[Federal Register: June 7, 2006 (Volume 71, Number 109)]
[Notices]
[Page 32969-32987]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr07jn06-96]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
The Data Measures, Data Composites, and National Standards To Be
Used in the Child and Family Services Reviews
AGENCY: Children's Bureau, Administration on Children, Youth and
Families, Administration for Children and Families, Department of
Health and Human Services.
ACTION: Final notice of the data measures, data composites, and
national standards to be used in the Child and Family Services Reviews.
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SUMMARY: On November 7, 2005, the Administration for Children and
Families (ACF) published a notice in the Federal Register soliciting
comment regarding its proposal to replace the six data measures used as
part of the assessment of State performance on the Federal Child and
Family Services Review (CFSR) with six data composites (70 FR 67479).
Based on the results of our data analyses and a review of comments from
the field, ACF made the following decisions:
The CFSR will use a State's performance on two individual
data measures as part of the assessment of the State's substantial
conformity with CFSR Safety Outcome 1--Children are, first and
foremost, protected from abuse and neglect. A national standard is
established for each of these measures.
The CFSR will use a State's performance on four data
composites as part of the assessment of the State's substantial
conformity with CFSR Permanency Outcome 1--Children have permanency and
stability in their living situations. A national standard is
established for each of these data composites.
This announcement presents the following information:
The decisions made by the Children's Bureau regarding use
of data composites for the Federal Child and Family Services Review
(CFSR);
The composites and additional data that will be used as
part of the assessment of a State's substantial conformity with the
CFSR requirements; and
Descriptive statistics relevant to each composite and
measure, including the score that will serve as the national standard
for the second round of the CFSR.
Where relevant, the announcement addresses key comments from the
field in response to the Federal Register notice.
The announcement also includes the following attachments:
Attachment A: Data to be included in the CFSR State Data Profile.
Attachment B: Methodology for Composite Construction.
FOR FURTHER INFORMATION CONTACT: Contact: John Hargrove at
John.Hargrove@acf.hhs.gov, (202) 205-8625.
SUPPLEMENTARY INFORMATION:
I. Background
The CFSR is ACF's results-oriented comprehensive monitoring system
designed to promote continuous improvement in the outcomes experienced
by children and families who come into contact with public child
welfare agencies. ACF developed the CFSR in response to a mandate in
the Social Security Amendments of 1994 (see section 1123A of the Social
Security Act) for the Department of Health and Human Services to
promulgate regulations for reviews of State child and family services
programs under titles IV-B and IV-E of the Social Security Act. ACF's
final regulations on the CFSR process, issued in 2000, can be found at
45 CFR 1355.31 through 1355.37. Between fiscal year (FY) 2001 and FY
2004, ACF conducted the first round of the CFSR. A ``round'' is defined
as a cycle of the CFSR that includes every State, the District of
Columbia, and Puerto Rico.
Information for each CFSR came from the following sources: (1) The
Statewide Assessment, (2) case-level reviews conducted by a team of
Federal and State reviewers, (3) interviews with key stakeholders, and
(4) State data from the Foster Care File of the Adoption and Foster
Care Analysis and Reporting System (AFCARS) and the Child File of the
National Child Abuse and Neglect Data System (NCANDS), or an
alternative data source approved by the Children's Bureau. Using this
information, the first round of the CFSR assessed State performance on
seven outcomes and seven systemic factors. For the most part,
performance on the seven outcomes was determined through the results of
the case reviews. However, in the first round of the CFSR, the
assessment for two outcomes also included a State's performance on six
national data measures that ACF adapted from measures developed for the
Annual Report to Congress on Child Welfare Outcomes in response to the
requirements of section 479A of the Social Security Act. ACF
established national standards for each of the six data measures, all
of which were calculated from data reported by States to NCANDS and
AFCARS. ACF described these six data measures and the national
standards in the preamble to the final CFSR regulation, published in
the Federal Register (65 FR 4024-4025). This same regulation provides
information on how ACF calculated the national standards associated
with each of the six data measures. Subsequently, ACF issued
information memoranda on the specific national standards that would be
used in the initial CFSR implementation (see ACYF-CB-IM-00-11 and ACYF-
CB-IM-01-07).
The following performance measures and national standards were used
during the first round of the CFSR as part of the assessment of a
State's substantial conformity with CFSR Safety Outcome 1--Children
are, first and
[[Page 32970]]
foremost, protected from abuse and neglect:
Repeat maltreatment--Of all children who were victims of
substantiated or indicated child abuse and/or neglect during the first
6 months of the reporting period, 6.1 percent or less had another
substantiated or indicated report within a 6-month period.
Maltreatment of children in foster care--Of all children
who were in foster care during the reporting period, 0.57 percent or
less were the subject of substantiated or indicated maltreatment by a
foster parent or facility staff member.
The following performance measures and national standards were used
as part of the assessment of a State's substantial conformity with CFSR
Permanency Outcome 1--Children have permanency and stability in their
living situations:
Timeliness of reunification--Of all children who were
reunified with their parents or caretakers at the time of discharge
from foster care, 76.2 percent or more were reunified in less than 12
months from the time of the latest removal from home.
Re-entry into foster care--Of all children who entered
foster care during the reporting period, 8.6 percent or less were re-
entering foster care in less than 12 months of a prior foster care
episode.
Timeliness of adoption--Of all children who exited foster
care to a finalized adoption, 32 percent or more exited foster care in
less than 24 months from the time of the latest removal from home.
Placement stability--Of all children who have been in
foster care for less than 12 months from the time of the latest removal
from home, 86.7 percent or more have had no more than two placement
settings.
ACF views the CFSR as a dynamic process. We made ongoing
improvements after each year of the first round of reviews in response
to our experiences in the field and to suggestions from State child
welfare agency administrators. After completion of the first round in
FY 2004, ACF contracted with a consultant to study the CFSR and make
further suggestions regarding potential revisions to the process. To
assist in this task, the consultant convened a CFSR workgroup including
State child welfare agency administrators, child welfare specialists,
and researchers. Based on input from this workgroup, the consultant
presented a set of suggestions for ACF. One suggestion was to replace
the existing CFSR single data measures for which national standards
were established with data composites that incorporate a wider range of
performance areas relevant to a particular child welfare domain. ACF
determined that making this change would enhance the quality of the
CFSR for the following reasons:
The recommendation is consistent with our observations
during the first round of the CFSR that expanding the scope of data
pertaining to a particular child welfare domain will provide a more
effective assessment of State performance. For example, expanding the
scope of data pertaining to the timeliness of reunification will
address various performance areas relevant to this domain, including
the permanency of the reunification.
Data composites will provide a more holistic view of State
performance in a particular domain than a single data measure can
achieve. For example, the current CFSR measure of timeliness of
adoptions considers the percentage of children adopted within 24 months
of entering foster care, but not children's experiences with regard to
the timeframes between key points in the adoption process, such as the
time from termination of parental rights (TPR) to a finalized adoption.
Data composites will ensure that the data component of a
State's performance with regard to a particular domain will not depend
on one measure. For example, a State's performance regarding the data
composite for the domain of timeliness to adoption may be uneven, with
performance higher in one area than in another. However, overall
performance on the composite may be high. Thus, the data composite will
account for both the strengths and weaknesses that a State exhibits
within a particular domain.
Data composites are being used by the Federal government
to assess other programs. For example, composite measures are being
developed and used for the No Child Left Behind initiative. In
addition, composite measures have been used to evaluate the performance
of hospitals in various health-related domains.
II. Analysis and Decisions
ACF published a Federal Register notice presenting proposed data
composites and performance areas for each composite on November 7,
2005, with a 30-day public comment period. We received 66 letters from
State and local child welfare agencies, national and local advocacy
groups, researchers, State and local courts, and national associations
representing groups of practitioners. ACF's final decisions regarding
the composites are presented below. These decisions are based on our
review of comments from the field, our data analyses, and the
principles and objectives of the Social Security Amendments of 1994 and
the Adoption and Safe Families Act (ASFA) of 1997.
A. ACF Will Replace the Existing Six Data Measures Used for the First
Round of the CFSR With Four Data Composites and Two Single Measures
The majority of respondents to the Federal Register notice
expressed support for our proposal to use data composites as part of
the assessment of a State's substantial conformity with the
requirements of the CFSR. A few respondents expressed concern about the
potential burden to the States involved in revising their data systems
to provide data for the composites. However, the composites will not
require States to revise their basic data systems because all data
necessary for the composites come from existing AFCARS or NCANDS data
elements. Also, because States submit the NCANDS Child File on a
voluntary basis, the CFSR regulation allows us to accept data from an
alternative source from those States that do not submit the Child File
to NCANDS. However, for the second round of the CFSR, the use of
alternative data sources applies only to measures calculated from data
reported to the NCANDS Child File. It does not apply to measures
calculated from data reported to AFCARS.
A few respondents expressed concern that the composite approach
would make it difficult for States to track their own performance in
specific areas and to identify those areas where improvements may be
needed. To assist States in tracking their performance on the
composites, we will provide them with a State Data Profile that
presents information on all of the individual performance areas
included in the composites as well as the composite scores.\1\ The
State Data Profile also will include information pertaining to the
relative contribution (or weight) of a variable to the composite.
Attachment A itemizes the data that will be included in the State Data
Profile to be provided to each State. ACF will provide States with the
syntax used for establishing each of the performance areas and
calculating the composite scores. In addition, we will ensure that
technical assistance is available to States in developing the tools
necessary to track their performance.
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\1\ Several States requested that ACF continue to report data
pertaining to the six data measures used in the first round of the
CFSR. This information will be provided in the State Data Profile.
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[[Page 32971]]
Although ACF initially intended to replace the six data measures
with six data composites, we have decided to use two single measures
that are similar to those used in the first round of the CFSR to assess
State performance with regard to CFSR safety outcome 1--Children are,
first and foremost, protected from abuse and neglect. We made the
decision not to develop safety composites for the following reasons:
Many respondents to the Federal Register notice expressed
concern about the usefulness and appropriateness of the new measures
proposed for the safety-related composites.
A review of the data for the measures revealed potential
problems with consistency in State reporting, particularly with regard
to how States defined certain data elements.
The results of the data analyses for the composites did
not provide strong support for inclusion of some of the measures
proposed for the composite.
Additional information relevant to our decision to eliminate
particular measures is provided in the section of this Announcement
pertaining to CFSR Safety Outcome 1.
B. ACF Used Principal Components Analysis To Develop the Composites
ACF identified and implemented the methodology for establishing
data composites in consultation with an internationally known expert
statistician. Our goal was to increase the amount of pertinent
information that would be considered in assessing a State's performance
with regard to particular outcomes without increasing the number of
measures that would be subject to a national performance standard. We
reviewed with our expert consultant all possible statistical
methodologies and determined that a principal components analysis was
the most appropriate data analysis method for achieving our goal.
Principal components analysis is a commonly used statistical
technique for reducing a large set of variables into a smaller set by
combining highly inter-correlated variables. Use of this analysis is
based on two basic psychometric principles of measurement: (a) A test
with more questions is more reliable; and (b) combining related scores
into a composite score results in a more reliable and valid score than
the individual scores on which the composite is based. Each variable in
the set is given a weight in accordance with its relative importance to
the overall composite. (See attachment B for more information on this.)
These sets, or principal components, usually are more stable and easier
to interpret than individual variables because they incorporate several
variables that are related to one another but also capture unique
information.
The principal components analyses conducted to generate the
composites were closely guided by our expert consultant and were
systematic and conservative in nature. The analyses generated valid and
meaningful results that exceed the minimum requirements of
acceptability for this analytical technique. Decisions made regarding
the composites were based on the empirical data resulting from the
analyses. Consequently, we believe that the composites established will
enhance the assessment of State performance.
