North NE County, Oregon

 

 

 

Introduction

Oregon’s child welfare agency (the State Office for Services to Children and Families or SOSCF) serves abusive families, neglectful families, overwhelmed families, families in crisis, and families with children exhibiting extreme behaviors. There are 40 SOSCF branch offices located throughout Oregon. Caseworkers in those offices assess allegations of maltreatment, provide services, arrange services for the parents and children, identify and assess prospective foster parents, identify and assess prospective adoptive parents, interact with the court system and police, and assure children and parents are provided the necessities to improve the likelihood of family reunification. Caseworkers must continually balance the benefits of reunifying families with the likelihood of subsequent maltreatment.

The Child Welfare Partnership (CWP) at Portland State University provides educational, training, and research assistance to SOSCF. The research component of the CWP conducts research to recognize the changing client population, provide statistical models for deploying and redeploying staff, and optimizing the use of limited resources. These studies enable SOSCF administration to make informed decisions about serving this needy population of Oregonians.

This report profiles the client population served by SOSCF branch offices. The “Cohort Studies” profile a group of children entering substitute care during a period of time. This report profiles children entering long-term foster care from mid-1992 to 1995; the profiles include parental problems or conditions, child problems, child’s age, severity of maltreatment, barriers affecting family reunification, and services offered to families. The long-term population profiled in this report are children who are in care for at least 14 days during the year after their removal. About 80% of the children entering foster care in Oregon are considered long-term cases; the remaining 20% are quickly returned home and do not remain in foster care for an extended period.

Methods

The average branch office removes between 125 and 150 children per year. Some larger branch offices place over 300 children while some smaller offices place fewer than 30 children per year. A random sample of children entering foster care in a branch office are identified and their records are reviewed. The case file review includes the period from first allegation to one year post-removal. The case records include legal material, medical information, financial information, demographic data, correspondence, service involvement, and descriptions of reported maltreatment.

Reason for Removal

Children enter foster care for a multitude of reasons. These many reasons have been consolidated into 10 categories including physical abuse, mental abuse, sexual abuse, neglect, parental absence, threat of harm, child’s treatment needs, parent’s treatment needs, voluntary request for placement, and child’s behavior. All abusive and neglectful categories reflect caretaker maltreatment of a child. Each category is briefly defined below although more detail is available on the Partnership’s website (http://www.cwp.pdx.edu/). Most physical abuse involves bruises, broken bones, burns, facial slapping, over discipline, shaken baby, and drug exposed or drug affected infants harmed by maternal consumption of drugs during pregnancy. Mental or emotional abuse includes continual belittlement, yelling, or extended periods of isolation. Sexual abuse includes fondling, penetration, exposure to inappropriate sexual acts or using children to produce pornographic material. Neglect is primarily poor household sanitation, lack a supervision, and inadequate response to a child’s medical needs. Parental absence includes parental incarceration, and children left with babysitters when the parent does not return at the prescribed time. Threat of harm is a caretakers failure to protect a child from a known perpetrator. Child’s treatment issues include children requiring residential treatment for behavioral problems, child sexual offenders requiring treatment, and children requiring hospitalization for mental or medical problems. Parental treatment issues include the hospitalization of a parent for drug/alcohol problems, mental problems requiring extensive treatment, or medical problems requiring convalescence. Voluntary request for placement are situations where a parent requests foster care although no maltreatment has occurred; these situations are not common and are often referred to other community resources. Child’s behavior issues generally involve out-of-control teenagers sometimes involved with criminal activities.

Child's Age Groups

There are approximately 70 million children in the United States and about 825,000 live in Oregon. Children ages 0-17 years represent about 26% of the population in the United States and in Oregon.

In Oregon, children ages 0-4 years represent 29% of the child population, children ages 5-9 years represent 28% of the child population, children 10-14 years represent 28% of the child population, and children 15-17 years represent 16% of the child population. For the population of children entering foster care, nearly half are 0-5 years, 29% are ages 6-12 years, and 23% are ages 13-17 years. A disproportionate number of preschool children are in long-term foster care. Reuniting families with young children is a difficult decision -- the youngest children are the most vulnerable to serious maltreatment, however, parent-child bonding is most important when children are young.

