Statewide Quality Assurance Report

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Florida Department of Children and FamiliesCase Management Services - 2009-2010 Quality Assurance Reportand opportunities for improvement. Each quarter CBC QA staff reviewed seventeen randomlyselected cases to determine practice for seventy-one quality of practice standards.An in-depthQuality of Services Systemic Review was completed on at least two cases each quarter from thesample set of seventeen cases. In-depth reviews include stakeholder interviews with judges,attorneys, Child Protection Teams, foster parents, trainers, and other community members involvedin the child welfare network. 7In addition, DCF QA staff and CBC QA staff jointly reviewed eightcases each quarter. The process of reviewing the same case, at the same time, using the samestandards, and subsequently reaching consensus on measuring practice, helps assure inter-raterreliability and builds positive working relationships and partnerships. The DCF QA staff alsoconducted an independent in-depth Quality of Services Systemic Review on at least two cases eachquarter from the sample of eight side-by-side cases. The results of the in-depth reviews are usedlocally to improve the child welfare system. The case review process is illustrated below:Quality Assurance Case Review ProcessFY 2009/2010Case Review ProcessCBC LeadAgencies17 Cases Quartertly6 Cases AnnuallyIn-Depth Quality of ServicesSystemic ReviewCBC and DCFJoint Case Review8 Cases QuarterlyDCF IndependentReview6 Cases AnnuallyIn-Depth Quality of ServicesSystemic ReviewIn FY 2009/2010 a purposive8sample selection was used that was based on the six federalpermanency goals: Maintain and Strengthen Families, Reunification, Adoption, Permanent7 Results of interviews are managed locally and not rolled up for a statewide view.8 The particular approach used here is also known as a non-proportional quota sample.Office of Family Safety | Page 5
Florida Department of Children and FamiliesCase Management Services - 2009-2010 Quality Assurance ReportGuardianship, Permanent Placement with a Relative, or Another Planned Permanent LivingArrangement. Guidelines were provided to select a certain number of cases from each goal, butwith some local flexibility. Detailed QA reports for individual CBCs are located at Florida’s Center forthe Advancement of Child Welfare Practice:http://centerforchildwelfare.fmhi.usf.edu/qa/QA_Reports/Forms/AllItems.aspxIn addition to the case file review, feedback from youth was solicited through Youth Roundtablesthat were facilitated across the state. This youth empowerment activity allowed youth a legitimatevoice in the system. In addition, the Youth Roundtables provided a forum for youth to become apartner in influencing local and state policy. The Youth Roundtable process and a summary of theircritical concerns are in section IV of this report. Youth perspective were written by youth andsubmitted to be included in this report. Their writings offer an insight into their perspective of thechild welfare system.III. General Findings and Practice TrendsChild welfare case work practice encompasses the range of activities designed to help familieswith children strengthen family functioning and address challenges that may threaten familystability. These activities include family centered assessment and case planning; case management;specific interventions with families including counseling, education, and skill building; advocating forfamilies; and connecting families with the supportive services and resources they need to improvetheir parenting abilities and achieve a nurturing and stable family environment. In child welfare, acombination of good case work practices increases the likelihood that optimal outcomes can beachieved. The tables and graphs contained in this report provide a view of inter-related activitiesthat tell a story about child welfare practice in Florida. Each practice impacts the other and if poorperformance is noted in one area, the likelihood for success overall decreases.a) AssessmentAssessment is the process of gathering information that will support service planning anddecision-making regarding the safety, permanency, and well-being of children, youth, andfamilies. It begins with the first contact with a family and continues until the case is closed. Theassessment is based on the assumption that for services to be relevant and effective, caseworkers must systematically gather information and continuously evaluate the needs of childrenand parents/caregivers as well as the ability of family members to use their strengths to addresstheir problems. Many assessments are conducted for different purposes throughout a family'sOffice of Family Safety | Page 6
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Statewide Quality Assurance Report

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