annual Report
Chapter IV - State Data

Context Data | Outcomes Data | State Comment | Federal Comment
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California [ Context Data ]

A. Key Context Statistics

General Population

1998

1999

2000

Total children under 18 years

8,911,372

8,923,423

9,249,829

Race/ethnicity (%)1

 Alaska Native/American Indian

0.5

0.5

0.5

 Asian/Pacific Islander

11.2

11.3

9.6

 Black

6.9

6.8

7.1

 Hispanic

41.2

41.9

43.8

 White

40.2

39.5

34.8

 Two or more races

N/A

N/A

3.9

 Other

N/A

N/A

0.3

% Child population in poverty

26.4

20.3

21.7

% Child population living in metropolitan areas

99.4

99.5

96.9

 

Child Welfare

1998

1999

2000

Child maltreatment victims

157,683

130,510

129,678

Children in foster care on 9/30

112,767

117,937

112,807

Children adopted

4,418

6,337

8,693

1) The 2000 Census of the United States includes two new race catagories: (1) Persons of two or more races and (2) Other. Back

 

B. Child Maltreatment Data (NCANDS)

 

Number

Rate

Maltreatment Information Overview

1998

1999

2000

1998

1998

2000

Children subject of an investigated report alleging child maltreatment

413,372

452,887

486,127

46.4 per 1,000

50.8 per 1,000

52.6 per 1,000

Child maltreatment victims2

157,683

130,510

129,678

17.7 per 1,000

14.6 per 1,000

14.0 per 1,000

Child fatalities

26

33

30

0.3 per 100,000

0.4 per 100,000

0.3 per 100,000

 

Age of Child Victims (%)

1998

1999

2000

Under 1 year

6.0

9.7

9.5

1-5 years

29.0

29.3

29.1

6-10 years

31.4

31.1

30.8

11-15 years

25.4

24.0

24.5

16+ years

8.2

6.0

6.2

Unknown

0.0

0.0

0.0

Total %

100.0

100.0

100.0

Number

157,683

130,510

129,678

 

Race/Ethnicity of Child Victims (%)

1998

1999

2000

Alaska Native/American Indian

1.1

1.0

1.0

Asian/Pacific Islander

3.2

4.0

3.8

Black

16.0

18.0

15.6

Hispanic

32.8

37.0

39.6

White

37.8

33.0

32.9

Two or more races

N/A

N/A

-

Other/Unknown

41.9

44.0

7.1

Total %3

132.8

137.0

100.0

Number

157,683

130,510

129,678

 

Maltreatment Type of Child Victims (%)

1998

1999

2000

Emotional abuse

8.1

17.8

18.7

Medical neglect

-

-

-

Neglect

51.9

56.3

56.7

Physical abuse

26.2

17.5

16.1

Sexual abuse

13.4

9.1

8.3

Other

0.4

9.8

10.5

Unknown

-

0.0

-

Total %4

100.0

110.4

110.3

Number

157,683

130,510

129,678

2) Children with more than one report of substantiated or indicated maltreatment may be counted more than once. Back
3) Percentages may total more than 100 percent because Hispanics may be counted both by Hispanic ethnicity and by race. Back
4) Percentages may total more than 100 percent because children could have been victims of more than one type of maltreatment. Back

C. Children in Foster Care
(AFCARS Annual Foster Care Database)

Number of Children

In Care on 10/1

Entered Care

Exited Care

In Care on 9/30

Total Served

FY1998 (10/1/97-9/30/98)

109,819

52,997

50,049

112,767

162,816

FY1999 (10/1/98-9/30/99)

113,506

43,587

39,156

117,937

157,093

FY2000 (10/1/99-9/30/00)

117,234

45,685

50,112

112,807

162,919

Median Length of Stay (Months)

 

 

 

 

 

FY1998 (10/1/97-9/30/98)

19.8

N/A

12.6

21.6

N/A

FY1999 (10/1/98-9/30/99)

20.8

N/A

14.9

25.2

N/A

FY2000 (10/1/99-9/30/00)

24.5

N/A

18.2

26.6

N/A

 

Age of Children in Foster Care (%)

