Skip ACF banner and navigation
Department of Health and Human Services logo
Questions?  
Privacy  
Site Index  
Contact Us  
   Home   |   Services   |   Working with ACF   |   Policy/Planning   |   About ACF   |   ACF News Search  
Administration for Children and Families US Department of Health and Human Services

Children's Bureau Safety, Permanency, Well-being  Advanced
 Search

 

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

Context Data | Outcomes Data | State Comment | Federal Comment
Return to Table of Contents

Vermont [ Context Data ]

A. Key Context Statistics

General Population

1998

1999

2000

Total children under 18 years

141,347

139,346

147,523

Race/ethnicity (%)1

 Alaska Native/American Indian

0.2

0.2

0.4

 Asian/Pacific Islander

1.0

1.0

1.0

 Black

0.5

0.5

0.7

 Hispanic

0.9

0.9

1.2

 White

97.3

97.3

94.7

 Two or more races

N/A

N/A

1.8

 Other

N/A

N/A

0.2

% Child population in poverty

13.6

12.5

18.1

% Child population living in metropolitan areas

26.8

28.5

27.5

 

Child Welfare

1998

1999

2000

Child maltreatment victims

887

1,080

1,347

Children in foster care on 9/30

1,316

1,445

1,318

Children adopted

118

139

122

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

1,973

2,453

3,609

14.0 per 1,000

17.6 per 1,000

24.5 per 1,000

Child maltreatment victims2

887

1,080

1,347

6.3 per 1,000

7.8 per 1,000

9.1 per 1,000

Child fatalities

0

4

1

0.0 per 100,000

2.9 per 100,000

0.7 per 100,000

 

Age of Child Victims (%)

1998

1999

2000

Under 1 year

3.8

4.2

5.0

1-5 years

21.6

25.1

22.4

6-10 years

34.0

31.6

29.9

11-15 years

30.7

29.0

34.7

16+ years

8.2

10.1

7.9

Unknown

1.6

0.1

-

Total %

100.0

100.0

100.0

Number

887

1,080

1,347

 

Race/Ethnicity of Child Victims (%)

1998

1999

2000

Alaska Native/American Indian

-

0.1

0.2

Asian/Pacific Islander

1.0

0.6

1.4

Black

0.7

0.6

1.6

Hispanic

0.1

0.6

0.4

White

98.1

97.9

95.8

Two or more races

N/A

N/A

-

Other/Unknown

0.2

0.8

0.6

Total %3

100.1

100.6

100.0

Number

887

1,080

1,347

 

Maltreatment Type of Child Victims (%)

1998

1999

2000

Emotional abuse

1.1

0.9

0.9

Medical neglect

2.7

1.9

2.2

Neglect

36.8

43.7

38.2

Physical abuse

26.5

22.0

22.1

Sexual abuse

41.8

40.4

40.8

Other

-

-

-

Unknown

-

-

-

Total %4

108.9

108.9

104.2

Number

887

1,080

1,347

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)

1,188

783

655

1,316

1,971

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

1,417

750

722

1,445

2,167

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

1,211

788

684

1,318

1,999

Median Length of Stay (Months)

 

 

 

 

 

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

20.9

N/A

13.7

17.5

N/A

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

20.5

N/A

16.0

19.9

N/A

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

20.1

N/A

15.1

15.9

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

1.9

2.1

2.1

5.5

7.2

7.2

1.1

2.1

2.5

2.2

2.3

2.3

1-5 years

12.8

13.1

11.1

14.3

14.5

15.9

15.3

16.2

14.5

12.4

12.4

12.4

6-10 years

14.6

16.6

14.1

15.6

16.3

14.6

11.9

14.8

14.2

15.6

15.4

13.7

11-15 years

40.9

39.6

41.5

50.2

49.9

48.4

30.4

27.3

27.9

39.4

42.2

40.2

16-18 years

29.2

28.5

31.1

14.4

12.1

14.0

38.3

37.5

39.8

30.2

27.6

31.0

19+ years

0.7

0.1

0.1

-

-

-

3.1

2.1

1.2

0.2

0.1

0.3

Unknown

-

-

-

-

-

-

-

-

-

-

-

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

1,188

1,417

1,211

783

750

788

655

722

684

1,316

1,445

1,318

 

