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Context Data | Outcomes Data | Federal
Comment
Return to Table of Contents
|
General Population |
1998 |
1999 |
2000 |
|
Total children under 18 years |
2,844,005 |
2,844,071 |
2,888,339 |
|
Race/ethnicity (%)1 |
|||
|
Alaska Native/American Indian |
0.2 |
0.2 |
0.2 |
|
Asian/Pacific Islander |
1.3 |
1.4 |
1.1 |
|
Black |
14.5 |
14.5 |
14.2 |
|
Hispanic |
2.3 |
2.4 |
2.8 |
|
White |
81.7 |
81.6 |
79.2 |
|
Two or more races |
N/A |
N/A |
2.3 |
|
Other |
N/A |
N/A |
0.3 |
|
% Child population in poverty |
16.1 |
17.6 |
14.6 |
|
% Child population living in metropolitan areas |
84.6 |
89.5 |
80.7 |
|
Child Welfare |
1998 |
1999 |
2000 |
|
Child maltreatment victims |
58,938 |
55,921 |
54,084 |
|
Children in foster care on 9/30 |
- |
20,078 |
20,365 |
|
Children adopted |
1,015 |
1,868 |
2,044 |
1) The 2000 Census of the United States includes two new race catagories: (1) Persons of two or more races and (2) Other. Back
|
|
Number |
Rate |
|||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
|
Maltreatment Information Overview |
1998 |
1999 |
2000 |
1998 |
1998 |
2000 |
|||||
|
Children subject of an investigated report alleging child maltreatment |
135,613 |
128,924 |
120,712 |
47.7 per 1,000 |
45.3 per 1,000 |
41.8 per 1,000 |
|||||
|
Child maltreatment victims2 |
58,938 |
55,921 |
54,084 |
20.7 per 1,000 |
19.7 per 1,000 |
18.7 per 1,000 |
|||||
|
Child fatalities |
60 |
58 |
58 |
2.1 per 100,000 |
2.0 per 100,000 |
2.0 per 100,000 |
|||||
|
Age of Child Victims (%) |
1998 |
1999 |
2000 |
|
Under 1 year |
7.6 |
7.6 |
8.2 |
|
1-5 years |
30.6 |
29.6 |
30.2 |
|
6-10 years |
30.0 |
29.9 |
29.6 |
|
11-15 years |
23.0 |
23.8 |
23.7 |
|
16+ years |
6.1 |
6.2 |
6.3 |
|
Unknown |
2.7 |
2.8 |
1.9 |
|
Total % |
100.0 |
100.0 |
100.0 |
|
Number |
58,938 |
55,921 |
54,084 |
|
Race/Ethnicity of Child Victims (%) |
1998 |
1999 |
2000 |
|
Alaska Native/American Indian |
0.4 |
0.3 |
0.4 |
|
Asian/Pacific Islander |
0.2 |
0.2 |
0.3 |
|
Black |
31.8 |
30.1 |
31.2 |
|
Hispanic |
1.3 |
1.3 |
1.1 |
|
White |
62.6 |
64.0 |
63.5 |
|
Two or more races |
N/A |
N/A |
- |
|
Other/Unknown |
4.1 |
4.8 |
5.4 |
|
Total %3 |
100.4 |
100.7 |
101.8 |
|
Number |
58,938 |
55,921 |
54,084 |
|
Maltreatment Type of Child Victims (%) |
1998 |
1999 |
2000 |
|
Emotional abuse |
3.1 |
4.2 |
5.5 |
|
Medical neglect |
0.0 |
0.0 |
0.0 |
|
Neglect |
55.0 |
53.3 |
52.7 |
|
Physical abuse |
27.3 |
28.0 |
27.7 |
|
Sexual abuse |
14.1 |
14.1 |
14.0 |
|
Other |
- |
- |
- |
|
Unknown |
0.4 |
0.3 |
0.1 |
|
Total %4 |
100.0 |
100.0 |
100.0 |
|
Number |
58,938 |
55,921 |
54,084 |
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
|
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) |
- |
- |
- |
- |
- |
|
FY1999 (10/1/98-9/30/99) |
16,951 |
15,946 |
12,819 |
20,078 |
32,897 |
|
FY2000 (10/1/99-9/30/00) |
19,100 |
15,396 |
14,131 |
20,365 |
34,496 |
|
