CHHS Annual Record Reconciliation

We are proud to announce that the California Health and Human Services (CHHS) Agency, in partnership with the Children’s Data Network, has completed its first ever “record reconciliation” that links and organizes administrative, client-level records across eight major CHHS programs (i.e., CalFresh (aka Supplemental Nutrition Assistance Program); CalWORKs (aka Temporary Assistance for Needy Families); Child Protection; Developmental Services; Family Planning, Access, Care, and Treatment (Family PACT); In-Home Supportive Services; Women, Infants, and Children (WIC)); and Medi-Cal.

Through the creation of an encrypted master “intra-agency” client identifier, this project facilitates the exchange of statistical information both within and between individual CHHS departments and the generation of important information about service involvement at a client and population level. In short, it is helping to break down program siloes and create a more holistic view of clients and their cross-program experiences.

“The program-centric nature of California’s health and human services data has made it challenging for us to make decisions that reflect a client’s end-to-end experiences. Despite efforts to assemble data within individual departments, this is our first unified effort to systematically connect records across our largest public service delivery programs,” said Adam Dondro, CHHS Agency Information Officer.

This new initiative follows other recent CHHS efforts to promote innovation and improve coordination by making better use of data, including the launch of its Open Data Portal. “This Record Reconciliation will allow us to achieve better outcomes for all Californians through a richer evaluation of policy options, the improved stewardship of taxpayer dollars, and a more coordinated design and delivery of public services,” said Michael Wilkening, Secretary of CHHS. “We have long known that our programs are serving many of the same clients. Now we have organized our data so that we can directly assess the implications of both budget cuts and program investments on individuals and their families.”

For more information about the project and to access program-specific results, please visit: http://www.datanetwork.org/research/chhs-annual-record-reconciliation/


Connecting the Dots, an informational resource coordinated by the Children’s Data Network (CDN) and funded by First 5 LA, is a cross-sector partnership committed to making data and research more accessible to those engaged in the development of public policy and the delivery of programs for children and families.

The goal of this year’s project was to inform Los Angeles County Board of Supervisors motion: Strengthening Home Visiting in Los Angeles County: A Plan to Improve Child, Family, and Community Well-Being by exploring how best to expand home visiting services so that there is a universal system (i.e., offered to every mother giving birth countywide) within which families at highest risk of adverse outcomes are prioritized for more intensive services.

To that end, we conducted a landscape analysis of all evidence-base home visiting programs currently operating in LA County. The resulting report, Newborn Home Visiting Programs: In Los Angeles County: A Primer, presents each program’s goals, intensity, funding streams, and catchment areas (visualized as a map). In addition, we leveraged birth and child protection data to produce slot estimates and align existing local programs with community risk profiles in LA County.

Please visit the Project page for more information: Helping Los Angeles County Chart a Course Toward Universal and Targeted Home Visiting


On May 23rd, 2018, California’s research project on predictive risk modeling (PRM) was presented at the National Human Services Training Evaluation Symposium in Berkeley, California. Dr. Emily Putnam-Hornstein from the Children’s Data Network (CDN) and Ms. Mary Lau and Ms. Jennie Feria from the Los Angeles County Department of Children and Family Services (DCFS) gave the research keynote address, Predictive Risk Modeling: A Tool for Data-Driven Decision Making. These collaborators shared how PRM can bridge the gap between research and practice. A recording of the keynote address can be viewed here.

Ms. Lau is the manager of Outcome and Analytics Section and has spearheaded efforts to shape DCFS’ Data Driven Decision Making efforts both within the department and on a national platform. Ms. Feria is the Division Chief of the Child Protection Hotline Division and manages a staff of 240. Los Angeles County shared how they are creating an agency culture for data-driven decision-making and incorporating research and data into the organization’s daily practice at the Hotline Calls Division.

The presenters shared lessons learned from their respective work in data driven decision-making. Lessons learned from the PRM research project show that that openness and transparency should be the rule, not the exception. This means public agencies, not vendors, should own model code and weights, and that independent validation of model performance and independent evaluation of its implementation and impact should be features of all initial PRM efforts. Algorithmic accuracy should be assessed for children of different races/ethnicities and unwarranted disparities should be addressed. Communities should demand (and receive) information concerning how the model is being used and how the model performs. PRM should be initially implemented to augment and complement clinical judgement and other approaches to assessment, not as a substitute. Once implemented, models can and should be re-weighted and re-validated on an ongoing basis in order to maintain accuracy. Finally, PRM must be efficient and simple to administer and agency culture must be supportive.

We are proud to have presented our work alongside our county partners to underscore the value of data in improving practices that support families.


Last week, the Liberty Hill and Conrad N. Hilton Foundations, in partnership with the USC Suzanne Dworak-Peck School of Social Work, hosted a meeting focused squarely on crossover youth. The convening, with about 75 influential attendees, began with a presentation of recent data concerning dually involved youth in both Los Angeles County and nationally.

Implications for practice and policy were discussed by a group of distinguished panelists, including Bobby Cagle (Director, Department of Children and Family Services), Felicia Cotton (Deputy Chief, LA County Probation Department), Judge Michael Nash (Director, Office of Child Protection), Michelle Newell (Deputy for Youth, Justice and Education, LA County 2nd District), Barbara Duey (Children’s Law Center of California), and Taylor Lytle, a youth with lived experience in the juvenile justice and child protection systems and now an advocate for dually-involved youth.

Please click on the following links for more information:

Agenda: Intersections Between the Child Welfare and Juvenile Justice Systems — Research Findings and Implications for Los Angeles County

Slide Deck: A Brief Update on Dual Systems Youth Research, Herz & Dierkhising

Slide Deck: Los Angeles County Probation Youth with Previous Referrals to Child Protective Services, McCroskey, Herz, & Putnam-Hornstein

Crossover Youth Report: Los Angeles County Probation Youth With Previous Referrals To Child Protective Services

We would like to thank the supporters and attendees of this exciting event for the privilege of presenting research that better characterizes this vulnerable population in LA County and for enhancing our perspective about this important issue.


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.


1150 South Olive Street, Suite 1400
Los Angeles, CA 90015
General Questions
Connect
Newsletter
Sign up for our mailing list to stay up to date with the Children's Data Network's latest research and news developments.
©2017 Datanetwork.org
Designed by House Helios