A few respondents questioned whether a principal components
analysis methodology was appropriate and requested an opportunity to
review the details of the methodology and to provide comment on the
appropriateness of the methodology. Because the methodology used is
based on a sound and widely accepted statistical process, we will not
be submitting it for comment from the field. Many of the concerns
expressed by respondents are the result of a lack of understanding of
principal components analysis. The specifics regarding these concerns
are addressed in attachment B, which also provides a description of how
the methodology was used in generating the composites.
ACF understands that our composite approach represents a new
conceptual framework for many States. Therefore, we will conduct
orientation sessions with States in each ACF region to familiarize them
with the composites and the methodology prior to implementing the next
round of the CFSR. In addition, the data set used for the principal
components analyses and the syntax used to construct the composites
will be made available to States.
C. Wherever Possible and Appropriate, the Data Composites Incorporate a
Combination of Longitudinal Measures That Follow a Cohort of Children
Over Time, Measures That Capture Outcomes Experienced by Children
Exiting Foster Care in a Given Year, and Measures That Assess the
Status of Children in Foster Care Within a Particular Timeframe
Several respondents recommended that all measures in the data
composites should be longitudinal measures that follow a cohort of
children over time to establish timeliness of permanency and placement
stability. These respondents suggested that such measures, particularly
those that follow a cohort of children entering foster care, reflect a
more accurate picture of State performance in these areas than do other
types of measures. However, several other respondents expressed support
for maintaining the measures used in the first round of the CFSR that
capture outcomes experienced by children exiting foster care in a given
year. As one of these respondents noted, ``I have heard and studied
much of the criticism (of the six indicators), but I find much of the
criticism to be without merit. * * * the six indicators have served us
very well here in (State).''
To address both perspectives, we have included as many longitudinal
measures as possible in the composites along with other types of
measures. Some respondents expressed concern that AFCARS does not
permit a longitudinal analysis that crosses over fiscal years. This is
not true. We currently can and have used AFCARS data to assess children
across years--i.e., children entering or exiting foster care in one
year can be followed in subsequent years. However, our ability to
conduct longitudinal analysis for the CFSR is restricted somewhat by
the timeframes of the CFSR and, in particular, the need to have data
that reflect both a recent level of performance and change in
performance during the period of program improvement. For example, the
data used at the time of the second round of the CFSR for a given State
cannot overlap with a State's Program Improvement Plan (PIP)
implementation period. Within the context of the CFSR timeframes, it is
not feasible to follow children for longer than a 12-month period and
no measure can incorporate more than four AFCARS reporting periods (2
years).
Given this situation, most of the final composites include a
combination of types of measures. ACF believes that each type of
measure contributes to an understanding of State performance from a
particular perspective. We have used the principal components analyses
to determine the relative contribution of each type of measure to the
overall composite. (See attachment B for more information on this
issue.) Specific information about decisions pertaining to the types of
measures incorporated in each composite is provided in the discussion
of the individual composites.
D. ACF Will Use the Data Composites for the Second Round of the CFSR
Many respondents to the Federal Register notice, while indicating
support for the data composite approach, proposed that ACF ``pilot
test'' this approach during the second round of the CFSR and not
implement
[[Page 32972]]
this approach for assessment purposes until a later round of the CFSR.
However, because the methodology used for establishing the composites
is statistical rather than theoretical, the concept of a pilot test is
not applicable. For example, the process of conducting the CFSR was
initially piloted in 14 States to test whether the procedures (e.g.,
Statewide Assessment, case reviews, and stakeholder interviews) were
appropriate and yielded the desired information. Although this process
is valid for testing the utility of procedures, it is not applicable to
data composites, which are derived from a statistical analysis of data
submitted by the States to AFCARS.\2\ However, the quality of the data
submitted by the States to these Federal systems may be an issue for
some States. ACF strongly encourages States to assess the quality of
the data that they report to these systems and to improve the quality
if any problems are identified. In addition, ACF will continue to
provide guidance to States, either directly or through ACF's resource
center, the National Resource Center for Child Welfare Data and
Technology, in improving the quality of the data submitted to AFCARS.
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\2\ The composites pertain to permanency only and therefore do
not involve data from NCANDS.
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Instead of a ``pilot,'' ACF conducted a replication of the
principal components analyses on data from prior years to examine
whether the resulting component structures exhibit stability over time.
The composites were constructed with the focus on data from fiscal year
(FY) 2004. Data from FY 2003 were incorporated for the measures
involving long-term longitudinal analysis. ACF conducted two
replications of the principal components analysis on data reported to
AFCARS relevant to FY 2002/2003 and FY 2001/2002. The results of this
replication indicate that there is a clear and stable structure in the
data to support the use of the composites as a meaningful component of
the CFSR assessment of State performance.
E. ACF Will Establish National Standards for the Two Independent
Measures and for Each of the Four Composites
Many respondents to the Federal Register notice recommended that
ACF not establish national standards for the data indicators used in
the next round of the CFSR. They proposed that ACF assess performance
based on continuous improvement on the data measures over time within
an individual State.
After consideration of this recommendation, ACF decided to maintain
the practice of establishing national standards for the CFSR and to
continue to use the standards as part of the assessment of a State's
substantial conformity with outcomes pertaining to safety and
permanency. The reasons for this decision are the following:
ACF initially established national standards for each of
the six CFSR data measures as desired national goals for the field with
regard to achieving safety and permanency for children. We believe that
setting national goals for the field is an important part of ensuring
that Federal, State, and local agencies remain focused on achieving the
highest level of results for children who come into contact with the
nation's child welfare systems.
Because the national standards for the first round of the
CFSR were based on the distribution of performance across States, they
are relative rather than absolute. By setting the standard at the 75th
percentile (as adjusted for sampling error and for normality of
distribution), we believe that the goals represented by the standards
are realistic and attainable and that, by establishing standards, ACF
is promulgating the expectation that States make concerted efforts to
achieve these goals.
The assessment of a State's performance on its individual
PIP is, and will continue to be, based on change in an individual
State's performance over time rather than on whether the State meets
the national standard. With regard to the national data measures, ACF
has not required that a State meet the national standard in order to
avoid financial penalties, only that the State demonstrate an agreed-
upon amount of progress in moving toward the standard.
The primary concern raised by respondents to the Federal Register
notice that pertained to the issue of national standards was that the
standards involve a comparison among States that is not valid because
variations in State practices, statutes, and policies often impact the
comparability of performance on a particular measure. ACF acknowledges
that variations in policies and statutes can affect comparability and
has attempted to address these variations both in the new measures
proposed for the composites and in the use of composites themselves.
The standards were calculated using data pertaining to State
performance in FY 2004, with data from FY 2003 included when there is a
measure requiring a longitudinal analysis that spans fiscal years. When
the performance of individual States is considered with regard to the
national standards, we will ensure that the State data pertain to time
periods that are after completion of the PIP implementation period.
F. ACF Will Not Establish Separate National Standards Based on
Variations Across States With Regard to the Age or Race/Ethnicity of
Children in Foster Care, or Whether the Reason for Entering Foster Care
Was Maltreatment or the Child's Behavior
Many respondents to the Federal Register notice suggested that ACF
should assess performance on the composites and the measures to
determine whether there are differences in performance as a result of
children's age, race/ethnicity, or reasons for entering foster care and
that the national standards should be adjusted accordingly. For
example, respondents noted that older children are more likely to
experience placement changes than younger children, and therefore,
States that have a relatively high percentage of older children
entering the foster care population could not be expected to perform as
well on measures of placement stability as other States.
We are not establishing separate performance standards for children
of different ages, races, or reasons for entering foster care.
Consistent with the tenets of the Adoption and Safe Families Act and
with the best interests of children, all children have the same need
for safety, placement stability, and timely permanency. Rather, this
type of analysis is best left to the States to further examine the
characteristics of their own child welfare populations as part of their
Statewide Assessment.
A few respondents to the Federal Register notice also suggested
that rather than adjust the national standards, the measures for the
permanency-related composites should apply only to children who enter
foster care as a result of abuse or neglect. ACF decided not to exclude
children from the measures who enter foster care for reasons other than
child maltreatment. We believe that all children who are in the custody
of the State child welfare agency and who are reported to AFCARS share
the same needs for permanency and placement stability regardless of
their reason for entering care.
III. Data Measures and Composites
In this section, we present the measures and composites that will
be used in the next round of the CFSR. We also identify and discuss the
critical
[[Page 32973]]
features of each measure and composite and address key comments
concerning the measures and composites received in response to the
Federal Register notice. Table 1 provides summary information regarding
all of the composites, measures, and national standards to be used in
the second round of the CFSR.
A. CFSR Measures That Will Be Used as Part of the Assessment of
Substantial Conformity With CFSR Safety Outcome 1--Children Are, First
and Foremost, Protected From Abuse and Neglect
Two individual measures rather than composites will be used as part
of the assessment of substantial conformity with CFSR Safety Outcome 1.
These measures are the following:
Recurrence of maltreatment. Of all children who were
victims of substantiated or indicated abuse or neglect during the first
6 months of the reporting year, what percent did not experience another
incident of substantiated or indicated abuse or neglect within a 6-
month period?
Maltreatment of children in foster care. Of all children
in foster care during the reporting period, what percent were not
victims of a substantiated or indicated maltreatment by foster parents
or facility staff members?
Key Features of the Measures
These measures are similar to those used in the first round of the
CFSR. The only difference is that the focus has shifted from the
occurrence of maltreatment to the absence of maltreatment. We made this
change for the following reasons:
Respondents to the Federal Register notice and others in
the field recommended that all data measures address performance from a
positive perspective.
The composite measures pertaining to permanency and
placement stability are all in the same direction with higher scores
meaning higher levels of performance. We believe that assessing all
data in the same direction will simplify the interpretation of State
performance with regard to the national data.
Although there was general support from the field for the proposed
measure of recurrence of maltreatment, some respondents suggested that
the measure be restricted to maltreatment recurrence involving the same
perpetrator and the same type of abuse. ACF decided not to make this
change because children should be protected from continued maltreatment
within a 6-month period even if the perpetrator is the mother in one
incident, for example, and the father or grandmother in another
incident, or if the perpetrator is the same but the maltreatment is
neglect in one incident and physical abuse in another.
Respondents also questioned whether and, if so, how the measure of
recurrence will incorporate maltreatment allegations that are referred
for an ``alternative response.'' Alternative response usually refers to
the practice implemented by several States in which a maltreatment
allegation that is believed to involve low risk of harm to the child is
referred to an agency for an assessment to determine whether the family
is in need of services. In these situations, the allegation is not
referred for a formal child abuse and neglect investigation. We
determined that it is not possible to include maltreatment allegations
that are referred for an alternative response in the measure of
maltreatment recurrence because the majority of States that implement
this approach do not make a disposition as to whether the allegation is
substantiated or indicated.
Although respondents to the initial Federal Register notice also
expressed support for the measure of maltreatment of children in foster
care by foster parents or facility staff members, some suggested that
the measure include maltreatment by relative caregivers. It already
does this. The maltreatment in foster care measure includes
perpetrators who are relative foster parents, non-relative foster
parents, and group home or residential facility staff. It does not
include perpetrators who are relative caregivers taking care of
children who are not in foster care. NCANDS's current definition of
``foster parent'' is ``an individual licensed to provide a home for
orphaned, abused, neglected, delinquent, or disabled children, usually
with the approval of the government or a social service agency. This
individual may be a relative or a non-relative.''
