Table of Contents | Previous | Next |
Appendix A
National Survey of Child
and
Adolescent Well-Being
Local Agency Director Survey

| Agency Name: _________________________________ Respondent Name:______________________________ Respondent Title:_______________________________ |
Field Rep ID: Interview Date:____/____/____ |
START TIME:
Local Agency Directors Interview
Introduction
This survey is about the general characteristics of your agency, your service delivery system, training provided to agency staff and caregivers, and policies that govern your agency’s operations. The interview will take approximately 30 minutes.Agency Structure
- My first questions are about the general characteristics
of your agency. Who is responsible for appointing the director of
local child welfare administrative units, such as the county director
or administrative district director?
STATE ADMINISTRATOR
1COUNTY EXECUTIVE
2COUNTY COMMISSIONERS OR BOARD (ELECTED)
3COUNTY CHILDREN’S SERVICES BOARD (APPOINTED)
4OTHER (SPECIFY: __________________________________________)
5
- To what extent does county government make decisions about
how money for child welfare services is spent? Does county government
have...
Almost complete control,
1Substantial control, or
2Very little or no control?
3
- How would you describe your agency? Are you...
A free-standing entity, or
1
[SKIP
TO Q5] A unit within a larger agency?
2
- Which of the following are also part of the larger agency?
YES NO a. Substance abuse treatment?
1
2b. Mental health?
1
2c. Public health?
1
2d. Income maintenance/TANF?
1
2e. Juvenile justice services?
1
2
Service Delivery
- The next questions are about your service delivery system.
In the past 12 months, has your agency developed any specialized units, blended teams, or community-based satellite offices?
YES
1
NO
2
[SKIP
TO Q7]
-
Please tell me whether your agency has used the following practices for service delivery and, if so, the month and year these practices were adopted.
- Is your child welfare system integrated into an omnibus human
services agency?
YES
1

When did you start this practice? 
NO
2M M / Y Y Y Y
- Does your agency have regionalized services?
YES
1

When did you start this practice? 
NO
2M M / Y Y Y Y
- Does your agency assign only one caseworker to a case from
the beginning to the end of the case?
YES
1

When did you start this practice? 
NO
2M M / Y Y Y Y
- Does your agency offer neighborhood services or have satellite
offices?
YES
1

When did you start this practice? 
NO
2M M / Y Y Y Y
- Does your agency have specialized service units?
YES
1

When did you start this practice? 
NO
2M M / Y Y Y Y
- Does your agency have multi-disciplinary or agency teams
with TANF?
YES
1