The age of the child victim is one of the most important variables in child welfare. The age of children entering care is continually decreasing as limited resources prohibit serving all needy children and families. SOSCF is forced to prioritize families with the greatest need or most likely to severely maltreat their child. This trend is expected to continue as the demand for child welfare services continues to outstrip the agency’s ability to serve maltreating families.

Level of Vulnerability

SOSCF’s vulnerability system was created nearly 10 years ago to recognize the changing client population. Although numerous child and family characteristics are considered when categorizing a child’s vulnerability, child’s age and severity of maltreatment are the major considerations. There are seven levels in the vulnerability system. Younger and more severely maltreated children are identified as more vulnerable (levels 1-3) and older less severely maltreated children are identified as less vulnerable (levels 4-7).

Level 1 cases involve the most severe types of child maltreatment. Child maltreatment related fatalities, fractured skulls, brain damaged children resulting from shaken baby syndrome, severely drug affected infants, abandoned children, and severely sexually abused children are all considered level 1. Level 2 cases involve younger children exposed to chronic neglect, severe emotional abuse, moderate physical abuse, and children left with babysitters whose parents do not return. Level 3 cases often involve treatment for children or treatment for parents. Children with severe emotional disturbances, physical/medical handicaps, mental problems, and child sexual offenders requiring treatment are all considered level 3. In addition, parental incarceration, parental hospitalization, and parental detoxification treatment are all categorized as level 3. Level 4 cases are milder forms of child maltreatment to young children (ages 0-5 years) and more severe forms of child maltreatment to older children (ages 13-17 years). Level 5 and level 6 cases include mild and moderate maltreatment to older children. Level 7 cases have traditionally been recognized as out of control teenagers. In addition to the chronic acting out teenagers, level 7 cases involve mild physical abuse, mild neglect, juvenile delinquents, and voluntary requests for placement. Fewer and fewer level 7 children are being served by SOSCF; other community agencies are provided resources to serve this population of children and parents.

Child Problems

Many children entering foster care exhibit behaviors. Some child behaviors are related to maltreatment while other behaviors reflect poor parenting of the caretakers. Many of the problems or behaviors require extensive treatment and affect the child’s ability to maximize their potential and become productive citizens.

Most of the older children entering foster care exhibit problems. Although younger children tend to exhibit fewer problems, many younger children later develop behaviors or problems related to the maltreatment. Thus, although 85% of the children entering foster care do exhibit problems, some not identified with problems will later exhibit problems. These estimates are considered conservative and reflect the proportion of children entering foster care who exhibit problems in the year after the removal.

Problems exhibited by children entering foster care are important to profile. More problematic children require more extensive treatment and require more skilled providers. Foster parents will need more training and skills, residential treatment facilities will require more intensive services for more extended periods, and matching of children to prospective adoptive families will require more efforts to minimize disruption rates.

Family Factors

Parents who maltreat children are often afflicted with problems or conditions known as family factors. The Cohort Studies recognize about three dozen different family factors including parental drug involvement, domestic violence, criminal involvement, alcohol abuse, mental illness, unemployment, and homelessness. Monitoring family characteristics enables SOSCF and their community partners to develop programs and services that meet the changing needs of the client population.

Some family factors increase the likelihood a child will be placed in foster care; other family factors increase the likelihood a child will be seriously maltreated. Unemployment, drug/alcohol involvement, criminal involvement, and inadequate housing increase the likelihood of a foster care placement. These family factors are much more common with the population of children in foster care than the population being served in-home. There are other parental characteristics associated with the risk of serious maltreatment. Mothers with young infants who are mentally ill are more susceptible to seriously maltreating their child. Father figures who are criminally involved and prone to violent acts are more likely to seriously maltreat a child.

