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The Opioid Epidemic’s Impact on Children Services in Ohio December 2017 SAFE CHILDREN, STABLE FAMILIES, SUPPORTIVE COMMUNITIES SAFE CHILDREN, STABLE FAMILIES, SUPPORTIVE COMMUNITIES

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The Opioid Epidemic’s Impact on Children Services in Ohio

December 2017

S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

2

S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

Ohio’s Children Services System Is StrainedMore children are entering foster care at alarmingly

higher rates than ever before

67% of children in foster care are 12 and younger; 28% are 3

and younger.Source: ODJFS SACWIS special data run, received Nov. 2017. Point in Time Data for July 1, 2013, 2015, 2016, 2017 and Oct. 1, 2017

12,654

13,54313,769

15,145

15,510

12,000

12,500

13,000

13,500

14,000

14,500

15,000

15,500

16,000

1-Jul-13 1-Jul-14 1-Jul-15 1-Jul-16 1-Jul-17

Children in Foster Care on a Given Day

3

S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

Source: ODJFS SACWIS special data run, received Nov. 2017. Additional calculations by PCSAO.Point in Time Data for July 1, 2013, 2015, 2016, 2017 and Oct. 1, 2017

Only 7,200 foster homes available; not increasing at

the same pace – 2.5%

increase/year

Ohio’s Children Services System Will ExplodeIf the opioid epidemic continues at its current pace, Ohio

will have over 20,000 children in foster care by 2020

12,654

13,769

15,145

16,659

18,323

20,154

12,000

13,000

14,000

15,000

16,000

17,000

18,000

19,000

20,000

2013 2016 2017 2018 2019 2020

Est. Number of Children in Foster Care on a Given Day

4

S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

Ohio’s Children Services System Is StrainedPlacement costs have increased dramatically due to more

children in care and their needs are more complex

Source: ODJFS SACWIS special data run, received Jan. 2017. Additional calculations by PCSAO.

66% paid with local

dollars, 34% paid

with federal dollars

$275,000,000.00

$330,575,009.00

$250,000,000.00

$260,000,000.00

$270,000,000.00

$280,000,000.00

$290,000,000.00

$300,000,000.00

$310,000,000.00

$320,000,000.00

$330,000,000.00

$340,000,000.00

2013 2016

Foster Care Placement Costs, SFY 13 & 16

5

S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

Source: ODJFS SACWIS special data run, received Jan. 2017. Additional calculations by PCSAO.

An additional $175M will be

needed in 3 years - just for

placement costs!

$275,000,000

$330,575,009

$375,585,681

$426,725,074

$484,827,560

$550,841,225

$250,000,000

$300,000,000

$350,000,000

$400,000,000

$450,000,000

$500,000,000

$550,000,000

$600,000,000

2013 2014 2015 2016 2017 2018 2019 2020

Est. Foster Care Placement Costs for SFY 17-20

Ohio’s Children Services System Will ExplodeThe skyrocketing cost of foster care in Ohio is reaching

levels that will require substantially more State resources

6

S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

How Children Services is Funded in Ohio

Source: SFY 2016, from ODJFS SACWIS special data runs for unduplicated count, Oct. 2016 and Jan. 2017. Additional calculations by PCSAO.

48 counties have a

dedicated children services

levy

Counties fund over half of children services expenditures by relying on local government funds and dedicated levies

$352,392,067.00

$95,869,458.00

$490,016,450.00

Federal State Local

52%

10%

38%

7

S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

Ohio Ranks 50th in Nation for State Share

SFY 2014, from http://www.childtrends.org/publications/child-welfare-financing-sfy-2014-a-survey-of-federal-state-and-local-expenditures/

40%

7%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

National Average for State Spend Ohio's State Spend

2014 Comparison of Children Services State Spending

While Ohio is the 7th largest state, it ranks

15th for overall children services

spending

Even if the State’s share for children services spending doubled, Ohio would still be 50th in the nation

8

S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

Ohio’s Children Services System Is StrainedCaseworkers are first responders in these opioid-related

case, leading to secondary trauma in our workforce

In 2016 …..

➢ 1 out of every 7 public children services caseworkersleft their job…

➢ Costing $54,000 to replace a single worker; $24.3 million statewide…

➢ Causing children to linger in foster care longer

Ohio safely reduced the number of children in

foster care by 42% between

2002-2010

Source: Data from PCSAO Caseload Survey, 2016. Additional calculations by PCSAO.

9

S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

Impact of Opioid Epidemic on Children

50% of children taken into custody in 2015 had parental

drug use

Source: PCSAO Opiate Survey, 78 county Public Children Services Agencies responded, Apr. 2016

10

S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

Impact of Opioid Epidemic on Children

Source: PCSAO Opiate Survey, 78 county Public Children Services Agencies responded, Apr. 2016

28% of children taken into custody in 2015 had

parents who were using opioids at time of removal

11

S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

The Attorney General Responded

Pilot in 14Southern Counties; evaluated by OSU &

OU

Ohio’s Sobriety, Treatment and Reducing Trauma (Ohio START) Pilot Program

➢ Over $5 million in Victim of Crime Act funds

➢ Timeline: April 1, 2017 – September 30, 2019

➢ Focused on supporting parents in recovery with peer mentors and assisting children who have been traumatized

➢ Goal: Children can remain in their own homes or return home sooner

12

S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

Ohio’s Legislature Responded for SFY 18-19

➢ $15 million/year added to the State Child Protection Allocation (ODJFS Line-600523) to assist county PCSAs

➢ $15 million/year from the TANF Block Grant to establish a Kinship Child Care Program

➢ Created the ODJFS Foster Care Advisory Board to make recommendation on recruiting and supporting foster parents

13

S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

More attention, more resources:

➢ Recruit additional foster and adoptive homes

➢ Provide additional support to kinship and foster families

➢ Pay rising foster care placement costs (foster homes, group homes, residential care)

➢ Recruit and retain a vital workforce

What Ohio’s Kids Need Now & In the Future

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S A F E C H I L D R E N , S T A B L E F A M I L I E S , S U P P O R T I V E C O M M U N I T I E S

Contact PCSAO for More Information

Angela Sausser, Executive Director (614) 507-3113; [email protected]

Scott Britton, Assistant Director(614) 507-5483; [email protected]