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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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Oklahoma [ Context Data ]

A. Key Context Statistics

General Population

1998

1999

2000

Total children under 18 years

879,367

882,062

892,360

Race/ethnicity (%)1

 Alaska Native/American Indian

10.1

9.7

10.6

 Asian/Pacific Islander

1.4

1.5

1.3

 Black

9.6

9.5

9.3

 Hispanic

6.0

6.2

7.9

 White

72.9

73.1

64.6

 Two or more races

N/A

N/A

6.2

 Other

N/A

N/A

0.1

% Child population in poverty

19.8

16.7

24.1

% Child population living in metropolitan areas

61.5

61.7

61.5

 

Child Welfare

1998

1999

2000

Child maltreatment victims

16,584

16,210

13,861

Children in foster care on 9/30

7,233

8,173

8,406

Children adopted

505

825

1,062

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

60,340

60,955

59,955

68.6 per 1,000

69.1 per 1,000

67.2 per 1,000

Child maltreatment victims2

16,584

16,210

13,861

18.9 per 1,000

18.4 per 1,000

15.5 per 1,000

Child fatalities

45

47

45

5.1 per 100,000

5.3 per 100,000

5.0 per 100,000

 

Age of Child Victims (%)

1998

1999

2000

Under 1 year

8.9

9.3

11.2

1-5 years

31.3

31.4

32.6

6-10 years

30.2

30.5

28.7

11-15 years

23.0

23.0

21.7

16+ years

4.9

4.4

4.5

Unknown

1.8

1.4

1.2

Total %

100.0

100.0

100.0

Number

16,584

16,210

13,861

 

Race/Ethnicity of Child Victims (%)

1998

1999

2000

Alaska Native/American Indian

13.6

14.4

12.7

Asian/Pacific Islander

0.3

0.5

0.5

Black

14.3

13.5

12.9

Hispanic

4.7

5.2

6.2

White

68.7

69.1

63.0

Two or more races

N/A

N/A

3.5

Other/Unknown

3.1

2.6

1.2

Total %3

104.7

105.2

100.0

Number

16,584

16,210

13,861

 

Maltreatment Type of Child Victims (%)

1998

1999

2000

Emotional abuse

10.9

11.4

11.2

Medical neglect

3.3

3.1

3.3

Neglect

93.7

98.0

80.0

Physical abuse

24.9

24.9

19.9

Sexual abuse

8.5

8.0

7.8

Other

10.6

13.2

-

Unknown

-

-

1.4

Total %4

151.9

158.6

123.6

Number

16,584

16,210

13,861

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)

6,214

6,346

5,337

7,233

12,560

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

6,432

6,484

4,746

8,173

12,916

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

7,204

6,558

5,364

8,406

13,762

Median Length of Stay (Months)

 

 

 

 

 

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

13.2

N/A

4.2

12.9

N/A

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

14.5

N/A

6.4

11.6

N/A

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

13.4

N/A

7.6

11.9

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

4.0

4.4

4.2

11.3

11.1

11.5

5.9

5.3

4.5

4.6

4.4

4.9

1-5 years

27.0

27.7

25.8

27.7

27.1

26.7

27.6

28.7

26.5

26.9

26.7

26.4

6-10 years

26.7

27.4

26.3

23.2

21.1

21.6

23.7

23.7

23.0

26.2

25.0

24.5

11-15 years

27.5

27.0

27.5

25.2

25.2

24.7

23.1

21.1

22.7

26.0

27.0

26.3

16-18 years

14.5

13.3

16.0

12.6

15.4

15.4

18.9

20.9

23.0

16.3

16.5

17.4

19+ years

0.2

0.1

0.2

0.0

-

0.0

0.7

0.2

0.2

0.1

0.3

0.4

Unknown

0.1

0.0

0.0

0.0

0.1

0.1

0.0

0.1

0.1

0.0

0.0

0.0

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

6,214

6,432

7,204

6,346

6,484

6,558

5,337

4,746

5,364

7,233

8,173

8,406

 