When did you start this practice? 
NO
2M M / Y Y Y Y
- Has your agency implemented or begun to implement concurrent
planning?
YES, IMPLEMENTED
1
YES, HAVE BEGUN BUT NOT COMPLETED
2
NO
3
- Does your agency use a structured decision-making or risk
assessment?
[IF YES, REQUEST COPY OF PROTOCOL AND RETURN WITH COMPLETED QUESTIONNAIRE.]
YES
1
NO
2
[SKIP
TO Q12] - Which of the following risk assessment approaches do you
use?
An approach such as structured decision making that results in
point totals which can be used to help determine decision-making,
1Guidelines that indicate which issues should be addressed
in the investigation/assessment,
2A combination of the point totals and guidelines approaches, or
3Some other approach (SPECIFY: _________________________
__________________________________________________)
4
- At what point in a child welfare case is this risk assessment
approach used? Is it used...
YES NO When deciding to investigate?
1
2When deciding whether or not the case is substantiated?
1
2When deciding what services to provide?
1
2When deciding about whether or not to close an in-home services case?
1
2When deciding about whether or not to reunify a child?
1
2At other times? (SPECIFY: _________________________
(_________________________________________________)
1
2 - Is the risk assessment data entered into the SACWIS or
MIS program?
YES
1
NO
2
- Are your case records automated? (CODE “YES”
IF ANY PORTION AUTOMATED.)
YES
1
NO
2
[SKIP
TO Q14]
- Did you automate them in the past 12 months?
YES
1
NO
2
Training
- My next questions are about educational requirements and
training for agency staff and caregivers.
Is a college degree required for workers who do investigations?
YES
1
NO
2
[SKIP
TO Q16] - Which degrees are required? (MARK ALL THAT APPLY.)
BACHELORS IN SOCIAL WORK
1MASTERS IN SOCIAL WORK
2OTHER BACHELORS DEGREE
3OTHER MASTERS DEGREE
4
- Is a college degree required for in-home service workers?
YES
1
NO
2
[SKIP
TO Q18]
- Which degrees are required? (MARK ALL THAT APPLY.)
BACHELORS IN SOCIAL WORK
1MASTERS IN SOCIAL WORK
2OTHER BACHELORS DEGREE
3OTHER MASTERS DEGREE
4
- Is a college degree required for foster care workers?
YES
1
NO
2
[SKIP
TO Q20]
- Which degrees are required? (MARK ALL THAT APPLY.)
BACHELORS IN SOCIAL WORK
1MASTERS IN SOCIAL WORK
2OTHER BACHELORS DEGREE
3OTHER MASTERS DEGREE
4
- Is a college degree required for adoption workers?
YES
1
NO
2
[SKIP
TO Q22]
- Which degrees are required? (MARK ALL THAT APPLY.)
BACHELORS IN SOCIAL WORK
1MASTERS IN SOCIAL WORK
2OTHER BACHELORS DEGREE
3OTHER MASTERS DEGREE
4 - Is pre-service training required for new workers? (Training
can be at the state, or local level.)
YES
1
NO
2
[SKIP
TO Q24]
- Please look at Card 2. How much pre-service training is
required?
NONE
1
[SKIP TO Q25] LESS THAN 1 DAY
21-3 DAYS
34-10 DAYS
411-15 DAYS
5MORE THAN 15 DAYS
6
- Even though it is not required, is pre-service training
offered to new workers?
YES
1
NO
2
[SKIP
TO Q26]
- Please look at Card 2. How much pre-service training is
provided?
NONE
1LESS THAN 1 DAY
21-3 DAYS
34-10 DAYS
411-15 DAYS
5MORE THAN 15 DAYS
6
- Is pre-service training required for licensed or approved
kinship caregivers? can be at the state, regional, or local level.)
YES
1
NO
2
[SKIP
TO Q28]
- (Please look at Card 2.) How much pre-service training
is required?
NONE
1
[SKIP TO Q29] LESS THAN 1 DAY
21-3 DAYS
34-10 DAYS
411-15 DAYS
5MORE THAN 15 DAYS
6
- Even though it is not required, is pre-service training
offered to licensed or approved kinship caregivers?
YES
1
NO
2
[SKIP
TO Q30]
- (Please look at Card 2.) How much pre-service training
is provided?
NONE
1LESS THAN 1 DAY
21-3 DAYS
34-10 DAYS
411-15 DAYS
5MORE THAN 15 DAYS
6
- Is pre-service training required for non-licensed or unapproved
kinship caregivers?
(Training can be at the state, regional, or local level.)
YES
1
NO
2
[SKIP
TO Q32]
- (Please look at Card 2.) How much pre-service training
is required?
NONE
1
[SKIP TO Q33] LESS THAN 1 DAY
21-3 DAYS
34-10 DAYS
411-15 DAYS
5MORE THAN 15 DAYS
6
- Even though it is not required, is pre-service training
offered to non-licensed or unapproved kinship caregivers?
YES
1
NO
2
[SKIP
TO Q34]
- (Please look at Card 2.) How much pre-service training
is provided?
NONE
1LESS THAN 1 DAY
21-3 DAYS
34-10 DAYS
411-15 DAYS
5MORE THAN 15 DAYS
6
- Is pre-service training required for foster parents? (Training
can be at the state, regional, or local level.)
YES
1
NO
2
[SKIP
TO Q36]
- (Please look at Card 2.) How much pre-service training is
required?
NONE
1
[SKIP TO Q37] LESS THAN 1 DAY
21-3 DAYS
34-10 DAYS
411-15 DAYS
