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North Dakota

Context Data | Outcomes Data | Federal Comment

North Dakota [ Context Data ]

A. Key Context Statistics

General Population

1998

1999

2000

2001

Total children under 18 years

162,611

160,092

160,849

151,223

Race/ethnicity (%)1

 Alaska Native/American Indian

8.3

8.5

7.8

8.0

 Asian

N/A

N/A

N/A

0.7

 Asian/Pacific Islander

1.2

1.2

0.6

N/A

 Black

0.7

0.8

0.8

1.0

 Native Hawaiian/Other Pacific Islander

N/A

N/A

N/A

0.1

 Hispanic

1.7

1.8

2.0

2.0

 White

88.1

87.7

86.6

86.4

 Two or more races

N/A

N/A

2.1

1.8

 Other

N/A

N/A

0.1

N/A

% Child population in poverty

20.1

19.2

15.3

19.5

% Child population living in metropolitan areas

38.0

37.8

42.6

37.8

 

Child Welfare

1998

1999

2000

2001

Child maltreatment victims

-

1,284

-

1,359

Children in foster care on 9/30

1,170

1,143

1,129

1,167

Children adopted

111

139

105

145

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

2001

1998

1999

2000

2001

Children subject of an investigated report alleging child maltreatment

7,098

6,926

6,985

6,926

43.7 per 1,000

43.3 per 1,000

43.4 per 1,000

43.8 per 1,000

Child maltreatment victims2

-

1,284

-

1,383

- per 1,000

8.0 per 1,000

- per 1,000

8.5 per 1,000

Child fatalities

0

0

0

1

- per 100,000

- per 100,000

- per 100,000

0.6 per 100,000

 

Age of Child Victims (%)

1998

1999

2000

2001

Under 1 year

-

6.9

-

6.0

1-5 years

-

26.3

-

28.8

6-10 years

-

33.6

-

30.8

11-15 years

-

28.0

-

26.7

16+ years

-

5.3

-

7.7

Unknown

-

-

-

-

Total %

-

100.0

-

100.0

Number

-

1,284

-

1,359

 

Race/Ethnicity of Child Victims (%)

1998

1999

2000

2001

Alaska Native/American Indian

-

26.2

-

21.2

Asian/Pacific Islander

-

0.2

-

0.3

Black

-

3.5

-

3.8

Hispanic

-

3.3

-

1.8

White

-

68.8

-

72.0

Two or more races

N/A

N/A

-

-

Other/Unknown

-

1.2

-

1.0

Total %3

-

103.3

-

100.0

Number

-

1,284

-

1,359

 

Maltreatment Type of Child Victims (%)

1998

1999

2000

2001

Emotional abuse

-

48.3

-

52.5

Medical neglect

-

4.3

-

1.7

Neglect

-

64.0

-

58.3

Physical abuse

-

12.5

-

18.4

Sexual abuse

-

7.2

-

8.2

Other

-

136.3

-

-

Unknown

-

-

-

3.2

Total %4

-

272.6

-

142.4

Number

-

1,284

-

1,359

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)

785

1,056

671

1,170

1,841

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

1,005

965

827

1,143

1,970

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

974

1,006

851

1,129

1,980

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

982

1,013

828

1,167

1,995

Median Length of Stay (Months)

 

 

 

 

 

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

12.8

N/A

7.0

10.8

N/A

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

11.1

N/A

8.0

10.8

N/A

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

10.9

N/A

6.4

10.8

N/A

FY2001 (10/1/00-9/30/01)

