Given our home visiting work with First 5 LA, Los Angeles County, and local service providers, the CDN’s Regan Foust was pleased to join a national conversation with the Home Visiting Applied Research Collaborative (HARC) meeting in Chicago, IL on April 17th and 18th. The meeting, Innovative Research Methods to Advance Precision Home Visiting, brought together national methods and home visiting experts to consider how innovative methods can be used to broaden the home visiting research base. Dr. Foust had the opportunity to reinforce the potential administrative data linkage and analysis to advance research into home visiting, to efficiently learn about other cutting-edge methodologies, and to connect with others whose work is helping to shape the field.


On March 20th, 2018, the Los Angeles County Board of Supervisors unanimously approved the development of a county-wide plan for dual status youth. We are excited that cross-sector data were able to effectively highlight this vulnerable population and was used to inform efforts to coordinate systems and services. Specifically, an analysis of exiting Probation youth supported by the Conrad N. Hilton Foundation found that 4 out of 5 had previous contact with DCFS. In framing their remarks, Supervisors Ridley-Thomas and Solis, co-authors of the motion, both led with data and statistics that emerged from this report.

We are proud to have collaborated with the California State Los Angeles School of Criminalistics and Criminal Justice, along with county agency partners in the Department of Children and Family Services (DCFS) and Probation Department, who helped to ensure that data were available to inform this new strategy in LA County.

Select Media:

L.A. Supervisors Demand Plan to Help “Crossover Kids,” Young People Failed by Two Juvenile Systems
The Chronicle of Social Change, March 23, 2018

2 Supes Issue Call To Help “Crossover Kids,” Young People Failed—Not Once, But Twice—By LA County’s Juvenile Systems
Witness LA, March 14, 2018

Supes Approve Motion Preventing ‘Dual Status,’ ‘Crossover’ Foster Youth
SCV News, March 20, 2018


Predictive Risk Modeling Convening

The CDN hosted the second leg of a transnational meeting that gathered representatives from multiple universities and agencies to discuss, in an informal setting, all things Predictive Risk Modeling. On our days to host, November 16th – 17th, we found ourselves with more than 40 people in the room, and attendees included collaborating state and county partners. Not only was this meeting a rare opportunity to brainstorm next steps with unique mix of academics and public sector leaders, it facilitated the creation of a community around PRM and its potential applications in human services. It was a wonderful meeting of the minds; everyone left enriched by the connections and discussion.


A new study linked administrative records for youth leaving Probation supervision with data on previous referrals to Child Protective Services. The results indicate that among youth involved in the juvenile justice system, the prevalence of past child protection involvement may be even higher than previously realized. Four out of five LA Probation youth had received at least one referral for suspected maltreatment, with many experiencing their first referral early in childhood. Prevalence of referred and substantiated maltreatment, case opening, and foster care placement was significantly higher among Female (vs. male) youth exiting Probation and Black (vs. Latino and white) youth exiting Probation.

These data illuminate the importance of coordinating cross-system responses bot for “dual status” youth who are simultaneously involved with both child protection and delinquency systems and for “crossover” youth who sequentially come to the attention of both systems.  They also suggest that it is critical that we carefully examine the resources available and connections made for families referred to child protection. Previous research has shown that a first referral of maltreatment is often a seminal event in the life of a child – frequently followed by additional referrals and other adversities.1 Adoption of a countywide approach to prevention provides a significant opportunity to align public and private resources, enhance existing prevention and early intervention efforts, and support more families so they don’t require the attention of our child protection and delinquency systems.

See the Crossover Youth project page for more information and to download the full report.

1 Dakil, S. R., Sakai, C., Lin, H., & Flores, G. (2011). Recidivism in the child protection system: Identifying children at greatest risk of reabuse among those remaining in the home. Archives of pediatrics & adolescent medicine, 165(11), 1006-1012.

Congratulations John Prindle!

Exciting news: John Prindle has been promoted to the rank of Research Assistant Professor at the USC Suzanne Dworak-Peck School of Social Work. Originally joining the CDN as a postdoctoral research fellow from the Max Planck Institute for Human Development in Berlin, John has become a critical methodologist for nearly every CDN project, guiding analyses that range from descriptive explorations of concurrent service involvement, to applied predictive risk modeling efforts, to rigorous geospatial studies and randomized evaluations of a maltreatment prevention program. His insights and analytic chops have facilitated groundbreaking work, and we are thrilled that he has been recognized and promoted. Congratulations, John!


