Connections between building the protective factors in the community and appropriate response.

1. DIFFERENTIAL RESPONSE
National Overview
Theresa Costello, MA
Director
National Resource Center for Child Protective
Services (NRCCPS)
April 17, 2013

2. Defining Differential Response
• CPS practice that allows for more than
one method of initial response to
reports of child abuse and neglect
• Also called “dual track”, “multiple
track”, or “alternative response”

3. What differential response is
NOT…
• Differential response has not focused
mainly on cases screened out as
inappropriate for child protective
services; rather it has focused on
responding differentially to accepted
reports of child maltreatment.

4. History of Child Welfare
and the Purpose of
Differential Response

5. Purposes of
Differential Response and Child Protection
 CPS was established to
respond to all reports of
suspected child
maltreatment, but numbers
overwhelm available
resources
 Systems either screen out or
do not open for services
more than half of
reports, yet many children
are vulnerable

6. Purposes
of Differential Response in Child Welfare
 Traditional investigatory
practice is often adversarial
& alienates parents
 DR is a way to respond to
more reports (screened in)
at an earlier stage by
engaging families in a non-
adversarial process of
linking them to needed
services

7. Why Implement
Differential Response?
Recent Study on CP
Investigations :
“Child Protective Services Has
Outlived Its Usefulness”
 Do little to reduce risk
Dr. Kristine
 Do not result in long- Campbell, Assistant Professor
of Pediatrics at the University
term improvement in of Utah
family functioning or
child behavior Published in
The Archives of Pediatrics and
Adolescent Medicine
 Are associated with Oct. 2010
increased depression
among mothers

8. Why Implement
Differential Response?
“A lot of times the [family] situation calls for the formation of
a healing relationship so the very act of going there in an
investigatory mode impairs the ability [for workers] to form
a meaningful relationship in which parents can be
open, ask for and get help”
~Dr. Bruce Perry, M.D., Ph. D
Senior Fellow
Child Trauma Academy
www.childtrauma.org

9. Why Implement
Differential Response?
Increasingly, concerned citizens and organizations are
realizing that the best way to prevent child abuse is to help
parents develop the skills and identify the resources they
need to understand and meet their children's needs and
protect them from harm

10. Why Implement
Differential Response?
According to National Study of Child Protective Services
Systems and Reform Efforts (2003), 20 states identified one
of 3 purposes as reason for DR system:
 child safety (55%)
 family preservation or strengthening (45%)
 prevention of CA/N (20%)

11. Why Differential Response?
• Driven by the desire to….
– Be more flexible in the response to child abuse and
neglect reports
– Recognize that an adversarial focus is neither
needed nor helpful in all cases
– Better understand the family issues that lie beneath
maltreatment reports
– Engage parents more effectively to use services
that address their specific needs
– Serve more families; majority of traditional
investigations do not result in any services being
provided

12. Why Differential Response?
• Driven by desire to…
– Address family needs more quickly; most
cases not driven by court intervention, so
evidence collection is not necessary
– Build family support systems; DRS is often
accompanied by greater efforts to identify,
build and coordinate formal and non-
formal family supports

13. Shared Principles of Traditional
CPS and Differential Response
• Focus on safety and well-being of the child
• Promote permanency within the family
whenever possible
• Recognize the authority of CPS to make
decisions about removal, out of home
placement and court involvement, when
necessary
• Acknowledge that other community services
may be more appropriate than CPS in some
cases

14. Principles and Assumptions
of Differential Response
 The circumstances and needs of families differ and so
should the response
 The majority of reports do not need an adversarial
approach or court-ordered interventions
 Absent an investigation:
 child safety will not be jeopardized
 services can be in place more quickly
 families will be more motivated to use services

15. Principles and Assumptions
of Differential Response
 Effective assessment tools  Only cases of greater
can be put in place to severity need to be on
assure safety and an state central registry
informed response
 Cases are monitored
 Frontline staff in CPS and sufficiently to change
other agencies are trained course/paths when
in strength based and situation requires
collaborative
interventions

16. Practice Framework and Assumptions
 The primary goal of non  Families are more than
investigative approach is the presenting concerns
child safety  Family protective factors
 Most families want to can assist in keeping
address threats to child children safe
safety  Families are helped
 Most families can be through connections with
partners in achieving child community services and
safety resources

17. Comparing Traditional
Child Protection
Models and
Differential Response

18. Traditional Child Protection Practice Model
Report screened to
determine appropriateness
Investigation model is of child welfare agency
intervention
rooted in the determination
of whether:
Investigation
(Is this a Child in Need of Protective Services?)
1. Safety and Risk Assessments
2. Gathering of Evidence
 A child has been harmed Disposition
Re. Child in Need of
Protective Services
 A child is at risk of being Unsubstantiated Substantiated
harmed Category IV
Voluntary
Category I
Removal
required
services
recommended
Category II
Court mandated
 An individual is culpable
services
Category V required
No services are
for this conduct.
needed
Category III
Services are
needed

19. Model for Differential Response
Report screened to
determine appropriateness
Differential
of child welfare agency
intervention
No Yes
Report is screened out.
Alternative Response Screening Response
System
1. Is there an administrative rule requiring
Referral for other community
that the report be investigated?
services may be made.
2. Are there other factors that would Yes
Family Assessment
1. Safety and Risk Assessments
No
necessitate an investigation?
Investigation
focusing on a
2. Complete assessment of family
strengths, needs and resources.
(Is this a Child in Need of Protective Services?)
1. Safety and Risk Assessments
child in need
of protective
2. Gathering of Evidence
Family declines
services and
Assessment Outcome needed services
Disposition
Re. Child in Need of
Protective Services
No Services Voluntary Services
Recommended
Services are
support and
engagement
No services Needed Unsubstantiated Substantiated
needed
Agency Category I
assesses that Removal
Category IV
of the family.
services are required
Voluntary
needed to
services
Family Family and maintain child
recommended
declines agency agree safely at home. Category II
services upon services Court mandated
services
Category V required
No services are
Family needed
accepts Category III
needed Services are
services needed

