Indiana IV-E Waiver

Original Demonstration 1998 – 2002

Informal Extension 2002 – 2005

Current Extension 2005 - 2010

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DELAWARE

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HENDRI CKS

CLARK

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GRANT

BARTHOLOMEW

WAYNE

FLOYD

MORGAN

HANCOCK

WARRI CK

HENRY

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BOONE

LAWRENCE

MARSHALL

SHELBY

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MONTGOMERY

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SCOTT

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FULTON

SPENCER

CARROLL

ORANGE

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NEWTON

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Indiana Waiver

Scope Statewide (92 counties)

Type Flexible Funding

Waivers 1. Expanded Eligibility 2. Expanded Services

Purpose 1. Reduce Foster Care Placements 2. Shorten Time in Foster Care 3. Keep Children Safe & Families Intact

Service Emphasis Community-Based Support Services to Families & Children

Implementation/On-Going Challenges

Implementation of the waiver in Indiana has involved much variability from county to county, and this is an ongoing challenge to management of the demonstration. Variation has included:

How the waiver has been used. How much the waiver has been used. Program model.

The types of cases targeted. Specific services provided. The integration of the waiver into the county’s child

protection system. The extent to which there is local collaboration or

coordination with other community institutions and agencies.

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LAKE

ALLEN

ST. J OSEPH ELKHART

HAMI LTON

VANDERBURGH

TI PPECANOE

PORTER

MADI SON

MONROE

DELAWARE

J OHNSON

LAPORTE

VI GO

HENDRI CKS

CLARK

HOWARD

KOSCI USKO

GRANT

BARTHOLOMEW

WAYNE

FLOYD

MORGAN

HANCOCK

WARRI CK

HENRY

NOBLE

DEARBORN

BOONE

LAWRENCE

MARSHALL

SHELBY

J ACKSON

CASS

DEKALB

DUBOI S

KNOX

HUNTI NGTON

MONTGOMERY

MI AMI

PUTNAM

WABASH

LAGRANGE

HARRI SON

CLI NTON

ADAMS

STEUBEN

GREENE

GI BSON

J EFFERSON

WHI TLEY

J ASPER

DAVI ESS

WELLS

J ENNI NGS

RANDOLPH

WASHI NGTON

POSEY

CLAY

RI PLEY

FAYETTE

WHI TE

DECATUR

STARKE

SCOTT

FRANKLI N

J AY

OWEN

SULLI VAN

FULTON

SPENCER

CARROLL

ORANGE

PERRY

RUSH

FOUNTAI N

PARKE

VERMI LLI ON

TI PTON

BROWN

NEWTON

BLACKFORD

PULASKI

PI KE

CRAWFORD

MARTI N

BENTON

SWI TZERLAND

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UNI ON

OHI O

25 Program Counties 1998-2002

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ALLEN

ST. J OSEPH ELKHART

HAMI LTON

VANDERBURGH

TI PPECANOE

PORTER

MADI SON

MONROE

DELAWARE

J OHNSON

LAPORTE

VI GO

HENDRI CKS

CLARK

HOWARD

KOSCI USKO

GRANT

BARTHOLOMEW

WAYNE

FLOYD

MORGAN

HANCOCK

WARRI CK

HENRY

NOBLE

DEARBORN

BOONE

LAWRENCE

MARSHALL

SHELBY

J ACKSON

CASS

DEKALB

DUBOI S

KNOX

HUNTI NGTON

MONTGOMERY

MI AMI

PUTNAM

WABASH

LAGRANGE

HARRI SON

CLI NTON

ADAMS

STEUBEN

GREENE

GI BSON

J EFFERSON

WHI TLEY

J ASPER

DAVI ESS

WELLS

J ENNI NGS

RANDOLPH

WASHI NGTON

POSEY

CLAY

RI PLEY

FAYETTE

WHI TE

DECATUR

STARKE

SCOTT

FRANKLI N

J AY

OWEN

SULLI VAN

FULTON

SPENCER

CARROLL

ORANGE

PERRY

RUSH

FOUNTAI N

PARKE

VERMI LLI ON

TI PTON

BROWN

NEWTON

BLACKFORD

PULASKI

PI KE

CRAWFORD

MARTI N

BENTON

SWI TZERLAND

WARREN

UNI ON

OHI O

36 Program Counties 2005-2008

Findings/Outcomes

More services and a greater diversity of services.

