Context Data | Outcomes Data | State
Comment | Federal Comment
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|
General Population |
1998 |
1999 |
2000 |
|
Total children under 18 years |
200,937 |
198,037 |
202,649 |
|
Race/ethnicity (%)1 |
|||
|
Alaska Native/American Indian |
14.1 |
14.4 |
13.3 |
|
Asian/Pacific Islander |
0.8 |
0.9 |
0.6 |
|
Black |
0.7 |
0.7 |
0.8 |
|
Hispanic |
1.8 |
1.8 |
2.2 |
|
White |
82.6 |
82.1 |
80.6 |
|
Two or more races |
N/A |
N/A |
2.3 |
|
Other |
N/A |
N/A |
0.1 |
|
% Child population in poverty |
20.4 |
7.3 |
13.3 |
|
% Child population living in metropolitan areas |
38.9 |
36.1 |
34.3 |
|
Child Welfare |
1998 |
1999 |
2000 |
|
Child maltreatment victims |
2,647 |
2,561 |
3,081 |
|
Children in foster care on 9/30 |
- |
1,101 |
1,215 |
|
Children adopted |
55 |
84 |
94 |
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 |
5,313 |
4,709 |
5,605 |
26.4 per 1,000 |
23.8 per 1,000 |
27.7 per 1,000 |
|||||
|
Child maltreatment victims2 |
2,647 |
2,561 |
3,081 |
13.2 per 1,000 |
12.9 per 1,000 |
15.2 per 1,000 |
|||||
|
Child fatalities |
3 |
3 |
6 |
1.5 per 100,000 |
1.5 per 100,000 |
3.0 per 100,000 |
|||||
|
Age of Child Victims (%) |
1998 |
1999 |
2000 |
|
Under 1 year |
0.8 |
- |
4.1 |
|
1-5 years |
20.9 |
- |
28.6 |
|
6-10 years |
35.5 |
- |
30.2 |
|
11-15 years |
27.8 |
- |
24.4 |
|
16+ years |
10.7 |
- |
10.5 |
|
Unknown |
4.3 |
- |
2.3 |
|
Total % |
100.0 |
- |
100.0 |
|
Number |
2,647 |
- |
3,081 |
|
Race/Ethnicity of Child Victims (%) |
1998 |
1999 |
2000 |
|
Alaska Native/American Indian |
45.1 |
- |
45.4 |
|
Asian/Pacific Islander |
- |
- |
- |
|
Black |
- |
- |
- |
|
Hispanic |
- |
- |
- |
|
White |
42.6 |
- |
48.0 |
|
Two or more races |
N/A |
N/A |
- |
|
Other/Unknown |
12.3 |
- |
6.6 |
|
Total %3 |
100.0 |
- |
100.0 |
|
Number |
2,647 |
- |
3,081 |
|
Maltreatment Type of Child Victims (%) |
1998 |
1999 |
2000 |
|
Emotional abuse |
10.6 |
11.4 |
11.3 |
|
Medical neglect |
- |
- |
- |
|
Neglect |
73.0 |
70.9 |
70.3 |
|
Physical abuse |
23.3 |
25.1 |
21.5 |
|
Sexual abuse |
8.3 |
10.0 |
6.3 |
|
Other |
- |
- |
- |
|
Unknown |
- |
- |
- |
|
Total %4 |
115.3 |
117.5 |
109.4 |
|
Number |
2,647 |
2,561 |
3,081 |
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) |
898 |
1,308 |
1,106 |
1,101 |
2,206 |
|
FY2000 (10/1/99-9/30/00) |
816 |
1,441 |
1,042 |
1,215 |
2,257 |
|
Median Length of Stay (Months) |
|
|
|
|
|
|
FY1998 (10/1/97-9/30/98) |
- |
N/A |
- |
- |
N/A |
|
FY1999 (10/1/98-9/30/99) |
12.7 |
N/A |
2.3 |
10.5 |
N/A |
|
FY2000 (10/1/99-9/30/00) |
11.3 |
N/A |
2.2 |
8.3 |