HMIS Study

Childhood maltreatment and involvement with child protective services (CPS) is associated with a variety of negative outcomes, including homelessness. In order to better understand that connection, we used linked administrative records to develop a population-level, epidemiological characterization of the child protection histories of young adults accessing homelessness services in San Francisco County. We found that 1 of every 2 homeless youth had been reported for maltreatment at least once during childhood, yet the prevalence of past CPS involvement varied across groups. Homeless female youth were significantly more likely to have a CPS history than male youth (58.1% vs. 41.5%). Nearly twice as many black clients accessing homelessness services had a CPS history as did white clients (59.8% vs. 31.8%). Roughly half (47.3%) of those with a childhood history of reported maltreatment had been reported for maltreatment in another county in the state. Targeting services that address past trauma and instability among homeless young adults may be justified given the prevalence of CPS history in this population. Check out our project page to access the academic paper and other information about this interesting study.


Building the Allegheny Family Screening Tool

The CDN is immensely proud of our work in Allegheny County, PA. In partnership with Allegheny County staff, Rhema Vaithianathan, Emily Kulick, and key others, we are helping the county leverage administrative data and predictive risk modeling (PRM) to improve child welfare screening decisions. Watch a short project overview.

A report on the methodology of the Allegheny Family Screening Tool also is available on Allegheny County’s website. This report details the considerations and decisions made during the development and implementation of the tool, providing a snapshot of the project at its current status. The publication also includes an ethical analysis by Tim Dare and Eileen Gambrill, with a response from the Allegheny County Department of Human Services. Read the report.


The CDN recently published a paper that assessed whether the discretion afforded to clinicians results in racial/ethnic disparities in reporting substance-exposed infants to child protective services (CPS). Published in Pediatrics, the article, Prenatal Substance Exposure and Reporting of Child Maltreatment by Race and Ethnicity, documented that infants with medically diagnosed substance exposure were significantly more likely to be reported to CPS than infants not exposed, and that the likelihood of reporting did not vary by race/ethnicity after adjusting for other risk factors. Also notable was that nearly half of all substance exposed infants were not reported to CPS.

These policy-relevant findings were also highlighted in insights XIII A Matter of Substance: Challenges and Responses to Parental Substance Use in Child Welfare, a publication of the California Child Welfare Co-Investment Partnership that examines the links between data, policy, and outcomes for the state’s most vulnerable children and families.


Drawing on data from birth records to examine regional differences within L.A. County, this snapshot provides an overview of trends in term and birthweight as an indicator of healthy birth outcomes.

Among the key findings:

  • Good news: The percentage of infants born full-term and at a normal weight improved from 2007 to 2012 (latest birth record data available), countywide and in all regions of the county.
  • In 2012, just over half – 53.6% – of L.A. County births were full-term and normal weight, up from 47.7% in 2007.
  • These improvements affected all demographic subgroups, with figures increasing for all racial/ethnic groups, countywide. At the local level, increases were seen for most groups in most regions.
  • While full-term, normal-weight births were less common among mothers age 40+ compared to younger moms, women over 40 experienced the largest gains in full-term, normal-weight births of any demographic group in L.A. County during this period, from 39.9% to 48.8%. Improvements also were seen for births to teen mothers, from 51.3% to 56.6%.
  • Public health efforts to decrease preterm births and improve birth weights appear to be working. As new birth record data become available, they likely will show continued progress given that many new programs and policies have been implemented since 2012. It is critical to maintain these gains and continue prioritizing efforts to promote healthy births in L.A. County, especially now, at a time of change and uncertainty for the nation’s health care system and safety net programs.

Why is it important for infants to be born “full-term” (delivered in the 39th or 40th week) and at a “normal weight” (about 5.5-8.8 pounds)?

When babies reach full-term, their bodies have a chance to fully develop, including their respiratory, brain, and liver functioning. Preterm birth and low birthweight are leading causes of infant death in the U.S. In addition, infants born too early or too small are at increased risk of serious long-term health problems that can be very challenging for children and families and for society-at-large, resulting in billions of dollars spent each year on health care, special education, and other services.

View Snapshot


About the project

This snapshot is part of the ongoing “Connecting the Dots” series by the Children’s Data Network at the USC Suzanne Dworak-Peck School of Social Work. Connecting the Dots snapshots bring together data and stories to provide new insights about the health and well-being of children and families in L.A. County. The series also highlights the great work happening throughout the county.

This is the fourth and final snapshot in the 2017 series, drawing on data from birth records to examine regional differences in births and healthy birth indicators across L.A. County. The four snapshots covered Birth Trends, Timely Prenatal Care, Perinatal Smoking, and Full-Term & Normal-Weight Births.

To learn more about this project and the Children’s Data Network, please visit http://www.datanetwork.org/snapshots/


Rumor

It has been reported that “70 percent of all California state prison inmates have spent time in the foster care system.” Sounds compelling, right? This statistic has been repeated in a congressional hearing and associated report.1; cited in at least one book2, news article3, nonprofit fundraising letter4, and literature review5; and touted on the webpages of at least four national organizations supporting foster youth.6-9

After much investigation, however, we have failed to find its source. And without a source and associated methodology upon which to judge its veracity, we can only conclude that it is unfounded.

Long story short: There is no evidence to support this claim.

