INFORMATION PACKET: Family Preservation

By Anne Herrick

MAY 2002 Family Preservation is often linked with Family Support but they are different. Family

Preservation is only warranted when a potential threat of child maltreatment has occurred.

Preservation is in place to prevent an out-of-home placement and is a crisis intervention, whereas support may be provided for families with less severe problems. Preservation is often also called

Intensive Home-Based Services (IHBS) because of the focus on in-home work. Families who receive family preservation services are given a case worker who is available to them 24 hours a day. The service is time-limited with most families receiving this care within a six month period.

Counselors assist with multiple needs of the family from parent training, to counseling to providing material assistance. Family preservation can also be used for reunification and preparing adoptive parents.

Some of the goals of family preservation are to resolves the immediate crisis, maintain safety of children at home, support families preparing to reunite or adopt, to be culturally competent and appropriate, to prevent out-of-home placement, and to break the multi- generational cycle of violence.

The Assistance and Child Welfare Act (AACWA) of 1980 discouraged the placement of large numbers of children in and asked for frequent case plans and reviews for each case. It also provided federal funding for the adoption of special needs children.

Because of this act, less children were placed in foster care in the ‘80s (Crosson, 1998). In the

1993 Omnibus Budget Reconciliation Act, New legislation provided funds for family preservation and support services (Factsheet #37, 1994). Both of these acts were pro-family preservation.

The 1997 Adoption and Safe Families Act legislative focus was placed on adoption, permanency and child safety. Though child safety is always important as well as family preservation, in troubled families these two ideas clash. There has long been a practice tension between the interest of the individual child and that of the whole family.

NRCFCPP Information Packet: Family Preservation 2 Facts

· Most families, when properly assisted, can care for their children successfully.

· Children need to be with their families, and even in the most troubled families, separation

is a traumatic event for both child and family.

· Within 24 hours of a referral to Family Preservation Services (FPS), a response is made

to the family.

· Evaluation of FPS programs around the country report on average 80 percent of families

that have received FPS remain together after one year.

· In 1981 the federal funding ratio of foster care to preservation was 2 to 1. In 1992 the

ratio was 8 to 1.

· Number of kids in foster care on March 31st, 2000: 588,000

· Mean age of kids in foster care on 3/31/00: 10.1

· Percentage of kids in placement settings who are in foster family homes with non-

relatives: 48% Percent with relatives: 25%

· Mean length of stay in out-of-home placement: 33 months

· For 43% of cases in out-of-home placement the goal is reunification

· The outcome for 60% of those leaving foster care is reunification

· 1 in 3 children will be poor at some point in their childhood

· 1 in 5 was born poor

· 1 in 5 is born to a mother who did not graduate from high school

· 3 in 5 preschoolers have their mother in the labor force

· 1 in 6 is poor now

· 1 in 6 is born to a mother who did not receive prenatal care in the first 3 months of

pregnancy

NRCFCPP Information Packet: Family Preservation 3 · 1 in 7 has no health insurance

· 1 in 15 lives at less than half the povery level

· 1 in 24 lives with neither parent

NRCFCPP Information Packet: Family Preservation 4 Policies and Legislations

The Purpose of the Adoption Assistance and Child Welfare Act of 1980, (PL 96-272) was to promote permanency and to lessen the load of children placed in long-term foster care. This act pointed to the fact that foster care was being greatly overused at the cost of children. However this act focused mostly on permanency rather than preservation or reunification.

The first important legislation dealing with family preservation was passed into law in 1993. The

Omnibus Budget Reconciliation Act of 1993, P.L. 103-66 amended title IV-B by adding subpart 2. This new legislation provided funds "for the purpose of encouraging and enabling each state to develop and establish, or expand, and to operate a program of family preservation services and community-based family support services." (Factsheet #37, 1994).

The Adoption and Safe Families Act of 1997 again called for permanency in adoption for children. The focus was not upon the family unit but rather was placed on the health and safety of the child above all . Though a child’s safety and health are indisputably of paramount concern, some claimed that this act marked a lessening of focus on the importance of preservation. For instance, since ASFA, no new federal funding has been allocated towards family preservation.(Day, Martinez and Redhorse, 2001).

The most recent legislation concerning preservation was the Child Welfare Policy

Manual released by the Children’s Bureau on September 24, 2001. While this is not law, it is an interpretation by the Department of Health and Human Services that consolidates and clarifies issues associated with the Title IV-E Adoption Assistance Program. This manual focuses a good deal on “reasonable efforts”. Agencies are expected to make reasonable efforts to prevent out-of- home placement for children (except for in severely dangerous situations). If reasonable efforts are not shown to be made, funding for an entire foster care episode will not be provided. This

NRCFCPP Information Packet: Family Preservation 5 most recent bill is once again placing great importance upon preservation and preventing out-of- home placement for children.