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 |
- |
4.6 |
5.5 |
- |
13.9 |
12.8 |
- |
9.5 |
9.7 |
- |
6.3 |
6.1 |
|
1-5 years |
- |
28.7 |
27.2 |
- |
33.8 |
32.8 |
- |
35.8 |
33.3 |
- |
26.9 |
29.4 |
|
6-10 years |
- |
29.5 |
28.8 |
- |
26.0 |
26.4 |
- |
26.9 |
27.2 |
- |
27.6 |
25.8 |
|
11-15 years |
- |
28.1 |
27.7 |
- |
20.6 |
21.9 |
- |
18.9 |
19.8 |
- |
28.9 |
28.9 |
|
16-18 years |
- |
8.9 |
10.3 |
- |
5.3 |
5.8 |
- |
8.4 |
9.7 |
- |
10.1 |
9.5 |
|
19+ years |
- |
0.1 |
0.2 |
- |
- |
- |
- |
0.2 |
0.3 |
- |
0.2 |
0.1 |
|
Unknown |
- |
0.1 |
0.2 |
- |
0.5 |
0.2 |
- |
0.3 |
0.1 |
- |
0.1 |
0.2 |
|
Total % |
- |
100.0 |
100.0 |
- |
100.0 |
100.0 |
- |
100.0 |
100.0 |
- |
100.0 |
100.0 |
|
Number |
- |
898 |
816 |
- |
1,308 |
1,441 |
- |
1,106 |
1,042 |
- |
1,101 |
1,215 |
|
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 |
- |
63.8 |
63.4 |
- |
60.2 |
59.7 |
- |
59.2 |
60.3 |
- |
64.2 |
61.6 |
|
Asian/Pacific Islander |
- |
- |
0.1 |
- |
0.1 |
0.1 |
- |
- |
0.1 |
- |
0.1 |
0.2 |
|
Black |
- |
1.8 |
2.3 |
- |
2.7 |
2.2 |
- |
2.4 |
2.9 |
- |
2.2 |
1.6 |
|
Hispanic |
- |
1.9 |
3.6 |
- |
3.4 |
4.2 |
- |
2.0 |
4.1 |
- |
3.5 |
3.9 |
|
White |
- |
32.3 |
29.0 |
- |
32.7 |
31.3 |
- |
35.9 |
30.8 |
- |
29.2 |
30.2 |
|
Two or more races |
- |
- |
1.2 |
- |
0.2 |
2.0 |
- |
0.1 |
1.1 |
- |
0.1 |
2.3 |
|
Unknown |
- |
0.2 |
0.4 |
- |
0.8 |
0.5 |
- |
0.4 |
0.8 |
- |
0.7 |
0.2 |
|
Total % |
- |
100.0 |
100.0 |
- |
100.0 |
100.0 |
- |
100.0 |
100.0 |
- |
100.0 |
100.0 |
|
Number |
- |
898 |
816 |
- |
1,308 |
1,441 |
- |
1,106 |
1,042 |
- |
1,101 |
1,215 |
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 |
- |
284 |
311 |
|
Children whose parents' rights have been terminated (TPR) |
- |
198 |
238 |
|
Age of Waiting Children (%) |
1998 |
1999 |
2000 |
|
Under 1 year |
- |
8.5 |
4.2 |
|
1-5 years |
- |
26.1 |
32.8 |
|
6-10 years |
- |
32.4 |
28.6 |
|
11-15 years |
- |
27.5 |
31.5 |
|
16+ years |
- |
5.3 |
2.6 |
|
Unknown |
- |
0.4 |
0.3 |
|
Total % |
- |
100.0 |
100.0 |
|
Number |
- |
284 |
311 |
|
Race/Ethnicity of Waiting Children (%) |
1998 |
1999 |
2000 |
|
Alaska Native/American Indian |
- |
58.1 |
56.6 |
|
Asian/Pacific Islander |
- |
0.4 |
- |
|
Black |
- |
2.8 |
2.6 |
|
Hispanic |
- |
4.2 |
4.8 |
|
White |
- |
33.5 |
34.4 |
|
Two or more races |
- |
0.4 |
1.6 |
|
Unknown |
- |
0.7 |
- |
|
Total % |
- |
100.0 |
100.0 |
|
Number |
- |
284 |
311 |
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 |
1.8 |
1.2 |
4.3 |
|
1-5 years |
45.5 |
45.2 |
55.3 |
|
6-10 years |
32.7 |
39.3 |
26.6 |
|
11-15 years |
18.2 |
9.5 |
13.8 |
|
16+ years |
1.8 |
