The following recent policy and practice changes align with Within our Reach and recommendations of the Commission to Eliminate Child Abuse and Neglect Fatalities (CECANF):

Alabama

Alabama is one of eight states participating in the Three Branch Institute’s technical assistance effort on child safety and strategies to eliminate child fatalities due to abuse and neglect. The Three Branch Institute was founded in 2009 as a partnership among the National Governors Association, the National Conference of State Legislatures, Casey Family Programs, the National Center for State Courts, and the National Council of Juvenile and Family Court Judges. They will provide assistance to states in developing child fatality prevention plans that will be implemented by December 2017.

Alaska

Alaska is working with Eckerd Kids to implement Eckerd Rapid Safety Feedback®, a unique process relying on real-time data analytics to flag high-risk child welfare cases for intensive monitoring and caseworker coaching.

Arizona

Salt River Pima-Maricopa Indian Community: Following several deaths, the tribal council conducted an in-depth, community-wide planning process that led to the launch of the Family Advocacy Center. The Family Advocacy Center is a multidisciplinary, child-friendly, trauma-informed center for investigations that brings together child protective services, probation, police, education, prosecution, behavioral health, the fire department, and other agencies as needed. New technology enables referrals to be made online and viewed by a large circle of tribal child protection staff.

California

With a $300,000 grant from the California Department of Social Services (CDSS) and the Laura and John Arnold Foundation, a team of researchers led by Emily Putnam-Hornstein, co-director of the Children’s Data Network at the University of Southern California, is building and testing adata analytics tool to help child abuse investigators gauge the risk of maltreatment when a report of child abuse or neglect is made. CDSS Deputy Director Greg Rose, who oversees the state’s foster care system, says that the state’s new predictive risk modeling project is designed to give social workers better information about past child welfare cases when they first field a call about child abuse and neglect.

Los Angeles County: With support from law enforcement and child protective services, the Los Angeles Department of Children and Family Services (DCFS) launched E-SCARS, the Electronic Suspected Child Abuse Report System. E-SCARS is a web-based system that allows rapid and secure electronic transmission of data and reports between agencies, including law enforcement and DCFS.

Los Angeles County: Los Angeles County is planning to review the last five years of child death and critical incident reports within the Department of Child and Family Services to determine risk factors for child fatality.

Monterey County: Monterey County is developing a countywide plan for child well-being informed by the commission’s report. First action steps in the plan include a change in the protocol used to verify reports to ensure that all calls are investigated, increase coordination on maltreatment fatalities with law enforcement, and require families to be present during interviews or doctor inspections.

Sacramento County: A blue ribbon commission organized in Sacramento County was charged with making recommendations to reduce the disproportionate number of African American children dying of maltreatment. The commission is currently working on an implementation plan that engages six Sacramento neighborhoods that account for the majority of deaths. Implementation will involve collaboration across family service systems, as well as community, family and youth participation.

San Diego County: The MITRE Corporation is working in partnership with the health and human services agency in San Diego County to develop data analytics for child welfare. MITRE is a nonprofit company that operates multiple federally funded research and development centers with a focus on safety science. MITRE’s mission is to advance and apply science, technology, systems engineering, and strategy to enable the government and the private sector to make better decisions and implement solutions to complex challenges of global and national significance. Recently, cities and states have begun to look at how MITRE’s work in patient and aviation safety might apply to the prevention of child abuse and neglect fatalities.

Colorado

El Paso County: Following a series of child fatalities, many involving military families, the local Child Protective Services agency, military and other key stakeholders initiated a countywide coalition, including law enforcement, the medical community, the fire department, faith-based leaders and more. The coalition launched the Not One More Child campaign to raise awareness and prevent child maltreatment fatalities.

Connecticut

Connecticut adopted the Strengthening Families practice model, which has family engagement at its foundation. By establishing a working partnership with families, caseworkers are better able to provide vital services and supports, such as mental health and substance abuse treatment. By including relatives and noncustodial parents in that engagement, they also ensure that both the child’s and the family’s voices are heard throughout every stage of the child welfare process.

Connecticut is working with Eckerd Kids to implement Eckerd Rapid Safety Feedback®, a real-time data analytics tool to flag high-risk child welfare cases for intensive monitoring and caseworker coaching.

Florida

SAS, a predictive analytics firm, delivered a report to Florida’s Department of Children and Families featuring a child abuse prediction algorithm focused on adult abusers rather than children at risk.

Hillsborough County: Florida’s Hillsborough County was one of the first in the nation to adopt Eckerd Rapid Safety Feedback®, a real-time data analytics tool to flag high-risk cases for intensive monitoring and caseworker coaching. Eckerd analyzed data from 1,500 open cases in Hillsborough County in which children were abused or neglected. From that data emerged a profile of cases with the highest probability of serious injury or death. The research also identified child welfare practice skills critical to keeping kids in this high-risk category safe, including the importance of home visits.

