Indiana Department of Child Services Child Welfare Title IV-E Waiver Demonstration Project. Final Report 2018.
Indiana University Evaluation Team. Indiana Department of Child Services.
This report serves as the final report for the Indiana Title IV-E Waiver project. The Indiana Title IV-E Waiver project was implemented statewide in order to spend federal dollars more flexibly to expand services and invest in evidence-based services for Hoosier children and families. This evaluation involved four studies: outcome; process; cost; and a sub-study, which evaluated Family Centered Treatment (FCT). Overall, there were some successes and some areas for improvement. Findings from the four studies indicate: there were statistically significantly higher ratings of safety from pre-Waiver to post-Waiver years; there was a lower percentage of subsequent substantiated abuse/neglect for children residing either in-home or in out-of- home placements according to State administrative data, however, there was a higher proportion of children with closed cases who experienced subsequent substantiated abuse/neglect at 6 months and 1 year post case closure; children in out of home care for all types of case closure (adoption, guardianship, reunification) spent more days out of the home during the demonstration period as compared to baseline; average number of placements decreased in the Waiver period suggesting fewer placement disruptions; appropriate living arrangement, physical health, emotions and learning and development all increased in the Waiver years; stakeholders were satisfied with services and believed that DCS respected their families and culture; overall, Waiver funding has remained cost neutral and funds saved by reducing more expensive services utilization were shifted to early intervention service delivery – a major goal of Waiver funding; all children referred for FCT received services as indicated via the model; and children who had FCT were significantly more likely to remain in the home, had a lower rate of repeat maltreatment 6 months after their involvement with DCS ended, and FCT children had higher rates of re-entry than non-FCT children. (Author abstract modified)
Indiana; child welfare reform; Title IV E; waiver; well being; child safety; cost effectiveness; permanency; reentry