The final two measures to be associated with the assessment of CFSR
Safety Outcome 1 represent those that remained after we excluded the
other measures initially proposed in the Federal Register notice. ACF
decided to exclude the other proposed measures based on feedback from
the field and the results of our review of the data and our data
analyses. The measures excluded and reasons for exclusion are described
below:
Measure of multiple unsubstantiated maltreatment
allegations. In the November 7th Federal Register notice, ACF proposed
a safety-related measure assessing the performance area of multiple
unsubstantiated maltreatment reports. This was based on the findings of
several research studies indicating that many children who are the
subject of multiple unsubstantiated allegations actually experience
maltreatment. However, almost all respondents recommended eliminating
this performance area from the CFSR assessment. They noted that the
measure is problematic because of State variations in practices and
procedures relevant to substantiation. A particular concern was that
many States do not differentiate in their dispositions between
unsubstantiated allegations and allegations that are found to be
intentionally false or without merit. Consequently, there would be no
way to exclude the latter types of allegations from the assessment in
all States.
Measure of timeliness of initiating investigations of
maltreatment allegations. In the Federal Register notice, ACF proposed
a measure of timeliness of initiating investigations of maltreatment
allegations, with initiation defined as establishing face-to-face
contact with the child who is the subject of the allegation and with
the family. The measure was designed to address the proposition that
investigations that are initiated quickly are more likely to ensure the
safety of children than investigations that are not initiated quickly.
We decided to exclude this measure primarily because the results of our
data analyses did not support its inclusion and because it was not
clear from the data that States were defining either the starting point
(i.e., receipt of the allegation) or the end point (i.e., initiation of
investigation) of the proposed measure in a consistent manner. In
addition, most respondents expressed concern that such a measure would
result in the Federal government setting policy for the States with
regard to timeliness of initiating an investigation.\3\ However,
because timeliness of investigations will continue to be part of the
CFSR case review assessment, we have decided to provide data relevant
to State performance in this area in the State Data Profile without an
associated national standard. We will require that States address their
performance in this area in their Statewide Assessment.
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\3\ Some respondents raised concern that the proposed timeliness
to investigation measures did not reflect the prioritization and
classification systems based on the perceived risk of harm to the
child that some States have developed for establishing timeframes
for responding to maltreatment allegations.
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Measure of timeliness of dispositions of maltreatment
reports.
[[Page 32974]]
ACF initially proposed this measure because of our concern that a child
welfare agency may not be able to address the safety of the child fully
until an investigation is completed and a disposition is made. We
decided to exclude the measure from the composite analysis because the
majority of respondents indicated that State child welfare agencies are
able to provide the necessary services and conduct adequate safety and
risk assessment prior to a formal disposition, and that often a
disposition is a court decision that is made after the agency has
already intervened with the family to ensure safety and address risk
issues.
Measure of maltreatment of children in foster care by
their parents. We proposed this measure as a result of an unanticipated
finding in our initial data review that for many of the children who
were reported as being victims of maltreatment when they were in foster
care, the perpetrator was identified as the parent. However, almost all
respondents to the Federal Register notice expressed concern that
because States report to NCANDS the report date rather than the
incident date of a maltreatment allegation, the measure would capture
incidents of maltreatment by parents that were received while the child
was in foster care but that actually occurred before the child entered
foster care. We initially attempted to address this problem by
excluding from the measure reports received during the first 30 days
that a child was in foster care. However, respondents did not agree
that this would be sufficient to resolve the problem. Although NCANDS
now includes a data element that asks States to report the date of the
maltreatment incident as well as the date the report was received,
States are not yet using that data element on a consistent basis. ACF
has decided to report data on this measure to the States in the State
Data Profile. We believe that States may not be aware of the extent of
this problem and that by providing these data we will encourage them to
use the NCANDS data element pertaining to the date of the maltreatment
incident to assess whether children are victims of maltreatment by
their parents while they are in foster care.
B. CFSR Composites and Measures That Will Be Used as Part of the
Assessment of a State's Substantial Conformity With CFSR Permanency
Outcome 1--Children Have Permanency and Stability in Their Living
Situations
Four data composites will be used as part of the assessment of
State performance in achieving CFSR Permanency Outcome 1. A composite
reflects the general domain that is assessed by the data. The four
composites are: Permanency Composite 1: Timeliness and permanency of
reunifications; Permanency Composite 2: Timeliness of adoptions;
Permanency Composite 3: Achieving permanency for children in foster
care for extended periods of time; and Permanency Composite 4:
Placement stability. Information pertaining to construction of the
composites is provided in attachment B.
Each composite comprises one or more components, depending upon the
results of the data analysis. Components are the general factors that
contribute to the composite score. If a composite has two components,
each one contributes 50 percent to the composite score. If a composite
has three components, each one contributes 33.3 percent to the
composite score.
Each component comprises one or more measures. The measures provide
the actual data for the analysis. The contribution of each measure
(also called the weight) to the component score is determined by the
principal components analysis and is presented in attachment B. The
general structure of each composite with regard to the number of
components and the number of measures, a summary of the data for each
measure, and the national standards are presented in table 1.
1. Permanency Composite 1: Timeliness and Permanency of Reunifications
The principal components analysis of the measures proposed for this
composite yielded a composite comprised of two components. One
component pertains to timeliness of reunifications. This component
includes three measures. The other component pertains to the permanency
of reunifications and includes one measure. Each component has a unique
score and contributes 50 percent to the final composite score.
Information regarding the contributions of individual measures to the
component score is provided in attachment B. Composite scores represent
the conversion of z-scores to a scale ranging from 50 to 150.
Component 1: Timeliness of Reunification
For the CFSR data measures, reunification occurs if the child is
reported to AFCARS as discharged from foster care and the reason for
discharge is either ``reunification with parents or primary
caretakers'' or ``living with other relatives.'' The score for the
timeliness of reunification component of Permanency Composite 1 was
derived from State performance on the following measures:
Of all children discharged from foster care to
reunification in FY 2004 who had been in foster care for 8 days or
longer, what percent were reunified in less than 12 months from the
date of the latest removal from home? In calculating this measure, the
following children are included in the numerator: (1) Children who were
discharged from foster care to a reunification in less than 12 months
from the date of removal from home; and (2) children who were
discharged from foster care to a reunification who were reported to
AFCARS as being placed in a Trial Home Visit in less than 11 months
from the date of removal from the home and who remained in that
placement until discharge from foster care to reunification.
Of all children exiting foster care to reunification in
2004 who had been in foster care for 8 days or longer, what was the
median length of stay in months from the date of the most recent entry
into foster care until the date of reunification? For this measure, the
length of stay in foster care of a particular child was assessed in two
ways: (1) The length of stay in months from the date of removal from
the home to the date of discharge from foster care to reunification; or
(2) the length of stay in months from the date of removal from the home
to the date that the child was reported to AFCARS as being placed in a
Trial Home Visit, if the trial home visit lasted longer than 30 days
and was the last placement setting before the child's eventual
discharge from foster care. The score for this measure was adjusted to
reflect a positive direction with higher scores indicating higher
performance. This is explained further in attachment B.
Of all children entering foster care for the first time in
the second 6 months of FY 2003 who remained in foster care for 8 days
or longer, what percent were reunified in less than 12 months of the
date of entry into foster care? In calculating this measure, the
following children are included in the numerator: (1) Children who
entered foster care in the second 6 months of FY 2003 who were
discharged from foster care to reunification in less than 12 months
from the date of entry into foster care; and (2) children who entered
foster care in the second 6 months of FY 2003 who were reported to
AFCARS as being placed in a Trial Home Visit in less than 11 months
from the date of entry into foster care and remained in the trial home
visit until discharge to reunification.
[[Page 32975]]
The contribution (weight) of each of these measures to the
component score is determined by the coefficient resulting from the
principal components analysis. The actual score is multiplied by the
coefficient to achieve the actual score. This is explained further in
attachment B.
Component 2: Permanency of Reunification
The score for the permanency of reunification component of this
composite was derived from State performance on the following measure:
Of all children exiting foster care to reunification in FY
2003, what percent re-entered foster care in less than 12 months?
As noted above, the score for this measure contributes 50 percent
to the final composite score. The actual score for this measure was
adjusted to reflect performance in a positive direction so that a
higher score reflects higher performance. This is explained further in
attachment B.
Key Features of the Components and Measures
Adjustments to the Measures
As indicated in the information above, all measures assessing the
timeliness of reunification component are adjusted to exclude children
who were not in foster care for 8 days or longer. The calculation of
the measures also is adjusted to include children who are placed in a
trial home visit prior to discharge from foster care to reunification
if the trial home visit meets specific conditions (as noted in the
description of the calculation of the measures above). Most respondents
to the Federal Register notice who commented on these adjustments
expressed support for them.
ACF proposed that the measure of timeliness of reunification should
include only children who were in foster care for 8 days or longer in
order to address variation in State practices and policies concerning
the placement of children in very short term foster care. We believe
that for the most part, the kinds of case practices and agency efforts
necessary to achieve a timely reunification for a child who has been
removed from home and placed in foster care are not usually applicable
for these very short-term placements. Initially, we also proposed a
measure that required that a child be in foster care for 30 days or
longer in order to be included in the analysis. This measure was
eliminated from the composite after the principal components analysis
revealed a very high correlation between the 30-day and 8-day
adjustment measures, suggesting that the measures capture the same
information. In addition, there was more support among respondents to
the Federal Register notice for the 8-day measure than there was for
the 30-day measure. To assist States in understanding how this
adjustment impacts their performance, we will provide data in the State
Data Profile regarding the percentage of children entering foster care
in a fiscal year who are discharged from foster care in less than 8
days after the date of removal from the home.
ACF initially proposed the trial home visit adjustment to the
measures of timeliness of reunification in order to address variations
in State policy regarding returning children to their families
(parents, relatives, or other caretakers) for a period of time before a
discharge from foster care. This practice often is referred to as
``physical reunification'' to distinguish it from a reunification in
which custody is transferred to the parents or relatives. For the most
part, the purpose of this practice is to monitor and assist families in
the reintegration process. This practice may be required in State
statute, written into agency policy, or reflect standard case practice
in a State.
Many respondents recommended that for purposes of the CFSR, ACF
should consider ``physical reunification'' as equivalent to a discharge
from foster care to reunification. We are unable to do this because the
CFSR data profile considers children as reunified only if there is a
discharge from foster care and if the discharge reason reported to
AFCARS is ``return to family'' or ``live with relatives.'' Once
discharged, the child is no longer reported to AFCARS, unless the child
re-enters foster care. There is no data element in AFCARS that would
allow us to know specifically that a child has been physically
reunified.
We believe that the trial home visit adjustment we have made to the
measures of timeliness of reunification captures information about the
time in foster care of most children who were physically reunified
prior to an actual discharge from foster care. States that return
children to their families prior to discharge usually report them as
being in a ``Trial Home Visit,'' which is one of the placement
categories in AFCARS, although they may not actually consider the
placement a ``trial.'' Through a review of the data, we determined that
a trial home visit placement of longer than 30 days that resulted in an
eventual discharge to reunification captures the vast majority of
instances that may be considered ``physical reunification.'' Therefore,
we incorporated into the measure the time span from the date of entry
into foster care to a placement in a Trial Home Visit (as reported in
AFCARS) that was longer than 30 days and that was the final placement
before the child was discharged from foster care with a discharge
reason of return to family or live with relatives.
Timeframe for Reunification
Several respondents expressed concern that most of the measures
proposed for this composite continue to focus on 12 months as the
appropriate time period for assessing timeliness of reunification.
These respondents suggested that a 12-month timeframe is not sufficient
in many cases to achieve reunification, particularly for families in
which parental substance abuse was a key reason for a child's removal
from the home. They noted that 12 months is not sufficient for a parent
to receive and complete substance abuse treatment services. These
respondents recommended that the timeframe be extended to either 18 or
24 months to reflect the reality of many of the families whose children
are in foster care.