Median Length of Stay (Months) |
|
|
|
|
|
|
FY1998 (10/1/97-9/30/98) |
- |
N/A |
- |
- |
N/A |
|
FY1999 (10/1/98-9/30/99) |
12.6 |
N/A |
4.8 |
13.4 |
N/A |
|
FY2000 (10/1/99-9/30/00) |
14.0 |
N/A |
7.4 |
14.4 |
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 |
- |
5.3 |
5.4 |
- |
12.7 |
12.9 |
- |
5.7 |
5.4 |
- |
5.5 |
5.4 |
|
1-5 years |
- |
24.0 |
24.9 |
- |
24.8 |
24.7 |
- |
25.5 |
27.3 |
- |
24.8 |
24.8 |
|
6-10 years |
- |
23.0 |
23.8 |
- |
21.5 |
21.1 |
- |
20.2 |
21.5 |
- |
23.5 |
23.0 |
|
11-15 years |
- |
29.0 |
28.5 |
- |
28.6 |
28.5 |
- |
25.3 |
24.0 |
- |
28.6 |
28.8 |
|
16-18 years |
- |
17.2 |
16.1 |
- |
12.0 |
12.6 |
- |
21.7 |
20.4 |
- |
15.9 |
16.6 |
|
19+ years |
- |
0.7 |
0.8 |
- |
0.0 |
0.0 |
- |
1.1 |
1.2 |
- |
0.9 |
0.8 |
|
Unknown |
- |
0.9 |
0.6 |
- |
0.3 |
0.2 |
- |
0.5 |
0.2 |
- |
0.9 |
0.6 |
|
Total % |
- |
100.0 |
100.0 |
- |
100.0 |
100.0 |
- |
100.0 |
100.0 |
- |
100.0 |
100.0 |
|
Number |
- |
16,951 |
19,100 |
- |
15,946 |
15,396 |
- |
12,819 |
14,131 |
- |
20,078 |
20,365 |
|
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 |
- |
- |
0.2 |
- |
- |
0.1 |
- |
- |
0.2 |
- |
- |
0.1 |
|
Asian/Pacific Islander |
- |
- |
0.2 |
- |
- |
0.3 |
- |
- |
0.3 |
- |
- |
0.1 |
|
Black |
- |
- |
46.9 |
- |
0.1 |
41.0 |
- |
- |
40.3 |
- |
0.1 |
47.0 |
|
Hispanic |
- |
0.7 |
2.6 |
- |
0.8 |
2.8 |
- |
1.2 |
2.9 |
- |
0.5 |
2.5 |
|
White |
- |
0.3 |
44.2 |
- |
0.5 |
50.5 |
- |
0.2 |
50.7 |
- |
0.5 |
44.4 |
|
Two or more races |
- |
- |
5.1 |
- |
- |
4.2 |
- |
- |
4.3 |
- |
- |
4.9 |
|
Unknown |
- |
99.0 |
0.9 |
- |
98.6 |
1.3 |
- |
98.6 |
1.2 |
- |
98.9 |
1.0 |
|
Total % |
- |
100.0 |
100.0 |
- |
100.0 |
100.0 |
- |
100.0 |
100.0 |
- |
100.0 |
100.0 |
|
Number |
- |
16,951 |
19,100 |
- |
15,946 |
15,396 |
- |
12,819 |
14,131 |
- |
20,078 |
20,365 |
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
|
Overview |
9/30/98 |
9/30/99 |
9/30/00 |
|
Children waiting to be adopted |
- |
3,476 |
4,439 |
|
Children whose parents' rights have been terminated (TPR) |
- |
590 |
3,035 |
|
Age of Waiting Children (%) |
1998 |
1999 |
2000 |
|
Under 1 year |
- |
3.1 |
2.8 |
|
1-5 years |
- |
27.7 |
26.6 |
|
6-10 years |
- |
30.4 |
29.3 |
|
11-15 years |
- |
30.5 |
31.4 |
|
16+ years |
- |
6.9 |
8.2 |
|
Unknown |
- |
1.5 |
1.7 |
|
Total % |
- |
100.0 |
100.0 |
|
Number |
- |
3,476 |
4,439 |
|
Race/Ethnicity of Waiting Children (%) |
1998 |
1999 |
2000 |
|
Alaska Native/American Indian |
- |
- |
0.1 |
|
Asian/Pacific Islander |
- |
- |
- |
|
Black |
- |
0.2 |
48.0 |
|
Hispanic |
- |
0.4 |
2.0 |
|
White |
- |
0.3 |
44.2 |
|
Two or more races |
- |
- |
5.4 |
|
Unknown |
- |
99.1 |
0.4 |
|
Total % |
- |
100.0 |
100.0 |
|
Number |
- |
3,476 |
4,439 |
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
|
Age of Adopted Children (%) |
1998 |
1999 |
2000 |
|
Under 1 year |
2.0 |
7.4 |
6.3 |
|
1-5 years |
53.7 |
48.6 |
48.4 |
|
6-10 years |
29.6 |
28.7 |