In Care on 10/1/97

In Care on 10/1/98

In Care on 10/1/99

Entered Care During FY 1998

Entered Care During FY 1999

Entered Care During FY 2000

Exited Care During FY 1998

Exited Care During FY 1999

Exited Care During FY 2000

In Care on 9/30/98

In Care on 9/30/99

In Care on 9/30/00

Under 1 year

4.2

3.7

3.5

13.6

14.7

14.0

4.0

4.0

3.6

3.8

3.5

3.4

1-5 years

29.8

26.7

24.8

28.5

27.2

26.6

30.8

30.5

29.0

27.8

24.5

22.9

6-10 years

29.0

27.5

27.2

22.5

23.7

23.6

23.5

23.7

25.8

29.1

27.5

25.9

11-15 years

24.2

26.5

27.5

24.5

24.6

25.9

18.8

19.2

20.7

26.7

27.3

28.8

16-18 years

12.2

15.0

16.1

10.7

9.7

9.9

20.2

20.5

19.1

12.2

16.0

17.1

19+ years

0.5

0.6

0.7

0.0

0.0

0.0

2.4

2.1

1.7

0.4

1.2

1.8

Unknown

0.1

0.0

0.0

0.1

0.1

0.0

0.2

0.1

0.0

0.0

0.0

0.1

Total %

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

Number

109,819

113,506

117,234

52,997

43,587

45,685

50,049

39,156

50,112

112,767

117,937

112,807

 

Race/Ethnicity of Children in Foster Care (%)5

In Care on 10/1/97

In Care on 10/1/98

In Care on 10/1/99

Entered Care During FY 1998

Entered Care During FY 1999

Entered Care During FY 2000

Exited Care During FY 1998

Exited Care During FY 1999

Exited Care During FY 2000

In Care on 9/30/98

In Care on 9/30/99

In Care on 9/30/00

Alaska Native/American Indian

1.1

1.2

1.1

1.3

1.3

1.3

1.3

1.4

1.1

1.2

1.2

1.2

Asian/Pacific Islander

1.7

1.9

2.1

3.0

3.6

3.4

3.0

3.2

3.1

1.7

2.1

2.2

Black

36.6

35.5

34.3

22.6

22.4

21.5

24.3

23.7

24.7

35.4

34.6

33.3

Hispanic

29.3

31.3

32.9

35.3

36.0

38.2

32.3

33.5

35.3

30.8

32.3

33.9

White

30.9

29.9

29.3

36.5

35.2

33.6

38.0

37.1

34.1

30.4

29.5

28.9

Two or more races

-

-

0.1

-

-

0.1

-

-

0.3

-

-

0.0

Unknown

0.4

0.2

0.2

1.2

1.5

1.9

1.1

1.2

1.3

0.5

0.4

0.4

Total %

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

Number

109,819

113,506

117,234

52,997

43,587

45,685

50,049

39,156

50,112

112,767

117,937

112,807

 

5) In this and subsequent race/ethnicity tables, data for two or more races may be provided for 1998 and 1999 because of States' resubmissions. However, data for 1998 and 1999 may not capture all children of two or more races and therefore may not be comparable to the 2000 data pertaining to two or more races. Back

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D. Children Waiting to Be Adopted
(AFCARS Annual Foster Care Database)6

 

Overview

9/30/98

9/30/99

9/30/00

Children waiting to be adopted

4,455

9,894

12,632

Children whose parents' rights have been terminated (TPR)

1,915

6,911

9,791

 

Age of Waiting Children (%)

1998

1999

2000

Under 1 year

8.0

4.2

3.7

1-5 years

55.2

51.6

46.5

6-10 years

26.2

30.0

32.3

11-15 years

9.0

12.4

14.8

16+ years

1.5

1.7

2.2

Unknown

0.2

0.1

0.4

Total %

100.0

100.0

100.0

Number

4,455

9,894

12,632

 

Race/Ethnicity of Waiting Children (%)

1998

1999

2000

Alaska Native/American Indian

1.1

1.0

0.7

Asian/Pacific Islander

1.5

1.6

1.9

Black

27.2

31.2

30.7

Hispanic

29.9

33.6

35.8

White

40.2

32.4

30.8

Two or more races

-

-

-

Unknown

0.1

0.2

0.2

Total %

100.0

100.0

100.0

Number

4,455

9,894

12,632

6) Waiting children are children who have a goal of adoption and/or whose parentsÂ’ rights have been terminated. Children 16 years and older with TPR, but with a goal of emancipation, have been excluded from the waiting children and TPR populations. Back

E. Children Adopted
(AFCARS Annual Foster Care Database)

 

Age of Adopted Children (%)

