Resumen

Arraigado en el éxito del mundo real y la experiencia vivida, este documento informativo ofrece estrategias prácticas para una reunificación familiar más rápida y segura.

Si no cambiamos fundamentalmente nuestra forma de trabajar con las familias y de supervisar al personal para facilitar urgentemente la reunificación, y si no creamos estructuras, incentivos y herramientas para fortalecer la planificación de la permanencia y la participación familiar, no reduciremos el tiempo que los niños pasan en hogares temporales. Necesitamos más que políticas. Con demasiada frecuencia, no pasa nada hasta la audiencia judicial de los seis meses. Pero los niños no pueden esperar. A menos que las agencias establezcan un sólido andamiaje y apoyo de supervisión para los trabajadores sociales que prioricen la reunificación desde el primer día, no cambiaremos la forma en que los niños languidecen en el sistema de acogimiento familiar.

— David Sanders, vicepresidente ejecutivo de Mejora de Sistemas, Casey Family Programs

La investigación bien establecida fundamenta impactos negativos que la separación familiar tiene en el bienestar de los niños. Los padres deben recibir apoyo para que sus hijos puedan permanecer con ellos de manera segura siempre que sea posible. Si los niños necesitan ser separados de sus padres debido a problemas de seguridad, las agencias de protección infantil deben tomar esfuerzos activos, afirmativos, exhaustivos y oportunos para reunificar rápida y seguramente a los niños con sus familias, utilizando el cuidado de crianza temporal como último recurso y colocación con cuidadores familiares la más alta prioridad.

Si bien el número de niños en acogida está disminuyendo, casi un tercio de los cerca de 350 000 niños en acogida en 2022 llevaba dos años o más en esa situación. En el caso de los niños afroamericanos y de origen indígena americano o nativo de Alaska, los porcentajes eran aún más altos, con 39% y 35%, respectivamente.1 Para apoyar el bienestar de los niños en acogimiento familiar, las agencias de protección infantil deben dedicar mayor atención a estrategias de prácticas y políticas eficaces para garantizar que la separación familiar, si debe ocurrir, sea lo más corta posible.

Se pueden y deben explorar rigurosamente diversas opciones de permanencia con el niño, su familia y otros adultos afectuosos y comprometidos en la vida del niño. Estas incluyen reunificación, tutela, y adopción, con la innovadora Permanencia familiar de SOUL modelo considerado como una opción para jóvenes mayores. Dada la importancia de las conexiones con la familia, los parientes y la comunidad, siempre se debe explorar primero la reunificación familiar segura. Todas las agencias de protección infantil deben priorizar estrategias para mejorar drásticamente el tiempo hasta la permanencia con el fin de evitar que los niños permanezcan demasiado tiempo en acogimiento familiar y la ruptura de los vínculos familiares y comunitarios.

Este informe presenta estrategias para lograr una reunificación familiar segura y oportuna2 a través de elevar el compromiso y la práctica de las agencias, apoyar a las familias y fortalecer las comunidades. Se basa en las perspectivas de personas con experiencia directa, así como en las lecciones de jurisdicciones con tendencias prometedoras en la permanencia oportuna y la reunificación, incluidos el condado de Sacramento y el condado de Orange, en California, y Hawái. Para obtener más información sobre la importancia fundamental de minimizar el tiempo que un niño pasa lejos de su familia, consulte el documento informativo complementario: ¿Por qué es importante minimizar el tiempo que los niños pasan lejos de la familia?

Comprometerse con la reunificación familiar segura en todos los niveles

Comunique el “por qué”

Un compromiso claro y un sentido de urgencia por minimizar el tiempo lejos de la familia y lograr rápidamente una reunificación segura debe provenir de todos los niveles de liderazgo de la agencia. Esto requiere que en toda la agencia se comprenda que el sentido de pertenencia de los niños y su vínculo con la familia son fundamentales para su bienestar. “Cuando la gente entiende el ‘por qué’, todo tiene más sentido”, dijo Michelle Callejas, directora del Departamento de Servicios para Niños, Familias y Adultos del condado de Sacramento. “No es solo porque lo diga la administración o porque así lo exija la ley. Es porque es importante para los niños y las familias, y porque lo que hacemos importa”.”

La madre adoptiva Samaris Rose relató una historia sobre cómo intercedió para que su ahijada regresara con ella en lugar de permanecer en el sistema de acogida temporal: “Decían: ‘No queremos apresurar las cosas’. Al fin y al cabo, quien iba a sufrir era el bebé”.”