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

14.5

14.7

12.0

15.3

14.3

18.4

14.2

14.0

12.8

15.4

14.8

16.4

Asian/Pacific Islander

0.1

0.2

0.1

0.3

0.3

0.8

0.2

0.3

0.3

0.2

0.2

0.5

Black

25.7

24.8

21.6

20.0

19.5

17.3

20.6

20.7

19.7

24.5

23.0

19.5

Hispanic

4.5

4.6

4.7

5.3

5.6

6.0

5.5

5.5

6.6

4.4

4.8

4.5

White

55.0

55.3

51.0

58.4

58.7

50.0

58.9

58.6

52.5

55.1

56.1

49.3

Two or more races

-

0.1

10.2

-

1.0

6.9

-

0.3

7.7

-

0.7

9.2

Unknown

0.3

0.3

0.3

0.8

0.8

0.7

0.7

0.7

0.5

0.4

0.5

0.5

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

6,214

6,432

7,204

6,346

6,484

6,558

5,337

4,746

5,364

7,233

8,173

8,406

 

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

1,422

1,832

1,767

Children whose parents' rights have been terminated (TPR)

11

25

18

 

Age of Waiting Children (%)

1998

1999

2000

Under 1 year

3.1

2.6

2.5

1-5 years

32.9

29.9

29.3

6-10 years

36.1

33.1

33.1

11-15 years

24.8

30.2

31.2

16+ years

2.8

3.8

3.5

Unknown

0.3

0.4

0.5

Total %

100.0

100.0

100.0

Number

1,422

1,832

1,767

 

Race/Ethnicity of Waiting Children (%)

1998

1999

2000

Alaska Native/American Indian

13.6

13.9

11.4

Asian/Pacific Islander

-

0.3

-

Black

35.0

31.1

25.4

Hispanic

4.5

5.0

3.7

White

46.5

49.3

47.2

Two or more races

-

0.2

11.8

Unknown

0.4

0.3

0.5

Total %

100.0

100.0

100.0

Number

1,422

1,832

1,767

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

2.0

2.1

1.4

1-5 years

45.1

39.4

40.9

6-10 years

34.1

37.0

35.4

11-15 years

16.4

19.0

18.6

16+ years

2.4

2.5

3.7

Unknown

-

-

-

Total %

100.0

100.0

100.0

Number

505

825

1,062

 

Race/Ethnicity of Adopted Children (%)

1998

1999

2000

Alaska Native/American Indian

11.7

9.6

11.7

Asian/Pacific Islander

0.4

0.4

0.9

Black

24.4

22.5

24.9

Hispanic

3.2

4.2

6.5

White

56.2

56.6

51.1

Two or more races

3.6

6.3

4.6

Unknown

0.6

0.4

0.3

Total %

100.0

100.0

100.0

Number

505

825

1,062

 

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Oklahoma [ 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

87.3

88.2

88.3

Children with one or more recurrences

12.7

11.8

11.7

Total %

100.0

100.0

100.0

Number

7,667

7,108

6,287

 

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

1.3

1.0

1.3

Children not maltreated while in foster care

98.7

99.0

98.7

Total %

100.0

100.0

100.0

Number

11,483

11,868

12,478

 

Bar chart describing Percentage of Children Maltreated While in Foster Care data from Table 2.1 above.

 

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

3.1 Exits from Foster Care (%)

1998

1999

2000

Adoption

8.0

17.6

19.7

Guardianship

0.9

2.2

2.3

Reunification

57.0

73.8

71.0

Other

5.1

6.4

6.9

Missing data

28.9

-

-

Total %

100.0

100.0

100.0

Number

5,337

4,746

5,364

 

Pie Charts describing data from Table 3.1 above.