Illinois

Illinois is working with Eckerd Kids to implement Eckerd Rapid Safety Feedback®, a real-time data analytics tool to flag high-risk child welfare cases for intensive monitoring and caseworker coaching.

Indiana

Indiana’s Department of Child Services changed its assessment policies statewide to assess all children for any report of child abuse or neglect before their third birthday, with support from home-visiting programs.

Indiana is working with Eckerd Kids to implement Eckerd Rapid Safety Feedback®, a real-time data analytics tool to flag high-risk child welfare cases for intensive monitoring and caseworker coaching.

Kansas

Wichita: In response to an increase in child maltreatment fatalities, the Wichita Children's Home and Prevent Child Abuse Kansas pulled together a citywide summit and launched the Wichita Coalition for Child Abuse Prevention. The coalition, with the support of facilitators from Wichita State University, has engaged more than 60 partners to reinforce existing interventions and develop new preventive services.

Kentucky

Kentucky is one of eight states participating in the Three Branch Institute’s technical assistance effort on child safety and strategies to eliminate child fatalities due to abuse and neglect. The Three Branch Institute was founded in 2009 as a partnership among the National Governors Association, the National Conference of State Legislatures, Casey Family Programs, the National Center for State Courts, and the National Council of Juvenile and Family Court Judges. They will provide assistance to states in developing child fatality prevention plans that will be implemented by December 2017.

In 2016, Kentucky established an independent panel of medical, legal, and social work experts who meet regularly to examine suspicious child fatality and near-fatality cases statewide. The Child Fatality and Near Fatality External Review Panel publishes a report by Dec. 1 each year consisting of case reviews, findings and recommendations for system and process improvements to help prevent child fatalities and near fatalities that are due to abuse and neglect.

Maine

Maine is working with Eckerd Kids to implement Eckerd Rapid Safety Feedback®, a real-time data analytics tool to flag high-risk child welfare cases for intensive monitoring and caseworker coaching.

Maryland

Maryland is one of eight states participating in the Three Branch Institute’s technical assistance effort on child safety and strategies to eliminate child fatalities due to abuse and neglect. The Three Branch Institute was founded in 2009 as a partnership among the National Governors Association, the National Conference of State Legislatures, Casey Family Programs, the National Center for State Courts, and the National Council of Juvenile and Family Court Judges. They will provide assistance to states in developing child fatality prevention plans that will be implemented by December 2017.

Prince George’s County: In response to growing numbers of child maltreatment fatalities linked to paramours, Prince George’s County launched a child safety awareness campaign that asks parents, “Do you know who is watching your children?” The campaign provides information about child care resources and how to screen potential caregivers.

Massachusetts

Massachusetts Department of Children and Families announced a series of reforms following an uptick in child deaths. Those reforms included increased staffing and new supervisory policies. Since implementation, child maltreatment fatalities have declined.

Michigan

In response to an increase in substance-exposed infants, state Sen. Rick Jones drafted a bill to compel child protective services to automatically open a case for services for at least 90 days when a baby is born with an illegal drug in its system. He plans to introduce the bill in early 2017.

When researchers determined that racism had been institutionalized in the child welfare system, the Michigan Race Equity Coalition was established with state and local leadership teams. The coalition disseminated a report and provided cultural competence training for child welfare workers and law enforcement personnel.

Minnesota

Hennepin County: Following a string of child deaths, Casey Family Programs was asked to assess Hennepin County's child protection system. The 2015 Casey report found, among other things, that 10 percent of the county’s maltreated children experienced further abuse within a year, compared to 5 percent statewide. The report made 23 recommendations. Hennepin County now wants to launch a $26 million program to prevent abuse rather than waiting to act until after it occurs. The money will be spent on additional staff to reduce child protection caseloads, more staff for an outreach program that helps connect parents with the right services, a new child well-being director to head up the initiative and a new "transformation team."

St. Louis County: Established the Indian Child Welfare Court in 2015 as a way to offer a better, more culturally sensitive experience to Native American families moving through the legal system. The goal of the court is to address disparity in the number of Native American children placed in foster care and seek family reunification when possible or placement with Native American foster families when out-of-home care is required.

Mississippi

Rep. Richard Bennett (R-Long Beach) introduced three bills, House Bill 1210, House Bill 1233 and House Bill 1211, in response to an investigative series in the Sun Herald titled “Fostering Secrets.” HB 1210 would amend the youth court confidentiality statute, Section 43-21-261, and require youth courts to provide copies of child welfare case records to the child’s parent or guardian. A similar measure, HB 1233, would amend the statute to give the media access to youth court records for any case in which a child abuse or neglect allegation has been made; however, any identifying information concerning the child would be redacted from the records prior to release. HB 1211 would transfer appointment of power over prosecutors from youth court judges to district attorneys to remove any potential for bias by the judge or prosecutor.