Disminución de las colocaciones de hogares temporales en el condado de Sacramento

El progreso del condado de Sacramento en la reducción de la intervención en el bienestar infantil y la mejora de la permanencia de los niños que experimentan la colocación en hogares de guarda subraya que es posible centrarse simultáneamente en el inicio y el final del proceso de protección infantil. Durante la última década, el condado ha estado ampliando los servicios de prevención inicial, aumentando el acceso a apoyos de salud mental y mejorando la capacitación de sus trabajadores sociales.

Durante ese período, el número de niños en acogida temporal disminuyó en casi 50%, pasando de 2,324 el 1 de enero de 2014 a 1,176 el 1 de enero de 2024. Las tasas de reincidencia comprobada de maltrato infantil, el porcentaje de niños en acogida durante dos años o más y el porcentaje de niños que vuelven a ingresar en acogida disminuyeron durante el mismo período. A medida que ha disminuido el número de casos de reunificación familiar, los trabajadores sociales han tenido más tiempo para realizar evaluaciones exhaustivas y brindar apoyo a las familias.

Fuente de datos: Universidad de California en Berkeley Proyecto de Indicadores de Bienestar Infantil de California

Incorporar medidas de control conductual y apoyo de los supervisores

Las agencias de protección infantil deben garantizar supervisores contar con el suficiente apoyo y compromiso de la gerencia para ayudarles a priorizar la reunificación familiar segura. Las agencias deben instituir estructuras y procesos internos sólidos —como cortafuegos, incentivos, aprobaciones gerenciales adicionales para objetivos distintos a la reunificación o la extensión de plazos, y herramientas de toma de decisiones mejoradas— para ayudar a incorporar la rendición de cuentas en el sistema y garantizar que minimizar el tiempo lejos de la familia y promover una reunificación segura siga siendo una urgencia y la máxima prioridad.

Los enfoques como el trabajo en equipo por casos, el personal dedicado a la permanencia y el uso de asistentes de casos pueden ayudar a que el personal tenga el tiempo necesario para priorizar los esfuerzos de reunificación. Mapeo de procesos de negocio para la reunificación, toma de decisiones estructurada y toma de decisiones en equipo puede ayudar a fortalecer los procesos de planificación y a apoyar al personal en la colaboración con las familias, los proveedores y otros socios para trabajar juntos hacia una reunificación segura y oportuna. El Centro Nacional de Mejora de la Calidad sobre la Reunificación Centrada en la Familia herramienta de evaluación de mejores prácticas puede ayudar a los trabajadores sociales y a los supervisores a garantizar que las familias tengan la estabilidad y los recursos que necesitan durante y después de la reunificación.

Abordar la capacidad y capacitación del personal

Altas tasas de rotación dentro de la fuerza laboral de bienestar infantil impactan negativamente a los niños, las familias y las agencias. Carga de casos elevada, estrés laboral, supervisores que no brindan apoyo, papeleo y remuneración inadecuada todos contribuyen a la rotación de los trabajadores. Cuando las tasas de retención de empleo disminuyen y las tasas de vacantes aumentan, el progreso hacia la reunificación familiar se estanca.

Como parte de su estrategia para reducir el número de niños en cuidado temporal, el Condado de Sacramento Department of Child, Family and Adult Services added staff throughout the agency, from emergency response and permanency units to its data management unit. The county provides robust training for new social workers and facilitates understanding of new governmental mandates and policies. New social workers’ caseloads are ramped up slowly in order to have time to integrate what they learn from the training into their practice.3

Staff who are overworked and undertrained may take shortcuts rather than follow policy, which hinders the achievement of reunification. Specialized training can help. An analysis of state-level policies found that specialized child welfare training available through Title IV-E stipend programs increased the likelihood of reunification more than caseworker level of education.4 Frontline staff also need pre-service and other refresher trainings, such as the Innovation Institute’s Family-Centered Reunification Training and The Annie E. Casey Foundation’s Achieving Permanency through Reunification Training, to ensure they are comfortable, capable, and consistent in their efforts to urgently and safely reunify any children separated from their family.

Improving permanency in Orange County

Orange County’s progress improving permanency outcomes for children who experience foster care placement underscores how prioritizing permanency across the agency’s staff and from the earliest contact with a family can make a difference.

The county’s Permanency is Home initiative was based on data about “long-stayers” across programs, input from focus groups, and the development of specific goals and a theory of change related to permanency. Work groups formed around prioritizing, maintaining, and removing barriers to permanency, with a focus on relational permanency.