1998

1999

2000

Under 1 year

3.1

2.2

2.3

1-5 years

61.2

63.8

56.9

6-10 years

28.1

25.7

29.0

11-15 years

6.8

7.1

10.1

16+ years

0.7

1.2

1.7

Unknown

-

-

0.0

Total %

100.0

100.0

100.0

Number

4,418

6,337

8,693

 

Race/Ethnicity of Adopted Children (%)

1998

1999

2000

Alaska Native/American Indian

0.6

0.9

0.5

Asian/Pacific Islander

2.5

2.2

1.3

Black

24.2

19.5

22.0

Hispanic

33.5

31.7

34.1

White

38.0

42.9

34.7

Two or more races

-

0.0

0.2

Unknown

1.2

2.7

7.2

Total %

100.0

100.0

100.0

Number

4,418

6,337

8,693

 

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California [ Outcomes Data ]

 

1. Reduce Recurrence of Child Abuse and/or Neglect
(NCANDS)

1.1 Recurrence of Maltreatment Within 6 Months (%)

1998

1999

2000

Children without a recurrence

-

88.9

89.3

Children with one or more recurrences

-

11.1

10.7

Total %

-

100.0

100.0

Number

-

60,893

60,886

 

Bar chart describing Percentage of Children With One or More Recurrences of Maltreatment within 6 months data from Table 1.1 above.

 

2. Reduce the Incidence of Child Abuse and/or Neglect in Foster Care
(NCANDS, AFCARS Annual Foster Care Database Jan —Sept)

2.1 Maltreatment in Foster Care (%)

1998

1999

2000

Children maltreated while in foster care

-

-

-

Children not maltreated while in foster care

-

-

-

Total %

-

-

-

Number

-

-

-

3. Increase Permanency for Children in Foster Care
(AFCARS Annual Foster Care Database)

3.1 Exits from Foster Care (%)

1998

1999

2000

Adoption

6.2

12.3

15.4

Guardianship

2.6

3.2

7.1

Reunification

47.0

68.2

61.7

Other

8.9

15.3

14.4

Missing data

35.3

1.0

1.5

Total %

100.0

100.0

100.0

Number

50,049

39,156

50,112

Pie Charts describing data from Table 3.1 above.

 

3.2 Exits of Disabled Children (%)

1998

1999

2000

Adoption

6.6

17.1

24.7

Guardianship

2.7

1.8

6.0

Reunification

46.1

63.1

56.1

Other

9.0

17.4

12.4

Missing data

35.6

0.7

0.8

Total %

100.0

100.0

100.0

Number

988

2,228

4,441

 

3.3 Exits of Children Over Age 12 at Entry (%)

1998

1999

2000

Adoption

0.4

0.7

0.6

Guardianship

0.9

1.5

2.2

Reunification

48.3

58.3

56.0

Other

21.5

38.7

39.9

Missing data

29.0

0.8

1.3

Total %

100.0

100.0

100.0

Number

13,265

10,278

11,795

 

3.4 Exits to Emancipation (%)

1998

1999

2000

Children age 12 or younger at entry

36.2

32.9

34.7

Children older than 12 at entry

63.7

67.1

65.3

Missing data

0.1

0.1

-

Total %

100.0

100.0

100.0

Number

2,739

3,728

4,489

 

3.5 Exits by Race/Ethnicity (%)

Alaska Native/A.I.

Asian/P.I.

Black

Hispanic

 

1998

1999

2000

1998

1999

2000

1998

1999

2000

1998

1999

2000

Adoption

7.0

9.2

10.0

3.1

7.4

8.6

5.7

12.0

15.9

5.3

11.4

14.9

Guardianship

6.9

5.6

13.5

2.1

1.3

3.4

2.9

3.1

9.2

2.0

2.4

7.0

Reunification

43.4

69.0

58.0

52.9

78.7

75.9

44.8

62.6

54.9

50.0

71.9

63.8

Other

8.0

14.8

17.3

7.4

11.9

10.9

12.5

21.6

19.0

7.3

13.2

12.6

Missing data

34.8

1.3

1.2

34.6

0.8

1.2

34.1

0.7

1.1

35.3

1.1

1.7

Total %

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

Number

627

533

572

1,504

1,237

1,553

12,166

9,269

12,385

16,168

13,108

17,696

 

White

Unable to Determine

Two or More Races

Missing Data

 