ACF acknowledges that it is not always feasible or desirable for
all children to be reunified with their families in less than 12 months
and we have no expectation that this goal will be accomplished for 100
percent of the children who are eventually reunified. However, we
believe that the focus of the measure on reunifications occurring in
less than 12 months emphasizes the responsibility of child welfare
agencies to return children to safe homes as quickly as possible. This
includes working quickly and intensively with parents with difficult
issues such as substance abuse to address the problems that resulted in
the child's removal from home. In addition, we have incorporated a
measure of median length of stay in foster care to reunification that
does not specify a 12-month timeframe.
Inclusion of Three Measures in the Timeliness of Reunification
Component
Several respondents to the Federal Register notice suggested that
the measure of reunification that follows an entry cohort of children
is sufficient to capture State performance with regard to timeliness of
reunification. They expressed the opinion that other measures of
timeliness are not necessary, and in fact, are not valid in assessing
timeliness. From the beginning of this process, ACF determined that the
decision regarding the measures to be incorporated in the
[[Page 32976]]
composite would be based primarily on the empirical results of the
principal components analyses. For the timeliness of reunification
component, the results of the analysis revealed that, although there is
overlapping information, each of the three measures chosen for the
composite makes a substantial contribution to explaining the variation
in performance regarding timeliness (see attachment B for the results
of the analysis). For example, the entry cohort measure only captures
information about children who enter foster care in the second 6 months
of the year who are reunified in less than 12 months of the time of
entry into foster care. It does not provide information about what
happens to the children who are not reunified in that time frame. As
indicated in table 1, the median across States for the percentage of
children entering foster care in the second six months of a fiscal year
who are reunified in less than 12 months is 35.1 percent. This
indicates that there are substantial numbers of children who are not
reunified in less than 12 months of entering foster care. Although no
measure is ideal, we believe that by combining all three measures in
the timeliness of reunification component we are able to incorporate a
broader picture of State performance with regard to reunifying children
in a timely manner than we are able to capture with any single measure.
We acknowledge, however, that an entry cohort approach would be
able to capture a wider range of information if each entry cohort for
each year could be followed for several years. Although the timeframe
for the CFSR precludes this type of analysis, it is possible for a
State to use a multiple year entry cohort analysis to assess its own
performance and progress. We also are aware that there are statistical
procedures available to estimate the percentage of children entering
foster care who are likely to be reunified within various timeframes.
However, because the CFSR can result in penalties for a State, ACF
determined that estimates of performance with regard to achieving
particular outcomes are not appropriate. Most respondents to the
Federal Register notice agreed with this determination and did not want
the CFSR to use measures requiring statistical projections.
Inclusion of a Measure of Foster Care Re-Entry As Part of the
Reunification Composite
As noted in the Federal Register notice, ACF proposed that State
performance with regard to children re-entering foster care in less
than 12 months of a prior foster care episode would be incorporated
into the composite assessing the timeliness and permanency of
reunification. In the first round of the CFSR, the re-entry measure was
assessed separately from the timeliness of reunification measure.
Although ACF believes that it is important to reunify children with
their families as quickly as possible, we also believe that children
should not be reunified until sufficient changes are made to prevent
the child being removed from the home again. The majority of
respondents supported the inclusion of a measure of foster care re-
entry as part of a single composite assessing the timeliness and
permanency of reunification.
In addition, the measure of foster care re-entry that was used in
the first round of the CFSR has been revised to reflect a longitudinal
analysis. The new measure follows children who exited foster care to
reunification in one year to identify the percentage who re-enter in
less than 12 months of the time of exit. All respondents commenting on
this measure indicated support for this change.
2. Permanency Composite 2: Timeliness of Adoptions
The principal components analysis of the performance measures
proposed for the timeliness of adoption composite yielded three
components. One component pertains to the timeliness of adoptions of
children exiting foster care to adoption. The second component assesses
progress toward adoption of a cohort of children who have been in
foster care for 17 months or longer and therefore meet the ASFA time-
in-foster care requirements regarding the State filing for a
termination of parental rights and pursuing adoption unless there is an
exception.\4\ This may be found in section 475(5)(E) and (F) of the
Social Security Act. The third component pertains to the timeliness of
adoptions of a cohort of children for who are ``legally free'' for
adoption. Legally free means that there is a termination of parental
rights for each of the child's living parents.
---------------------------------------------------------------------------
\4\ ASFA requires State child welfare agencies to file a
petition to terminate parental rights and pursue adoption for a
child who has been in foster care for 15 of the most recent 22
months, unless an exception exists. A 17-month rather than a 15-
month timeframe was chosen for the measure because, in accordance
with ASFA, a child is considered to have ``entered foster care''
(for purposes of starting the clock for the 15 of 22 months) on the
earlier of:
(1) the first judicial finding that the child has been subjected
to abuse and neglect, or
(2) the date that is 60 days after the date on which the child
is removed from the home.
The 17 month time frame in the measure is used because AFCARS
does not collect information pertaining to the date of the first
judicial finding.
---------------------------------------------------------------------------
Each component has a unique score and each contributes 33.3 percent
to the final composite score. The contribution of the individual
measures to the score for each component is determined by the results
of the principal components analysis, as explained further in
attachment B. Data pertaining to the composite score and individual
measures are presented in table 1.
Component 1. Timeliness of Adoptions of Children Exiting Foster Care
The score for the component pertaining to timeliness of adoptions
of children exiting foster care was derived from performance on the
following measures:
Of all children who were discharged from foster care to a
finalized adoption in FY 2004, what percent was discharged in less than
24 months from the date of the latest removal from the home?
Of all children who were discharged from foster care to a
finalized adoption in FY 2004, what was the median length of stay in
foster care (in months) from the date of removal from the home to the
date of discharge? The actual score for this measure was adjusted to
reflect performance in a positive direction so that a higher score
reflects higher performance. This is explained further in attachment B.
The contribution of each of these measures to the component score
is provided in attachment B.
Component 2. Progress Toward Adoption of Children Who Have Been in
Foster Care for 17 Months or Longer
The score for the component assessing progress toward adoption of a
cohort of children who meet the ASFA time-in-foster care requirements
was derived from performance on the following measures:
Of all children in foster care on the first day of FY 2004
who were in foster care for 17 continuous months or longer, what
percent was discharged from foster care to a finalized adoption before
the end of the fiscal year?
Of all children in foster care on the first day of FY 2004
who were in foster care for 17 continuous months or longer, what
percent became legally free for adoption in less than 6 months from the
beginning of the fiscal year?
The contribution of each of these measures to the component score
is provided in attachment B.
[[Page 32977]]
Component 3: Timeliness of Adoptions of Children Who Are Legally Free
for Adoption
The score for the component assessing timeliness of adoptions for
children who are legally free for adoption was derived from performance
on the following measure:
Of all children who became legally free for adoption
during FY 2003, what percent were discharged from foster care to a
finalized adoption in less than 12 months of becoming legally free?
Key Features of Components and Measures
The timeliness of adoption composite does not include an entry
cohort measure.
Several respondents to the Federal Register Announcement expressed
concern that the proposed timeliness of adoptions composite did not
include an entry cohort measure--that is, a measure that follows
children longitudinally from the date of entry into foster care to the
date of the finalized adoption. As noted in the November 7th
Announcement, in determining appropriate measures to test for the
composite, our review of the data indicated that an entry cohort
approach to assessing the timeliness of adoptions is not feasible
within the timeframes of the CFSR. The reasons for this, which were
indicated in the Federal Register notice, are the following:
An extensive timeframe is required to follow a cohort of
children from entry into foster care to a finalized adoption and the
timeframe is not consistent with the CFSR timeframes. For example, in
following a cohort of children entering foster care in FY 2001,
meaningful data pertaining to adoptions did not emerge until 3 years
after the entry year.
Because not all children entering foster care will be
adopted, and because the number of children waiting to be adopted
changes each year, it is not possible to establish a stable denominator
for an entry cohort measure pertaining to timeliness of adoptions. In
following the FY 2001 cohort, for example, we found that the
denominator for assessing adoptions changed on an ongoing basis as
children in the original cohort were reunified or exited foster care
for other reasons.
Although it is possible to apply statistical methods to
historical data and estimate the ``likelihood'' of children who enter
foster are in a given year being adopted within particular timeframes,
ACF cannot use statistical projections to assess CFSR performance
because of the potential for financial penalties associated with CSFR
performance.
A few respondents suggested that the assessment of timeliness of
adoptions used by the CFSR will not be meaningful without an entry
cohort measure. However, we believe that the measures and components
for this composite that resulted from the principal components analysis
provide a comprehensive picture of State performance with regard to the
timeliness of adoption and capture meaningful information. Furthermore,
we believe that the three longitudinal measures of progress toward
adoption that were incorporated into the composite follow a cohort of
children but have a more stable denominator than an entry cohort
measure and a timeframe that is consistent with the CFSR.
Measures of Timeliness of Adoption of Children Discharged From Foster
Care to a Finalized Adoption
The measure assessing the percent of adoptions occurring in less
than 24 months of a child's entry into foster care is identical to the
adoption-related data measure used in the first round of the CFSR.
Support for this measure from the field was mixed. Some respondents
expressed strong support for the measure, while others suggested that
it be replaced by an entry cohort measure. Respondents expressed
similar differences of opinion regarding the measure of the median
length of stay of children discharged from foster care to adoption. In
general, the measures are intended to focus on timeliness of adoption
by considering children who have already experienced that outcome. One
measure does this by focusing on a specific timeframe (i.e., 24
months), while the other addresses the range of possible time periods,
with a focus on the median time in foster care. The results of the
principal components analysis indicate that taken together, these two
measures account for a large percentage of the variation in State
performance with regard to the timeliness of adoptions of a cohort of
children who have exited foster care to adoption.
Longitudinal Measures of a Cohort of Children Who Have Been in Foster
Care for 17 Months or Longer
The two measures that follow the progress toward adoption of a
cohort of children who have been in foster care for 17 months or longer
are intended to address the ASFA time-in-foster care requirement for
States to file for a termination of parental rights and pursue adoption
unless there is an exception. Several respondents to the Federal
Register notice suggested that many children who have been in foster
care for 17 months or longer will exit foster care to a permanency
option other than adoption or will meet the exceptions noted in ASFA.
They recommended, therefore, that these measures be limited to children
who have a case goal of adoption.
After consideration of this request, ACF decided to maintain the
denominator for these measures as all children in foster care for 17
months or longer at the start of the fiscal year. We acknowledge that
many of the children in foster care for 17 months or longer at the
start of the fiscal year may be discharged from foster care with a
discharge reason other than adoption. In addition, we know that some
children who are in foster care for 17 months or longer are likely to
meet the criteria for an exception to the ASFA requirement. However, if
we include in the measure only children who have a goal of adoption
reported to AFCARS, we will miss those children who have other goals,
but for whom adoption needs to be considered because of the length of
time they have been in foster care and because they do not meet the
criteria for an exception. Also, if we include in the measure only
children who have a goal of adoption reported to AFCARS, we will miss
those children for whom the agency is working toward adoption, but has
not yet reported a goal change to AFCARS.
The results of our data analyses indicate that the percentages
regarding State performance on these measures are sufficiently low to
ensure that States are able to be flexible with regard to meeting the
unique needs of the children they serve. In fact, very small
percentages of children in care for 17 months or longer at the start of
the fiscal year become legally free for adoption within 6 months
(median = 9.0 percent) or are adopted by the end of the fiscal year
(median = 18.0 percent). As with all other data measures used for the
CFSR, there is no expectation that a State achieve a particular goal
for 100 percent of the children who are included in the denominator of
a specific measure. However, ACF believes that the ASFA requirement
regarding the State filing a TPR and pursuing adoption, unless there is
an exception, reflects a national concern that State child welfare
agencies make concerted efforts to ensure that children who cannot be
reunified are legally freed for adoption and adopted as quickly as
possible.
