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Agenda - Item 6-d - Social Services Reform and Performance Memorandum of Understanding
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Agenda - Item 6-d - Social Services Reform and Performance Memorandum of Understanding
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6/15/2018 2:54:59 PM
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BOCC
Date
6/19/2018
Meeting Type
Regular Meeting
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Agenda
Agenda Item
6-d
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Agenda - 06-19-2018 Regular Board Meeting
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<br />These agreements apply to child welfare programs, adult protective services, adult guardianship <br />services, child support and all public assistance programs except Medicaid. Although Medicaid <br />is not included in the agreements, there is separate legislation with additional sanctions for any <br />performance issues with Medicaid eligibility. Orange County Department of Social Services <br />(DSS) has integrated Medicaid with other public assistance programs during the intake process <br />so performance among these programs is interrelated. <br /> <br />Although Orange County operates child support through a separate department under the <br />County Manager’s supervision, those performance measures are also included in the MOU. <br /> <br />Some of the discussion between DHHS and DSS has focused on the specific performance <br />measures and also on the data currently available to counties to track performance. Many of the <br />measures are based on the Child and Family Services Review (CFSR), federal reviews of <br />performance in all states. All states have trouble meeting the goals in these reviews and state <br />performance and issues are available online (https://www.acf.hhs.gov/cb/resource/cfsr-round3- <br />findings-2015-2016). <br /> <br />For example, one of the measures, 41% of foster children are discharged to permanency within <br />12 months of entering foster care, will be very difficult to achieve. The latest reviews of 24 states <br />show that no state achieved substantial conformity with this outcome and North Carolina scored <br />34%. The difficulty in meeting some of the measures reflects the complexity of the cases in <br />child welfare. A parent with a serious addiction issue is unlikely to immediately receive needed <br />services to treat the addiction and is unlikely to make sufficient progress to safely return to <br />parenting in twelve months. The majority of the families involved in child welfare have mental <br />health and/or substance abuse issues. Often DSS does not control access to services and may <br />have no way to expedite treatment for parents. <br /> <br />There may also be difficulties meeting all the child support measures. In times of economic <br />downturns, collections will be lower. For example, data from FY 2016-17 showed that 66 <br />counties did not meet the collection goal. <br /> <br />It is unlikely that Orange County or many other counties will be able to meet all the performance <br />measures in this agreement. In recognition of the many factors involved, DHHS will be defining <br />target goals for individual counties and will be helping to identify system and policy issues <br />outside of local agency control. Hopefully this approach will allow for less emphasis on <br />monitoring and sanctions and more focus on continuous improvement at both the state and <br />county level. <br /> <br />Both the Child Support office and DSS embrace opportunities to improve performance and <br />increase positive impacts for vulnerable families in Orange County. During the next year, DSS <br />will be engaging with the community for discussion and planning on how the community can <br />improve its overall impact on families, particularly those most at risk for child abuse or neglect. <br /> <br />FINANCIAL IMPACT: Although signing the MOU does not have an immediate financial impact, <br />failure to make progress on performance measures could result in additional county costs. <br /> <br />SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goals are applicable <br />to this item: <br />• GOAL: FOSTER A COMMUNITY CULTURE THAT REJECTS OPPRESSION AND <br />INEQUITY <br />2
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