28.9 |
|
11-15 years |
13.1 |
13.1 |
13.7 |
|
16+ years |
1.7 |
2.2 |
2.7 |
|
Unknown |
- |
- |
- |
|
Total % |
100.0 |
100.0 |
100.0 |
|
Number |
1,015 |
1,868 |
2,044 |
|
Race/Ethnicity of Adopted Children (%) |
1998 |
1999 |
2000 |
|
Alaska Native/American Indian |
0.1 |
0.2 |
0.2 |
|
Asian/Pacific Islander |
- |
0.1 |
0.3 |
|
Black |
41.6 |
50.9 |
42.5 |
|
Hispanic |
2.0 |
0.4 |
3.6 |
|
White |
50.7 |
46.6 |
45.6 |
|
Two or more races |
- |
- |
6.8 |
|
Unknown |
5.6 |
1.9 |
0.9 |
|
Total % |
100.0 |
100.0 |
100.0 |
|
Number |
1,015 |
1,868 |
2,044 |
|
1.1 Recurrence of Maltreatment Within 6 Months (%) |
1998 |
1999 |
2000 |
|
Children without a recurrence |
- |
- |
- |
|
Children with one or more recurrences |
- |
- |
- |
|
Total % |
- |
- |
- |
|
Number |
- |
- |
- |
|
2.1 Maltreatment in Foster Care (%) |
1998 |
1999 |
2000 |
|
Children maltreated while in foster care |
- |
- |
- |
|
Children not maltreated while in foster care |
- |
- |
- |
|
Total % |
- |
- |
- |
|
Number |
- |
- |
- |
|
3.1 Exits from Foster Care (%) |
1998 |
1999 |
2000 |
|
Adoption |
- |
- |
12.0 |
|
Guardianship |
- |
3.9 |
3.9 |
|
Reunification |
- |
71.6 |
64.2 |
|
Other |
- |
8.6 |
8.4 |
|
Missing data |
- |
16.0 |
11.4 |
|
Total % |
- |
100.0 |
100.0 |
|
Number |
- |
12,819 |
14,131 |

|
3.2 Exits of Disabled Children (%) |
1998 |
1999 |
2000 |
|
Adoption |
- |
- |
15.6 |
|
Guardianship |
- |
2.8 |
3.5 |
|
Reunification |
- |
72.6 |
59.5 |
|
Other |
- |
15.7 |
13.7 |
|
Missing data |
- |
8.9 |
7.7 |
|
Total % |
- |
100.0 |
100.0 |
|
Number |
- |
4,391 |
4,930 |
|
3.3 Exits of Children Over Age 12 at Entry (%) |
1998 |
1999 |
2000 |
|
Adoption |
- |
- |
0.4 |
|
Guardianship |
- |
3.1 |
3.0 |
|
Reunification |
- |
50.8 |
52.8 |
|
Other |
- |
18.1 |
20.1 |
|
Missing data |
- |
28.0 |
23.6 |
|
Total % |
- |
100.0 |
100.0 |
|
Number |
- |
4,548 |
4,601 |
|
3.4 Exits to Emancipation (%) |
1998 |
1999 |
2000 |
|
Children age 12 or younger at entry |
- |
24.2 |
22.5 |
|
Children older than 12 at entry |
- |
75.6 |
77.3 |
|
Missing data |
- |
0.2 |
0.2 |
|
Total % |
- |
100.0 |
100.0 |
|
Number |
- |
952 |
1,028 |
|
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 |
- |
- |
9.7 |
- |
- |
10.0 |
- |
- |
12.0 |
- |
- |
15.3 |
|
|
Guardianship |
- |
- |
6.5 |
- |
- |
2.5 |
- |
- |
4.3 |
- |
4.5 |
5.8 |
|
|
Reunification |
- |
- |
64.5 |
- |
- |
75.0 |
- |
- |
62.9 |
- |
68.8 |
62.0 |
|
|
Other |
- |
- |
6.5 |
- |
- |
- |
- |
- |
8.8 |
- |
5.2 |
8.0 |
|
|
Missing data |
- |
- |
12.9 |
- |
- |
12.5 |
- |
- |
12.0 |
- |
21.4 |
8.8 |
|
|
Total % |
- |
- |
100.0 |
- |
- |
100.0 |
- |
- |
100.0 |
- |
100.0 |
100.0 |
|
|
Number |
- |
- |
31 |
- |
- |
40 |
- |
- |
5,701 |
- |
154 |
411 |
|
|
|
White |
Unable to Determine |
Two or More Races |
Missing Data |
|||||||||
|
|
1998 |
1999 |
2000 |
1998 |
1999 |
2000 |
1998 |
1999 |
2000 |
1998 |
1999 |
2000 |
|
|
Adoption |
- |
- |
11.5 |
- |