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

0.3

0.2

0.3

-

0.1

0.3

0.2

-

0.1

0.2

0.3

0.4

Asian/Pacific Islander

0.3

0.1

0.3

0.6

0.8

0.5

1.1

0.4

0.9

0.2

0.3

0.2

Black

1.9

2.2

1.8

1.3

1.3

2.4

0.9

2.4

2.5

2.0

1.7

1.8

Hispanic

0.8

0.6

0.7

0.1

0.4

0.4

0.5

0.4

0.6

0.5

0.6

0.5

White

96.1

96.3

96.5

96.9

97.1

95.4

96.8

96.0

95.5

96.3

96.8

96.4

Two or more races

-

-

-

-

-

-

-

-

-

-

-

-

Unknown

0.6

0.6

0.3

1.0

0.3

1.0

0.6

0.8

0.4

0.8

0.3

0.7

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

1,188

1,417

1,211

783

750

788

655

722

684

1,316

1,455

1,318

 

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

Back to Top

Return to Table of Contents

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

215

403

252

Children whose parents' rights have been terminated (TPR)

159

351

184

 

Age of Waiting Children (%)

1998

1999

2000

Under 1 year

3.3

3.7

1.6

1-5 years

27.9

28.3

22.6

6-10 years

26.0

29.3

25.8

11-15 years

33.5

32.0

37.7

16+ years

8.4

6.2

9.5

Unknown

0.9

0.5

2.8

Total %

100.0

100.0

100.0

Number

215

403

252

 

Race/Ethnicity of Waiting Children (%)

1998

1999

2000

Alaska Native/American Indian

-

0.2

0.4

Asian/Pacific Islander

-

-

-

Black

1.9

2.0

1.6

Hispanic

0.9

1.2

0.8

White

96.3

95.8

96.0

Two or more races

-

-

-

Unknown

0.9

0.7

1.2

Total %

100.0

100.0

100.0

Number

215

403

252

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

1.7

0.7

1.6

1-5 years

49.2

43.2

48.4

6-10 years

38.1

38.8

31.1

11-15 years

10.2

15.8

18.0

16+ years

0.8

1.4

0.8

Unknown

-

-

-

Total %

100.0

100.0

100.0

Number

118

139

122

 

Race/Ethnicity of Adopted Children (%)

1998

1999

2000

Alaska Native/American Indian

-

-

-

Asian/Pacific Islander

-

-

1.6

Black

1.7

4.3

4.9

Hispanic

-

-

2.5

White

98.3

95.7

90.2

Two or more races

-

-

0.8

Unknown

-

-

-

Total %

100.0

100.0

100.0

Number

118

139

122

 

Back to Top

Return to Table of Contents

 

Vermont [ 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

93.9

93.4

92.1

Children with one or more recurrences

6.1

6.6

7.9

Total %

100.0

100.0

100.0

Number

495

547

658

 

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

0.0

0.2

0.6

Children not maltreated while in foster care

100.0

99.8

99.4

Total %

100.0

100.0

100.0

Number

1,808

1,832

1,864

 

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

14.4

17.2

14.3

Guardianship

0.8

0.8

2.3

Reunification

57.3

60.4

62.7

Other

15.3

12.3

10.5

Missing data

12.4

9.3

10.1

Total %

100.0

100.0

100.0

Number

655

722

684

 

Pie Charts describing data from Table 3.1 above.

 

3.2 Exits of Disabled Children (%)

1998

1999

2000

Adoption

11.1

5.9

18.8

Guardianship

-

-

6.2

Reunification

16.7

35.3

43.8

Other

50.0

41.2

18.8

Missing data

22.2

17.6

12.5

Total %

100.0

100.0

100.0

Number

18

17

16

 

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

1998

1999

2000

Adoption

0.3

-

0.3

Guardianship

0.3

0.5

2.9

Reunification

61.1

67.6

68.2

Other

22.4

17.9

15.5

Missing data

15.9

14.0

13.1

Total %

100.0

100.0

100.0

Number

370

364

343

 

3.4 Exits to Emancipation (%)

1998

1999

2000

Children age 12 or younger at entry

17.0

28.1

27.7

Children older than 12 at entry

83.0

71.9

72.3

Missing data

-

-

-

Total %

100.0

100.0

100.0

Number

53

57

65

 

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

-

-

-

28.6

-

-

16.7

23.5

11.8

-

-

75.0

Guardianship

-

-

-

-

-

-

-

-

5.9

-

-

-

Reunification

-

-

-

71.4

100.0

83.3

50.0

70.6

58.8

100.0

66.7

-

Other

-

-

-

-

-

16.7

33.3

5.9

5.9

-

33.3

-

Missing data

100.0

-

100.0

-

-

-

-

-

17.6

-

-

25.0

Total %

100.0

-

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

Number

1

-

1

7

3

6

6

17

17

3

3

4

 

White

Unable to Determine

Two or More Races

Missing Data

 

1998

1999

2000

1998

1999

2000

1998

1999

2000

1998

1999

2000

Adoption

14.2

17.3

13.9

25.0

-

66.7

-

-

-

-

-

-

Guardianship

0.8

0.9

2.3

-

-

-

-

-

-

-

-

-

Reunification

57.3

59.6

63.2

25.0

100.0

33.3

-

-

-

-

-

-

Other

15.1

12.6

10.7

50.0

-

-

-

-

-

-

-

-

Missing data

12.6

9.7

9.8

-

-

-

-

-

-

-

-

-

Total %

100.0

100.0

100.0

100.0

100.0

100.0

-

-

-

-

-

-

Number

634

693

653

4

6

3

-

-

-

-

-

-

 

Back to Top

Return to Table of Contents

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.