Between federal fiscal year 2013 and 2022, the percentage of children who entered foster care and achieved permanency within 12 months increased from 27% to 40%.

Fuente de datos: Universidad de California en Berkeley Proyecto de Indicadores de Bienestar Infantil de California

Prioritize kin placement

Child welfare staff should work toward permanency from the very beginning of working with a child and family, and safe reunification should be a priority from the outset. In Orange County, the prioritization of kin begins as soon as a child enters foster care.

“Wherever you are in the dependency process, you’re impacting permanency outcomes,” said Marlene Telegadas, senior human services manager for adoptions with the Orange County Social Services Agency. “Achieving permanency is at the heart of the work that everyone’s doing, from line workers to managers to directors. This is where we want to focus our energy.”

Kristi Fiskum, the agency’s deputy director of family assessment and shelter services, echoed that sentiment: “Focusing on permanency is not just the responsibility of the very last social worker who has the case. It starts off right at the very first contact that we have.”

Child welfare practice must shift to a enfoque centrado en la familia, in which kinship placement is the expectation and goal rather than a practice alternative. Committing to a kin-first approach means centering the input of children and their families, engaging the whole family network, and striving to make every child’s first — and only — placement with kin. In Orange County, children enter a shelter called First Step, where they may stay for up to 23 hours while a dedicated team works to approve placement with kin. “We have that very urgent need for that 23-hour time period,” Fiskum said. “That may put us in a better place to make an impact on permanency. If children are placed in an available foster home right away, that urgency for them to get connected back to relatives goes away.”

Stop collecting child support

Until recently, federal law required families to pay child support when their children entered foster care, but a July 2022 federal memorandum urged child welfare systems to cease this practice. Investigación shows that when parents pay at least $100 per month in child support, their children spend more than six extra months in foster care, and studies in both California y Minnesota indicate that it costs more to administer child support programs for child welfare-involved families than the amount of funds recouped. A proposed California law would allow families to avoid paying child support and keep their benefits for up to six months, easing the financial pressure of having a child in foster care and allowing them to focus on addressing the issues that brought them to the attention of the child protection agency.

We’re not here to raise children indefinitely when they come into care. I’ve seen a more intentional focus on bringing services to families and not disrupting them with a removal. When a removal does need to happen, we focus on how we can help the entire family heal so they can get their kids back.

— Melissa Lloyd, Deputy Director, Department of Child, Family and Adult Services, Sacramento County

Facilitate partnership between families and caregivers

“It seems like the system is set up to pit different groups against each other,” kinship caregiver and former kinship navigator Lynn Urvina said. “We start bumping heads and the kids end up being victims.”

Child protection agency staff should promote clear, respectful communication pathways between parents — incluido fathers, who often are overlooked, kinship and foster caregivers, and others involved in the case. “The reunification period can be stressful for caregivers as well,” Telegadas of Orange County said. “We ask people to love the children as their own and give them back on demand.”

En Iniciativa para una Crianza de Calidad, now implemented in over 85 jurisdictions, has a demonstrated positive impact on permanency outcomes, including reunification.5 The national Birth and Foster Parent Partnership offers tools to support relationships between parents and foster parents. Sacramento County offers coaching to strengthen family visitation time. As reunification nears, when appropriate, foster parents and kinship caregivers are encouraged to invite parents for meals, bathtimes, and other activities. The agency also offers a great deal of support to caregivers.

Increase collaboration among family-serving systems

The issues that bring families to the attention of child protection agencies are usually more complex than any one agency can address on its own. Child protection agencies therefore should collaborate with other family-serving systems, such as behavioral health, public health, social services, education, Medicaid, and the tribunales. This includes developing a shared vision, creating structures that facilitate communication, sharing data and other information, and coordinating and aligning funding. “My daughter had our grandson in another county,” kinship caregiver Raul Enriquez said. “When the courts got involved, it took about six months to get the documentation transferred from one county to another.” Research shows that children reunify with their families more quickly if their caseworkers regularly communicate with others who support the family, including counselors, therapists, and guardians at litem.6

Meet the needs of children and families

When child removal occurs, families must receive high-quality, timely, culturally responsive, and trauma-informed support to address the issues that led to it. “Although there are consistent and well-disseminated findings regarding what works to support successful reunifications, actual practice does not always reflect best practice,” according to a 2021 report of the National Quality Improvement Center on Family-Centered Reunification. Several best practices are summarized below.

