1. The 50 State CHARTBOOK on Foster Care:
A Web-Based Data Resource for Child Welfare Professionals
National Webinar
Tuesday, July 16, 2013 at 3:00pm EDT
Speakers:
Judith Gonyea, Chair of Social Research, Boston University School of Social Work
Mary Bissell, Partner, ChildFocus
Laura Boyd, Public Policy & Government Relations Consultant, Foster Family-Based
Treatment Association;

3. http://www.bu.edu/ssw/research/USfostercare

4. ◦ The Vision: The Rationale for
the CHARTBOOK
◦ The Developmental Process:
Moving from Vision to Reality
◦ The CHARTBOOK’s
Organization: State Profiles
and National Trends
◦ National Perspectives on the
CHARTBOOK Utility
◦
◦ A State’s Perspective on the
CHARTBOOK as a Resource
◦ Open Dialogue and Discussion

6. Boston University Team:
Judith G. Gonyea, PhD, Sara S. Bachman, PhD,
Serena Rajabiun, MPH, Julie Springwater, MSW,
Carol Tobias, MMHS, Melissa Hirschi, MSW,
Faith Little, MSW

7.  Linda Arnold, MSW, Director, National Resource
Center for Child Welfare Data and Technology, CWLA,
Washington DC
 Kathy Betts, MPH, Deputy Assistant Secretary,
Children, Youth and Families, MA Executive Office of
Health and Human Services
 Laura Boyd, PhD, Public Policy and Government
Relations Consultant, Foster Family-based Treatment
Association
 Larry Brown, MSW, Larry Brown Associates & Former
Executive Deputy Commission, New York State Office
of Children and Families
 Chris Koyanagi, Policy Director, Bazelon Center for
Mental Health Law, Washington DC

8.  Ken Olson, LCPC, Executive Director,
KidsPeace National Centers of New
England, ME
 Gina Robinson, Program Administrator,
Colorado Department of Health Care
Policy and Financing
 Linda Spears, Vice President & Policy
Director, Child Welfare League of America
 Harry Spence, JD, Professor, Harvard
School of Education and Former
Commissioner of Massachusetts
Department of Children and Families
 Peter Watson, Director, National Child
Welfare Resource Center for
Organizational Improvement, University
of Southern Maine

9. The CHARTBOOK would be:
 a valuable tool for diverse populations,
including policymakers, service providers,
advocates and researchers;
 an accessible and user-friendly tool or
resource; and
 organized into state profiles for ALL 50
states and DC
There is a strong desire to secure funding
to update the CHARTBOOK on a 2- to 3-year
cycle allowing the identification of trends
and the benchmarking of progress over
time.

10.  The CHARTBOOK provides data on foster care
programs, policies, and financing for every state and the
District of Columbia, including data on therapeutic or
treatment foster care.
 The CHARTBOOK also highlights innovative initiatives
and best practices being implemented throughout the
country.

11.  Research consistently shows that children in foster care are at a
much greater risk for mental health disorders.
 It is estimated that between one-half to three-quarters of children
in foster care exhibit behavior or social competency problems which
warrant the receipt of mental health services.
 30% are estimated to have SEVERE behavioral, emotional or
developmental problems.

12.  benchmark their own state—on key population, program
and outcome measures—as compared to other states.
 learn about different states’ key initiatives and
evidence-based programs that could be replicated or
implemented in their own state.

13.  Although foster care statistics
are available—many of the
existing data sets or sources are
difficult and time-consuming to
access and use.
 The CHARTBOOK fills a critical
gap—it is an easily accessible,
user-friendly, single source for
information on foster care across
the 50 states and DC.

14. Abstracted Relevant
Indicators from Existing
National Datasets
Gathered Data via
Interviews with State
Child Welfare and
Medicaid State Leaders
Emailed the Completed
State Profile to the State
Leaders to Review for
Accuracy

15.  National Data Archive on Child Abuse and Neglect (NDACAN) Foster
Care File Dataset 153: 2010.
 Medicaid Statistical Information Systems (MSIS): Most current as of
2012
 Child Trends 2012 Report: Federal, State and Local Spending to
Address Child Abuse and Neglect in FY 2008 and 2010, Appendix
A2.
 Child and Family Services Review (CFSR): Most current as of 2011
 Children's Defense Fund: 2010.
 Green Book of the House Ways and Means Committee: 2008.
 Administration of Children & Families "Child Welfare Outcomes
2006-2009”

16. . CHARTBOOK STATE PROFILES
8 categories or domains:

26.  Trauma treatment
 Aging-out-of-Foster Care
 Family Finding
 Psychotropic Drugs
 Behavioral Health Services
 Cross-system data sharing

28. Exploring Trends with the CHARTBOOK Data
http://www.bu.edu/ssw/research/USfostercare

29. TFC Equivalent Option States
Therapeutic Foster Care AR, AZ, CT, FL, HI, KS, KY, LA, MS, MT,
NC, ND, OK, OR, SC, SD, TN, WY
Therapeutic Foster Care & TFC with Enhanced Services AL, GA
Treatment Foster Care CA, DE, ID, MD, MN, NM, OH, RI, TX,
VA, WI, IA
Treatment Services Foster Care TX
Treatment Home Care NJ
Multi-Dimensional Treatment Foster Care PA
Therapeutic Foster Care & Treatment Foster Care CO, WA
Specialized Foster Care AK, IL, NV, VT, WV
Specialized Foster Care (includes Therapeutic Foster Care) DC, IN
Specialized Foster Care (includes Treatment Foster Care) ME
Individualized Service Options (ISO) NH
Therapeutic Foster Boarding Home Care NY
Levels of Care Evaluation Model UT
Elevated Needs Foster Care MO
Intensive Level of Foster Care (IFC) MA
Professional Resource Foster Care NE

30. Hours States
5 DE (Per each foster parent in home)
6 AZ HI IA KY MD ME (12 hours in 2-year relicensing period) MI PA SD
8 CA FL KS NH(16 hours within 2 years)
9 CT (45 hours must be completed in the first 18 months)
10 GA ID MA MS NC VA WI
12 MN NE NM ND OK UT WA (36 hours in 3-year relicensing period) WV (15 hours required
in the first recertification year)
14 SC
15 AL AK (Single parent homes only need 10 hours) AR DC(30 hours in 2-year relicensing period)
IN LA MO MT OR (30 hours in 2-year relicensing period) TN
16 IL WY
20 CO NV OH (40 hours in 2-year relicensing period) TX
Not Identified NJ NY RI VT

31. Hours STATES
4 NY -Special
5 NY -Exceptional
10 GA
12 DE –Moderate IA MS
14 ID
15 DE-Intensive Level 3 TN
16 MO NH –Specialized WY-Specialized
18 ME (36 hours in 2-year relicensing period) MN SD WI -Moderate Treatment WY-Therapeutic
20 DE -Intensive Level 4 & 5 HI IN LA –Specialized MD NV
24 AL AZ (Non-primary parent required to complete 12 hours) AR KS KY LA-Therapeutic
NM WI -Specialized & Exceptional
28 CT
30 WA MT OH (60 hours in 2-year relicensing period)
32 CO
40 OR
50 TX (Single parent homes only need 30 hours)
Not Identified AK CA DC FL IL MA MI NE NH (ISO) NJ NC ND OK PA RI SC UT VT VA WV
Red = State has a different requirement of in-service hours training for therapeutic vs. basic
foster care homes.

32. We asked states about 8 specific types of Medicaid funded services
that may be available in their state, including:
◦ Psychiatric Residential Treatment Facilities (PRTF)
◦ Other Inpatient Mental Health Services
◦ Outpatient Mental Health Services
◦ Therapeutic Foster Care
◦ Private Non-Medical Institutions (PNMI)
◦ Rehabilitation Option; Specific Codes For Therapeutic Foster Care
◦ Targeted Case Management Option; Specific Codes For
Therapeutic Foster Care
◦ Early And Periodic Screening, Diagnosis, And Treatment (EPSDT)
Services Including Therapeutic Foster Care

33. AL
AR
CO
CT
FL
IA
IN
KS
ME
MD
MI
MN
MO
ND
NE
NH
NM
NY
OK
OR
PA
SC
SD
TX
UT
VT
VA
WA
WI
WV
WY

34. The CHARTBOOK offers a beginning point for a more
detailed investigation of an issue or topic. It’s goal is to
“point users in the right direction” to seeking solutions to
improving services and outcomes for children in our
nation’s foster care system.
http://www.bu.edu/ssw/research/USfostercare

35. THANK YOU!!
To Access the CHARTBOOK: http://www/bu.edu/ssw/research/USfostercare
To Contact the Speakers:
Judith Gonyea, Chair of Social Research, Boston University School of Social Work; jgonyea@edu
Mary Bissell, Partner, ChildFocus; mary@childfocuspartners.com
Laura Boyd, Consultant, Foster Family-Based Treatment Association; lboyd544@gmail.com