Reality

Not surprisingly, there is data documenting an overlap of criminal justice and child welfare populations in California. Although the degree of that cross-system overlap varies based on the population of individuals studied and the definition of child welfare “involvement” used, none approaches 70%.

  • A 2011 study conducted by the California Department of Corrections and Rehabilitation (CDCR) and the California Senate Office of Research surveyed incarcerated individuals in California’s prisons. Roughly 14% of respondents reported having been in foster care at some point in their lives.10

  • In an analysis developed by the Child Welfare Data Analysis Bureau at the California Department of Social Services (CDSS), in partnership with CDCR, linked administrative data were used to document the prevalence of child welfare involvement among inmates. Findings indicated that 28% of inmates incarcerated between 2000 and 2013 had a history of either an open child welfare case for in-home services or an out-of-home foster care placement.11

Most recently, we collaborated with CDSS’s Child Welfare Data Analysis Bureau and the California Department of Justice to examine this question. We extracted the records of every youth and young adult younger than age 25 who was arrested and booked in California in 2014 and 2015 and then linked those records to historical child welfare records dating back to 1998. This retrospective examination revealed that 43% of young adults arrested had a history of reported maltreatment. Although high, 43% is nowhere near 70% and reflects the broadest possible definition of child welfare involvement (including all allegations, regardless of whether they were investigated or substantiated). Findings indicated that 18% of our population had history of substantiated maltreatment victimization, whereas 9% had experienced placement in child welfare supervised out-of-home foster care.12

The CDN: Data Darwinists

Statistics are important. They can spur policy change, inform the design of programs and delivery of services, and facilitate collaboration to everyone’s benefit. But if numbers are wrong or pulled out of thin air, they have the potential to obfuscate the best solutions, negate impact, and stymie improvement to the detriment of all.

Stray statistics have the potential to do more harm than good. And they will persist until soundly refuted by better data, elegant research design, and lots of hard work. Here at the CDN, we will continue questioning and replicating to replace stray statistics with valid research findings that will inform, invigorate, and improve policies for all.

We are data Darwinists. We believe in survival of the fittest … data.

Actively engaged in the matter,
The CDN


1 U.S. House of Representatives’ Committee on Ways and Means, First Session of the 110th Subcommittee Hearing on Income Security and Family Support. (2007, July 12). Children who “age out” of the foster care system (p. 106). Retrieved from https://www.gpo.gov/fdsys/pkg/CHRG-110hhrg43505/pdf/CHRG-110hhrg43505.pdf

2 Kenny, J., & Kenny, L. (2010). Striking back in anger: Delinquency and crime in foster children. Retrieved from http://adoptioninchildtime.org/bondingbook/striking-back-in-anger-delinquency-and-crime-in-foster-children?page=1

3 SFGate. (2009). ‘Aged-out’ foster youth at terrible risk. Retrieved from http://www.sfgate.com/opinion/article/Aged-out-foster-youth-at-terrible-risk-3287718.php

4 South Los Angeles Homeless Transition Age Youth and Foster Care Collaborative. (2013). Organization description and background. Retrieved from http://www.southlatay.org/wp-content/uploads/2013/08/South-LA-Homeless-TAY-and-Foster-Care-Collaborative-Introduction.pdf

5 Harbert, A., & Dudley, D. (2007). Emancipating foster youth: Literature review. San Diego, CA: San Diego State University School of Social Work, Academy for Professional Excellence. Retrieved from http://calswec.berkeley.edu/files/rtn-literature-review-files/emancipate_foster_youth.pdf

6 Inspire Life Skills Training. (2016). The problem. Retrieved from https://inspirelifeskills.org/the-problem/

7 HP Serve. (2016). The need. Retrieved from http://hpserve.org/about/the-need/

8 A Sense of Home. (2016). Why it matters. Retrieved from http://asenseofhome.org/why-it-matters/

9 AboutOne. Please help the over 600,000 children in foster care. Retrieved from https://www.indiegogo.com/projects/please-help-the-over-600-000-children-in-foster-care#/

10 McCarthy, S., & Gladstone, M. (2011). State survey of California prisoners: What percentage of the state’s polled prison inmates were once foster care children? Policy Matters. Sacramento, CA: California Senate Office of Research. Retrieved from http://sor.govoffice3.com/vertical/Sites/%7B3BDD1595-792B-4D20-8D44-626EF05648C7%7D/uploads/Foster_Care_PDF_12-8-11.pdf

11 California Department of Social Services, Research Services Branch. (2014). California state prison-child welfare data linkage study. Retrieved from http://www.cdss.ca.gov/cdssweb/entres/pdf/CaliforniaStatePrison-ChildWelfareDataLinkageStudy.pdf

12 Children’s Data Network. A Descriptive Analysis of the Maltreatment Histories of Youth and Young Adults Arrested in California. Retrieved from http://www.datanetwork.org/research/a-descriptive-analysis-of-the-maltreatment-histories-of-youth-and-young-adults-arrested/


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