- |
6.3 |
- |
- |
18.0 |
- |
- |
- |
|
|
Guardianship |
- |
4.3 |
3.5 |
- |
3.9 |
3.4 |
- |
- |
5.1 |
- |
- |
- |
|
|
Reunification |
- |
78.3 |
65.3 |
- |
71.6 |
66.3 |
- |
- |
63.2 |
- |
- |
- |
|
|
Other |
- |
4.3 |
8.3 |
- |
8.6 |
5.7 |
- |
- |
7.8 |
- |
- |
- |
|
|
Missing data |
- |
13.0 |
11.4 |
- |
16.0 |
18.3 |
- |
- |
5.9 |
- |
- |
- |
|
|
Total % |
- |
100.0 |
100.0 |
- |
100.0 |
100.0 |
- |
- |
100.0 |
- |
- |
- |
|
|
Number |
- |
23 |
7,167 |
- |
12,642 |
175 |
- |
- |
606 |
- |
- |
- |
|
|
4.1 Time to Reunification (%) |
1998 |
1999 |
2000 |
|
Less than 12 mos. |
- |
74.0 |
73.9 |
|
At least 12 mos., but less than 24 mos. |
- |
19.3 |
18.9 |
|
At least 24 mos., but less than 36 mos. |
- |
3.7 |
3.6 |
|
At least 36 mos., but less than 48 mos. |
- |
0.9 |
1.1 |
|
48 or more mos. |
- |
1.2 |
1.1 |
|
Missing data |
- |
0.9 |
1.3 |
|
Total (%) |
- |
100.0 |
100.0 |
|
Number |
- |
9,172 |
9,074 |

|
4.2 Children Who Entered Foster Care (%) |
1998 |
1999 |
2000 |
|
Children entering care for the first time |
- |
68.7 |
72.0 |
|
Children re-entering care within 12 mos. of a prior episode |
- |
12.6 |
13.7 |
|
Children re-entering care more than 12 mos. after a prior episode |
- |
11.4 |
12.4 |
|
Missing data |
- |
7.3 |
1.9 |
|
Total (%) |
- |
100.0 |
100.0 |
|
Number |
- |
15,946 |
15,396 |

|
5.1 Time to Adoption (%) |
1998 |
1999 |
2000 |
|
Less than 12 mos. |
- |
- |
5.4 |
|
At least 12 mos., but less than 24 mos. |
- |
- |
23.8 |
|
At least 24 mos., but less than 36 mos. |
- |
- |
28.2 |
|
At least 36 mos., but less than 48 mos. |
- |
- |
20.2 |
|
48 or more mos. |
- |
- |
22.3 |
|
Missing data |
- |
- |
0.1 |
|
Total (%) |
- |
- |
100.0 |
|
Number |
- |
- |
1,694 |

|
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 |
- |
- |
- |
- |
- |
|
At least 12 mos., but <24 mos. |
1998 |
- |
- |
- |
- |
- |
|
At least 24 mos., but <36 mos. |
1998 |
- |
- |
- |
- |
- |
|
At least 36 mos., but <48 mos. |
1998 |
- |
- |
- |
- |
- |
|
48 or more mos. |
1998 |
- |
- |
- |
- |
- |
|
Missing data |
1998 |
- |
- |
- |
- |
- |

|
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 |
- |
1.1 |
1.1 |
|
Institutions |
- |
3.5 |
2.8 |
|
Other settings |
- |
95.4 |
96.1 |
|
Missing data |
- |
0.0 |
- |
|
Total (%) |
- |
100.0 |
100.0 |
|
Number |
- |
10,527 |
10,102 |
The following discussion focuses on Ohio?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 Ohio 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
Ohio?s performance with regard to outcome 1 cannot be
assessed in the Federal Comment section because the State does not
provide data to the National Child Abuse and Neglect Data System
(NCANDS) for calculating this measure. Only data from NCANDS are
presented for this measure in the Report to Congress. However, for
the CFSR, the State provided data for this measure using an
alternative source. These data are presented in Ohio?s CFSR
Final Report.