4.8 |
- |
|
Unknown |
- |
- |
- |
|
Total % |
100.0 |
100.0 |
100.0 |
|
Number |
55 |
84 |
94 |
|
Race/Ethnicity of Adopted Children (%) |
1998 |
1999 |
2000 |
|
Alaska Native/American Indian |
34.5 |
46.4 |
51.1 |
|
Asian/Pacific Islander |
- |
- |
- |
|
Black |
1.8 |
2.4 |
- |
|
Hispanic |
1.8 |
3.6 |
6.4 |
|
White |
61.8 |
46.4 |
37.2 |
|
Two or more races |
- |
- |
5.3 |
|
Unknown |
- |
1.2 |
- |
|
Total % |
100.0 |
100.0 |
100.0 |
|
Number |
55 |
84 |
94 |
|
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 |
- |
9.9 |
8.3 |
|
Guardianship |
- |
3.1 |
3.9 |
|
Reunification |
- |
77.2 |
76.6 |
|
Other |
- |
6.7 |
8.3 |
|
Missing data |
- |
3.1 |
2.9 |
|
Total % |
- |
100.0 |
100.0 |
|
Number |
- |
1,106 |
1,042 |

|
3.2 Exits of Disabled Children (%) |
1998 |
1999 |
2000 |
|
Adoption |
- |
23.9 |
29.1 |
|
Guardianship |
- |
8.0 |
4.5 |
|
Reunification |
- |
44.2 |
37.3 |
|
Other |
- |
17.7 |
20.9 |
|
Missing data |
- |
6.2 |
8.2 |
|
Total % |
- |
100.0 |
100.0 |
|
Number |
- |
113 |
110 |
|
3.3 Exits of Children Over Age 12 at Entry (%) |
1998 |
1999 |
2000 |
|
Adoption |
- |
0.5 |
1.0 |
|
Guardianship |
- |
4.9 |
5.6 |
|
Reunification |
- |
68.3 |
73.2 |
|
Other |
- |
18.0 |
15.7 |
|
Missing data |
- |
8.2 |
4.5 |
|
Total % |
- |
100.0 |
100.0 |
|
Number |
- |
183 |
198 |
|
3.4 Exits to Emancipation (%) |
1998 |
1999 |
2000 |
|
Children age 12 or younger at entry |
- |
21.7 |
21.7 |
|
Children older than 12 at entry |
- |
78.3 |
78.3 |
|
Missing data |
- |
- |
- |
|
Total % |
- |
100.0 |
100.0 |
|
Number |
- |
23 |
23 |
|
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 |
- |
6.6 |
6.5 |
- |
- |
100.0 |
- |
7.4 |
6.7 |
- |
9.1 |
11.6 |
|
|
Guardianship |
- |
2.6 |
4.6 |
- |
- |
- |
- |
- |
- |
- |
- |
- |
|
|
Reunification |
- |
80.9 |
76.8 |
- |
- |
- |
- |
92.6 |
83.3 |
- |
68.2 |
67.4 |
|
|
Other |
- |
6.9 |
9.1 |
- |
- |
- |
- |
- |
10.0 |
- |
18.2 |
16.3 |
|
|
Missing data |
- |
3.1 |
3.0 |
- |
- |
- |
- |
- |
- |
- |
4.5 |
4.7 |
|
|
Total % |
- |
100.0 |
100.0 |
- |
- |
100.0 |
- |
100.0 |
100.0 |
- |
100.0 |
100.0 |
|
|
Number |
- |
655 |
628 |
- |
- |
1 |
- |
27 |
30 |
- |
22 |
43 |
|
|
|
White |
Unable to Determine |
Two or More Races |
Missing Data |
|||||||||
|
|
1998 |
1999 |
2000 |
1998 |
1999 |
2000 |
1998 |
1999 |
2000 |
1998 |
1999 |
2000 |
|
|
Adoption |
- |
15.6 |
11.2 |
- |
25.0 |
12.5 |
- |
- |
9.1 |
- |
- |
- |
|
|
Guardianship |
- |
4.3 |
3.4 |
- |
- |
12.5 |
- |
- |
- |
- |
- |
- |
|
|
Reunification |
- |
70.8 |
76.9 |
- |
75.0 |
75.0 |
- |
- |
81.8 |
- |
- |
- |
|
|
Other |
- |
6.3 |
5.6 |
- |
- |
- |
- |
