Legislative Program Review and Investigations Committee
Department
of Children and Families
Chapter Four
Chapter
Four
DCF Management
and Planning
DCF,
like child welfare agencies across the country, faces widely recognized
management challenges. A recent U.S. Government Accounting Office (GAO) report
on state and local child protection agencies found they are plagued by
systemic weaknesses that undermine effective management.
[1] These weaknesses
include difficulties in:
· maintaining a skilled workforce;
· consistently following key policies and procedures designed to protect children;
· developing useful case data and recordkeeping systems such as automated case management; and
· establishing good working relationships with the courts.
The management weaknesses outlined in the GAO report clearly have been issues for Connecticut's consolidated children's agency. These and other management problems led to the 1989 law suit and resulting consent decree. Lack of planning, inadequate information systems, weak accountability, and ambiguous management structures are repeatedly cited as deficiencies in reports produced by outside consultants and the program review committee over the past 20 years. (Findings and recommendations from prior reports on DCF are summarized in Appendix C.) Information on the current status of several key management functions is highlighted below.
Planning
A
primary management duty of the Department of Children and Families, by
statute, is to plan and evaluate a comprehensive and integrated statewide
program of services for children and youth.
The agency is required by state and federal law to produce a number of
planning documents, including a five-year master plan to be submitted to the
General Assembly biennially. The
state mandated master plan must incorporate a comprehensive mental health plan
for children and adolescents, a comprehensive plan developed in conjunction
with the Department of Mental Health and Addiction Services for substance
abusers, and a written plan for the prevention of child abuse and neglect.
Current
planning documents.
DCF has not produced the statutorily required master plan since 1986.
Mental health and child welfare plans are prepared each year as part of
state grant applications for federal funding in these areas.
In addition, the department, as a member of the Connecticut Alcohol and
Drug Policy Council (CADPC), participated in developing the first statewide
interagency substance abuse plan, which was submitted to the governor and
General Assembly in January 1999. Other
than the recent report on the site selection for a new Long Lane School, no
planning document has been prepared by DCF concerning juvenile justice
matters.
A
variety of special plans have been prepared in recent years, both in response
to consent decree requirements and agency initiatives.
For example, a plan for DCF facilities was issued in February 1999,
a draft statewide training plan for 1998-1999 was prepared by the DCF
training academy, and a draft plan for quality assurance was developed in
March 1999 by the agency's quality management office.
In compliance with consent decree provisions, the department just
completed its Program Assessment and Resource Allocation (PARA) Plan for 1999.
The PARA plan documents how resources will be allocated among various
service categories based on the agency's annual assessment of services used by
children and families during the previous year.
Strategic plan.
None of the documents currently produced by DCF fulfill the purpose of
the agency master plan, which by law should contain:
· the department's long range goals and current level of attainment;
· a detailed description of the types and amounts of services provided;
· a detailed forecast of the service needs of current and projected target populations;
· detailed cost projections of alternative means for meeting projected needs;
· funding priorities for each of the five years included in the plan and specific plans indicating how the funds are to be used; and
· an overall assessment of adequacy of children's services.
At
the direction of the commissioner, the department's planning division recently
produced a strategic planning document for the agency that set specific
goals and identifies actions required to implement them for major functional
areas (e.g., administration and finances, child welfare bureau, human
resources, education services, juvenile justice, mental health division, etc.)
and institutions. According to agency management, the strategic action plan is
intended to serve as the rolling master plan called for by state
statute. However, it does not
include any systematic needs assessments by target population, comprehensive
cost projections for needed services, or an evaluation of the status of
current services provided to children and families.
Planning and research functions.
Statewide planning is the responsibility of the small strategic
planning division, comprised of seven professionals and two support staff, in
the central office. Central office planning staff actually spends about half
its time working on annual federal grant applications and related state plans
and the rest on consent decree implementation issues and strategic planning.
A new function the staff intends to undertake in the upcoming year is
resource development -- finding new public and private funding sources to
support agency activities.
Planner
positions are also assigned to the regional offices. In general, the regional
planners spend most of their time on contract administration and provider
relations, not assessing client needs and developing programs.
Through their contract management functions, however, needs for new or
expanded services can be identified and forwarded to the central office for
consideration.
At
present, no staff in DCF are devoted to analyzing trends, reviewing research,
and compiling and coordinating the vast amount of data generated throughout
the agency. However, the current
PARA plan proposes formation of a planning and research unit.
The only part of the agency regularly conducting research now is the
new quality assurance unit that oversees analysis of data collected through
the performance-based contract and administrative case review processes.
Advisory
groups.