Build trust from the start

In all interactions between child protection agency staff and families, it is imperative that staff be aware of power dynamics and carefully work to build trust. “Parents are so fearful of the power of the state workers that they are afraid to question anything they do, even if they believe it might be incorrect,” kinship caregiver Urvina said. Casework practice models, such as entrevista motivacional y solution-based casework, also help support trust and engagement and nurture positive change. In Hawai, ‘Ohana Conferencing is a collaborative approach that brings together extended family, support systems, providers, and agency staff to build trust, identify family strengths, and work together to make decisions related to permanency. A commitment to concurrent planning in all cases, with the ‘Ohana conferencing model as a tool, has been central to efforts to reduce length of stay and increase permanency in Hawaii.

As a father who’s navigated the system, a day without your child is like a thousand years. It doesn’t matter who you are or what you’ve done. It feels like that.

— Roger DeLeon Jr., Father and 2023 Casey Excellence for Children Award Winner

Provide parent partners

Matching padres socios with parents who are navigating the child welfare system has numerous benefits. “When parents come in, it is assumed that they know the system, how it functions, what their rights are, how it flows, and what the next steps are,” said Roger DeLeon Jr., a father and 2023 Casey Excellence for Children award winner. “A lot of families don’t know how the system works, and if they don’t know, they’re being held accountable for something they don’t understand.”

Research shows that parent partners (sometimes referred to as family coaches) are perceived positively and are considered relatable because of their lived experience.7 They provide emotional support as well as information about resources and referrals. Some models, such as the Enfoque de Socios Parentales de Iowa, have demonstrated higher rates of reunification and lower rates of reentry among program participants.

Facilitate frequent, meaningful family time

Caseworkers and supervisors must support and facilitate frequent and meaningful family time, as families that experience regular family visits have a greater likelihood of reunification. These visits also can decrease depression, anxiety, and externalizing problem behaviors in children. De Leon, however, said that in his experience, some caseworkers prevent parents from regularly visiting their children: “Visitation is a right, but it’s more often used as a privilege. That’s against the law.”

Offer access to high quality legal representation

High quality legal representation also supports improved permanency outcomes, including reunification. The Safe Babies Court Team™ approach and tribunales de tratamiento familiar are both family-centered models that have shown positive outcomes on both time to and rate of reunification.

Connect parents to services

When a child does experience an out-of-home placement, services should focus on strengthening the family and paving a path toward safe reunification. Families may need access to support groups like Padres Anónimos® or universal programs like visita domiciliaria,8 as well as more targeted programs such as Constructores de viviendas, Project Connect, Conexiones familiares, GenerationPMTO, SafeCare®, Tratamiento centrado en la familia, Servicios de Preservación Familiar de Indiana, y SAFE@Home.

Condado de Sacramento pays for all court-mandated services — including anger management, domestic violence, and substance use disorder treatment — because the costs of those services could be a barrier to reunification. Family Wrap Hawai‘i provides families intensive services and support from a multidisciplinary team (including parent and youth partners) to help children achieve permanency. Families help develop their own service plans that reflect their strengths, values, and culture.

Substance use disorder is associated with many out-of-home placements, and disparities in access to treatment and penalization may impact reunification among families of color.9,10 Jurisdictions therefore should be intentional about investing in strategies that contribute to successful recovery and reunification. The strongest predictor of safe reunification for families affected by substance use disorder is completion of treatment,11 yet access to treatment services remains limited, especially for family-based residential treatment and other family-centered approaches, incluyendo Family-Based Recovery, recovery coaches,12 y Equipos de Tratamiento y Recuperación de la Sobriedad (START), all of which have been shown to improve outcomes for families affected by parental substance use disorder.

Deliver developmentally appropriate supports

Fully supporting and engaging youth in discussions and decisions related to placement and permanency is critical, and youth advocates have developed tools to support child welfare professionals in this important work. Youth in foster care should be informed of their rights and have opportunities to participate in developmentally appropriate planning and advocacy. In Hawai, youth involved with the child welfare system have access to youth partners to guide them through the system and provide peer support.

Children with more adverse childhood experiences are less likely to be reunified with their families,13 and children with special needs, such as behavioral or medical, are less likely to achieve permanency. In a study of 3,351 children who entered foster care in 2006 in a midwestern state, disability and mental health problems were associated with a significantly lower likelihood of reunification.14 Children with special needs should be more consistently identified and tracked so they can be connected to effective supports, and parents of children with special needs must have timely access to critical services, such as respite care and support groups.15

On the Way Home is a year-long program that helps middle and high school students with emotional or behavioral health needs transition from residential placements back into their communities. Fostering Healthy Futures – Preteen aims to increase protective factors for preteens in the child welfare system through mentoring and skills groups.