[[Page 32978]]
Longitudinal Measure of the Percent of Children Who Become Legally Free
for Adoption in a Given Year Who Are Adopted in Less Than 12 Months of
Becoming Legally Free
Although respondents to the initial Federal Register notice
generally supported this measure, a few expressed concerns about the
accuracy of information reported to AFCARS regarding termination of
parental rights. Our review of the data indicated that there are a few
States that do not appear to report information about termination of
parental rights to the AFCARS Foster Care File, or who report this
information for only a very few children. However, most States appear
to be reporting this information fairly consistently, although they may
not be reporting it in all instances. We believe that the problem of
inconsistencies can be resolved by States improving their reporting to
AFCARS on the data elements pertaining to termination of parental
rights.
3. Permanency Composite 3: Achieving Permanency for Children in Foster
Care
The principal components analysis of the performance measures
proposed for the composite addressing achieving permanency for children
yielded two components. One component pertains to achieving permanency
for children in foster care for long periods of time, and the other
pertains to the issue of children growing up in foster care and exiting
to emancipation. A State's score for each component contributes 50
percent to the State's total score for this composite. As noted for the
other composites, the scores for the individual components are derived
from the contribution of each of the measures to the component, as
determined by the coefficient resulting from the principal components
analysis.
Component 1: Achieving Permanency for Children in Foster Care for
Extended Periods of Time
The score for the component pertaining to achieving permanency for
children in foster care for long periods of time was derived from
performance on the following measures:
Of all children who were discharged from foster care in FY
2004 who were legally free for adoption (i.e., there was a TPR for each
living parent), what percent were discharged to a permanent home prior
to their 18th birthday, with a permanent home defined as having a
discharge reason of adoption, reunification (including live with
relative), or guardianship?
Of all children who were in foster care for 24 months or
longer on the first day of FY 2004, what percent were discharged from
foster care to a permanent home prior to their 18th birthday and by the
end of the fiscal year?
Component 2: Children Growing Up in Foster Care
The score for the component addressing children growing up in
foster care was derived from performance on the following measure:
Of all children who were emancipated from foster care or
reached their 18th birthday while in foster care, what percent had been
in foster care for 3 years or longer?
In AFCARS, emancipation is defined as ``the child reached majority
according to State law by virtue of age, marriage, etc.'' The actual
score for this measure was adjusted to reflect performance in a
positive direction so that a higher score reflects higher performance.
This is explained further in attachment B.
Key Features of the Composite, Components, and Measures
Inclusion of Guardianship in the Assessment of Achieving Permanency
A key feature of this component is that guardianship is included as
one of the permanency options in two of the measures. Several
respondents to the November 7th Federal Register notice expressed
concern that the CFSR data measures do not assess State performance
with regard to achieving guardianship as a permanency option. In
response to this concern, ACF analyzed the data for guardianship and
found that, nationally, only a very small percentage of children are
discharged from foster care to guardianship. In several States, no
children are discharged from foster care to guardianship, suggesting
that guardianship is not a permanency option in these States. These
small numbers did not permit a separate composite or measure focusing
on timeliness of achieving guardianship. However, because we recognize
that many States have made concerted efforts to achieve permanency for
children through guardianship, we included guardianship as a permanency
option in the two measures that assess achieving permanency for
children.
Longitudinal Analysis of a Cohort of Children in Foster Care for 24
Months or Longer
Many respondents expressed concern that most of the existing
measures pertaining to adoption and reunification do not capture
general permanency information for children in foster care for a
relatively long period of time. In response to this concern, ACF
developed a measure to assess discharges to permanency of children in
foster care for 24 months or longer. The 24 month period was chosen
because, nationally, about 50 percent of the children in foster care on
any given day have been in foster care for about 2 years or longer. The
new measure allows an assessment of what happens to these children in a
12-month time period.
Addressing Concerns Regarding ``Legal Orphans''
The measure of achieving permanency for children who are discharged
from foster care and who were legally free for adoption at the time of
discharge addresses the concern of the field that by pursuing
termination of parental rights for children who have been in foster
care for 15 of the most recent 22 months, the field may be creating
``legal orphans,'' that is, children who have no legal parents and for
whom no permanent home is found. The data for this measure suggest that
the vast majority of children who are discharged from foster care prior
to their 18th birthday and who are legally free for adoption are
discharged to a permanent home (including guardianship, adoption, and
reunification). However, despite the large percentages, ACF decided to
maintain the measure because it is important for States to make
concerted efforts to ensure permanency for all children for whom a
termination of parental rights has been granted for each living parent.
Addressing the Issue of Children Emancipated From Foster Care After
Many Years in Foster Care
One objective of ASFA was to ensure that child welfare agencies
make concerted efforts to ensure that children do not spend many of
their childhood years in foster care, only to leave foster care without
having found a permanent home. Our initial measure to address this
concern focused on the percentage of children emancipated from foster
care or reaching their 18th birthday while in foster care who entered
foster care when they were age 12 or younger. However, a few
respondents noted that this measure was more likely to reflect the
variation among States with regard to the ages of children at the time
of entry into foster care than it was to capture the general issue of
children growing up in foster care. In response to this concern, we
revised the measure to focus on the length of time in foster care of
children emancipated from foster care rather than the age at entry into
foster
[[Page 32979]]
care. Due to our criteria of having been in foster care for 3 years or
longer, the revised measure excludes children who exit to emancipation
who entered foster care at approximately age 15 or older. This
addresses a large portion of the variation among States with regard to
the age of children at the time of entry into foster care.
4. Permanency composite 4: Placement stability
The principal components analysis for this composite yielded one
component that incorporates the following three measures:
Of all children in foster care in FY 2004 who were in
foster care for 8 days or longer and less than 12 months, what percent
had two or fewer placement settings?
Of all children in foster care in FY 2004 who were in
foster care for at least 12 months but less than 24 months, what
percent had two or fewer placement settings?
Of all children in foster care in FY 2004 who were in
foster care for 24 months or longer, what percent had two or fewer
placement settings?
Data pertaining to the composite score and individual measures are
presented in table 1. The contribution of each measure to the composite
score is determined by the results of the principal components
analysis, as described further in attachment B.
Key Features of Composite and Measures
This composite includes one measure that is similar to the measure
of placement stability used in the first round of the CFSR--placement
stability for children who have been in foster care for less than 12
months. The one revision to this measure is that it includes only
children who have been in foster care for 8 days or longer. We made
this revision in response to concerns expressed by respondents
regarding including children in foster care for very short periods of
time in the measure of placement stability. However, if a child is in
care for 8 days or longer, the placement changes that occurred during
the first 8 days in foster care are considered in the measure. Two
additional measures were added to the composite to address the issue of
placement stability for children in foster care for longer periods of
time. ACF believes that placement stability is as important to the
well-being of children in foster care for 2 years or longer as it is
for children who have been in foster care for only a few months. Most
respondents to the Federal Register notice expressed support for this
composite and the measures. However, respondents raised the following
concerns regarding the measures:
The measures do not define what constitutes a placement
change. This issue has been raised in the past regarding reporting
placement changes to AFCARS. Clarification was issued to the States in
CWPM 1.2B.7.
The measures do not capture variations with regard to time
in foster care. Respondents noted that the children included in the
measure who were in care for less than 12 months could have been in
care for only a few weeks or for several months. In response to this
concern, ACF examined alternative approaches to this measure, including
an entry cohort approach.
However, unless a measure specified that all children were in
foster care for a specified time period, all of the approaches
considered had the same problem. For example, we could address this
problem if we included in the measure only children who were in foster
care for at least 11 of the 12 months. However, this does not capture
the issue of placement stability for children who are in foster care
for short periods of time. Our review of the data indicated that these
children can experience multiple placements as well as those children
in foster care for longer periods of time. Consequently, we have
maintained the measure as proposed with the exclusion of children who
were in foster care for less than 8 days.
ACF should expand the definition of placement stability
from two placement settings to three placement settings for children
who have been in foster care for longer than 12 months and for older
children because two placement settings is not a realistic measure of
placement stability for these children. In developing the outcome
measures for the Annual Report to Congress on Child Welfare Outcomes,
ACF engaged in a broad-based consultation process with stakeholders in
the field, including representatives from State and county child
welfare agencies, child advocacy organizations, and child welfare
researchers. With regard to the outcome measure pertaining to placement
stability, ACF, based on input from these stakeholders, established a
definition of placement stability as a child experiencing two or fewer
placement settings. The decision to have two placement settings in the
definition instead of one was based on the following: (1) often it is
difficult to determine the most appropriate placement setting at the
time of the child's initial removal from home; and (2) in many States,
children are placed in a shelter type placement for a short period of
time in order to assess the needs of the child and determine the most
appropriate placement. We have decided not to increase the number of
placement settings in our definition of placement stability for any of
the measures. One reason for this is that our existing definition was
established in consultation with key stakeholders in the child welfare
field. In addition, placement stability is a critical component of the
well-being of children in foster care. States are responsible for
ensuring that children who are removed from their homes by the State
experience stability while they are in foster care. It is not in the
best interest of a child to experience multiple placement settings
regardless of the time that the child is in foster care, the child's
age, or the reason for the child's entry into foster care.
The placement setting information does not capture changes
in placement settings that are positive changes. AFCARS does not have
information about whether a placement change reflects a positive move
for the child. For example, changing a child's placement in order to
move the child closer to the parents to facilitate more frequent
visits. It is difficult to assess whether a placement change is
positive for the child without contextual information about various
factors such as the needs of the child and the existing conditions of
the child's placement. For example, a child may change placements
because of the death or illness of a foster parent, or because the
child is in need of a specific type of treatment. The question of
whether a placement change is in a positive direction is addressed in
the case review component of the CFSR because more information about
the child and the placements is available in that process. As noted
previously, although we cannot account for these events in the data
measure, we also do not expect that 100 percent of the children in any
of the specified time-in-care timeframes will experience no more than
two placement settings.
This announcement is intended to provide information about the
national data that will be used in the next round of the CFSR as a
component of the overall assessment of a State's substantial conformity
with two of the seven CFSR outcomes. The attachments to this
announcement provide supplementary information regarding the
methodology used in developing the data composites.
Dated: June 1, 2006.
Joan E. Ohl,
Commissioner, Administration on Children, Youth and Families.
[[Page 32980]]
Table 1.--Range, Percentiles, and National Standards for the Measures and Composites To Be Used in the Second
Round of the Child and Family Services Review
----------------------------------------------------------------------------------------------------------------
Composites and performance measures Range Median National standard
----------------------------------------------------------------------------------------------------------------
Performance Measures Associated with Performance on CFSR Safety Outcome 1--Children Are, First and Foremost,
Protected from Abuse and Neglect
----------------------------------------------------------------------------------------------------------------
Of all children who were victims of a substantiated 86.0-98.0 93.5 95.2 or higher.
or indicated maltreatment allegation during the
first 6 months of FY 2004, what percent were not
victims of another substantiated or indicated
maltreatment allegation during a 6-month period?
Maltreatment of children in foster care: Of all 99.07-100 99.68 99.67 or higher.
children in foster care in FY 2004, what percent
were not victims of a substantiated or indicated
maltreatment by a foster parent or facility staff
member?
----------------------------------------------------------------------------------------------------------------
Composites, Components, and Performance Measures Associated with Performance on CFSR Permanency Outcome 1--
Children Have Permanency and Stability in Their Living Situations
----------------------------------------------------------------------------------------------------------------
Permanency Composite 1: Timeliness and Permanency of Reunification
----------------------------------------------------------------------------------------------------------------
Scaled Scores for the Timeliness and Permanency of 50-150 96.1 106.7 or higher.
Reunification Composite incorporating two
components and four measures.
Component A. Timeliness of reunification:
Of all children discharged from foster care to 44.2-88.8 69.5 No Standard.
reunification in FY 2004 who had been in foster
care for 8 days or longer, what percent were
reunified in less than 12 months from the time
of the latest removal from home? (This includes
the Trial Home Visit adjustment.).