- |
9.1 |
- |
- |
- |
|
|
Missing data |
- |
3.0 |
2.8 |
- |
- |
- |
- |
100.0 |
- |
- |
- |
- |
|
|
Total % |
- |
100.0 |
100.0 |
- |
100.0 |
100.0 |
- |
100.0 |
100.0 |
- |
- |
- |
|
|
Number |
- |
397 |
321 |
- |
4 |
8 |
- |
1 |
11 |
- |
- |
- |
|
|
4.1 Time to Reunification (%) |
1998 |
1999 |
2000 |
|
Less than 12 mos. |
- |
81.1 |
84.0 |
|
At least 12 mos., but less than 24 mos. |
- |
9.4 |
6.8 |
|
At least 24 mos., but less than 36 mos. |
- |
2.2 |
1.3 |
|
At least 36 mos., but less than 48 mos. |
- |
0.4 |
0.9 |
|
48 or more mos. |
- |
0.9 |
0.5 |
|
Missing data |
- |
6.0 |
6.6 |
|
Total (%) |
- |
100.0 |
100.0 |
|
Number |
- |
854 |
798 |

|
4.2 Children Who Entered Foster Care (%) |
1998 |
1999 |
2000 |
|
Children entering care for the first time |
- |
62.1 |
65.9 |
|
Children re-entering care within 12 mos. of a prior episode |
- |
14.1 |
14.4 |
|
Children re-entering care more than 12 mos. after a prior episode |
- |
22.5 |
17.8 |
|
Missing data |
- |
1.3 |
1.8 |
|
Total (%) |
- |
100.0 |
100.0 |
|
Number |
- |
1,308 |
1,441 |

|
5.1 Time to Adoption (%) |
1998 |
1999 |
2000 |
|
Less than 12 mos. |
- |
24.5 |
31.0 |
|
At least 12 mos., but less than 24 mos. |
- |
36.4 |
41.4 |
|
At least 24 mos., but less than 36 mos. |
- |
28.2 |
19.5 |
|
At least 36 mos., but less than 48 mos. |
- |
4.5 |
2.3 |
|
48 or more mos. |
- |
6.4 |
5.7 |
|
Missing data |
- |
- |
- |
|
Total (%) |
- |
100.0 |
100.0 |
|
Number |
- |
110 |
87 |

|
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 |
- |
0.7 |
1.2 |
|
Institutions |
- |
15.1 |
15.3 |
|
Other settings |
- |
83.3 |
83.3 |
|
Missing data |
- |
1.0 |
0.3 |
|
Total (%) |
- |
100.0 |
100.0 |
|
Number |
- |
1,015 |
1,108 |
Virgena Wieseler, Administrator
Child Protection Services
South Dakota Department of Social Services
605-773-3227
In Section C - Children in Foster Care we re-ran the data for the number of children in care on 09-30-99 (1039) and 10-01-99 (996). The difference is 43 children, however we believe that number represents the number of children who we showed as discharged to adoption but were not yet finalized. With our latest submission of AFCARS data for fiscal year 2002 A, we are now reporting children as still in care.
Data were not available to calculate outcome measures 1.1 and 2.1 because South Dakota does not submit DCDC data. South Dakota completed SDC for NCANDS and SDC does not include these data. However, data regarding recurrence obtained in preparation for South Dakota's Child and Family Service Review in October 2001 was 14.5% in 1998, 11.1% in 1999 and 11% in 2000.