Prioritize relational permanency

Cuándo planning for legal permanency, relational permanency should be the first option.

“Relational permanency is just as important as legal permanency,” said Orange County’s Telegadas. “You may have legal guardianship, but if there’s no sense of connection, what have you really achieved? In the beginning of a case, we tend to contact a lot of people and ask, ‘Can you take placement?’ But we forget to ask the next two or three questions when they can’t take placement: ‘Would you like to maintain contact? What would contact look like? Could they spend holidays and birthdays with you?’”

Permanency pacts are tools that can help supportive adults establish commitments to young people.

Ensure post-reunification support

Post-reunification stability and preventing reentry into placement are critical. Trial home visits are an integral reunification support and may help reduce reentries, particularly for children with siblings also in placement.16 En Ley de Servicios de Prevención «La Familia Primero» de 2018 allows states and tribes to use federal Title IV-E funding for upstream services designed to prevent child removals, strengthen family stability, and prevent re-removals following reunification. “As soon as a case is done, support goes away,” De Leon Jr. said. “We have to be inclusive of community, including the faith-based community, so that we are opening up options for anyone to get the support they need.”

Support communities

Although the child welfare system historically has considered child maltreatment to be a family-level issue, it is now understood that community-level and societal factors — such as poverty, substance use, and inequitable access to housing, transportation, employment, education, and other services — also play critical roles. Child maltreatment should be considered a public health issue, and seeking help should be normalized so that parents don’t feel stigmatized when accessing parenting classes, counseling, peer support, or other concrete resources in their communities.

Promote economic policies that decrease risk of child maltreatment

A growing body of research demonstrates the links between child poverty and child well-being. Decreasing poverty rates through upstream economic policies can decrease child welfare involvement.17 Research shows that higher minimum wages,18 more generous TANF policies, y el Earned Income Tax Credit reduce child maltreatment. Many pilotos de renta garantizada taking place across the country are showing promising results on a range of employment and health outcomes, and a new Direct Cash Transfer research pilot is examining the impact of a cash stipend on child welfare system involvement.

Ensure access to concrete goods and local supports

All communities need support networks that connect families with accessible local resources, such as food banks, health care, transportation services, and educational programs. A large and growing body of research demonstrates the link between concrete supports and child and family well-being. Providing flexible funds so that families can access concrete goods and supports reduces stress and decreases the risk of child maltreatment within a family. For example, Orange County uses its Promoting Safe and Stable Families Program dollars to fund centros de recursos familiares, which have a growing track record of strengthening protective factors and reducing the risk of child maltreatment. Many jurisdictions are developing other community-based pathways for prevention services, increasing access to culturally relevant services without direct involvement of child protective services.

En Orange County, respuesta diferencial offers supports to families that come to the attention of the child welfare system but do not require child removal. “We respond to child abuse reports with a focus on linking families to family resource centers and other community resources so that we can prevent them from having repeat contact with our agency,” Telegadas said. “Even though there was contact with our agency, we are taking that opportunity to say, ‘We want to prevent you from having future contact with us. We want to get you the resources you need to promote safe and stable families.’”

Casey Family Programs consulta con individuos y equipos en todo el país para recopilar investigaciones, experiencias y conocimientos sobre enfoques que pueden reducir de manera segura la necesidad de acogida familiar y garantizar el bienestar de los niños y las familias. Compartimos esta información ampliamente para ayudar a los líderes de bienestar infantil y a sus socios a abordar problemas similares en sus propias comunidades. Para preguntas sobre este recurso, o si tiene otras necesidades de información sobre bienestar infantil, envíe un correo electrónico a kmresources@casey.org.