Of all children discharged from foster care to 2.0-13.7 6.5 No Standard.
reunification in FY 2004 who had been in foster
care for 8 days or longer, what was the median
length of stay from the time of the most recent
entry into foster care until discharge to
reunification (in months)? (This includes the
Trial Home Visit adjustment.)
Of all children entering foster care in the 15.7-65.4 35.3 No Standard
first 6 months of FY 2004 who remained in
foster care for 8 days or longer, what percent
were discharged from foster care to
reunification in less than 12 months of the
time of entry into foster care? (This includes
the Trial Home Visit adjustment.)
Component B. Permanency of reunification:
Of all children discharged from foster care to 1.6-29.5 14.8 No Standard.
reunification in FY 2003, what percent re-
entered foster care in less than 12 months?
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
Composites, commponents, and performance measures Range Median National standard
----------------------------------------------------------------------------------------------------------------
Permanency Composite 2: Timeliness of Adoptions
----------------------------------------------------------------------------------------------------------------
Scaled scores for the Timeliness of Adoptions 50-150 96.5 102.1 or higher
Composite incorporating three components and five
measures.
----------------------------------------------------------------------------------------------------------------
Component A: Timeliness of adoptions of children discharged from foster care
----------------------------------------------------------------------------------------------------------------
Of all children who were discharged from foster care 6.4-74.9 27.1 No Standard.
to a finalized adoption in FY 2004, what percent
was discharged in less than 24 months from the time
of the latest removal from the home?
Of all children who were discharged from foster care 16.2-55.7 32.0 No Standard.
to a finalized adoption in FY 2004, what was the
median length of stay in foster care (in months)
from the time of removal from the home to the time
of discharge from foster care?
----------------------------------------------------------------------------------------------------------------
Component B: Progress Toward Adoption for Children Who Meet ASFA Time-in-Care Requirements
----------------------------------------------------------------------------------------------------------------
Of all children in foster care on the first day of 8.0-25.1 18.0 No Standard.
FY 2004 who were in foster care for 17 continuous
months or longer, what percent were adopted before
the end of the fiscal year?
Of all children in foster care on the first day 0.2-17.2 9.0 No Standard
of FY 2004 who were in foster care for 17
continuous months or longer, what percent
became legally free for adoption (i.e., a TPR
was granted for each living parent) within 6
months of the beginning of the fiscal year?
----------------------------------------------------------------------------------------------------------------
Component C: Progress Toward Adoption of Children Who Are Legally Free for Adoption
----------------------------------------------------------------------------------------------------------------
Of all children who became legally free for adoption 18.9-85.2 43.7 No Standard.
during FY 2004, what percent were discharged from
foster care to a finalized adoption in less than 12
months?
----------------------------------------------------------------------------------------------------------------
Permanency Composite 3: Achieving Permanency for Children in Foster Care
----------------------------------------------------------------------------------------------------------------
Scaled scores for the Achieving Permanency Composite 50-150 98.6 105.2 or higher.
incorporating two components and three measures.
----------------------------------------------------------------------------------------------------------------
[[Page 32981]]
Component A: Achieving Permanency for Children in Foster Care for Extended Periods of Time
----------------------------------------------------------------------------------------------------------------
Of all children who were discharged from foster care 84.6-100.0 96.8 No Standard.
and were legally free for adoption (i.e., there was
a TPR for each living parent), what percent exited
to a permanent home defined as adoption,
guardianship, or reunification prior to their 18th
birthday?
Of all children in foster care for 24 months or 8.0-35.2 24.6 No Standard.
longer at the start of the fiscal year, what
percent were discharged to permanency in less than
12 months and prior to their 18th birthday?
----------------------------------------------------------------------------------------------------------------
Component B: Children Emancipated Who Were in Foster Care for Extended Periods of Time
----------------------------------------------------------------------------------------------------------------
Of all children who exited foster care with 17.5-80.4 50.6 No Standard.
adischarge reason of emancipation or who reached
their 18th birthday while in foster care, what
percent were in foster care for 3 years or longer?
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
Composites, components and measures Range Median National standard
----------------------------------------------------------------------------------------------------------------
Permanency Composite 4: Placement stability
----------------------------------------------------------------------------------------------------------------
Scaled scores for the Placement Stability Composite 50-150 102.0 108.2 or higher.
incorporating three measures.
Of all children in foster care for 8 days or longer 64.7-97.1 82.4 No Standard.
and less than 12 months, what percenthad two or
fewer placement settings?
Of all children in foster care for at least 12 37.0-82.3 59.5 No Standard.
months but less than 24 months, what percent had
two or fewer placement settings?
Of all children in foster care for at least 24 14.1-53.8 33.4 No Standard.
months, what percent had two or fewer placement
settings?
----------------------------------------------------------------------------------------------------------------
Attachment A: List of Data To Be Included in the State Data Profile
Prior to development of the Statewide Assessment for the CFSR, each
State will receive a State Data Profile. This profile will continue to
include the information that was provided in the first round of the
CFSR. It also will include new information regarding composite scores,
the measures for the composites, and additional information relevant to
the composites. This attachment provides a list of the general kinds of
data that will be provided to States in the State Data Profile.
Additional information may be added to the State Data Profile at a
later date. Most of the data will be provided for 3 years. However, the
States to be reviewed in the first year of the CFSR will have only 2
years of data for each of the composites and composite measures.
Descriptive Information
Descriptive Information Currently Included in the State Data Profile
A. Descriptive Information From the National Child Abuse and Neglect
Data System (NCANDS)
1. The number of reports alleging maltreatment of children that
reached a disposition within the reporting year; the total numbers of
reports, and the number of unique children associated with reports
alleging maltreatment.
2. The numbers and percentages of reports that were given a
disposition of ``Substantiated and Indicated,'' ``Unsubstantiated,''
and ``Other.''
3. The numbers and percentages of child cases opened for services,
which is based on the number of victims during the reporting period
under review.
4. The numbers and percentages of children entering foster care in
response to a child abuse/neglect report.
5. The number of child fatalities.
B. Descriptive Information From the Adoption and Foster Care Analysis
and Reporting System (AFCARS). (Where Relevant, the Descriptive Data
Identified Below Will Be Provided for Both a Point-in-Time Analysis and
for a Cohort of Children Entering Foster Care in a Given Year)
1. Number of children in foster care on the first and last day of
the fiscal year and number of children entering and exiting foster care
in the fiscal year.
2. Placement settings for children in foster care.
3. Case plan goals for children in foster care.
4. Number of placement settings in the current foster care episode.
5. Number of foster care episodes of children in foster care at the
end of the fiscal year.
6. Number and percentage of children in foster care for 17 of the
most recent 22 months, calculated from the number of all children in
foster care on the last day of the fiscal year.
7. The median length of stay (months) in foster care of children in
care on the last day of the year.
8. Number of children who discharged to each type of permanency
goal and the length of stay in foster care (in months) for those
children who discharged to each permanency goal.
New Descriptive Information To Be Included in the State Data Profile
A. New Descriptive Information From NCANDS
1. The mean time from receipt of an allegation of child
maltreatment to the initiation of an investigation.
2. The median time from receipt of an allegation of child
maltreatment to the initiation of an investigation.
3. The percent of children in foster care who are the subject of a
substantiated or indicated maltreatment where the perpetrator is a
parent.
B. New Descriptive Information From AFCARS
1. The number and percent of children entering foster care in the
fiscal year who were in care for 7 days or less before being discharged
from foster care.
2. The number and percent of children exiting foster care in the
fiscal year who were in foster care for 7 days or less.
Analytical Information
Analytical Information Currently Included in the State Data Profile
A. Current Analytical Information From NCANDS
1. Maltreatment recurrence: Of all children who were victims of
abuse and/or neglect during the first 6 months of the reporting year,
the percent that were victims of another abuse or neglect incident
within a 6-month period.
[[Page 32982]]
2. Maltreatment of children in foster care: Of all children who
were in foster care during the reporting year, the percent that were
victims of abuse and/or neglect by a foster parent or facility staff
member.
B. Current Analytical Information From AFCARS
1. Time to Reunification: For the reporting year, of all children
who were reunified with their parents or caretakers at the time of
discharge from foster care, the percent that were reunified in less
than 12 months from the time of the latest removal from home.
2. Time to Adoption: For the reporting year, of all children who
exited foster care to a finalized adoption, the percent that exited
foster care in less than 24 months from the time of the latest removal
from home.
3. Placement Stability: For the reporting year, of all children
served who have been in foster care less than 12 months from the time
of the latest removal from home, the percent that have had no more than
two placement settings.
4. Re-entry into foster care: Of all children who entered foster
care during the reporting year, the percent that re-entered foster care
within 12 months of a prior foster care episode.
New Analytical Information To Be Included in the State Data Profile
A. New Analytical Information From NCANDS
1. Maltreatment recurrence: Of all children who were victims of
abuse or neglect during the first 6 months of the reporting year, the
percent that were not victims of another maltreatment within a 6-month
period.
2. Maltreatment of children in foster care: Of all children who
were in foster care during the reporting year, the percent that were
not victims of maltreatment by a foster parent or facility staff
member.
B. New Analytical Information From AFCARS
1. The composite score for Permanency Composite 1: Timeliness and
permanency of reunifications and the national standard for this
composite.
2. Data pertaining to actual performance on the measures included
in Permanency Composite 1. These are as follows:
For the reporting year, of all children discharged from
foster care to reunification who had been in foster care for 8 days or
longer, the percent that met either of the following criteria: (1) The
child was reunified in less than 12 months from the date of the latest
removal from home, or (2) the child was placed in a trial home visit
within 11 months of the date of the latest removal and the child's last
placement prior to discharge to reunification was the trial home visit.
For the reporting year, of all children discharged from
foster care to reunification who had been in foster care for 8 days or
longer, the median length of stay in months from the date of the most
recent entry into foster care until either of the following: (1) The
date of discharge to reunification; or (2) the date of placement in a
trial home visit that exceeded 30 days and was the last placement
setting prior to discharge to reunification.
For the reporting year, of all children entering foster
care in the second 6 months of the year who remained in foster care for
8 days or longer, the percent who met either of the following criteria:
(1) The child was reunified in less than 12 months from the date of
entry into foster care, or (2) the child was placed in a trial home
visit in less than 11 months from the date of entry into foster care
and the trial home visit was the last placement setting prior to
discharge to reunification.
Of all children exiting foster care to reunification in
the year prior to the reporting year, the percent that re-entered
foster care in less than 12 months from discharge from a prior episode.
3. The composite score for Permanency Composite 2: Timeliness of
adoptions
4. Data pertaining to State performance on the following measures
included in Permanency Composite 2.
For the reporting year, of all children who were
discharged from foster care to a finalized adoption during the year,
the percent that were discharged in less than 24 months from the date
of the latest removal from the home.
For the reporting year, of all children who were
discharged from foster care to a finalized adoption, the median length
of stay in foster care (in months) from the date of removal from the
home to the date of discharge to adoption.
For the reporting year, of all children in foster care on
the first day of the year who were in foster care for 17 continuous
months or longer, the percent that were discharged from foster care to
a finalized adoption before the end of the fiscal year.
For the reporting year, of all children in foster care on
the first day of the year who were in foster care for 17 continuous
months or longer, the percent that became legally free for adoption
within 6 months from the beginning of the fiscal year.
For the reporting year, of all children who became legally
free for adoption, the percent that were discharged from foster care to
a finalized adoption in less than 12 months of becoming legally free?
5. The composite score for Permanency Composite 3: Achieving
permanency for children in foster care.
6. Data pertaining to State performance on the following measures
included in Permanency Composite 3.
For the reporting year, of all children who were
discharged from foster care who were legally free for adoption (i.e.,
there was a TPR for each living parent), the percent that were
discharged to a permanent home prior to their 18th birthday, with a
permanent home defined as having a discharge reason of adoption,
reunification (including live with relative), or guardianship.