70.4

64.9

66.2

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

13.1

16.7

18.2

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

8.3

7.3

6.3

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

4.3

5.0

2.6

48 or more mos.

4.0

6.0

6.3

Missing data

-

-

0.5

Total (%)

100.0

100.0

100.0

Number

375

436

429

 

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

77.1

82.9

73.7

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

11.7

8.0

14.0

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

6.3

9.1

7.7

Missing data

4.9

-

4.6

Total (%)

100.0

100.0

100.0

Number

783

750

788

 

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.

-

4.8

2.0

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

13.8

17.7

16.3

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

24.5

30.6

32.7

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

31.9

16.1

27.6

48 or more mos.

29.8

30.6

21.4

Missing data

-

-

-

Total (%)

100.0

100.0

100.0

Number

94

124

98

 

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

68.5
70.0
89.1

31.5
30.0
10.9

-
-
-

100.0
100.0
100.0

829
839
853

At least 12 mos., but <24 mos.

1998
1999
2000

31.8
35.8
80.6

68.2
64.2
19.4

-
-
-

100.0
100.0
100.0

371
433
402

At least 24 mos., but <36 mos.

1998
1999
2000

25.8
30.3
77.8

74.2
69.7
22.2

-
-
-

100.0
100.0
100.0

275
297
261

At least 36 mos., but <48 mos.

1998
1999
2000

20.7
27.5
78.3

79.3
72.5
21.7

-
-
-

100.0
100.0
100.0

184
211
161

48 or more mos.

1998
1999
2000

15.2
13.6
66.9

84.8
86.4
33.1

-
-
-

100.0
100.0
100.0

309
383
320

Missing data

1998
1999
2000

100.0
100.0
100.0

-
-
-

-
-
-

100.0
100.0
100.0

3
4
2

 

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

5.6

9.2

4.0

Institutions

1.5

1.7

0.9

Other settings

92.9

89.1

95.2

Missing data

-

-

-

Total (%)

100.0

100.0

100.0

Number

340

359

352

 

Vermont [ State Comment ]

Don Mandelkorn, Division Director
Social Services Division
Vermont Department of Social and Rehabilitation Services
802-241-2126

The Vermont Department of Social and Rehabilitation Services provides child protective, child welfare and juvenile justice services through a single, integrated system of care. Social workers in twelve district offices, primarily with mixed caseloads, serve families and children in custody for abuse/neglect, behavioral issues, and juvenile delinquency. Over two-thirds of children served in out-of-home care are at least twelve years of age. All of these children are included in the state's AFCARS population. This reality has a significant impact on our data with regard to the following:

• Re-entry within twelve months of discharge - Children can and do exit as abuse/neglected children and re-enter due to behavioral or juvenile justice issues. In other states, these children would enter another system, and therefore not "re-enter" the chi1d welfare system.

• Placement stability - We face particular challenges in promoting placement stability for children who experience many behavioral challenges. Vermont does not rely on locked care for juvenile justice clients. Our sole locked facility has 30 beds.

• Time to reunification - The families of children who enter out-of-home care in Vermont have often had many family services targeted at preventing placement. Children who do enter care, especially at older ages, often need placement and treatment of significant duration.

It is important to note the department investigates all sexual abuse of minors, not just by caretakers. Because of this, about 40% of substantiated child abuse in Vermont is sexual abuse. The number of substantiated victims has been rising over the last few years, following a policy change that created a greater role for the department in protecting children whose parents are abusing substances and children who are otherwise at risk of harm due to parental incapacity or failure to provide age-appropriate supervision. This is included in the neglect category.

Our data also indicate that there are about 200 or so fewer children in custody on 10/1/99 than on 9/30/99. This has occurred in many states, and is an artifact of how AFCARS data was submitted. For this reason, it seems inadvisable for the Children's Bureau to include these data, which look wrong on their face. Why not just show the number of children in care on 10/1 of each year? (We have since corrected this problem for current submissions, but not yet resubmitted corrected files for those time periods.)