The following discussion focuses on South Dakota?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. In using CFSR information to interpret performance, it is important to note that the South Dakota CFSR was conducted in 2001 and the national data used for the review to assess performance regarding national standards was from 1999. However, the discussion on State performance relevant to the national standards in the Federal Comment section focuses on data from 2000, as provided in the State Data Pages. In addition, 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
South Dakota?s attainment of 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 outcome. Only data from NCANDS are presented for
this outcome in the Report to Congress. However, for the CFSR, the
State provided data for this outcome using an alternative source.
These data are presented in South Dakota?s CFSR Final Report
and in the State Comment section.
Outcome 2. Reduce incidence of maltreatment in foster
care
South Dakota?s attainment of outcome 2 cannot be evaluated
in the Federal Comment section because the State does not provide
data to NCANDS for calculating this outcome. Only data from NCANDS
are presented for this outcome in the Report to Congress. However,
for the CFSR, the State provided data for this outcome using an
alternative source. These data are presented in South
Dakota?s CFSR Final Report.
Outcome 3. Increase permanency for children in foster
care
In fiscal year (FY) 2000, 88.8 percent of children leaving foster
care were discharged to permanent homes (which is higher than the
national median of 84.7 percent), and 79.8 percent of children who
were older than age 12 at entry into foster care exited foster care
to permanent homes (which is higher than the national median of
72.6). Information from the CFSR Final Report suggests that the
State?s performance on these measures may be attributed to
the availability of subsidized guardianship as a permanency option.
However, only 70.9 percent of children with a diagnosed disability
who exited foster care were discharged to permanent homes, which is
less than the national median of 79.5 percent. This suggests that
although the State appears to be generally effective in
establishing permanency for children, it is less effective in
establishing permanency for children with a diagnosed
disability.
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 84.0,
which is higher 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 the State?s performance on this
outcome measure may be attributed in part to the following: (1)
diligent efforts to promote parent-child visitation, (2) frequent
caseworker visits with parents, and (3) an extensive array of
services.
South Dakota?s high performance 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 14.4, which is higher than both 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 performance on this outcome measure: (1) inadequate risk assessment prior to reunification in some cases, (2) reunification of some families when there is no evidence of behavior change by the parents (e.g., the parents did not complete a recommended treatment program), and (3) lack of 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
72.4, which is higher than the national standard of 32.0 percent
and is the highest rate reported nationally. However, information
from the CFSR Final Report indicates that the data for measure 5.1
concerning time to adoption are not accurate because the State data
system records adoptive placements as discharges to adoption rather
than only recording finalized adoptions as discharges, as is
required by the Adoption and Foster Care Analysis and Reporting
System (AFCARS). Therefore, it is not possible to interpret the
data for this measure provided in the Report to Congress. According
to information in the CFSR Final Report, the State plans to correct
this problem in their future submissions to AFCARS.
Outcome 6. Increase placement stability
In FY 2000, the percentage of children who experienced no more
than 2 placements in their first 12 months in foster care was 85.3,
which does not meet the national standard of 86.7 percent, but is
higher than the national median of 84.3 percent. Information from
the CFSR Final Report identifies the key barrier to achieving
placement stability for children as the scarcity of foster homes
and placement settings, which results in placement decisions being
based on available “beds” rather than on the needs of
the child.
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 16.5, 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 a lack of mental health day-treatment options
for children and home-based mental health services. As noted in the
Final Report, the lack of these services results in placement in
residential treatment facilities, even for young children who might
otherwise be treated in their own homes, or in less restrictive
placements within their communities.
Child well-being outcomes
With respect to child well-being, information from the CFSR Final
Report indicates that the State is not consistently effective in
meeting children?s educational, physical health, and mental
health needs. The Final Report identifies the following as
potential barriers to meeting these needs: (1) a lack of attention
to children?s educational needs, particularly in the
children?s case plans, (2) a failure to provide some children
with health screenings at the time of entry into foster care, (3) a
lack of dentists willing to accept Medicaid payments, (4) a lack of
mental health assessments and a failure to provide services in all
cases in which mental health needs were identified and services
recommended, and (5) significant gaps in mental health services for
children, particularly day treatment and home-based services.