Of all children who were in foster care for 24 months or
longer on the first day of the reporting year, the percent that were
discharged from foster care to a permanent home prior to their 18th
birthday and by the end of the fiscal year.
During the reporting year, of all children who were
emancipated from foster care or reached their 18th birthday while in
foster care, the percent that had been in foster care for 3 years or
longer.
7. The composite score for Permanency Composite 4: Placement
stability
8. Data pertaining to the following measures in Permanency
Composite 4.
For the reporting year, of all children in foster care who
were in foster care for 8 days or longer and less than 12 months, the
percent that had two or fewer placement settings.
For the reporting year, of all children in foster care who
were in foster care for at least 12 months but less than 24 months, the
percent that had two or fewer placement settings.
For the reporting year, of all children in foster care
during the year who were in foster care for 24 months or longer, the
percent that had two or fewer placement settings.
Attachment B: Methodology for Developing the Composites
After the first round of the Child and Family Services Review, the
Administration for Children and Families (ACF) conducted a review of
possible additional measures for
[[Page 32983]]
assessing State performance with regard to achieving permanency and
placement stability for children in foster care.\5\ The purpose of the
review was to increase the pertinent data used as part of the
assessment of a State's substantial conformity with CFSR outcomes. The
goal was to enhance the understanding of State performance on the
outcomes assessed through the CFSR.
---------------------------------------------------------------------------
\5\ The same process was conducted for assessing State
performance with regard to safety, but based on feedback from the
field and the results of our data analyses, no additional safety-
related measures were developed.
---------------------------------------------------------------------------
The review of potential measures was guided by a consideration of
the following key performance areas reviewed in the CSFR: (1)
Timeliness and permanency of reunifications; (2) timeliness of
adoptions; (3) achieving permanency for children in foster care for
long periods of time; and (4) placement stability. Multiple measures
were developed for consideration within each performance area. ACF
determined that all measures considered had to meet the following
criteria:
Measures must include data currently collected through the
Adoption and Foster Care Analysis and Reporting System (AFCARS). For
example, although it would be useful to be able to assess such
variables as adoption dissolution or the quality of a child's
placement, neither type of information is collected through AFCARS.
However, ACF encourages State child welfare systems to conduct their
own analyses of issues such as these to further understand the outcomes
experienced by the children they serve.
Measures must meet the timeframe requirements of the CFSR.
Each measure must be able to be assessed consistent with the period
under review and the period necessary for assessing progress in the
Program Improvement Plan (PIP).
Measures must assess outcomes that are consistent with
titles IV-B and IV-E of the Social Security Act and the Social Security
Amendments of 1994 which authorized the reviews. While Congress granted
ACF the authority to monitor the progress of State child welfare
agencies, there are limits to our statutory authority with regard to
the CFSR. For example, the authorization for the CFSR does not include
monitoring for adherence to the requirements of the Chafee Foster Care
Independence Act or to the requirements of the Indian Child Welfare
Act.
Measures must incorporate an assessment of events that
have actually occurred rather than be based on statistical projections
of the likelihood of an event occurring sometime in the future.
Although ACF is aware of the statistical procedures that can be used to
estimate the likelihood of particular outcomes occurring within
particular timeframes, we do not believe that it is appropriate to use
these methodologies in the CFSR assessment because there are penalties
associated with State performance.
The measures that we developed were presented to the public for
comment in a Federal Register notice published on November 7, 2005.
Based on feedback from the field and additional data analyses, several
measures were eliminated from consideration or revised to more
effectively capture the intended objectives.
Our initial goal was to expand the information used in the data
indicators. However, ACF did not want to increase the complexity of the
CFSR by having multiple measures with national standards for each
measure. Instead, our goal was to implement a methodology that would
allow us to create a set of composite scores, with each composite score
reflecting performance on several inter-correlated measures. To assist
us in achieving this goal, we hired an internationally known expert
statistician as a consultant. After reviewing several possible
statistical methodologies, we determined that a Principal Components
Analysis (PCA) was the most appropriate approach.
A PCA is a commonly used and widely accepted statistical technique
for reducing a large set of variables into a smaller set. The PCA not
only combines inter-correlated variables but also identifies those that
are redundant because they are very highly inter-correlated. Each
variable in the set is given a weight in accordance with its relative
contribution to the set as a whole. The resulting principal components
are more stable and easier to interpret than individual measures
because several individual variables are related to one another. The
principal components that result from a PCA can be used as data for
other types of statistical analyses, such as survival analysis,
discriminant function analysis, and multiple regression analysis.
Although a PCA can be used to test hypotheses or theories, ACF did
not use it for this purpose. Instead, we used the PCA as an exploratory
tool. In an exploratory PCA, the goal is to describe and summarize data
by grouping together variables that are correlated. As noted by
Tabachnik and Fidel,\6\ PCA is different from factor analysis, which
focuses on shared variance among variables. ``In a PCA, all variance in
the observed variables is analyzed, including common, unique, and error
variance. The resulting components are simply aggregates of existing
variables. There is no underlying theory about which variables should
be associated with which factors; rather relationships emerge based
solely on empirical associations. It is understood that any labels
applied to derived components are merely convenient descriptions of the
combination of variables associated with them. These labels are
intended to describe the critical core outcomes being assessed.''
---------------------------------------------------------------------------
\6\ B.G. Tabachnik and L.S. Fidell (2001). Using Multivariate
Statistics, Fourth Edition. Boston, Massachusetts: Allyn & Bacon.
---------------------------------------------------------------------------
Using the PCA to Develop Composite Scores for the CFSR
This section presents a discussion of the methodology used to
implement the PCA. The definitions of the terms used and the conceptual
structure are as follows:
Measure. In the discussion below, this term refers to the
variables included in each PCA. Performance on each measure provides
the basic data for the PCA. We have used the term measure rather than
variable to clarify that it is performance on the specific measures
described in this Federal Register Announcement that is considered as
the focus of analysis.
Component: This term refers to the general factors that
comprise a given composite. In our analysis, the number of components
in a composite ranges from one to three.
Composite: This term refers to the general performance
area assessed, i.e., timeliness and permanency of reunification,
timeliness of adoptions, achieving permanency for children in foster
care for long periods of time, and placement stability.
Results: This term refers to the output from each data
analysis for each composite. That is, the analysis may be said to
produce results for each composite.
Solution: This term refers to the overall pattern of
results across multiple data analyses.
PCA requires a sample size of 500 or more units to achieve maximum
stability in the solution. Therefore, ACF decided from the outset that
the unit of analysis would be performance on the measures included in
each composite domain at the county rather than at the State level.
Because many counties often serve very small numbers of children in
foster care, the number of children served in foster care in each of
the 2,984 counties was calculated (using the
[[Page 32984]]
FIPScodes).\7\ Small counties within a given State were combined (i.e.,
``rolled up'') to represent a single ``county'' that served at least 50
children in foster care in FY 2004.\8\ This resulted in a total of
2,119 ``counties'' that could possibly be included in the analysis.\9\
---------------------------------------------------------------------------
\7\ Counties were excluded from the analyses when the State did
not report a FIPScode in FY 2004.
\8\ ACF determined that the composites and national standards
would be developed using data pertaining to FY 2004. This means
that, for the second round of the CFSR, the data used to establish
the national standards will not be the same as the data used to
evaluate performance of any of the States.
\9\ The number of counties included in the PCA varies across the
composites. This is because a county had to have a value for all of
the measures included in a specific composite domain in order to be
included in the PCA. For example, if a county did not have any
children in foster care for 17 months or longer at the start of the
fiscal year, then that county was not included in the PCA for the
timeliness of adoption composite because there were two measures in
that composite that focus on permanency for children in foster care
for 17 months or longer.
---------------------------------------------------------------------------
Once the ``counties'' were established, the PCA was implemented
using the steps described below.
1. Rank-order the counties and assign each county to one of two
samples `` Set A or Set B. Using matched-pair sampling, each county was
randomly assigned to one of two sets--Set A or Set B. In the matched-
pair sampling, counties first were ranked in descending order in terms
of ``size,'' with size defined as the number of children served in
foster care in the county during the fiscal year. The counties were
then paired on the basis of size, with each pair including counties of
the same general size. After this matched pairing, each county in the
pair was randomly assigned to either Set A or Set B. The result was
that Set A and Set B were matched with respect to the size of the
counties within each set. The two Sets were not matched on any other
variable. We created these two sets in order to cross-validate our PCA
results by comparing the solutions resulting in each set.
2. Calculate the performance of each county on each measure. The
performance of each county on each measure was calculated using the
programming syntax developed for each measure as applied to data
reported to AFCARS for FY 2003 and FY 2004.\10\ The focus of analysis
was on data reported for FY 2004. FY 2003 data were used when more than
a 12-month time span was required to calculate the measure.
---------------------------------------------------------------------------
\10\ The syntax and the aggregated database will be made
available to the public.
---------------------------------------------------------------------------
3. Standardize the scores. The results were standardized by
converting the actual score for each county to a z-score. The use of
standardized scores rather than actual calculated results allows for
variables measured in different units to be included in the analysis.
For example, median length of stay in foster care is calculated in
months, while reunification within 12 months is calculated in
percentages. Standardized scores are helpful for two reasons: (a) All
variables are converted to the same scale of measurement, and (b)
scores for each variable are normally distributed. The z-scores were
adjusted for the direction of the measure. For example, a positive
score on one measure can indicate positive performance or negative
performance, depending on the focus of the measure. To adjust for this,
z-scores for some of the measures were multiplied by -1 to ensure that
all scores are interpreted in the same way. That is, the higher the
score the better the performance. The following measures were recoded
to adjust for direction:
Median length of stay in foster care of children
reunified;
Median length of stay in foster care of children
discharged from foster care to a finalized adoption;
Percent of children discharged from foster care who re-
entered in less than 12 months from the time of exit; and
Percent of children who emancipated from foster care or
who reached their 18th birthday while in foster care who were in foster
care for 3 years or longer.
4. Conduct a PCA analysis on Set A and Set B independently. Using
the Statistical Packages for the Social Sciences (SPSS) statistical
software, we ran the PCA for Set A and Set B separately for each of the
four composite areas.
5. Decide what component variables to include for each composite
measure. After the initial analyses, we reviewed the results and made
decisions regarding the variables to be included in each composite
measure in accordance with the standard procedures for conducting a
PCA. All decisions were data driven and were nearly identical for both
Set A and Set B. For example, when two measures correlated so highly
that they appeared to be capturing the same information, we eliminated
one of the measures. When one or two measures did not correlate highly
with other measures but still appeared to account for a high percentage
of the variance in the total composite domain, we considered those as
comprising a separate principal component. The goal was to identify
components that accounted for as much of the sample variance as
possible. That is, we wished to select the minimum number of principal
components that would enable us to reproduce the observed correlations
among the variables used in the analysis. A set of principal components
that explained 100 percent of the variance would reproduce the data
perfectly. Generally, identifying one or two principal components that
explain 50 percent of the variance is considered very good. Identifying
a small set of principal components that explain 70 percent of variance
or more is considered excellent.
6. Compare the findings for Set A and Set B. A t-test on means from
two independent samples was conducted on the county component scores
comparing Set A and Set B for each of the four composites. No
significant differences between the Sets were found for any of the
composites. The p values exceeded 0.05 for all comparisons. This
indicated that the PCA of the two independent samples produced the same
results.