Back to Top

Return to Table of Contents

Vermont [ Federal Comment ]

The following discussion focuses on Vermont?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 the data, it is important to note that the Vermont 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
In calendar year (CY) 2000, the rate of maltreatment recurrence in less than 6 months was 7.9 percent, which does not meet the national standard of 6.1 percent but equals the national median. According to information in the CFSR Final Report, the State believes that the rate of maltreatment recurrence may be attributed to the fact that the State “substantiates” reports based on “risk of harm” and does not require evidence of actual maltreatment for substantiation. However, information from the Final Report also notes that there is a lack of ongoing assessment and monitoring of services to children and families in cases in which children remain in their homes, which may result in maltreatment recurrence.

Outcome 2. Reduce incidence of maltreatment in foster care
In CY 2000, the incidence of maltreatment in foster care was 0.6 percent, which is higher than the national standard of 0.57 percent and the national median of 0.45 percent. Information from the CFSR Final Report suggests that performance on this measure may be attributed in part to a lack of adequate monitoring of foster parent?s compliance with pre-service training requirements.

Outcome 3. Increase permanency for children in foster care
In fiscal year (FY) 2000, 79.3 percent of children exiting foster care were discharged to permanent homes (which is lower than the national median of 84.7 percent), 71.4 percent of children exiting foster care who were older than age 12 at the time of entry into foster care were discharged to permanent homes (which is less than the national median of 72.6 percent), and 27.7 percent of children exiting foster care through emancipation were age 12 or younger at the time of entry (which is higher than the national median of 24.2 percent). (Only 16 of the 684 children who exited foster care in FY 2000 were reported to have a diagnosed disability.) Although these data suggest that the State is not consistently effective in establishing permanency for children, the data must be interpreted with caution because “reason for discharge” information was not provided to the Adoption and Foster Care Analysis and Reporting System for 10.1 percent of the children exiting foster care. However, information from the CFSR Final Report suggests that a key barrier to achieving permanency may be the practice of establishing long-term foster care as a permanency goal without a thorough exploration of the alternatives of adoption or guardianship.

Outcome 4. Reduce time to reunification without increasing re-entry
In FY 2000, the percentage of reported reunifications occurring within 12 months of children?s entry into foster care was 66.2, 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 identifies the following as potential barriers to achieving reunifications in a timely manner: (1) a lack of ongoing assessment of service participation or of the efficacy of services being provided to parents to reduce risk factors, and (2) insufficient contact between caseworkers and parents to monitor progress.

Also in FY 2000, the percentage of children re-entering foster care within 12 months of discharge from a prior foster care episode was 14.0, which is higher than the national standard of 8.6 percent and the national median of 10.3 percent. However, in FY 1999, the percentage of children re-entering foster care within 12 months of discharge from a prior episode was 8.0 percent, which met the national standard. The reason for the increase in foster care re-entries from FY 1999 to FY 2000 is not clear. However, according to information from the CFSR Final Report, the State believes that a large percentage of re-entries into foster care are children who entered care through the Juvenile Services System and not the child protection system.

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 18.3, which is lower than 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) extensive court delays (from 6 to 12 months) in scheduling termination of parental rights (TPR) hearings after the agency has filed the petition, (2) the absence of a Statewide comprehensive recruitment strategy for adoptive families, (3) a reluctance on the part of agency caseworkers to use cross-jurisdictional placement resources, and (4) a lack of adoption planning and recruitment for older children. Information from the CFSR Final Report also notes, however, that the State has recently assigned additional staff to the adoption program area and encouraged foster parents to adopt their foster children.

Outcome 6. Increase placement stability
In FY 2000, the percentage of children who experience no more than 2 placements during their first 12 months in foster care was 89.1, which is higher than the national standard of 86.7 percent and the national median of 84.3 percent. However, the State?s performance on this measure in FY 1999 (70.0 percent) did not meet the national standard and therefore the issue of placement stability was identified as an area needing improvement for the State during the CFSR conducted in 2001. The reason for the improvement in placement stability from FY 1999 to FY 2000 is not clear, although information from the CFSR Final Report notes that the agency is highly supportive of foster care providers in their efforts to parent children with behavioral and emotional 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 4.9, which is lower than the national median of 9.0. A potential reason for the State?s high level of performance on this measure is the infrequent use of shelter care for young children.

Child well-being outcomes
With respect to child well-being, information from the CFSR Final Report indicates that the State is generally effective in meeting children?s educational and physical health needs. However, the State is less consistently effective in meeting children?s mental health needs. Information from the Final Report notes that the key barrier to meeting children?s mental health needs is the lack of sufficient high quality mental health services throughout the State, particularly for children with severe and chronic mental health issues.

 

Back to Top

Return to Table of Contents