 

3.2 Exits of Disabled Children (%)

1998

1999

2000

Adoption

20.4

39.6

42.0

Guardianship

0.7

2.2

2.4

Reunification

35.5

45.7

43.4

Other

9.2

12.6

12.2

Missing data

34.2

-

-

Total %

100.0

100.0

100.0

Number

991

692

655

 

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

1998

1999

2000

Adoption

0.7

1.0

1.3

Guardianship

0.5

0.4

0.9

Reunification

46.5

83.4

82.2

Other

11.1

15.1

15.7

Missing data

41.2

-

-

Total %

100.0

100.0

100.0

Number

1,599

1,448

1,794

 

3.4 Exits to Emancipation (%)

1998

1999

2000

Children age 12 or younger at entry

31.5

36.4

27.8

Children older than 12 at entry

68.5

63.6

68.5

Missing data

-

-

3.7

Total %

100.0

100.0

100.0

Number

92

88

54

 

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

15.0

10.0

9.1

-

-

8.5

17.7

22.3

7.1

17.8

21.5

Guardianship

0.9

2.7

1.5

-

-

-

0.3

0.6

1.8

-

3.1

2.5

Reunification

60.1

75.3

79.7

63.6

100.0

82.4

56.3

74.9

69.3

63.6

73.0

70.1

Other

6.5

6.9

8.9

-

-

17.6

4.6

6.7

6.6

3.7

6.2

5.9

Missing data

25.6

-

-

27.3

-

-

30.4

-

-

25.5

-

-

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

759

665

688

11

14

17

1,097

981

1,055

294

259

354

 

White

Unable to Determine

Two or More Races

Missing Data

 

1998

1999

2000

1998

1999

2000

1998

1999

2000

1998

1999

2000

Adoption

8.3

18.2

19.4

-

9.4

24.0

-

33.3

30.2

-

-

-

Guardianship

1.2

2.6

2.7

2.9

3.1

4.0

-

-

2.2

-

-

-

Reunification

56.0

73.0

70.9

40.0

81.2

68.0

-

60.0

62.8

-

-

-

Other

5.2

6.2

7.0

2.9

6.2

4.0

-

6.7

4.9

-

-

-

Missing data

29.3

-

-

54.3

-

-

-

-

-

-

-

-

Total %

100.0

100.0

100.0

100.0

100.0

100.0

-

100.0

100.0

-

-

-

Number

3,141

2,780

2,814

35

32

25

-

15

411

-

-

-

 

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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.

81.6

81.5

80.2

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

11.5

12.0

13.5

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

3.7

3.5

3.5

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

1.4

1.1

1.2

48 or more mos.

1.0

0.7

0.9

Missing data

0.8

1.2

0.7

Total (%)

100.0

100.0

100.0

Number

3,042

3,504

3,811

 

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

82.1

74.8

76.0

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

11.9

17.3

15.3

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

4.4

5.2

6.9

Missing data

1.7

2.7

1.8

Total (%)

100.0

100.0

100.0

Number

6,346

6,484

6,558

 

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.

10.5

7.7

6.7

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

21.7

19.9

24.6

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

20.3

26.4

26.1

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

21.3

21.5

16.4

48 or more mos.

25.7

24.5

25.9

Missing data

0.5

-

0.3

Total (%)

100.0

100.0

100.0

Number

428

833

1,056

 

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

75.3
76.5
75.9

24.7
23.5
24.1

-
-
-

100.0
100.0
100.0

7,192
7,269
7,618

At least 12 mos., but <24 mos.

1998
1999
2000

47.8
42.0
48.2

52.2
58.0
51.8

-
-
-

100.0
100.0
100.0

2,282
2,231
2,566

At least 24 mos., but <36 mos.

1998
1999
2000

40.6
32.8
30.9

59.4
67.2
69.1

-
-
-

100.0
100.0
100.0

1,211
1,296
1,330

At least 36 mos., but <48 mos.

1998
1999
2000

44.9
33.5
23.7

55.1
66.5
76.3

-
-
-

100.0
100.0
100.0

709
805
806

48 or more mos.

