Creating performance metrics, developing short- and long-term strategies for service allocation, and aligning the service array around the core needs of children and families served by the state

In 2013, over 50 percent of the 36,000 cases investigated by Connecticut’s Department of Children and Families (DCF) had an indication of parental substance use. DCF hoped to support these recovering parents by matching them to recovery and support services while limiting removals of their children, so the agency worked with the GPL to launch the Family Stability Pay for Success project. This project identified a crucial gap in services for families with children aged 3-6 and expanded these services to support 500 additional families in need. The GPL also worked with DCF to tailor its identification, referral, and enrollment processes to better address the specific needs of families with substance use issues. Although the project is still underway, initial results have shown promise, and the final results will be evaluated by a randomized control trial.

In Illinois, approximately 700 youth per year become simultaneously involved in the child welfare and juvenile justice systems. These dually-involved youth experience very poor outcomes; on average 1,300 arrests per year and 230,000 days spent in congregate care. With pro-bono technical assistance from the GPL, the state tested a new model for supporting families involved with multiple agencies and has re-engineered data systems to improve performance management and referral processes. It now takes the state child welfare agency less than three days to identify a dually-involved youth, down from over 90 days on average. Once flagged as dually-involved, youth are matched to a wraparound facilitator who serves as their primary contact for support and refers them to appropriate services in a coordinated manner.  As part of the project, Illinois is also expanding the clinical and social services available to dually-involved youth (including family therapy and community-based placement), with the goals of reducing days spent incarcerated and in congregate care and improving child well-being.

Michigan sought to expand prenatal and postpartum support in order to reduce the likelihood of negative health outcomes for new mothers and their children. With pro bono technical assistance from the GPL, Kent County is expanding comprehensive nurse home visiting services to every Medicaid-eligible, first-time mother to provide prenatal care, breastfeeding support, parenting and life skills-building, and additional services as needed. Assessed by a rigorous evaluation, the program is helping to reduce preterm births and rapid repeat pregnancies for new moms.  

The GPL worked with DCYF on strategic planning to assess service needs and design an approach for improving services for children and families, executing a results-driven procurement for a new set of service contracts, strengthening their contract and provider performance management practices, and designing a strategic procurement management system to improve the results of contracted spending throughout the agency.

Striving to lower rates of preterm births and child injuries, the South Carolina Nurse-Family Partnership aims to give new moms the care they need to have healthy pregnancies and babies. The GPL worked with South Carolina’s Department of Health and Human Services (SCDHHS) to provide nurse home visiting services to 4,000 low-income, first-time mothers from the second trimester of their pregnancy until their child’s second birthday. The model incentivizes NFP to focus on enrolling mothers from low-income zip codes, reducing child injuries and pre-term births, and increasing healthy birth spacing. After the project concludes in 2022, the state will make success payments that will be reinvested into NFP in South Carolina based on outcomes evaluated by a randomized control trial.