The factors below include the more important factors associated with risk of a child entering foster care and /or risk of serious maltreatment. When these factors are common in a community, the number of children entering care and the number of serious maltreatment cases are expected to be higher than other communities.

Parental Barriers

There were over 5,400 children placed in foster care in 1996 and over 80% were in foster care for at least 14 days during the year after the removal; about 40% return to the same caretaker(s). Those not returned to the same caretaker(s) are adopted, placed with relatives, placed with a different biological parent, emancipate, or return home more than a year after placement into foster care. Every family has identified “barriers” that influence whether a child is returned home to the same caretaker(s). An incarcerated parent might be released from jail, a sexual offender may leave the family, a parent’s mental condition might prohibit family reunification, and a homeless family might find suitable housing -- resolution of these “barriers” determines if a child returns home. Barriers are generally a limited number of family problems or situations directly associated with a child’s return home. Most problems or situations that prevent family reunification are parental; child problems generally do not prevent family reunification.

All barriers influencing a child’s return home have been identified for each family. When a single barrier is selected for children not returning home, the most important barriers preventing family reunification can be identified. Parental drug involvement (27%), a parent unwilling to be a parental resource (10%), a parent who cannot be located (7%), mental condition (7%), chronic neglect (6%), and alcohol abuse (6%) are the most important parental barriers that prevent a child from returning home. Communities where these barriers are common will have more difficulty returning children home.

Parental Services

Maltreating parents usually require a lifestyle or behavioral change to adequately parent their child. Services provided by SOSCF, organizations contracted with SOSCF, other state agencies, the federal government, and SOSCF’s community partners provide an array of services intended to resolve problems and improve parenting. In addition to the services provided to parents, abused and neglected children are provided services to help mitigate the effects of child maltreatment and modify detrimental behaviors.

There are 38 different services provided to maltreating parents that are recognized by the Cohort Study. The fifteen most common services constitute 80% of the services provided. The average family is provided with four services to the parent(s). About 50% of those services are completed by either parent, about 25% are partially competed, and about 25% are not attended.

Most of the common services listed below are associated with promoting family reunification or minimizing re-abuse. Visitation, parent training, drug/alcohol treatment, counseling, and alcoholics/narcotics anonymous are all associated with higher return home rates. Low return home rates are associated with parents who do not participate with services. Although many services are associated with increased numbers of children returning home, fewer services are associated with lower re-abuse rates. Parent training, drug/alcohol inpatient treatment, individual counseling, and alcoholic/narcotics anonymous are all associated with lower re-abuse rates. Most services require full parental participation to decrease re-abuse rate. A full report on service effectiveness can be obtained from the Child Welfare Partnership (503-315-4268).

Child Services

Eighty-five percent of the children entering foster care exhibit problems. SOSCF and other social services agencies provide treatment services to abused children, neglected children, and children considered dangerous to themselves or others. There are 26 different services provided to children that are recognized in the Cohort Studies. Although one-quarter of the children in foster care receive no services, child’s age influences the number and types of services offered to children.

Children ages 0-5 years average one services in the year after their removal, children ages 6-12 years average 1.9 services, and children ages 13-17 years average 2.2 services. The most common services provided in all age groups is individual counseling. Individual counseling to very young children might be substantially different from individual counseling provided to a teenager. About half the children ages 6-12 years are provided individual counseling, about one in five receives a psychological examination, and about 1 in 6 receive an individualized education plan (IEP). These three services represent about half the services provided to children ages 6-12 years. Children ages 13-17 years are the smallest population of children entering foster care yet each child tends to receive more services. Individual counseling is provided to half the children ages 13-17 years, one-quarter are provided psychological examinations and residential treatment, about 16% receive independent living, and about one in nine receive drug/alcohol treatment, an individualized education plan, sexual abuse treatment, and drug/alcohol evaluations.