11.0

N/A

7.1

10.2

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

In Care on 10/1/00

Entered Care During FY 1998

Entered Care During FY 1999

Entered Care During FY 2000

Entered Care During FY 2001

Exited Care During FY 1998

Exited Care During FY 1999

Exited Care During FY 2000

Exited Care During FY 2001

In Care on 9/30/98

In Care on 9/30/99

In Care on 9/30/00

In Care on 9/30/01

Under 1 year

5.2

5.9

5.4

4.2

12.1

13.5

12.0

8.8

3.4

2.5

4.7

3.0

8.5

8.9

6.8

5.4

1-5 years

21.3

13.4

14.4

15.7

11.9

16.4

14.0

16.3

18.3

16.1

14.9

16.8

15.2

16.3

16.3

16.9

6-10 years

22.5

20.6

19.9

17.9

14.4

15.3

15.6

15.8

17.9

15.6

15.2

13.0

18.2

19.2

17.4

17.7

11-15 years

33.1

33.5

34.7

35.9

37.7

35.1

36.7

36.4

25.0

26.7

29.1

26.8

33.4

32.6

34.9

35.0

16-18 years

17.5

25.8

24.8

25.3

23.8

19.7

21.7

22.6

34.9

38.1

35.4

39.4

23.9

22.2

23.6

24.5

19+ years

0.3

0.8

0.7

0.9

-

-

-

-

0.3

1.0

0.7

0.8

0.7

0.6

0.8

0.4

Unknown

0.1

-

-

0.1

0.1

-

-

0.1

0.1

-

-

0.1

-

0.1

0.1

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

100.0

100.0

100.0

100.0

Number

785

1,005

974

982

1,056

965

1,006

1,013

671

827

851

828

1,170

1,143

1,129

1,167

 

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

In Care on 10/1/00

Entered Care During FY 1998

Entered Care During FY 1999

Entered Care During FY 2000

Entered Care During FY 2001

Exited Care During FY 1998

Exited Care During FY 1999

Exited Care During FY 2000

Exited Care During FY 2001

In Care on 9/30/98

In Care on 9/30/99

In Care on 9/30/00

In Care on 9/30/01

Alaska Native/American Indian

36.7

34.2

33.1

32.8

25.9

27.5

28.2

27.1

27.7

30.6

29.7

27.7

32.1

31.1

31.3

31.5

Asian

-

-

0.8

0.4

-

-

0.5

0.7

-

-

0.2

-

0.2

0.7

-

-

Asian/Pacific Islander

-

0.2

-

-

0.5

0.8

-

-

0.5

0.2

-

-

0.2

0.7

-

-

Black

1.9

1.8

2.4

1.6

2.7

2.5

1.8

3.5

2.2

1.6

2.2

2.2

2.4

2.5

1.9

2.8

Hawaiian Native/Other Pacific Islander

-

-

-

-

-

-

-

0.2

-

-

-

0.1

-

-

-

0.1

Hispanic

1.8

3.1

2.5

3.1

5.2

5.0

4.2

2.7

4.3

5.3

3.9

3.0

3.4

3.1

2.9

2.7

White

59.1

59.6

60.3

60.2

65.0

63.6

62.1

63.0

65.0

61.8

61.8

64.7

61.0

61.4

60.8

59.4

Two or more races

0.4

1.0

0.9

1.8

0.8

0.6

3.2

2.9

0.1

0.5

2.1

2.3

0.9

1.0

2.0

2.4

Unknown

0.1

0.1

0.1

0.1

0.1

-

-

-

0.2

-

-

-

0.1

0.1

0.1

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

100.0

100.0

100.0

100.0

Number

785

1,005

974

982

1,056

965

1,006

1,013

671

827

851

828

1,170

1,143

1,129

1,167

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

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

Overview

9/30/98

9/30/99

9/30/00

9/30/01

Children waiting to be adopted

370

387

343

322

Children whose parents' rights have been terminated (TPR)

323

332

262

191

 

Age of Waiting Children (%)

1998

1999

2000

2001

Under 1 year

23.5

22.2

14.9

13.7

1-5 years

33.0

29.7

32.1

28.3

6-10 years

26.5

26.4

22.4

24.5

11-15 years

15.7

19.6

25.9

27.0

16+ years

0.8

1.0

4.4

5.9

Unknown

0.5

1.0

0.3

0.6

Total %

100.0

100.0

100.0

100.0

Number

370

387

343

322

 

Race/Ethnicity of Waiting Children (%)