1998
1999
2000

55.2
42.6
29.8

44.8
57.4
70.2

-
-
-

100.0
100.0
100.0

1,124
1,259
1,414

Missing data

1998
1999
2000

97.6
100.0
100.0

2.4
-
-

-
-
-

100.0
100.0
100.0

42
56
28

 

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

18.0

13.4

13.2

Institutions

1.3

1.5

1.3

Other settings

80.7

85.2

85.4

Missing data

-

-

-

Total (%)

100.0

100.0

100.0

Number

4,225

4,081

4,182

 

Oklahoma [ State Comment ]

Linda Smith, Director
Children and Family Services Division
Oklahoma Department of Human Services
405-521-3646

Oklahoma?s comments regarding State data for Child Welfare Outcomes 2000: Annual Report are the following:

Child Welfare Context Data, Section A, Child Maltreatment Victims
An alternative response system was implemented in April 1999. Changes in overall and individual findings were made in May 2000. Effective December 2000, children assessed under the alternative response system were no longer reported to NCANDS as victims. These changes affected the number of child maltreatment victims and the victimization rate for Oklahoma.

Child Welfare Context Data, Section B, Child Fatalities
Oklahoma investigates all child fatalities, including those with no surviving siblings, and those not reported directly to the agency. Child fatalities due to failure to protect or improper supervision, such as unsupervised or improperly supervised children who die in a house fire or by drowning, are included in the statistics. These factors may account for the higher rate of child fatalities attributed to maltreatment in Oklahoma.

Child Welfare Context Data, Section C
The Oklahoma AFCARS extraction process was based on placement transaction dates, rather than removal transaction dates, resulting in under-reporting of foster care entries and exits. The extraction process has been corrected effective for the submission period beginning April 1, 2001.

Child Welfare Context Data, Section D, Termination of Parental Rights (TPR)
The TPR data includes only children with a case plan goal of adoption, for whom the parental rights of both parents were terminated, and who exited to finalized adoption during the year.

Child Welfare Outcome Data, Measure 2.1, Maltreatment in Foster Care
The Oklahoma NCANDS submission includes maltreatment in foster care, but excludes maltreatment in institutions.

Child Welfare Outcome Data, Measure 4.2, Foster Care Re-entries
Oklahoma under-reported foster care entries and exits resulting in an inaccurate rate of foster care re-entries within a 12-month period of a prior episode.

Child Welfare Outcome Data, Measure 5.1, Exits to Adoption
Oklahoma reported exits to trial rather than finalized adoptions for 1998-2000.

Child Welfare Outcome Data, Measure 6.1, Number of Placements
Oklahoma included respite, short-term hospital and psychiatric stays, and multiple placements with the same provider, in the number of placement settings for 1998-2000.

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Oklahoma [ Federal Comment ]

The following discussion focuses on Oklahoma?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 Oklahoma 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, the rate of maltreatment recurrence within 6 months of a prior substantiated report was 11.7 percent, which is higher than both the national standard of 6.1 percent and the national median of 7.9 percent. Information from the CFSR suggests that the actual maltreatment recurrence rate may be higher than the reported rate because maltreatment reports on open child welfare agency cases are not always investigated as new reports, although this practice is not consistent with agency policy. Information from the CFSR Final Report identifies the following as potential barriers to preventing maltreatment recurrence: (1) a high level of staff turnover among staff conducting investigations and assessments; (2) the agency?s reluctance to establish court-ordered services in cases in which children remain in their homes, so that parent?s participation in services is voluntary; and (3) the questionable effectiveness of services for ensuring the child?s safety and reducing risk of harm.

Outcome 2. Reduce incidence of maltreatment in foster care
In CY 2000, the incidence of maltreatment in foster care was 1.3 percent, which is higher than both the national standard of 0.57 percent and the national median of 0.47 percent. Information from the CFSR Final Report indicates that although the State has numerous standards in place to ensure that children in foster care are protected, concerns were identified regarding the quality of some foster home placements.