North NE Summary

The Child Welfare Partnership at Portland State University reviewed 2,421 cases of children entering long-term foster care for the State Office for Services to Children and Families. Ninety-one cases with children entering long-term foster care in the North-Northeast branch were included in this sample. Long-term cases are considered children who are placed in foster care and remain in care for a least 14 days during the year after the removal. Cases with children entering foster care between July 1992 through December 1995 were included in the sample. This summary profiles children entering foster care in the North-Northeast branch and compares that profile to the state profile. The information gleaned from case records includes the type of maltreatment prompting the foster care placement, the severity of the maltreatment, the child's problems, family factors, barriers to returning children home, and services offered to families.

The most common reasons children enter foster care in Oregon include neglect (25%), parental absence (17%), threat of harm (13%), physical abuse (11%), and treatment issues of the child (11%). These five reasons account for 77% of the removals statewide and 82% of removals in the North-Northeast branch. In the North-Northeast branch neglect is common in 29% of the cases, parental absence 20%, physical abuse 15%, child's treatment 6%, and threat of harm is common in 12% of the cases. Parental absence includes cases of parental incarceration and leaving children with a baby-sitter beyond the prescribed time. Threat of harm includes situations where children are at high risk yet maltreatment has not occurred (e.g. a known perpetrator is residing in the home).

The child’s age is an important consideration when assessing cases of child abuse and neglect. Young children are more vulnerable and need more interaction with parents to become attached. Older children are less vulnerable and better able to verbalize their needs and feelings. In Oregon 48% of children entering long-term foster care are ages 0-5 years, 29% are ages 6-12 years and 23% are ages 13-17 years. In the North-Northeast branch, 52% are ages 0-5 years, 33% are ages 6-12 years, and 15% are ages 13-17 years.

Level of vulnerability is a seven level system that enables child welfare experts to recognize the changing client population. The primary considerations for categorizing a case as level 1-7 includes the severity of maltreatment and the age of the child. Younger and more severely maltreated children are identified as the most vulnerable (levels 1-3) while the older and less severely abused children are considered the least vulnerable (levels 4-7). Statewide almost 82% of children are categorized as levels 1-3, in the North-Northeast branch 81% of the children entering foster care are categorized as level 1-3. The proportion of level 1 and Level 3 cases in the North-Northeast branch is similar to the statewide estimates, and slightly lower for level 2 (28% verses 31%). And the proportion of level 4 cases is slightly higher in the North-Northeast branch (10% verses 6%).

Each level of vulnerability contains numerous sub levels that describe why the child entered foster care. In level 1, drug affected infants (7%), and severe sexual abuse (7%) are the most common reasons children enter foster care in the North-Northeast branch. Statewide, severe sexual abuse is 6% and severe drug affected infant is 2%. For level 2 cases the most common reason for removal in Oregon is chronic neglect (15%); chronic neglect is slightly less common in the North-Northeast branch (13%). Desertion (7% verses 5%) and parental mental disability (6% verses 4%) are issues slightly more common in the North-Northeast branch than statewide. For level 3 cases the most common reasons for removal in Oregon include parental incarceration (9%), child requiring residential treatment (7%), and chronic neglect (5%). When compared statewide, parental incarceration is slightly more common (12%), as is chronic neglect to school aged children (7%), and residential treatment is slightly less common (4%) in the North-Northeast branch.

Children who enter foster care often exhibit problems due to the effects of abuse, neglect, and family separation. Although some children entering foster care were not identified with problems, most children exhibit one or more mental, physical, or behavioral problems. Eleven percent of the children entering foster care in the North-Northeast branch do not exhibit problems, this is slightly less than the 15% statewide. Most child problems identified in the North-Northeast branch have higher estimates when compared to the statewide estimates. Some of these problems include academically delayed, drug affected infant, attention deficit/hyperactivity disorder, depression, developmentally delayed, and medical condition; each being more prevalent in the North-Northeast branch than statewide. Statewide and in the North-Northeast branch office about one-quarter of the children served are angry/aggressive and about 20% are victims of sequential physical abuse. Victim of sexual abuse (19% verses 27%), out of control/acting out (18% verses 26%), and exposure of domestic violence (15% verses 22%) are child's problems affecting fewer children in the North-Northeast branch office than statewide.