7. Create a new data set that incorporates all counties included in
Set A and Set B into one data set and replicate the PCA analysis (Steps
2 through 6 above) on the combined data set to generate the Component
Score Coefficient Matrix. The PCA generates what is termed a
``component score coefficient'' for each measure. The data analyses may
result in a number of principal components, depending on the
relationships among the measures as reflected in the component score
coefficients. The coefficient represents the ``weight'' for a given
measure--that is the relative contribution of the measure to the
overall component. The components that emerged from the analyses
combining Set A and Set B are presented below for each composite. These
components were identical to those that emerged in the separate
analyses of Set A and Set B. That is, the same principal components
emerge consistently and explain the same proportion of variance. We
have established a ``name'' for each component. The name reflects the
focus of the measures that have the highest loading on the component.
The measure with the highest loading often is referred to as the marker
variable. The coefficients (or weights) for each measure within each
component are provided in table 1. The higher the coefficient, the
greater the contribution a particular measure makes to the component.
Permanency Composite 1--Timeliness and Permanency of
Reunification. The analyses for this composite included 1,894 counties.
Two components emerged from the analysis of measures included in this
composite. The two components explain 73.5
[[Page 32985]]
percent of the variance. We named the first component timeliness of
reunification, and the second component permanency of reunification.
Because these components are independent from one another, each
contributes 50 percent to the total composite score.
Permanency Composite 2--Timeliness of Adoptions. The
analysis for this composite included 1,453 counties. Three components
emerged from the analysis of measures included in this composite. Taken
together, these components explain 79.8 percent of the total variance.
The first component we named timeliness of adoptions of children
exiting foster care to adoption. The second component, we named
progress toward adoption for children in foster care for 17 months or
longer. The third component we named timeliness of adoption of children
who are legally free for adoption. Because these components are
independent from one another, each contributes 33.3 percent to the
total composite score.
Permanency Composite 3--Achieving permanency for children
in foster care for long periods of time. The analysis for this
composite included 1,682 counties. Two components emerged from the
analyses of these measures. These components account for 74.9 percent
of the total variance. The first component we named permanency for
children in foster care for long periods of time. The second component
we named children emancipated after being in foster care for long
periods of time. Because the components are independent of one another,
each contributes 50 percent to the total composite score.
Permanency Composite 4--Placement stability. This analysis
included 2,119 counties. One component, which we have named placement
stability, emerged from the analysis of the measures included in this
composite. The component accounts for 67.4 percent of the variance.
8. Generate the component scores for each county. For each county
included in the analysis, the z-score for each measure (generated under
step 3) is multiplied by the coefficient for that measure (shown in
table 1), resulting in a ``weighted score'' for each measure within the
component. The weighted scores for each measure within a component are
then summed. The result is a county component score.
9. Generate the composite scores for each county. The county
composite score represents a combination of the component scores. If
there is only one component in the composite, then the county composite
score and the county component score are the same. If there is more
than one component in the composite, then the county composite score is
the mean of the scores for each component. For example, if there are
two components in a composite, then the county component scores are
summed and divided by two to generate the county composite score. If
there are three components in a composite, then the county component
scores are summed and divided by three to generate the county composite
score.
10. Generate the composite scores for each State. The composite
score for each State was generated based on the composite scores for
each of the counties in the State. Within a given State, each county's
composite score was assigned a weight based on the number of children
served in foster care in the county in FY 2004. That is, counties with
larger foster care populations were weighted more heavily than counties
with smaller foster care populations. The State composite score was
calculated as the mean of the weighted county composite scores for that
State. That is, the weighted composite scores for each county were
summed and the sum was divided by the number of counties. This resulted
in the State composite score.
11. Conduct a consolidated variable analysis. Initially, a separate
PCA was conducted for each of the composite areas. At this point, we
also conducted a consolidated variable PCA in order to cross-validate
the solutions that emerged from the separate PCAs. That is, the PCA was
applied to all of the measures taken together. The results generated
from the consolidated variable analysis were identical to those that
emerged from the separate PCAs; thus, the overall four-composite
solution was identical across different data analyses.
12. Transform State composite scores to a scale ranging from 50 to
150. The initial composite scores were derived from of z-scores. We
transformed the scores into ranked scale scores by using a
transformation that assures that the maximum State Composite Score
attains a value of 150 and the minimum State Composite Score attains a
value of 50. The other scores fall between these two limits depending
on their actual State Composite Score.\11\
---------------------------------------------------------------------------
\11\ The formula for transforming the standard scores into
ranked scaled scores was the following: [100 x ((State Composite
Score -Minimum State Composite Score) / (Maximum State Composite
Score -Minimum State Composite Score)) + 50].
---------------------------------------------------------------------------
Response to Concerns Regarding Use of PCA.
Several individuals commenting on the notice published in the
November 7, 2005 Federal Register expressed concerns about our use of
PCA to generate composite scores. We believe that some of these
concerns are addressed in the description of PCA and our process
provided in the first section of this attachment. Additional specific
concerns are presented below (and underlined), followed by our
response.
The use of PCA may mask the importance of individual
variables and perhaps prevent States from identifying ``salient
contributing variables.'' Although the PCA shifts the focus of
interpretation to a composite score rather than individual scores that
make up a composite, the relative contribution of an individual measure
to the composite scores will be known to States through the county
weights of the number of children served and the coefficients assigned
to each measure. From a statistical perspective, the more salient a
particular variable or measure, the greater the weight. In a PCA, a
critical measure will have a prominent role either as the ``marker
variable'' in a PCA (i.e., the one that makes the largest contribution
to the component with regard to the amount of variance for which it
accounts) or as the sole measure that loads on a particular component.
With regard to actual performance on individual measures, ACF will
provide these data in the State Data Profile for each of the States.
The ACF proposal seems to arbitrarily group indicators
together. The methodology of putting several indicators together and
forcing them to be a composite single indicator contradicts the
potentially powerful intent and purpose of PCA. As noted in the first
section of this attachment, the PCA combines scores based on inter-
correlations among the variables used in the analysis. It does not
force unrelated variables onto a single component. As indicated under
step 11 above, a consolidated variables analysis produced the same
results as the composite-specific analyses. That is, the same variables
were inter-correlated with one another in both analyses and the same
components emerged.
It would be better to use other forms of analysis such as
logistic regression that might demonstrate the variables predictive of
a dichotomous outcome (such as maltreatment in foster care). PCA
reduces a larger set of variables into a smaller set based on observed
empirical relationships. In comparison, regression uses one set of
variables to
[[Page 32986]]
predict an outcome measure. Our goal in constructing composites was to
identify relationships among variables that relate to a particular
performance domain. Also, the goal of the CFSR is to measure
performance on given outcomes rather than to predict performance on a
given outcome.
PCA does not compensate for measures that are currently
misunderstood or inadequately defined; it compounds the existing
weaknesses in each measure. It is incorrect to say that
Knowledge-building and the interpretation of research is
greatly limited by using component factors calculated as proposed. The
current set of measures has a latent structure inherent within it. PCA
analysis enables us to explore that structure and identify a variety of
highly interpretable PC composite scores. We believe that the results
of our analyses are very strong and lead to unambiguous interpretations
of the principal components used to evaluate performance.
Even sophisticated users of this method agree that the
number of factors to choose when using the method is to some extent
arbitrary. We used a highly conservative, data-driven approach to
identify the relationships among variables. These relationships are not
arbitrary; rather they are derived empirically from the data and
reflect the structure inherent within the data. It is important to note
that changes in extraction and rotation would have little or no impact
on the present analysis as the cross-validation analysis in Step 11
indicates. In addition, all four solutions were replicated across two
different samples, suggesting a high level of stability. Although every
statistical procedure includes some degree of estimation error, the
present analyses are robust and do not invite arbitrary interpretation
of the results.
More user-friendly approaches to creating composite
outcome measures are available, but not mentioned in the ACF
recommendations. We believe that the options available for constructing
composites from a set of data measures are principal components/factor
analysis, cluster analysis, and multidimensional scaling. Based on our
discussions with our expert consultant, we believe that PCA is the most
appropriate option in the present case. We began our analysis of the
CFSR variables making only the assumption that the variables possess
some latent structure. There was no designated criterion variable that
we could use as a dependent/outcome measure. Our task was to reduce an
existing set of variables to a smaller set of inter-correlated
composite scores. Regression/survival methods could be used if we were
to select an outcome measure as the criterion that will be predicted.
However, at the outset of this effort, we determined that we would not
identify or use an outcome measure to estimate the weight of each
variable in relation to the designated outcome variable.
Composite scores have no intrinsic meaning or relationship
to important outcomes. Composite scores are used routinely in
educational testing and assessment because they are more reliable in
that they represent the construct of interest better than any single
variable. Two basic psychometric principles of measurement are (1) a
test with more questions is more reliable; and (2) combining related
scores into a composite score results in a more reliable and valid
score than the individual scores on which the composite is based. This
is contrary to the notion that well-planned composite scores are
inferior to individual scores that are used to create the composite.
No uniformly agreed methodology exists to weight
individual indicators before aggregating them into a composite
indicator. A uniform methodology does exist for conducting a PCA. There
are many highly respected books that lay out the steps to follow and
how to make critical decisions. All of these books recommend the same
general process. Our approach to using PCA was very systematic and
conservative. Like all statistical procedures, the researcher must make
choices that impact the outcome. For example, in regression analysis,
the researcher must select variables, determine an order in which they
enter the analysis, and decide whether nonlinear components are
relevant. The output also will depend on sample size and what
population is sampled.
Establishing the National Standard
The process for establishing the national standards on the
composite scores was identical to that used for the first round of the
CFSR. (See ACYF-CB-IM-00-11 and ACYF-CB-IM-01-07). The sampling error
adjustments were done on the standard score data prior to conversion to
the scale score.
Table 1.--Coefficients (Weights) for the Measures Included in the Permanency-Related Data Composites
----------------------------------------------------------------------------------------------------------------
Components
Composites and variables -------------------------------------------------------------------------
Component 1 Component 2 Component 3
----------------------------------------------------------------------------------------------------------------
Permanency Composite 1: Timeliness and Timeliness of Permanency of Not Applicable.
Permanency of Reunification. Reunification. Reunification.
Reunifications in less than 12 0.447. 0.032.
months of children exiting foster
care to reunifications.
Median time in foster care to 0.433. 0.006.
reunification.
Reunifications in less than 12 0.342. 0.121.
months of children entering
foster care.
Re-entries of children into foster 0.141. 1.107.
care in less than 12 months.
Permanency Composite 2: Timeliness of Length of time in Progress toward Timeliness of
Adoptions. foster care to adoption of children adoptions for
adoption. in foster care for 17 children who are
months or longer. legally free for
adoption.
Adoptions within 24 months of 0.536.................. -0.035................. -0.033.
entry into foster care.
Median length of stay of children 0.557.................. 0.114.................. -0.042.
adopted.
Adoptions within 12 months of -0.095................. 0.524.................. 0.249.
children in foster care for 17
months or longer.
Children legally freed for 0.152.................. 0.709.................. -0.254.
adoption within 6 months who have
been in foster care for 17 months
or longer.
Adoptions within 12 months of children -0.41.................. -0.058................. 0.942.
who are legally free for adoption.
Permanency Composite 3: Achieving Children exiting to Children exiting to Not applicable to this
permanency for children in foster permanent homes. emancipation. composite.
care for long periods of time.
[[Page 32987]]
Children in foster care for 24 or 0.468.................. 0.274.
more months who achieve
permanency in less than 12 months.
Permanent homes for children who 0.804.................. -0.244.
are legally freed for adoption.
Children emancipated from foster -0.146................. 0.922.
care who were in foster care for
3 years or longer.
Permanency Composite 4: Placement Placement stability.... Not applicable for Not applicable for
stability. composite. composite.
Placement stability for children 0.399.
in foster care for less than 24
months.
Placement stability for children 0.421.
in foster care between 12 and 24
months.
Placement stability for children 0.398.
in foster care for 24 months or
longer.
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[FR Doc. 06-5193 Filed 6-6-06; 8:45 am]
BILLING CODE 4184-01-P