Support Families & Prevent Maltreatment in Spokane County
Discover opportunities to support families and prevent maltreatment in Spokane County, with a focus on children aged 0-1 and initiatives to strengthen families locally. Learn about data insights, racial demographics, and innovative pilot programs aimed at preventing child maltreatment. Explore the efforts of the Office of Innovation, Alignment, and Accountability in building capacity for evidence-informed decision-making and system reform.
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Opportunities to Support Families & Prevent Maltreatment Spokane County March 1, 2023 Vickie Ybarra, PhD, MPH, RN Director, Office of Innovation, Alignment, and Accountability www.dcyf.wa.gov www.dcyf.wa.gov DCYF s Office of Innovation, Alignment, and Accountability (OIAA) builds DCYF capacity to make evidence-informed decisions, continuously learn and improve, and successfully enact system reform 1
Opportunities to Support Families & Prevent Maltreatment Spokane County 1. Age 0 Population 2. HB 1227 and Neglect 3. Strengthen Families Locally 2
3 Data Source: InfoFamLink rptPlacement, CY 2021, de-duplicated Statewide N Children <18 Placed CY 2021= 3575 Spokane N Children <18 Placed CY 2021=390
Children Ages 0-1, CY 2020-2021 Spokane County In 2021, 61% of all children ages 0-1 placed from Spokane County and 79% of newborns placed had Parental Substance Use as a contributing factor. Total Children ages 0-1 Placed in out-of-home-care 2020 735 2021 710 Total Children ages 0-1 in Screened-In Intakes 163 136 Total screened-in intakes for children age 0-1 decreased 3% from 2020-2021, young children placed with Parental Substance Use decreased 12% (ages 0-1) and increased 14% (first 30 days) Total Children ages 0-1 Placed w/ Parental Substance Use 94 83 Total Newborns Placed First 30 days of life 73 81 Total Newborns Placed First 30 days w/Parental Substance Use 56 64 Data Source: InfoFamLink rpt05Intakes, CY 2020 & 2021 and rptPlacement, CY 2020 & 2021, de-duplicated 4
Race/Ethnicity Children Ages 0-1 Placed in OOHC CY 2021, Spokane County Data Source: InfoFamLink rptPlacement, CY 2021, de-duplicated Total Ages 0-1 in Spokane County=136 WSRDAC/m race/ethnicity categories: AI/AN includes AI/AN Multiracial category Black includes Black Multiracial category 5
Pregnant SUD Pilot Referring Screened-out PG SUD cases to Community Resource/Referral Creation of DCYF (HB 1661) provided opportunity to consider offering voluntary prevention services to families in screened-out referrals 2019 N=831 In 2019, identified DCYF Offices w/highest numbers of infant placements w/SUD as contributing factor Started with Pierce, Spokane, and Snohomish Counties, subsequently expanded to Kitsap, Whatcom, Skagit Counties Added Tribal pathway for some communities Currently expanding to King County Statewide spread in the Governor s budget (support for resource/referral function) In Spokane County You are Not Alone (SRHD) & AIHC 6
HB 1227 and Neglect Enacted 2021 Keeping Families Together Act Establishes an imminent physical harm due to child abuse or neglect standard for removal. [Formerly imminent danger to child s safety ] Requires documenting in court petition the harm a child is likely to experience if not removed. DCYF supportive of legislation The changes proposed by HB 1227 are fully in line with our intention to safely reduce the number of children in out-of-home care and provide a pathway to do that. OIAA estimates the change could impact up to 12%-21% of children placed in out of home care (based on analyses of 2021 placement population). https://www.seattletimes.com/seattle-news/washington-legislature- acts-to-reduce-number-of-children-removed-from-parents/ 7
REGION 1: Profile of Contributing Factors N=591 Children Entering OOHC during 2021 81% of Neglect Removals have >1 Contributing Factor Average # Contributing Factors: 1.8 113 (19%) of placements Neglect-Only Top Contributing Factors # % Neglect 396 67% Parental Substance Abuse 293 50% Physical Abuse 94 16% Inadequate Housing 83 14% Caregiver Inability to Cope 74 13% 52% of children entering OOHC <5 years old, 28% are infants 57% of children entering OOHC are children of color 8 WSRDAC/m, AI/AN and Black categories include multiracial children
Strengthen Families Locally Community-based primary prevention for child maltreatment 5-year federal grant (through Sept. 2024/2025) Based largely on Strong Communities for Children (McDonnell et al. 2015) intervention, with demonstrated efficacy Conceptualizes the primary intervention as community activation In 4 high-need communities chosen at random from among 23 WA communities w/highest rates of maltreatment (in 2018) Spokane (city) Stevens/Ferry Counties Port Angeles/Sequim Bremerton https://www.dcyf.wa.gov/services/child-development- supports/sfwa/sf-locally 9 McDonnell, J. R., Ben-Arieh, A., & Melton, G. B. (2015). Strong Communities for Children: Results of a multi- year community-based initiative to protect children from harm. Child abuse & neglect, 41, 79-96.
Thank you! Contact: Vickie Ybarra vickie.ybarra@dcyf.wa.gov 10