1998

1999

2000

2001

Alaska Native/American Indian

29.2

25.1

26.2

31.4

Asian

-

-

2.6

1.6

Asian/Pacific Islander

0.5

2.1

-

-

Black

4.9

4.7

2.9

3.1

Native Hawaiian/Other Pacific Islander

-

-

-

-

Hispanic

3.0

3.4

3.8

2.5

White

61.1

63.6

62.4

59.3

Two or more races

1.4

1.3

2.0

2.2

Unknown

-

-

-

-

Total %

100.0

100.0

100.0

100.0

Number

370

387

343

322

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

2001

Under 1 year

45.9

48.2

41.9

27.6

1-5 years

36.9

31.7

34.3

32.4

6-10 years

9.0

14.4

18.1

21.4

11-15 years

7.2

4.3

4.8

13.1

16+ years

0.9

1.4

1.0

5.5

Unknown

-

-

-

-

Total %

100.0

100.0

100.0

100.0

Number

111

139

105

145

 

Race/Ethnicity of Adopted Children (%)

1998

1999

2000

2001

Alaska Native/American Indian

4.5

14.4

9.5

23.4

Asian

-

-

-

-

Asian/Pacific Islander

-

-

-

-

Black

4.5

5.0

3.8

4.8

Native Hawaiian/Other Pacific Islander

-

-

-

-

Hispanic

3.6

7.2

4.8

4.1

White

87.4

73.4

79.0

66.2

Two or more races

-

-

2.9

1.4

Unknown

-

-

-

-

Total %

100.0

100.0

100.0

100.0

Number

111

139

105

145

Back to Top

North Dakota [ Outcomes Data ]

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

1.1 Recurrence of Maltreatment Within 6 Months (%)

1998

1999

2000

2001

Children without a recurrence

-

-

-

-

Children with one or more recurrences

-

-

-

-

Total %

-

-

-

-

Number

-

-

-

-

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

2001

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

2001

Adoption

6.4

6.0

5.2

10.6

Guardianship

0.3

0.2

0.5

0.2

Reunification

70.3

68.4

70.9

60.5

Other

17.1

18.9

18.4

24.5

Missing data

5.8

6.4

5.1

4.1

Total %

100.0

100.0

100.0

100.0

Number

671

827

851

828

Pie Charts describing data from Table 3.1 above.

3.2 Exits of Disabled Children (%)

1998

1999

2000

2001

Adoption

89.7

90.9

85.4

72.8

Guardianship

-

-

-

-

Reunification

6.9

-

9.8

16.5

Other

3.4

4.5

-

9.7

Missing data

-

4.5

4.9

1.0

Total %

100.0

100.0

100.0

100.0

Number

29

44

41

103

 

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

1998

1999

2000

2001

Adoption

-

0.4

-

0.9

Guardianship

0.3

0.4

0.9

0.4

Reunification

64.4

65.8

67.0

60.3

Other

26.5

25.2

25.1

35.8

Missing data

8.8

8.0

7.1

2.6

Total %

100.0

100.0

100.0

100.0

Number

351

448

463

464

 

3.4 Exits to Emancipation (%)

1998

1999

2000

2001

Children age 12 or younger at entry

-

-

-

10.9

Children older than 12 at entry

100.0

100.0

100.0

89.1

Missing data

-

-

-

-

Total %

100.0

100.0

100.0

100.0

Number

37

42

43

46

 

3.5 Exits by Race/Ethnicity (%)

Alaska Native/A.I.

Asian

Asian/Pacific Islander

Black

Hawaiian/Other Pacific Islander

 

1998

1999

2000

2001

1998

1999

2000

2001

1998

1999

2000

2001

1998

1999

2000

2001

1998

1999

2000

2001

Adoption

1.6

5.1

4.0

9.2

-

-

-

-

-

-

-

-

-

-

-

16.7

-

-

-

-

Guardianship

0.5

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Reunification

75.3

64.0

63.2

52.4

-

-

100.0

-

100.0

100.0

-

-

86.7

76.9

63.2

72.2

-

-

-

100.0

Other

17.7

25.3

22.9

32.8

-

-

-

-

-

40.0

-

-

6.7

15.4

31.6

11.1

-

-

-

-

Missing data

4.8

5.5

9.9

5.7

-

-

-

-

-

-

-

-

6.7

7.7

5.3

-

-

-

-

-

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

186

253

253

229

-

-

2

-

3

2

-

-

15

13

19

18

-

-

-

1

 

Hispanic

White

Unable to Determine

Two or More Races

Missing Data

 