Two statutory entities central to department planning efforts are the
State Advisory Council (SAC) and the agency's five Regional Advisory Councils
(RACs). The State Advisory
Council consists by law of 15 gubernatorial appointees including a child
psychiatrist, an attorney, three persons between ages 15 and 22, child care
professionals, five child care professionals and representatives of young
persons, parents, and others interested in the delivery of services to
children and youth. The SAC is
responsible for recommending service improvements to the commissioner,
annually reviewing and advising on the agency's proposed budget,
issuing reports it deems necessary, and interpreting the department's
policies, duties, and programs to the community.
In recent years, the council has been primarily reactive; it has
provided comments on agency budgets and plans but has not produced any
independent reports or policy initiatives.
The
council's role and influence has varied with each agency commissioner.
At present, the DCF
commissioner usually attends the council's monthly meetings and has asked the
council's assistance in developing the latest strategic plan.
In addition, a mental health subcommittee of council has been
designated to serve as the state's citizen advisory council for children's
mental health planning as required by federal law.
The statutes require the DCF commissioner to create regional advisory
councils of not more than 21 persons to provide advise on the development and
delivery of services in each DCF region and to facilitate coordination of
services for children, youth, and their families in the region.
The majority of members of each RAC must earn less than 50 percent of
their salaries from providing services to children and families with the
balance made up of representatives of private human service providers in the
region. Each DCF regional office
assigns a worker to staff its RAC. The
relationship of the regional councils to the department has varied over time
and among regional advisory councils, ranging from critic to partner.
Under the current administration, the RACs have participated in the
development of the agency's
routine planning documents as well as the PARA plan.
Another important advisory group with a special purpose is the critical
response team established under P.A. 99-26, the legislation mandating a new
juvenile training school to replace Long Lane.
The nine-member team, which is comprised of representatives of state
agencies, the governor's office, a private residential treatment facility, and
the judicial branch, is responsible for making recommendations on the
operation of the new training school and on DCF's oversight of delinquent
children in its custody. The team
submitted its recommendations, which primarily focused on the internal
operations of the Connecticut Juvenile Training School (CJTS), to the governor
and General Assembly on January 1, 2000.
Information
Systems
A major management deficiency continually cited in studies of DCF is
the lack of an effective automated information system.
At present, the department’s main computer support for its daily
operations is known as LINK. The
multi-million dollar system, which became operational in 1996, was funded in
part with federal grant dollars made available to all states to help create
single statewide computerized child welfare information systems.
Ultimately,
LINK is intended to be the agency's case management system capable of tracking
the history and current status of all DCF clients, producing reports for
planning and policy purposes, and carrying out certain fiscal functions.
Now it is used primarily for processing payments for out-of-home
placements for children in protective services case and reporting caseload and
staffing data to the court monitor.
A
major limitation of LINK at this time is the fact that data related to clients
of DCF facilities, which include Long Lane School and the mental health
institutions, are not incorporated in the system.
Also, the system only includes case information back to 1996; prior
data on cases must be retrieved from the agency’s former computerized
systems and from paper files. Agency
officials also caution against using information produced through LINK without
checking other sources since data entry problems and programming issues have
resulted in inaccurate or unreliable reports.
Quality
Assurance
A
strong quality assurance mechanism within the Department of Children and
Families is required by the consent decree and by federal law and regulation.
Quality assurance has involved different functions and organizational
locations over the past 10 years but currently is carried out by the
department's Bureau of Quality Management, which was established in early
1998. In addition to an
administrative case review process, the units in the bureau's continuous
quality improvement division are responsible for: licensing the facilities
subject to DCF regulation (e.g., clinics, shelters, residential treatment
facilities, etc.); investigating complaints concerning licensed facilities and
other providers of children's services; conducting
special, internal reviews of critical incidents (i.e., child fatalities and
serious injuries); and analyzing information on the performance of outside
service providers.
The
foundation of DCF's quality assurance function is the administrative case
review (ACR) process. Implementation
of the current process, developed in consultation with the court monitor,
began in one regional office in February 1998 and is expected to be fully in
place in all regions by the end of 1999.
Under the process, an independent review of nearly every open
protective services or voluntary services case involving out-of-home placement
is conducted every six months "to ensure the right services are provided
at the right time in the best way for children in the custody or supervision
of the Department of Children and Families."
[2]
The
ACR process is integrated into the department's overall treatment planning
process. In addition to providing regular assessment of the status of each
active treatment case, administrative case review is being used by the
department to:
· systematically collect data on all cases reviewed;
· prepare quarterly caseload profiles for regional and central planners that can help identify service trends and needs; and
· identify corrective actions for improving case practices.
[1] Child Protective Services: Complex Challenges Require New Strategies, U. S. Government Accounting Office, July 1997.
[2] The consent decree ACR process does not apply to juvenile justice cases unless the child is dually committed to DCF. In compliance with federal requirements, however, similar administrative case reviews of children at Long Lane or on parole and in an out-of-home placement are conducted by a Long Lane staff person.