20. The Core Elements
of Differential
Response

21. Core Elements of Differential Response
1. Use of two or more discrete
responses to reports of
maltreatment that are
screened in and accepted
2. Assignment to response
pathways determined by an
array of factors
3. Original response
assignments can be changed
4. Ability of families who
receive a non-investigatory
response to accept or refuse
to participate in differential
response or to choose the
traditional investigatory
response

22. Core Elements of Differential Response
5. Establishment of discrete
responses codified in
statute, policy, protocols
6. After assessment, services
are voluntary for families
who receive a non-
investigatory response (as
long as child safety is not
compromised)
7. No substantiation of alleged
maltreatment and services
are offered without formal
determination that child
maltreatment has occurred
8. Use of central registry is
dependent upon type of
response

23. Pathways in the Differential
Response Continuum
• There are at least two categories of
response ( SC 3)
– Investigation: reports that are immediately
recognized as presenting serious safety issues
for children/placement more likely/may be
criminal charges
– Assessment: reports that indicate the child
may be in need of protection and the family
requires services to better address child and
family safety and well being.

24. Factors Determining Response
• Statutory limitations
• Severity of the allegation
• History of past reports
• Ability to assure the safety of the child
(if safety threats at intake not assigned
to assessment)
• Willingness and capacity of the parents
to participate in services

25. Assessment is the Key
• Assessment must be comprehensive-
more than simply a risk and safety
assessment-understanding underlying
family conditions
• Must also identify protective factors in
family and larger social context that
could be mobilized to strengthen family

26. Family Engagement
• Family members have significant expertise
and whenever possible it is important to
engage them in identifying issues and to
honor family choices when they do not
jeopardize safety
• Seek collaboration with family and their
formal and informal support system
• Whenever possible, eliminate practices that
produce resistance such as drop in
visits, joint visits with law enforcement, and
interviewing child without parental
knowledge

27. Evaluation items/progress
measures
• Child safety
• Permanency: subsequent removals and placement
• Family satisfaction and cooperation
• Family functioning and well-being, skills of individual
family members, financial well-being and social
support
• Services to families
• Worker satisfaction
• Judicial system: referrals to juvenile/family
court, reduction in court hearings, child
removals, TPR orders, etc.
• Cost savings/effectiveness

28. Potential Challenges
• Subsequent reports
• Family does not participate voluntarily
• Insufficiency of service resources
• Inadequate involvement of fathers and
other significant stakeholders
• Communication with/within
community service system

29. Prospective Benefits
• More children are better protected over time
by engaging more parents in the process of
making sustainable changes
• The rate of subsequent repeat reports to CPS
has been demonstrated to decrease
• Both families and agency child protection
workers are more satisfied with the
outcomes
• Involvement of larger systems of support
• The approach is cost neutral or saves money
over time

30. Lessons Learned
• There is intrinsic value of family voice -
as partners, guiding service planning
and decision making
• Community partnerships are most
effective ways to protect children
• There is a need to involve families and
community stakeholders early in
process

31. Lessons Learned
• Communication among/across
jurisdictions is essential - establish
vehicles for regular contact
• Assessment is ongoing and cumulative
as trust builds
• Evaluation matters - bring evaluators in
early and make the investment to do it
well

32. Differential Response Implementation
Washing ton, D.C.
Statewide
Regional/ County Im plem entation
Planning/ Considering
Discontinued
Tribal
Screen Out Response
Updated October 31. 2012
32

33. Service Types and Needs for
DRS families
• Concrete Services (clothing, food, utility
payment, housing, job training, transportation)
• Parenting Classes
• Domestic Violence services
• Mental Health services
• Substance Abuse treatment
• Counseling (adults and children)
• Home-based services
• Population-specific services (e.g. Spanish-
speaking clients, children with disabilities)

34. Differential Response
Research and Evaluation

35. EVALUATION FINDINGS
• Child Safety
– Child safety was not compromised under
differential response systems
– Safety was maintained even when
comparable families were randomly
assigned to tracks
– Increased services to families lowered
recurrence

36. EVALUATION FINDINGS
• Services to Families
– Services were provided more often to
children and families on the assessment
track
– The number of services received by
families on the assessment track was
greater than on the investigation track
– Services may be provided to families
earlier on the assessment track
– Greater use of community resources was
reported in pilot areas of at least 3 States

37. EVALUATION FINDINGS
• Family Satisfaction and Engagement
– Families reported satisfaction with the
differential response system in
Missouri, Minnesota, North Carolina and
Virginia
– The family’s sense of participation in
decision making increased in several
States
– Workers reported families were more
cooperative and willing to accept services

38. EVALUATION FINDINGS
• Cost Effectiveness
– Differential response appears to be cost
effective over the long term. (Minnesota
study only)

39. EVALUATION FINDINGS
• CPS Staff Perspectives and Issues
– CPS staff like the differential response
approach
– Large caseloads and limited resources are
obstacles to differential response
effectiveness
– Training is needed to make
implementation successful

40. Reduction in Disproportionality
Hawaii results

41. Trends in Placements as a Percentage of
Investigations
50.0%
45.0%
40.0%
Percent of Investigtions
35.0%
30.0%
White Removals
25.0%
20.0% Native Hawaiian or Part
Hawaiian Removals
15.0%
10.0%
5.0%
0.0%
2001 2002 2003 2004 2005 2006 2007 2008

42. Questions?