1998

1999

2000

1998

1999

2000

1998

1999

2000

1998

1999

2000

Adoption

7.6

14.1

16.6

3.7

2.3

2.0

-

-

35.6

-

-

-

Guardianship

3.0

4.2

5.9

1.6

2.5

3.3

-

-

6.8

-

-

-

Reunification

45.5

66.9

62.4

45.6

86.1

86.0

-

-

47.0

-

-

-

Other

8.1

13.7

13.5

5.4

7.4

5.6

-

-

10.6

-

-

-

Missing data

35.9

1.1

1.5

43.8

1.7

3.2

-

-

-

-

-

-

Total %

100.0

100.0

100.0

100.0

100.0

100.0

-

-

100.0

-

-

-

Number

19,009

14,533

17,110

575

476

664

-

-

132

-

-

-

 

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4. Reduce Time to Reunification Without Increasing Re-entry
(AFCARS Annual Foster Care Database)

4.1 Time to Reunification (%)

1998

1999

2000

Less than 12 mos.

54.9

54.0

53.2

At least 12 mos., but less than 24 mos.

26.0

27.0

24.2

At least 24 mos., but less than 36 mos.

7.9

9.8

10.3

At least 36 mos., but less than 48 mos.

3.4

2.9

4.0

48 or more mos.

6.3

4.4

6.5

Missing data

1.5

1.9

1.8

Total (%)

100.0

100.0

100.0

Number

23,519

26,707

30,908

Bar chart describing reunification percentages data in Table 4.1 above.

 

4.2 Children Who Entered Foster Care (%)

1998

1999

2000

Children entering care for the first time

78.2

81.1

80.1

Children re-entering care within 12 mos. of a prior episode

13.9

10.2

10.7

Children re-entering care more than 12 mos. after a prior episode

6.9

8.4

9.0

Missing data

1.0

0.3

0.2

Total (%)

100.0

100.0

100.0

Number

52,997

43,587

45,685

Bar chart describing re-entries into Foster Care within 12 months from data in Table 4.2 above.

 

5. Reduce Time in Foster Care to Adoption
(AFCARS Annual Foster Care Database)

5.1 Time to Adoption (%)

1998

1999

2000

Less than 12 mos.

12.2

5.8

2.4

At least 12 mos., but less than 24 mos.

23.9

25.7

15.7

At least 24 mos., but less than 36 mos.

25.7

29.9

30.4

At least 36 mos., but less than 48 mos.

19.5

17.9

23.5

48 or more mos.

18.6

20.6

27.9

Missing data

0.2

0.1

0.2

Total (%)

100.0

100.0

100.0

Number

3,105

4,815

7,693

Bar Chart describing Percentage of Adoptions Occurring in Less Than 24 or greater than 48 Months of Entry data from Table 5.1 above

 

6. Increase Placement Stability
(AFCARS Annual Foster Care Database)

6.1 Number of Placements by Time in Care (%)

Year

Children With 2 or Fewer Placements

Children With 3 or More Placements

Missing Data

Total %

Number

Less than 12 mos.

1998
1999
2000

84.7
76.9
77.7

15.3
23.1
22.2

0.0
0.0
0.0

100.0
100.0
100.0

59,548
47,401
49,747

At least 12 mos., but <24 mos.

1998
1999
2000

69.8
62.3
59.0

30.1
37.7
41.0

0.0
0.0
0.0

100.0
100.0
100.0

36,159
36,004
32,324

At least 24 mos., but <36 mos.

1998
1999
2000

61.6
56.8
53.9

38.4
43.2
46.1

0.0
-
0.0

100.0
100.0
100.0

18,868
23,460
23,964

At least 36 mos., but <48 mos.

1998
1999
2000

59.4
53.0
50.7

40.6
47.0
49.3

-
0.0
0.0

100.0
100.0
100.0

11,927
13,239
16,439

48 or more mos.

1998
1999
2000

61.4
55.6
51.4

38.5
44.4
48.6

0.0
-
0.0

100.0
100.0
100.0

35,355
36,243
39,691

Missing data

1998
1999
2000

99.5
94.8
94.6

0.5
5.2
5.4

-
-
-

100.0
100.0
100.0

959
746
754

 

Bar chart describing foster care placements over time percentages data from Table 6.1 above.