Parents who maltreat their children often have problems or conditions that affect their parenting. Parental problems and conditions exhibited by the mother figure or father figure are known as family factors. The most prevalent family factor in the North-Northeast branch office is poor parenting (86%) which is slightly higher than the statewide estimate (72%). Neglect, the second most common factor in the North-Northeast branch at 70% is also a family factor more common when compared to other Oregon counties (57%). About half the families, with children entering foster care statewide are headed by a single parent. In the North-Northeast branch office 61% of the parents with children entering foster care are single. Drug abuse also affects half the families statewide, and 60% in the North-Northeast branch. Like child's problems, family factors identified in the North-Northeast branch have estimates higher when compared elsewhere in Oregon. In addition to the factors listed above teen at first birth, criminal involvement, past CPS removal, emotionally unstable condition, and recent pregnancy/new baby also have higher estimates in the North-Northeast branch office. Fewer families served in the North-Northeast branch office had documented problems of alcohol abuse, unemployment, poverty/inadequate income, or domestic violence.

Barriers are problems or situations that influence the likelihood a child will be returned home. Generally, barriers are associated with the family factors and the maltreatment prompting the removal. Although both child and parental barriers are recognized, typically the parental barriers are related to a child's return home. Drug involvement is the most common barrier for caretakers statewide (36%) and at the North-Northeast branch. Chronic neglect (26%), alcohol abuse (15%), absent parenthood (13%) mental condition (15%) overwhelming childcare (11%) and parental incarceration (11%) are other barriers common in the North-Northeast branch. Each of these barriers have lower estimates for parents served statewide, with the exception of alcohol abuse (16%) which is similar to the branch estimate.

Although parental problems and parental barriers determine if most children return home, child barriers do exist in some cases. The most common child barriers in the North-Northeast branch include out of control behavior (14%) and mental/emotional condition (10%). Out of control behavior is about 12% and mental/emotional is 11% statewide. The third most common child barrier in the North-Northeast branch is angry/aggressive behavior (8%), which is similar to the statewide estimate (7%). Forty-six percent of the children entering foster care statewide are not identified with barriers; over half the children sampled in the North-Northeast branch have no barriers.

Services are offered to resolve the issues prompting the removal, to minimize the potential for reabuse, to reduce the effects of maltreatment, and to increase the likelihood of family reunification. Services provided through community agencies and SOSCF include parent training, counseling, psychological examinations, treatment, and family support. Visitation is the most common service offered in the North-Northeast branch (81%) and statewide (68%). Also, parent training is another common service offered to families served statewide (44%) and to families served in the North-Northeast branch office (61%). More service are offered to parents with children entering foster care in the North-Northeast branch office than statewide. Some of these services include Drug/alcohol evaluations, psychological examinations, drug/alcohol inpatient treatment, individual counseling, and anger management. Drug/alcohol outpatient treatment is a service offered to fewer parents served in the Northeast branch (23%) than statewide (26%).

Services to children are intended to minimize the effects of maltreatment and modify behavior. The most common service being offered to children who enter foster care is individual counseling (32% statewide and 24% in the North-Northeast branch). Psychological examination is the second most common service offered to children in the North-Northeast branch (19%) and Oregon (15%). Ten percent of the children entering foster care statewide are offered residential treatment or individual education plans (IEP's); residential treatment is 9% and IEP services is 8% in the North-Northeast branch. Sexual abuse victim treatment is a service that mimics the statewide estimate (8%) in the North-Northeast branch.

The North-Northeast SOSCF branch office and their community partners serve families at risk, protect vulnerable children, and prevent reabuse. By working to diminish abuse and neglect, the agency endeavors to preserve the emotional and physical well being of the children and promote healthier family functioning overall.


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