Outcome 3. Increase permanency for children in foster care
In fiscal year (FY) 2000, 93.0 percent of children leaving foster care were discharged to permanent homes (which is higher than the national median of 84.7 percent), 87.8 percent of children with a diagnosed disability who exited foster care were discharged to permanent homes (which is greater than the national median of 79.5 percent), and 84.4 percent of children who were older than age 12 at the time of entry into foster care exited to permanent homes (which is greater than the national median of 72.6 percent). These data suggest that the State is effective in attaining permanency for children, including children with disabilities and children who are older than age 12 when they enter foster care. Information from the CFSR Final Report suggests that performance on this outcome may be attributed in part to the following: (1) multidisciplinary Permanency Planning Reviews that are held every 6 months for as long as a child is in foster care; (2) a quality assurance system that examines outcomes related to permanency as well as safety and well-being, and (3) diligent efforts to establish permanency goals in a timely manner and to change goals when necessary.

Outcome 4. Reduce time to reunification without increasing re-entry
In FY 2000, the percentage of all reunifications occurring within 12 months of children?s entry into foster care was 80.2, which exceeds both the national standard of 76.2 percent and the national median of 68.0 percent. Information from the CFSR Final Report suggests that this performance may be attributed in part to the following: (1) the State?s guardianship program that uses funds from the Temporary Assistance for Needy Families Program to assist relatives seeking guardianship, and (2) efforts to pilot Family Group Conferencing programs in several locations in the State.

Oklahoma?s success with regard to reunification within 12 months must be balanced by the finding that in FY 2000, the percentage of children re-entering foster care within 12 months of discharge from a prior foster care episode was 15.3, which exceeds both the national median of 10.3 percent and the national standard of 8.6 percent. Information from the CFSR Final Report notes that the State believes that the actual re-entry rate is lower than the reported rate because some children who are reported as reunified in the automated system actually remain in Department custody and are on a trial home visit. When these children come back into foster care for safety reasons, it is recorded as a re-entry even though the child has remained in State custody. However, information from the CFSR Final Report also notes that there is a lack of post-reunification services for families and children. Although legislation (Aftercare Legislation) was passed to protect children after reunification, the legislation does not provide additional dollars to support post-reunification services.

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 31.3, which does not meet the national standard of 32.0 percent, but is higher than the national median of 19.7 percent. According to information from the CFSR Final Report, the State believes that the actual percentage of finalized adoptions occurring within 24 months of entry into foster care is lower than the reported rate because the State has been coding adoptive placements as discharges to adoption to the Federal Adoption and Foster Care Analysis and Reporting System, rather than only reporting finalized adoptions, as is required by the data indicator. Information from the CFSR Final Report also identifies the following as potential barriers to achieving timely adoptions: (1) delays in filing for termination of parental rights (TPR); (2) a lack of understanding among agency staff of the adoption process; (3) delays in establishing the goal of adoption when reunification efforts appear unsuccessful; and (4) the State statute that permits jury trials for adjudication and termination of parental rights hearings. As noted in the CFSR Final Report, the State has implemented recent initiatives to address many of these barriers.

Outcome 6. Increase placement stability
In FY 2000, the percentage of children in foster care for less than 12 months who experienced no more than 2 placements was 75.9, which is less than both the national standard of 86.7 percent and the national median of 84.3 percent. Information from the CFSR Final Report identifies the following as potential barriers to achieving placement stability for children: (1) a reliance on shelter placements at the point of initial entry into foster care and as interim placements when other placements disrupt; (2) a scarcity of placement resources, particularly therapeutic foster homes; (3) placements in foster homes that often are made without careful matching of children?s needs and foster parent?s skills; and (4) excessive caseloads that make it difficult for workers to be sufficiently responsive to the needs and concerns of foster parents.

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 14.5, which is higher than the national median of 9.0 percent. Information from the CFSR Final Report suggests that the State?s performance on this measure may be attributed to pervasive use of shelter care as initial placements for children of all ages.

Child well-being outcomes
With respect to child well-being, information from the CFSR Final Report indicates that the agency is not consistent 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) insufficient attention in some cases to children?s educational needs; (2) failure to provide comprehensive health assessments for some children at the point of entry into foster care