Montana

In response to a report by the Montana Department of Justice, the state created a Child Fatality Review Team that has called for changes in policy, including the creation of a standard format for reports of fatalities, determining the criminal and child protection history of everyone in a home within 24 hours of an initial report, and working on ways to intervene early in families with multiple risk factors. In response, Rep. Kathy Kelker (D-Billings) introduced House Bill 303 to create a Child Abuse and Neglect Review Commission to look at trends in child abuse cases, educate the public, recommend policies and report its findings prior to each legislative session.

Nebraska

The U.S. Department of Health and Human Services awarded a $15 million, five-year grant to a University of Nebraska-Lincoln research center to study ways to address the workforce problems facing child welfare agencies.State Sens. Kate Bolz and Patty Pansing Brooks of Lincoln, and state Sen. Sara Howard of Omaha, introduced four child welfare bills based on recommendations from the state Children’s Commission. The bills would:

  • Appropriate $1 million over two years to help recruit and retain child welfare workers
  • Require judges to appoint attorneys to represent youths facing charges in juvenile court
  • Allow youths leaving the juvenile justice system to get state help transitioning to adulthood
  • Create bridge custody orders for use when a child is removed from one parent because of alleged abuse or neglect and placed with the other parent

The four measures carry out recommendations made by the state Children’s Commission.

New Hampshire

Republican lawmakers announced the establishment of a joint legislative committee to review a report calling for an overhaul of the Division for Children, Youth, and Families, citing concerns that the agency was failing to protect endangered children due to a lack of sufficient staff to handle workload.

The Commissioner of Health and Human Services Jeffrey Meyers appeared before the legislative Commission to Review Child Abuse Fatalities and called for a review of the existing Child Protection Act in response to a statewide report critical of child protective services.

New Jersey

New Jersey is the first state to partner with The Baby Box Company, a company that works to improve new parent education, encourage newborn health awareness and reduce Sudden Unexpected Infant Death Syndrome. The program will distribute baby boxes filled with diapers and other newborn necessities to all new parents in New Jersey who complete a free online parenting education course. The course curriculum includes information on breastfeeding, prenatal health, and safe sleep practices.

New Mexico

State Sen. Michael Padilla (D-Albuquerque) introduced a measure (S.B. 294) to create a task force on child homicides. The proposal also would give the state attorney general authority to order an independent investigation into a child abuse death. The team would include medical experts, law enforcement officers, prosecutors, child welfare workers, tribal members, and others. It would be tasked with evaluating investigations of a child’s death, as well as examining how agencies and individuals responded to concerns about the child before the fatality. The task force also would make recommendations to the Legislature on needed reforms. Padilla was raised in foster care and has made child welfare reform a legislative priority.

New York

State Bill S. 137, sponsored by Sen. Betty Little, would require hair follicle testing of an infant or toddler under the age of three who is in the vicinity of parent or guardian who is arrested on a drug charge. The legislation, known as Kayleigh Mae's Law, is named after a 13-month-old child in Washington County who died in 2015 after being given heroin and cocaine for 10 months after birth. State Bill S. 3146, sponsored by Sen. Martin J. Golden, establishes a statewide standard of no more than 15 cases per month per full-time child protective caseworker.

New York City: New York City's Instant Response Teams (IRTs) were developed and implemented as a joint effort between child protective services and law enforcement in response to a high-profile child fatality. Their purpose is to improve coordination between child protective services and law enforcement to enhance child safety. They achieve this through a real-time database for information-sharing and through rapid response to all child abuse reports.

North Carolina

New Hanover County: The New Hanover County Child Protection Team launched a new child fatality protocol in response to an increase in deaths. It requires law enforcement to contact the District Attorney’s office and Department of Social Services (DSS) immediately after responding to a child’s death. The protocol allows the district attorney and DSS to gather crucial information at the scene and to educate the community about ways to prevent child fatalities.

Ohio

With support from a $1 million grant from the Ohio Attorney General’s office, 19 hospitals in Ohio have joined a coalition known as theTimely Recognition of Abusive Injuries (TRAIN) collaborative to screen for signs of child abuse in infants 6 months of age or younger. The TRAIN Collaborative will train doctors and nurses to conduct a physical exam for infants, as well as a recommended protocol—called the “bundle of care”—to follow when a medical provider discovers a sentinel injury. The bundle of care helps identify abuse and ensures the infant receives appropriate follow-up care.

A new law in Ohio signed by Gov. Kasich provides a safe haven for parents who want to surrender unwanted newborns through newborn safety incubators known as baby boxes.