 

7. Reduce Placements of Young Children in Group Homes or Institutions
(AFCARS Annual Foster Care Database)

7.1 Most Recent Placement Settings of Children Who Entered Care During the Fiscal Year and Were Age 12 or Younger at the Time of This Placement (%)

1998

1999

2000

Group homes

4.6

4.3

3.8

Institutions

11.1

12.9

9.8

Other settings

84.3

82.8

86.4

Missing data

-

0.0

0.1

Total (%)

100.0

100.0

100.0

Number

37,818

31,671

32,668

 

California [ State Comment ]

Rita Saenz, Director
Department of Social Services
California Health and Human Services Agency
916-657-2598

In addition to our specific comments on the data, California has a number of concerns about the data indicators for the outcomes and the National Standards. States are evaluated against National Standards derived from data they reported through both voluntary and mandatory reporting systems. These systems lack uniformly enforced, consistent data definitions. The National Standards were developed without data from every state. Of those states that reported data on any specific standard, the values were set so that only 25 percent of the states could "pass." Failing even a single National Standard results in a finding of nonconformity. Moreover, questions exist about whether the data indicators, for which the National Standards were established, individually or in combination with one another, accurately capture program outcomes that are truly desirable.

With regard to California's data for Section C—Children in Foster Care (AFCARS Annual Foster Care Database)—the data suggest that there were 703 fewer children in care on October 1, 1999 (117,234) than on the preceding day, September 30, 1999 (117,937). This is misleading because September 30 is the end of one six-month reporting period, and October 1 is the beginning of a new six-month reporting period. The October report is not run until six months after the October 1 start date. The end of the FFY caseload cannot match the beginning of the FFY caseload when the files are six months apart. The discrepancy is caused by late entry adjustments to two different reporting periods.

The data for Section E—Children Adopted (AFCARS Annual Adoption Database—indicate that 8,693 children were adopted in FFY 2000. However, outcome measure 5.1 shows 7,693 children reported as discharged to a finalized adoption in FFY 2000 from the AFCARS Foster Care Database. The disparity may have occurred because: (1) information for this reporting period originated from two different tables, and (2) an AFCARS mapping error has been identified which resulted in foster care selection criteria that are too restrictive. This is scheduled for correction.

The data for outcome 3.4 indicate a continuous increase in the number of youth emancipated from foster care over the 3-year period. This trend is the result of improved reporting practices and the aging of the foster care population.

With regard to outcome 1.1—Recurrence of Maltreatment within 6 months—a state sample of cases indicated that approximately two thirds had at least one additional occurrence of abuse or neglect. The remaining cases (approximately 33 percent) had subsequent reports that referred to a previously reported instance of abuse or neglect or to an event that was not abuse or neglect. Following the Federal Child and Family Services Review, California will be examining this data more closely to improve data quality.

Finally, California's SACWIS is being reconfigured to capture the data necessary to compute outcome measure 2.1—Maltreatment in Foster Care.

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California [ Federal Comment ]

The following discussion focuses on California's performance with regard to each of the outcomes assessed in the Child Welfare Outcomes Annual Reports to Congress. Information from the State's Child and Family Services Review (CFSR) Final Report is used to provide a context for interpreting the State's performance (the California CFSR was conducted in FY 2002). Because data reported in the State Data Pages do not address child well-being issues, the last section of this discussion provides information from the CFSR Final Report relevant to the State's performance in meeting children's educational and physical and mental health needs.

Outcome 1. Reduce recurrence of child abuse and/or neglect
In calendar year (CY) 2000, California's rate of maltreatment recurrence within 6 months was 10.7 percent, which is higher than both the national standard of 6.1 percent and the national median of 7.9 percent. According to information from the CFSR Final Report, the State believes that the actual rate of maltreatment recurrence is 7.3 percent, although this is still higher than the national standard of 6.1 percent. Information from the CFSR Final Report suggests that a primary reason for the recurrence of maltreatment may be high caseworker caseloads that prevent caseworkers from conducting in-depth risk assessments and providing intensive in-home services.

Outcome 2. Reduce the incidence of child abuse and/or neglect in foster care
California's performance with regard to outcome 2 cannot be assessed in the Federal Comment section because the State did not provide data for CY 2000 to the National Child Abuse and Neglect Data System (NCANDS) to calculate this measure. Only data from NCANDS are used for this outcome in the Report to Congress. However, for the CFSR, the State provided data for this outcome measure using an alternative source. This information is provided in California's CFSR Final Report.