1998

1999

2000

2001

1998

1999

2000

2001

1998

1999

2000

2001

1998

1999

2000

2001

1998

1999

2000

2001

Adoption

-

6.8

-

16.0

9.2

6.7

6.1

11.2

-

-

-

-

-

-

11.1

-

-

-

-

-

Guardianship

-

-

-

-

0.2

0.4

0.8

0.4

-

-

-

-

-

-

-

-

-

-

-

-

Reunification

86.2

75.0

81.8

60.0

66.5

69.5

73.4

63.4

100.0

-

-

-

-

100.0

88.9

63.2

-

-

-

-

Other

13.8

15.9

9.1

16.0

17.4

16.2

17.1

22.2

-

-

-

-

100.0

-

-

15.8

-

-

-

-

Missing data

-

2.3

9.1

8.0

6.7

7.2

2.7

2.8

-

-

-

-

-

-

-

21.1

-

-

-

-

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

100.0

-

-

-

-

Number

29

44

33

25

436

511

526

536

1

-

-

-

1

4

18

19

-

-

-

-

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

4.1 Time to Reunification (%)

1998

1999

2000

2001

Less than 12 mos.

74.8

72.8

81.4

80.8

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

19.3

21.0

13.9

15.4

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

4.9

3.9

2.7

3.0

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

0.4

2.1

1.3

0.2

48 or more mos.

-

-

0.7

0.4

Missing data

0.6

0.2

-

0.2

Total (%)

100.0

100.0

100.0

100.0

Number

472

566

603

501

Bar chart describing reunification percentages data in Table 4.1 above.

4.2 Children Who Entered Foster Care (%)

1998

1999

2000

2001

Children entering care for the first time

65.1

70.7

71.3

66.2

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

15.8

16.4

19.4

19.0

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

7.1

9.1

7.0

10.2

Missing data

12.0

3.8

2.4

4.6

Total (%)

100.0

100.0

100.0

100.0

Number

1,056

965

1,006

1,013

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

2001

Less than 12 mos.

18.6

22.0

11.4

11.4

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

27.9

22.0

15.9

25.0

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

46.5

14.0

36.4

20.5

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

7.0

42.0

15.9

22.7

48 or more mos.

-

-

20.5

20.5

Missing data

-

-

-

-

Total (%)

100.0

100.0

100.0

100.0

Number

43

50

44

88

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
2001

87.2
86.0
87.1
81.2

8.2
10.9
12.6
14.4

4.6
3.0
0.3
4.3

100.0
100.0
100.0
100.0

1,157
1,151
1,210
1,220

At least 12 mos., but <24 mos.

1998
1999
2000
2001

75.1
68.8
63.5
59.7

22.7
30.3
36.2
40.3

2.3
0.9
0.3
-

100.0
100.0
100.0
100.0

309
426
359
352

At least 24 mos., but <36 mos.

1998
1999
2000
2001

67.4
65.9
54.5
49.0

30.8
33.3
45.5
51.1

1.8
0.7
-
-

100.0
100.0
100.0
100.0

227
138
167
143

At least 36 mos., but <48 mos.

1998
1999
2000
2001

69.8
61.3
61.0
49.0

27.1
36.0
39.0
51.0

3.1
2.7
-
-

100.0
100.0
100.0
100.0

129
150
77
102

48 or more mos.

1998
1999
2000
2001

66.7
67.3
58.3
52.0

-
30.7
40.5
46.9

33.3
2.0
1.2
1.1

100.0
100.0
100.0
100.0

12
101
163
175

Missing data

1998
1999
2000
2001

85.7
50.0
50.0
-

-
-
--

14.3
50.0
50.0
100.0

100.0
100.0
100.0
100.0

7
4
4
3

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

2001

Group homes

1.1

1.4

1.0

1.7

Institutions

4.9

4.7

8.8

5.7

Other settings

94.0

93.6

90.2

92.4

Missing data

-

0.2

-

0.2

Total (%)

100.0

100.0

100.0

100.0

Number

452

487

489

459

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North Dakota [ Federal Comment ]

The following discussion focuses on North Dakota?s performance with regard to each of the outcomes assessed in the Child Welfare Outcomes Annual Reports to Congress. The North Dakota Child and Family Services Review (CFSR) was completed in fiscal year (FY) 2001, and compliance with the national standards was based on data from 1999. The final report for that review is available from Reports and Results of the Child and Family Service Reviews (CFSRs) . A discussion of the implications of CFSR findings for North Dakota?s performance on the Report to Congress Outcomes is provided in Child Welfare Outcomes 2000.