Kettering and Dayton, Ohio: The first non-hospital setting in Ohio for the recovery of substance-exposed infants and their caregivers was launched in Kettering. Known as Brigid’s Path, the opiate recovery and rehab center will be able to house and treat up to 24 infants from Kettering and Dayton.

Franklin and Hamilton Counties, Ohio: Ohio’s Franklin and Hamilton counties launched a pilot project with Eckerd Kids to implement Eckerd Rapid Safety Feedback®, a real-time data analytics tool to flag high-risk child welfare cases for intensive monitoring and caseworker coaching.

Oklahoma

Oklahoma is working with Eckerd Kids to implement Eckerd Rapid Safety Feedback®, a real-time data analytics tool to flag high-risk child welfare cases for intensive monitoring and caseworker coaching.

Oregon

Oregon is one of eight states participating in the Three Branch Institute’s technical assistance effort on child safety and strategies to eliminate child fatalities due to abuse and neglect. The Three Branch Institute was founded in 2009 as a partnership among the National Governors Association, the National Conference of State Legislatures, Casey Family Programs, the National Center for State Courts, and the National Council of Juvenile and Family Court Judges. They will provide assistance to states in developing child fatality prevention plans that will be implemented by December 2017.

Pennsylvania

Allegheny County: Pennsylvania’s Allegheny County pioneered a predictive analytics tool that uses a data warehouse to help screen high-risk child abuse reports for further investigation. Every time a report of abuse comes into the county, that case is given a risk score. Since launching the initiative, the county has reduced the number of children in foster care from 3,000 in 1996 to just over 1,000 in 2016.

Rhode Island

Governor Gina Raimondo has signed two new bills to aid in addressing fatalities and serious harm to children in the state’s care. One requires the state Department of Children, Youth and Families (DCYF) to disclose deaths and injuries of children in state care within 48 hours. The second requires schools to contact DCYF if they think a child is being sexually abused by someone at the school, and to send reports of sexual abuse to state police and local law enforcement.

South Carolina

South Carolina’s Department of Social Services’ child welfare division has requested an additional $18 million to improve the state’s child safety net. Most of that money would pay for more than 250 new workers including 163 caseworkers to lower caseloads.

Tennessee

Tennessee is one of eight states participating in the Three Branch Institute’s technical assistance effort on child safety and strategies to eliminate child fatalities due to abuse and neglect. The Three Branch Institute was founded in 2009 as a partnership among the National Governors Association, the National Conference of State Legislatures, Casey Family Programs, the National Center for State Courts, and the National Council of Juvenile and Family Court Judges. They will provide assistance to states in developing child fatality prevention plans that will be implemented by December 2017.

The Tennessee Department of Children's Services is implementing some of the elements of safety science through three primary efforts: A systems approach to critical incident reviews, legislatively protected confidential reporting, and an agency-wide safety survey.

Texas

Legislation passed in 2015 required the Texas Department of Family and Protective Services (DFPS) to develop a comprehensive strategic plan for child abuse and neglect fatality prevention and early intervention programs. Senate Bill 206 required DFPS to develop the first plan no later than Sept. 1, 2016, and to adopt subsequent plans every five years. The current five-year plan aligns with the recommendations of CECANF and calls for a public health approach that recognizes the importance of strong and collective responsibility across agencies.

Virginia

Virginia is one of eight states participating in the Three Branch Institute’s technical assistance effort on child safety and strategies to eliminate child fatalities due to abuse and neglect. The Three Branch Institute was founded in 2009 as a partnership among the National Governors Association, the National Conference of State Legislatures, Casey Family Programs, the National Center for State Courts, and the National Council of Juvenile and Family Court Judges. They will provide assistance to states in developing child fatality prevention plans that will be implemented by December 2017.

Virginia introduced legislation focused on enhancing care for the state’s 73,000 children of military families by improving collaboration between civilian and military agencies. The legislation would require child welfare agencies to share a child's military affiliation with military authorities.

West Virginia

West Virginia is one of eight states participating in the Three Branch Institute’s technical assistance effort on child safety and strategies to eliminate child fatalities due to abuse and neglect. The Three Branch Institute was founded in 2009 as a partnership among the National Governors Association, the National Conference of State Legislatures, Casey Family Programs, the National Center for State Courts, and the National Council of Juvenile and Family Court Judges. They will provide assistance to states in developing child fatality prevention plans that will be implemented by December 2017.

Wisconsin

Wisconsin is one of eight states participating in the Three Branch Institute’s technical assistance effort on child safety and strategies to eliminate child fatalities due to abuse and neglect. The Three Branch Institute was founded in 2009 as a partnership among the National Governors Association, the National Conference of State Legislatures, Casey Family Programs, the National Center for State Courts, and the National Council of Juvenile and Family Court Judges. They will provide assistance to states in developing child fatality prevention plans that will be implemented by December 2017.