Increase in family-oriented services.

Services– especially basic assistance –not otherwise available.

A reduction in foster home placements.

Shortened time in foster care.

Increased reunifications.

Cost-effective.

What Works Well in Current Program

Use of flexible funds to meet basic needs that would otherwise go unmet.

Enhanced creativity in addressing family needs.

Team approach to case planning and collaborative arrangements with service providers.

Assignment of children not eligible for IV-E.

State protocols and training to guide implementation.

Challenges to Sustainability

1. Creating a unified Statewide program

Bridging the communication divide between central office and the counties.

Encouraging ALL counties to develop and use the program actively.

Managing the changes and turnover in county staff to promote continuity.

Coordinating the waiver program with broader system reforms and initiatives.

Fully integrating the program into the service planning.

Challenges to Sustainability

2. Developing a long-term policy and funding structure

Refining the state protocols for the program to reflect when and where it works best for families.

Accurately identifying the types of cases (often neglect/poverty) and services (often basic assistance) that benefit most from flexible funding.

Altering which children can be assigned to the program (e.g. losing the opportunity to assign non IV-E eligible kids).

More fully linking the program directly into broader, ongoing and planned system reform.

Determining whether the program is feasible without ongoing federal support.

Thoughts on What it Would Take

Strong and active program support from the state agency, that may include:

Enhanced technical assistance to counties. New unified worker training coordinated with

other reform efforts. The coordination of policy involving state

agencies that share resources and objectives.

How would Indiana pay for it? Could there be a federal IV-E policy that allowed a

mixed entitlement/flexible reimbursement formula?

Institute of Applied Research

www.iarstl.org

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000IV-E Foster Care Children (U.S. average monthly number)

Delinquents

INDIANAPOLIS

FORT WAYNE

EVANSVILLE

GARY

M UNCIE

BLOOM INGTON

ANDERSON

TERRE HAUTE

KOKOM OLAFAYETTE

M ISHAWAKA

RICHM OND

NEW ALBANY

EAST CHICAGOM ICHIGAN CITY

M ARION

COLUM BUS

Children in Adoptive

Placement and/or at Risk of

Adoptive Disruption

INDIANAPOLIS

FORT WAYNE

EVANSVILLE

GARY

M UNCIE

BLOOM INGTON

ANDERSON

TERRE HAUTE

KOKOM OLAFAYETTE

M ISHAWAKA

RICHM OND

NEW ALBANY

EAST CHICAGOM ICHIGAN CITY

M ARION

COLUM BUS

Youth Substance Abusers at

Risk of Placement

INDIANAPOLIS

FORT WAYNE

EVANSVILLE

GARY

M UNCIE

BLOOM INGTON

ANDERSON

TERRE HAUTE

KOKOM OLAFAYETTE

M ISHAWAKA

RICHM OND

NEW ALBANY

EAST CHICAGOM ICHIGAN CITY

M ARION

COLUM BUS

Children Expelled or Suspended from School or At Risk of Expulsion

or Suspension

INDIANAPOLIS

FORT WAYNE

EVANSVILLE

GARY

M UNCIE

BLOOM INGTON

ANDERSON

TERRE HAUTE

KOKOM OLAFAYETTE

M ISHAWAKA

RICHM OND

NEW ALBANY

EAST CHICAGOM ICHIGAN CITY

M ARION

COLUM BUS

Pregnant Teens

INDIANAPOLIS

FORT WAYNE

EVANSVILLE

GARY

M UNCIE

BLOOM INGTON

ANDERSON

TERRE HAUTE

KOKOM OLAFAYETTE

M ISHAWAKA

RICHM OND

NEW ALBANY

EAST CHICAGOM ICHIGAN CITY

M ARION

COLUM BUS

Youths on Juvenile

Probation from

Families with a

History or Indication

of Substance

Abuse Problems

INDIANAPOLIS

FORT WAYNE

EVANSVILLE

GARY

M UNCIE

BLOOM INGTON

ANDERSON

TERRE HAUTE

KOKOM OLAFAYETTE

M ISHAWAKA

RICHM OND

NEW ALBANY

EAST CHICAGOM ICHIGAN CITY

M ARION

COLUM BUS