Outcome 2. Reduce the incidence of child abuse and/or neglect
in foster care
Ohio?s performance with regard to outcome 2 cannot be
assessed in the Federal Comment section because the State does not
provide data to NCANDS for calculating this measure. Only data from
NCANDS are presented for this measure in the Report to Congress.
However, for the CFSR, the State provided data for this measure
using an alternative source. These data are provided in
Ohio?s CFSR Final Report.
Outcome 3. Increase permanency for children in foster
care
In fiscal year (FY) 2000, 80.1 percent of children leaving foster
care were discharged to permanent homes (which is lower than the
national median of 84.7 percent), and 78.6 percent of children with
a diagnosed disability leaving foster care were discharged to
permanent homes (which is lower than the national median of 79.5
percent). (The data for children older than age 12 at the time of
entry into foster care cannot be assessed because “reason for
discharge” information was not reported for almost 24 percent
of those children.) In general, the data pertaining to outcome 3
suggest that the State is not consistently effective in attaining
permanency for children exiting foster care. Information from the
CFSR Final Report identifies the following as potential barriers to
achieving permanency: (1) a lack of adequate collaboration between
the agency and the courts, and (2) a frequent agency practice of
establishing a case goal of long-term foster care when
reunification efforts fail, without first considering the
permanency goals of guardianship or adoption.
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 73.9, which is lower than the national standard of 76.2
percent, but higher than the national median of 68.0 percent.
Information from the CFSR Final Report notes that the State
believes that the rate of reunification within 12 months is
actually higher than the rate reported to the Federal Adoption and
Foster Care Analysis and Reporting System (AFCARS) because the
State may not be reporting “reason for discharge”
information to AFCARS for all children. The table for outcome
measure 3.1 supports this contention because for FY 2000,
“reason for discharge” information was not reported for
11.4 percent of children exiting from foster care. The CFSR Final
Report also identifies lack of access to services, waiting lists
for services, and crowded court dockets as key barriers to timely
reunifications.
In FY 2000, the percentage of children re-entering foster care within 12 months of discharge from a prior foster care episode was 13.7, which exceeds the national standard of 8.6 percent and the national median of 10.3 percent. Information from the CFSR Final Report identifies the following as potential reasons for foster care re-entries: (1) families are reunified in some cases without adequate assessments of parents? progress in making the necessary changes, (2) the fact that the agency does not use trial home visits or increased visitation prior to reunification to ensure family stability, and (3) a scarcity of supportive services to families provided at the time of reunification.
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
29.2, which does not meet the national standard of 32.0, but is
higher than the national median of 19.7. Information from the CFSR
Final Report identifies the following as potential barriers to
achieving adoptions in a timely manner: (1) agency related delays
including delays in finding adoptive placements and lack of
concurrent planning efforts, and (2) court-related delays due to
crowded dockets and attorney?s requests for continuances.
Outcome 6. Increase placement stability
In FY 2000, the percentage of children experiencing no more than 2
placements during their first 12 months in foster care was 85.8,
which does not meet the national standard of 86.7 percent, but is
higher than the national median of 84.3. Information from the CFSR
Final Report identifies the following as potential barriers to
achieving placement stability: (1) a scarcity of appropriate
placements for children with behavior problems, (2) lack of
services to caregivers to assist them in parenting children with
behavior or emotional problems, and (3) the frequent practice of
placing children in shelters on an emergency basis at the point of
entry into the system.
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 3.9, which is lower than the
national median of 9.0. According to information in the CFSR Final
Report, the low percentage of young children placed in group homes
may be attributed to the State?s efforts to place children in
foster placements that are in their own neighborhoods.
Child well-being outcomes
With respect to child well-being, information from the CSFR Final
Report indicates that the State is not consistently effective in
meeting children?s educational and physical and mental health
needs. The Final Report identifies the following as potential
barriers to meeting these needs: (1) lack of adequate assessments
of children?s educational needs; (2) insufficient attention
to children?s needs for health care services; (3) scarcity of
doctors and dentists who will accept Medicaid in some areas of the
State (4) failure in some cases to provide mental health services
to children with identified mental health needs; and (5) lack of
sufficient mental health services in most areas of the State.