The State?s performance is assessed by examining the percent change in the data for each outcome measure from 1999 to 2001. The percent change was calculated using data carried out to the second decimal point. However, with the exception of outcome measure 2.1, the data presented in the Report to Congress are rounded to one decimal for ease of reading the tables (measure 2.1 must be presented as two decimals because the national standard is less than one percent).

Outcome 1. Reduce recurrence of child abuse and/or neglect
North Dakota?s performance on outcome 1 cannot be assessed as part of 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. To ensure data consistency across States, only data submitted through NCANDS are presented for this outcome in the Report to Congress. However, the State provided data submitted for this outcome for its CFSR using an alternative source. These data are presented in North Dakota?s CFSR Final Report.

Outcome 2. Reduce incidence of maltreatment in foster care
North 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. In order to ensure data consistency across States, only data submitted through the NCANDS are presented for this outcome in the Report to Congress. However, the State provided data for this outcome for its CFSR using an alternative source. These data are presented in North Dakota?s CFSR Final Report.

Outcome 3. Increase permanency for children in foster care
In FY 2001, 71.3 percent of children exiting foster care were discharged to permanent homes (which is lower than the national median of 85.3 percent), and only 61.6 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 lower than the national median of 72.3 percent). However, in FY 2001, 89.3 percent of children with a diagnosed disability who exited foster care were discharged to permanent homes (which is higher than the national median of 78.4), and 10.9 percent of children exiting foster care through emancipation were age 12 or younger at the time of entry (which is lower than the national median of 28.0 percent). These data suggest that although the State is not consistently effective in achieving permanency for children in foster care, particularly children who enter foster care when they are older than age 12, they are successful in ensuring that children who enter foster care at relatively young ages do not “grow up” in the system. North Dakota?s performance relative to permanency for children who enter foster care when they are older than age 12 declined from FY 1999 to FY 2001 (-7.6 percent change).

Outcome 4. Reduce time to reunification without increasing re-entry
In FY 2001, the percentage of all reunifications occurring within 12 months of children?s entry into foster care was 80.8, which is higher than both the national standard of 76.2 percent or more and the national median of 69.2 percent. North Dakota?s performance on this measure improved from FY 1999 to FY 2001 (+11.1 percent change).

North Dakota?s effectiveness with regard to reunification within 12 months must be balanced by the finding that in FY 2001, the percentage of children re-entering foster care within 12 months of discharge from a prior foster care episode was 19.0. This percentage exceeds both the national standard of 8.6 percent or less and the national median of 10.4 percent. However, this performance represents an improvement from FY 1999 to FY 2001 (+15.8 percent change).

Outcome 5. Reduce time in foster care to adoption
In FY 2001, the percentage of all finalized adoptions occurring within 24 months of a child?s entry into foster care was 36.4, which is higher than the national standard of 32.0 percent or more and the national median of 21.0 percent. However, the number of children reported as exiting to adoption to the Adoption and Foster Care Analysis and Reporting System (AFCARS) Foster Care Database (88) is less than the number of finalized adoptions reported to the AFCARS Adoption Database (145). This discrepancy prevents a meaningful interpretation of the State?s performance on this outcome measure.

Outcome 6. Increase placement stability
In FY 2001, the percentage of children in foster care for less than 12 months who experienced no more than 2 placements was 81.2, which is lower than the national median of 83.3 percent and the national standard of 86.7 percent or more. North Dakota?s performance on this measure declined from FY 1999 to FY 2001 (-5.6 percent change).

Outcome 7. Reduce placements of young children in group homes and institutions
In FY 2001, the percentage of children age 12 or younger placed in a group home or institution was 7.4, which is lower than the national median of 8.7 percent. However, North Dakota?s performance on this measure declined from FY 1999 to FY 2001 (+20.2 percent change).

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