5MORE THAN 15 DAYS
6
- Even though it is not required, is pre-service training
offered to foster parents?
YES
1
NO
2
[SKIP
TO Q38]
- (Please look at Card 2.) How much pre-service training
is provided?
NONE
1LESS THAN 1 DAY
21-3 DAYS
34-10 DAYS
411-15 DAYS
5MORE THAN 15 DAYS
6
- Is pre-service training required for adoptive parents?
(Training can be at the state, regional, or local level.)
YES
1
NO
2
[SKIP
TO Q40]
- (Please look at Card 2. ) How much pre-service training
is required?
NONE
1
[SKIP TO Q41] LESS THAN 1 DAY
21-3 DAYS
34-10 DAYS
411-15 DAYS
5MORE THAN 15 DAYS
6
- Even though it is not required, is pre-service training
offered to adoptive parents?
YES
1
NO
2
[SKIP
TO Q42]
- (Please look at Card 2.) How much pre-service training
is provided?
NONE
1LESS THAN 1 DAY
21-3 DAYS
34-10 DAYS
411-15 DAYS
5MORE THAN 15 DAYS
6
- Is annual training required for caseworkers? (Training
can be at the state, regional, or local level.)
YES
1
NO
2
[SKIP
TO Q44]
- (Please look at Card 2.) How much annual training is required?
NONE
1
[SKIP TO Q45] LESS THAN 1 DAY
21-3 DAYS
34-10 DAYS
411-15 DAYS
5MORE THAN 15 DAYS
6
- Even though it is not required, is annual training offered
to caseworkers?
YES
1
NO
2
[SKIP
TO Q46]
- (Please look at Card 2.) How much annual training is provided?
NONE
1LESS THAN 1 DAY
21-3 DAYS
34-10 DAYS
411-15 DAYS
5MORE THAN 15 DAYS
6
- Is annual training required for licensed or approved kinship
caregivers? (Training can be at the state, regional, or local level.)
YES
1
NO
2
[SKIP
TO Q48]
- (Please look at Card 2.) How much annual training is required?
NONE
1
[SKIP TO Q54] LESS THAN 1 DAY
21-3 DAYS
34-10 DAYS
411-15 DAYS
5MORE THAN 15 DAYS
6
- Even though it is not required, is annual training offered
to licensed or approved kinship caregivers?
YES
1
NO
2
[SKIP
TO Q50]
- (Please look at Card 2.) How much annual training is provided?
NONE
1LESS THAN 1 DAY
21-3 DAYS
34-10 DAYS
411-15 DAYS
5MORE THAN 15 DAYS
6
- Is annual training required for non-licensed or unapproved
kinship caregivers?
(Training can be at the state, regional, or local level.)
YES
1
NO
2
[SKIP
TO Q52]
- (Please look at Card 2.) How much annual training is required?
NONE
1
[SKIP TO Q53] LESS THAN 1 DAY
21-3 DAYS
34-10 DAYS
411-15 DAYS
5MORE THAN 15 DAYS
6
- Even though it is not required, is annual training offered
to non-licensed or unapproved kinship caregivers?
YES
1
NO
2
[SKIP
TO Q54]
- (Please look at Card 2.) How much annual training is provided?
NONE
1LESS THAN 1 DAY
21-3 DAYS
34-10 DAYS
411-15 DAYS
5MORE THAN 15 DAYS
6
- Is annual training required for foster parents? (Training
can be at the state, regional, or local level.)
YES
1
NO
2
[SKIP
TO Q56]
- (Please look at Card 2.) How much annual training is required?
NONE
1
[SKIP TO Q57] LESS THAN 1 DAY
21-3 DAYS
34-10 DAYS
411-15 DAYS
5MORE THAN 15 DAYS
6
- Even though it is not required, is annual training offered
to foster parents?
YES
1
NO
2
[SKIP
TO Q58]
- (Please look at Card 2.) How much annual training
is provided?
NONE
1LESS THAN 1 DAY
21-3 DAYS
34-10 DAYS
411-15 DAYS
5MORE THAN 15 DAYS
6
Policy Environment
- The next questions concern the policies under which your agency
operates and their impact on service delivery.
Is your agency currently operating under one or more active consent decrees? (A “consent decree” refers to a class action suit or court order related to child welfare.)
YES
1
NO
2
- Does your agency participate in any Federal IV-E waiver
demonstration projects related to child welfare?
YES
1
NO
2
- Does your agency participate in any other demonstration
projects funded by foundation, state, or federally-supported grants
or initiatives?
YES
1
NO
2
- In which of the following does your agency participate?
YES NO a. Foundation-supported initiatives?
1
2
b. Federally-supported grants or initiatives?
1
2
c. State-supported grants or initiatives?
1
2
[USE SHOW CARD 3]
- For the next questions, I would like you to tell me whether
state funding in the past 12 months has changed or not for various
services. Please use the response categories shown on Card 3 to
answer.
Decreased
a lot
Decreased
a little
Remained
unchanged
Increased
a little
Increased
a lot
a. In the past 12 months, has state
funding changed for child abuse
prevention services?
1
2
3
4
5b. Child protective services?
1
2
3
4
5c. In-home services?
1
2
3
4
5d. Placement services?
1
2
3
4
5e. Adoption services?
1
2
3
4
5
- In the past 12 months, has the agency’s flexibility
in using state funds for services...
Increased,
1
Decreased, or
2
Remained the same?
3 - Is your agency engaged in any special initiatives designed