NRCFCPP Information Packet: Family Preservation 6 Practice Tips and Model Programs

A report from the Department of Health and Human Services from 2001 focusing on family preservation did not produce much evidence to document the effectiveness of preservation services. However the report did not identify preservation as a pointless effort, but rather that professionals needed to improve upon the models presently used. For instance, the report noted that preservation needs to be more specialized to fit individual needs of families. The authors of the report also suggested that many of the problems people are faced with may be chronic and therefore short-term crisis intervention may not be appropriate.

Others have had more positive findings pointing to the benefits of family preservation.

They have identified some good models and practice tips. For instance, two researchers found that a strong relationship between the family and worker produced positive outcomes in preservation services (Meezan & McCroskey, 1996).

Researchers in Baltimore and Portland found that length of preservation services were more effective (Nelson, Tyler, & Richardson, 1996).

Smith (1995) came to the conclusion that three factors attributed to program success in family preservation:

1. Highly motivated clients who may have come to the attention of child protective services for the first time.

2. Intensive intervention by a social worker with proven skills in work with families

3. Families who were followed up upon by the same social worker who they worked with

all along.

One model program took place in North Dakota in a center whose population includes the

Arikara, Hidatsu and Mandan Indian tribes. This program has been so successful in decreasing

NRCFCPP Information Packet: Family Preservation 7 out-of-home placement (from 185 kids in out-of-home placement 20 years ago to just 9 in 2001).

Day, Martinez, and RedHorse (2001) found this program so successful partly because of increased funding by the government and lighter caseloads for workers, but mostly, they believe the success of the program comes from the cultural continuity between workers and clients and the fact that workers consider themselves part of the community. They state that although Social

Work knowledge is important for case workers, cultural knowledge is more important in family preservation.

NRCFCPP Information Packet: Family Preservation 8 Resource list and suggested readings

The AFCARS report. Preliminary Estimates as of April 2001 (5). Retrieved on April 12, 2002

from http://www.acf.dhhs.gov/programs/cb/publications/afcars/june2001.htm.

ARCH National Resource Center for Respite and Crisis Care Services. (1994). Factsheet

#37: Family Preservation and Family Support Services. Retrieved April 10, 2002

from http://www.chtop.com/archfs37.htm.

Bruner, Charles with Scott, Stephen. (n.d.) Targeting Family Preservation Services-

Strategies and Guidelines for the Field. Retrieved April 12, 2002 from

http://www.cssp.org/kd04.htm

Ciliberti, P. (1998). An innovative family preservation program in an African-American

Community: Longitudinal analysis. Family Preservation Journal, 3(2), 45-72.

Crosson-Tower, C. (1998). Exploring Child Welfare. Boston: Allyn & Bacon.

Day, Priscilla EdD, Martinez, Cecilia PhD, and RedHorse, John G. PhD. (2001). Family

Preservation: A Case Study of Indian Tribal Practice. Retrieved April 14, 2002

from http://www.nicwa.org/policy/01.Fam.Preserve2002.pdf

NRCFCPP Information Packet: Family Preservation 9 Evaluation of Family Preservation and Reunification Programs: Executive Summary to

the Interim Report. (2001). Retrieved on April 14, 2002 from

http://aspe.hhs.gov/hsp/fampres94/execsum.htm.

Factsheet. (n.d.) Retrieved on April 13,

2002 from http://www.cwla.org/programs/familypractice/fampresfactsheet.htm.

Feldman, L.H. (1991). Evaluating the impact of Intensive Family Preservation Services

In New Jersey. In D.E. Biegel & K. Wells (Eds.), Family Preservation Services:

Research and Evaluation (pp. 47-71). Newbury Park, CA: Sage Press.

Ford, C.A. & Okojie, F.A. (1999). A multi-dimensional approach to evaluating family

preservation programs. Family Preservation Journal, 4(1), 31-62.

Littell, J.H. (1997). Effects of the duration, intensity, and breadth of family preservation

services: A new analysis of data from the Illinois Family First Experiment. Children and

Youth Services Review, 19(1/2), 17-39.

Littell, Julia H. and Schuerman, John R. (1995). A Synthesis of Research on Family

Preservation and Family Reunification Programs. Retrieved on April 12, 2002

from http://aspe.hhs.gov/hsp/cyp/fplitrev.htm.