1 Data from the Adoption and Foster Care Analysis and Reporting System (AFCARS) made available by National Data Archive on Child Abuse and Neglect Data (NDACAN) and analyzed by Casey Family Programs. ↩︎

2 Content of this brief was informed through ongoing consultation with members of the Knowledge Management Lived Experience Advisory Board. This team includes youth, parents, kinship caregivers, and foster parents with lived experience of the child welfare system who serve as strategic partners with Family Voices United, a collaboration between FosterClub, Generations United, the Children’s Trust Fund Alliance, and Casey Family Programs. Members who contributed to this brief include: Roger De Leon Jr., Raul Enriquez, Gwendolyn Forrest, Pasqueal Nguyen, Jaquelyn Reyes, Samaris Rose, and Lynn Urvina. In addition, this brief was informed by conversations with Tonia Mahi, Statewide Child Welfare Services Section Coordinator, State of Hawaii, January 9, 2024; Kristi Fiskum, Deputy Director, Family Assessment & Shelter Services, Orange County Social Services Agency, Marlene Telegadas, Senior Human Services Manager, Adoptions, Orange County Social Services Agency, February 29, 2024; Michelle Callejas, Director, Department of Child, Family and Adult Services, Sacramento County; and Melissa Lloyd, Deputy Director, Department of Child, Family and Adult Services, Sacramento County, March 25, 2024. ↩︎

3 Callejas, M., Lloyd, M., Ellis, M. L., Schnell, A., Pecora, P., Blackwell, D., … Boulger, L. (2023). Reducing Foster Care Entry Rates for Children in Sacramento County: A Spotlight on Practice. Journal of Social Service Research, 49(5), 546–568. ↩︎

4 LaBrenz, C. A., Jenkins, L., Huang, H., Ryan, S. D., Panisch, L. S., Kim, Y., & Baiden, P. (2023). State-level policies and reunification: A multi-level survival analysis. Abuso y negligencia infantil, 146, 106502. ↩︎

5 Hansen, M. E., Provencher, A., & Yates, B. T. (2019). Outcomes and savings associated with the Quality Parenting InitiativeSocial Work and Social Sciences Review20(2), 12-41. ↩︎

6 Phillips, J. D. (2023). A mixed methods study of how interprofessional communication relates to timely reunification in the U.S. child welfare system. Revista de Bienestar Infantil Público, 17(3), 543–568. ↩︎

7 Lalayants, M. (2020). Peer support services in family reunification process in child welfare: Perceptions of parents and family coaches. Journal of Family Social Work, 23(5), 449–471. ↩︎

8 Handler, A., Zimmermann, K., Dominik, B., & Garland, C. E. (2019). Universal early home visiting: A strategy for reaching all postpartum women. Maternal and Child Health Journal, 23, 1414-2423. ↩︎

9 Lloyd Sieger, M. H. (2020). Reunification for young children of color with substance removals: An intersectional analysis of longitudinal national data. Abuso y negligencia infantil, 108, 104664. ↩︎

10 Sanmartin, M. X., Ali, M. M., Lynch, S., & Aktas, A. (2020). Association between state-level criminal justice-focused prenatal substance use policies in the US and substance us-related foster care admissions and family reunification. JAMA Pediatrics, 174(8), 782. ↩︎

11  Grella, C., Needell, B., Shi, Y. & Hser, Y. (2009). Do drug treatment services predict reunification outcomes of mothers and children in child welfare? Journal of Substance Abuse Treatment, 36, 279–293. ↩︎

12 Ryan, J., Perron, B., Moore A., Victor, G., & Park, K. (2017). Timing matters: A randomized control trial of recovery coaches in foster care. Journal of Substance Abuse Treatment, 77, 178–184. ↩︎

13 Liming, K. W., Brook, J., & Akin, B. (2021). Cumulative adverse childhood experiences among children in foster care and the association with reunification: A survival analysis. Abuso y negligencia infantil, 113, 104899. ↩︎

14 Akin, B. A. (2011). Predictors of foster care exits to permanency: A competing risks analysis of reunification, guardianship, and adoption. Revisión de los servicios para niños y jóvenes, 33(6), 999–1011. ↩︎

15 Chung, J. Pecora, P.J., Sinha, A., Prichett, L, Lin, F.  & Seltzer, R.R. (2024). A gap in the data: Defining, identifying, and tracking children with medical complexity in the child welfare systemChild Abuse and Neglect, 147(1). ↩︎

16 Shaw, T. V. (2021). Trial home visits and foster care reentry. Special Issue of the Journal of Public Child Welfare on the Impact of Targeted Permanency and Post-permanency Services on Continued Family Stability. ↩︎

17 Bouchelle, Z., Darwiche, S., & Dalembert, G. (2024). Financial support policies as a mechanism to reduce child welfare involvement. Current Problems in Pediatric and Adolescent Health Care, 54(3), 101554. ↩︎

18 Raissian, K. M., & Bullinger, L. R. (2017). Money matters: Does the minimum wage affect child maltreatment rates? Children and Youth Services Review, 72, 60–70. ↩︎