to increase collaboration with other agencies providing services
to children, youth, and families?
YES
1
NO
2
[SKIP
TO Q66]
[USE SHOW CARD 4]
- like to ask about the nature of your agency’s collaboration,
if any, with other For each agency that I ask you about, please
tell me all the types of collaboration Card 4 that apply.
- Which types of collaboration does your agency have with mental
health service
providers? (MARK ALL THAT APPLY.)
DISCUSSION AND INFORMATION SHARING
1
DEVELOPMENT OF INTERAGENCY AGREEMENTS AND
MEMORANDA OF UNDERSTANDING
2CROSS-TRAINING OF STAFF
3JOINT PLANNING/POLICY FORMULATION FOR SERVICE DELIVERY
4WORKING WITH THE AGENCY ON CHILD WELFARE CASES
5JOINT BUDGETING OR RESOURCE ALLOCATION
6NONE OF THE ABOVE
7
- Which types of collaboration does your agency have with
drug/alcohol
providers? (MARK ALL THAT APPLY.)
DISCUSSION AND INFORMATION SHARING
1
DEVELOPMENT OF INTERAGENCY AGREEMENTS AND
MEMORANDA OF UNDERSTANDING
2CROSS-TRAINING OF STAFF
3JOINT PLANNING/POLICY FORMULATION FOR SERVICE DELIVERY
4WORKING WITH THE AGENCY ON CHILD WELFARE CASES
5JOINT BUDGETING OR RESOURCE ALLOCATION
6NONE OF THE ABOVE
7 - Which types of collaboration does your agency have with
police?
(MARK ALL THAT APPLY.)
DISCUSSION AND INFORMATION SHARING
1
DEVELOPMENT OF INTERAGENCY AGREEMENTS AND
MEMORANDA OF UNDERSTANDING
2CROSS-TRAINING OF STAFF
3JOINT PLANNING/POLICY FORMULATION FOR SERVICE DELIVERY
4WORKING WITH THE AGENCY ON CHILD WELFARE CASES
5JOINT BUDGETING OR RESOURCE ALLOCATION
6NONE OF THE ABOVE
7
- Which types of collaboration does your agency have with
juvenile justice?
(MARK ALL THAT APPLY.)
DISCUSSION AND INFORMATION SHARING
1
DEVELOPMENT OF INTERAGENCY AGREEMENTS AND
MEMORANDA OF UNDERSTANDING
2CROSS-TRAINING OF STAFF
3JOINT PLANNING/POLICY FORMULATION FOR SERVICE DELIVERY
4WORKING WITH THE AGENCY ON CHILD WELFARE CASES
5JOINT BUDGETING OR RESOURCE ALLOCATION
6NONE OF THE ABOVE
7 - Which types of collaboration does your agency have
with education?
(MARK ALL THAT APPLY.)
DISCUSSION AND INFORMATION SHARING
1
DEVELOPMENT OF INTERAGENCY AGREEMENTS AND
MEMORANDA OF UNDERSTANDING
2CROSS-TRAINING OF STAFF
3JOINT PLANNING/POLICY FORMULATION FOR SERVICE DELIVERY
4WORKING WITH THE AGENCY ON CHILD WELFARE CASES
5JOINT BUDGETING OR RESOURCE ALLOCATION
6NONE OF THE ABOVE
7
- Which types of collaboration does your agency have
with the local planning body?
(MARK ALL THAT APPLY.)
DISCUSSION AND INFORMATION SHARING
1
DEVELOPMENT OF INTERAGENCY AGREEMENTS AND
MEMORANDA OF UNDERSTANDING
2CROSS-TRAINING OF STAFF
3JOINT PLANNING/POLICY FORMULATION FOR SERVICE DELIVERY
4WORKING WITH THE AGENCY ON CHILD WELFARE CASES
5JOINT BUDGETING OR RESOURCE ALLOCATION
6NONE OF THE ABOVE
7
- Which types of collaboration does your agency have with mental
health service
- Is your agency accredited?
YES
1
NO
2
[SKIP
TO Q69] - By whom?
______________________________________________________________________
- Does the state require your agency to be accredited?
YES
1
NO
2
Agency Policy
- Does your agency have written protocols the situations
in which family reunification services are not required?
YES
1
NO
2
- Does your agency have written protocols for providing
aftercare services following reunification?
YES
1
NO
2
[SKIP
TO Q75] - On average, for how many months does your agency supervise
cases after reunification?
MONTHS - In general, are aftercare services following reunification...
Mandated,
1
Recommended, or
2
Not stipulated in the protocol?
3
[SKIP
TO Q75] - Are aftercare services in residential cases...
Mandated,
1
Recommended, or
2
Not specifically stipulated in the protocol?
3
- Are aftercare services in foster care cases...
Mandated,
1
Recommended, or
2
Not specifically stipulated in the protocol?
3
- Does your agency have a written protocol on the
placement of a foster child’s siblings into foster care?
YES
1
NO
2
[SKIP
TO Q77] - How would you describe your protocol for the placement
of children together? Is this placement...
Mandatory,
1Mandatory, except with written approval,
2Recommended, or
3Stipulated in some other way? (SPECIFY _________________________
__________________________________________________)
4 - Does your agency have a written protocol on the
investigation of families with drug-affected infants?
YES
1
NO
2
[SKIP
TO Q83] - Does this protocol require case opening for infants with
positive toxicology results at birth?
YES
1
NO
2
- Is there automatic referral to health or public health
services?
YES
1
NO
2
- Are there circumstances under which reunification services
are not required by this protocol?
YES
1