Meezan, W. & McCroskey, J. (1996). Improving family functioning through

family preservation services: Results of the Los Angeles Experiment. Family

Preservation Journal, 9-29.

NRCFCPP Information Packet: Family Preservation 10 Morris, E., Suarez, L. & reid, J.C. (1997). Behavioral outcomes of home-based services

for children and adolescents with serious emotional disorders. Family Preservation

Journal, 2(2), 21-32.

Nelson, K. (1991). Populations and outcomes in five family preservation programs.

In D.E. Biegel & K. Wells (Eds.), Family Preservation Services: Research and Evaluation

(pp. 72-91). Newbury Park, CA: Sage Press.

Nelson, K., Lordsman, M., Tyler, M. & Richardson, B. (Fall 1996). Examining the

length of services and cost-effectiveness of Intensive Family Service. Research

Exchange, 2, 13-17.

Pecora, P.J., Fraser, M.W. & Haapala, P.A. (1991). Client outcomes and issues for program

design. In D.E. Biegel & K. Wells (Eds.), Family Preservation Services: Research and

Evaluation (pp. 3-32). Newbury Park, CA: Sage Press.

Potocky, M. & McDonald, T.P. (1996). Evaluating the effectiveness of family

preservation services for the failies of drug-exposed infants: A pilot study.

Research on Social Work Practice, 6(4), 524-535.

Raschick, M. (1997). A multi-faceted, Intensive Family Preservation Program

evaluation. Family Preservation Journal, 2(2), 33-52.

NRCFCPP Information Packet: Family Preservation 11 Rodenheiser, R.W., Chandy, J. & Ahmed, K. (summer 1995). Intensive Family

Preservation Services: Do they have an impact on family functioning? Family

Preservation Journal, 69-85.

Schwartz, I.M., AuClaire, P. & Harris, L.J. (1991). Family preservation services as an

alternative to the out-of-home placement of adolescents: The Hennepin County

Experience. In D.E. Biegel & K. Wells (Eds.), Family Preservation Services:

Research and Evaluation (pp. 33-46). Newbury Park, CA: Sage Press.

Smith, M.K. (1995). Utilization-focused evaluation of a family preservation program.

Families in Society: The Journal of Contemporary Human Services, 76(1), 11-19.

Unrau, Y.A. (1997). Predicting use of child welfare services after Intensive Family

Preservation Services. Research on Social Work Practice, 7(2), 202-215.

Walton, E. (1997). Enhancing investigative decision in child welfare: An exploratory use

of Intensive Family Preservation Services. Child Welfare, 76(3), 447-461.

Walton, E. & Dodini, A.C. (1999). Intensive in-home family-based services: Reactions

from consumers and providers. Family Preservation Journal, 4(2), 39-51.

Wells, K. & Wittington, D. (1993). Child and family functioning after Intensive Family

Preservation Services. Social-Services-Review, 67(1) 55-83.

NRCFCPP Information Packet: Family Preservation 12 What Works: Research on Family Preservation Services. (n.d.). Retrieved on April 13,

2002 from http://www.cwla.org/programs/familypractice/fampresworks.htm.

NRCFCPP Information Packet: Family Preservation 13 Websites

Administration for Children and Families: http://www.acf.dhhs.org.

On this page you will find information about ACF, staff, offices as well as financial data and news items and research.

Casey Family Programs. http://casey.org.

This site gives a comprehensive view on children and youth with a focus on foster care.

Preservation is only briefly mentioned, but the site is useful in having a wide range of foster care- related information .

Children’s Defense Fund: http://www.childrensdefense.org.

This site is a comprehensive site with data and information regarding the welfare of children. It is unique in some of its programs such as “The Black community crusade for children”, “CHIP” and the “Parent Resource Network”. Has never received government grants.

Child Welfare League of America. http://www.cwla.org Offers a really clear, easy to read background on family preservation. An excellent compilation of several research studies on family preservation. Breaks each author down into results and conclusions. Acknowledges limitations as well. CWLA’s position is very much on the interconnectedness of community, society, family, and child.

NRCFCPP Information Packet: Family Preservation 14 National Coalition for Child Protection Reform. http://www.nccpr.org.

This website takes has a radical, angry vibe in support of child preservation. It is a good site for a strong stance against the separation of the family. The coalition advocates for systemic change.

National Family Preservation Network (NFPN). http://nfpn.org

NFPN is the national membership and adcoacy organization which provides information on

Intensive Family Preservation (IFP) and reunificaiton services.

National Indian Child Welfare Association. http://www.nicwa.org. Excellent piece based on specific program in North Dakota. Article speaks a lot to the importance of cultural competence and workers from within the community.

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