Outcome 3. Increase permanency for children in foster care
In fiscal year (FY) 2000, 84.2 percent of children exiting foster care were discharged to permanent homes (which is about equal to the national median of 84.7), and 86.8 percent of children with a diagnosed disability who exited foster care were discharged to permanent homes (which is higher than the national median of 79.5 percent). However, only 58.8 percent of children exiting foster care who were older than age 12 at entry into foster care were discharged to permanency homes, which is lower than the national median of 72.6. These data suggest that although the State is effective in achieving permanency for children in general and for children with a diagnosed disability, it is less consistently effective in achieving permanency for children who are older than age 12 when they enter foster care. In addition, 34.7 percent of the children who were emancipated from foster care during FY 2000 were age 12 or younger when they entered care, which is higher than the national median of 24.2 percent. This suggests that a number of children exiting foster care in FY 2000 “grew up” in the system. Information from the CFSR Final Report suggests that a primary barrier to achieving permanency may be the agency practice of establishing legal guardianship relationships but maintaining the family on the foster care roles so that the child is not reported as discharged from foster care. Other potential barriers to achieving permanency include the following: (1) contact between caseworkers and parents in some cases that is not sufficient to promote attainment of case goals; (2) failure to file for termination of parental rights in some cases in which reunification efforts have not been successful, and (3) belief among some agency caseworkers that older children are “unadoptable.”

Outcome 4. Reduce time to reunification without increasing re-entry
In FY 2000, the percentage of all reported reunifications occurring within 12 months of children's entry into foster care was 53.2, which is lower than both the national standard of 76.2 percent and the national median of 68.0 percent. Information from the CFSR Final Report suggests that a key barrier to achieving reunification within 12 months of the time of entry into foster care is a California statute that permits an extension of reunification services to 18 months if the court determines that there is a likelihood that reunification will be successful within that extended period.

Also in FY 2000, the percentage of children re-entering foster care within 12 months of discharge from a prior foster care episode was 10.7, which is higher than the national standard of 8.6 percent and about equal to the national median of 10.3 percent. Information from the CFSR Final Report identifies the following as potential barriers to preventing foster care re-entries: (1) insufficient resources for post-reunification services, and (2) adherence to timelines for reunification without consideration of whether sufficient services have been provided to reduce the risk of harm to children.

Outcome 5. Reduce time in foster care to adoption
In FY 2000, the percentage of all finalized adoptions occurring within 24 months of the child's entry into foster care was 18.1 percent, which is lower than both the national standard of 32.0 percent and the national median of 19.7 percent. Information from the CFSR Final Report identifies the following as potential barriers to achieving adoptions in a timely manner: (1) the reluctance of the courts and the agency to seek termination of parental rights unless there is an adoptive home ready to take the child; (2) agency delays in conducting home studies and completing paperwork; and (3) the belief of many agency workers that the adoption assistance program does not provide sufficient financial supports and services to warrant moving children out of foster care.

Outcome 6. Increase placement stability
In FY 2000, the percentage of children who experienced no more than 2 placements during their first 12 months in foster care was 77.7, which is lower than both the national standard of 86.7 percent and the national median of 84.3. Information from the CFSR Final Report identifies the following as potential barriers to achieving placement stability: (1) lack of adequate attention to the ability of foster parents or relative caretakers to meet the needs of specific children; (2) use of emergency shelter placements at the time of removal from home, particularly when children are removed by law enforcement personnel; and (3) lack of sufficient placement resources to meet the needs of children with complex mental health or behavioral problems.

Outcome 7. Reduce placements of young children in group homes and institutions
In FY 2000, the percentage of children age 12 or younger placed in a group home or institution was 13.6 percent, which is higher than the national median of 9.0. Information in the CFSR Final Report suggests that performance on this measure may be attributed to the use of emergency shelter care at the time of children's entry into foster care, even for young children.

Child well-being outcomes
With respect to child well-being, information in the CSFR Final Report indicates that the State is generally effective in meeting children physical health needs but is less consistently effective in meeting children's educational and mental health needs. The following were identified in the CFSR Final Report as potential barriers to meeting these needs: (1) a failure in some cases to provide services to address identified educational needs; (2) a lack of responsiveness of the school system to children in foster care; (3) lack of sufficient training for caseworkers and foster parents on advocating for their children with the school system; (4) lack of sufficient attention to mental health needs of children who remain in their own homes; and (5) a lack of sufficient mental heal