Kansas ‘pioneer’ in child services
Privatization effort praised despite mistakes
States thinking about privatizing their child welfare services ought to take a long, careful look at what went on in Kansas six years ago.
“A great deal can be learned from the approach that Kansas took – a lot of pain can be avoided, and some very positive lessons can be picked up as well,” said Madelyn Freundlich, policy director at Children’s Rights Inc., a New York-based, nonprofit advocacy group.
Children’s Rights recently completed a national study of state and local governments’ efforts to privatize their child welfare programs.
Kansas, according to the study, made many mistakes but, in the end, comes away with one of the nation’s best systems for collecting data and measuring the system’s successes and shortcomings.
“Nowadays, a lot of states and some of the more urban counties are looking at some form of privatization,” Freundlich said. “But Kansas is the pioneer.”
Kansas privatized its family preservation, foster care and adoption services, border to border, in 1996-7. No other state – before or since – embraced privatization so thoroughly.
Mistakes were made, the report concluded:
l State officials tried to do too much, too fast, creating a thicket of communication breakdowns, tensions between key players and staff shortages.
Switching to the privatized system took three months. It should have taken at least six, the study found.
l Contractors lost millions of dollars because they’d based their bids on faulty data and because no one really knew how to predict the new system’s costs.
United Methodist Youthville, one of the state’s five foster-care contractors, filed bankruptcy last year after depleting its $16 million endowment.
Lutheran Social Services, once the state’s sole adoption contractors, announced in 2000 that it was $2.5 million in debt. It’s since gone out of business.
l No one bothered to include judges and foster parents in the discussions about how the privatized system would work. Consequently, both groups were slow to embrace the changes, creating delays and mistrust.
l The idea of tying contractor payments to each child’s success in moving through the system created disastrous cash-flow problems for the contractors. The model was scrapped when the contracts were renegotiated in 2000.
“The key lesson to be learned from the Kansas experience is that these things can’t happen overnight,” Freundlich said.
Florida, she said, is privatizing its troubled child welfare system.
“But they’re taking a much slower, region-by-region approach – and the judges are very much involved – because they saw what happened in Kansas,” Freundlich said.
Pitfall avoided
Kansas avoided a huge mistake, Freundlich said, when then-Department of Social and Rehabilitation Services Secretary Rochelle Chronister repeatedly warned legislators that privatization would not save money.
“That was a very wise thing to do,” Freundlich said.
At the onset of privatization, SRS was spending $63.6 million a year on foster care and adoption. This year, the department expects to spend $126 million. Family preservation services weren’t available statewide before 1997.
“There are communities out there that ” looking at this from a distance ” believe they’re going to save money by privatizing,” Freundlich said. “But from a child welfare perspective, that’s not likely to happen. In fact, in all probability it going to end up costing more because when you privatize, you build quality standards into the contracts that weren’t there before. But if you want quality, you’re going to have to pay for it.”
Freundlich praised Kansas’ system for the way it collects data and for the outcomes used to measure contractors’ performances.
“We were quite impressed,” she said. “Very few states have been collecting as much data for as long as Kansas has. In fact, one of the reasons so many researchers spend so much time looking at Kansas is because there’s so much data there.”
Little stir
Children’s Rights plans to present the results of its study ” titled “Privatization of Child Welfare Services: Challenges and Successes” ” at several national conferences next year.
But at SRS, the study’s findings haven’t caused much of a stir.
“About the mistakes, we’ve admitted several times that we we’re too aggressive, that judges and foster parents should have been brought in to the discussions earlier than they were and that we should have had better data going in,” said Marilyn Jacobson, director of child welfare at SRS since January.
Also, she said, no one at SRS was interviewed by Children’s Rights. Instead, most of the information was gleaned from earlier studies, newspaper articles and interviews with critics of the new system.
“I didn’t see much that was new or revolutionary,” Jacobson said.
Too often, she said, researchers focus on the new system’s struggles and overlook its accomplishments. A sampling:
l In 1996, the year before adoption services were privatized, SRS workers completed 292 adoptions. Between 1997 and 2002, the state’s adoption contractors have, on average, completed 530 a year.
l In 1996, foster parents were paid $10.12 a day for each child in their care. Now they’re paid between $18 and $20 a day.
l Two years ago, one-third of the children in foster care were in group homes or institution-type settings. Today, the number is down to 15 percent.
l When foster care was turned over to the contractors in 1997, there were 4,674 children in out-of-home placements. Earlier this week, there were 3,057.
In Region 2, an eight-county area that includes Douglas, Franklin and Jefferson counties, the number of children in foster care today is down 44 percent.
“We started out with 778 children in out-of-home placements, and now we’re down to 417,” said Sherry Love, president of the permanency division at Kaw Valley Center, the region’s foster care contractor.
“And when we took over, 33 percent of the children in the contract had been in foster care three or more years; now it’s 5 percent,” Love said.
Despite these apparent successes in moving children through the system, both Love and Jacobson say there are still more problems than answers.
“For starters, I think the system’s successes in keeping kids out of foster care is great,” Love said. “But I also think it means that those who make it in have come from some of the most difficult situations.”
Jacobson said the system still suffers from a dearth of minority foster parents, and contractors’ success in moving children through the system remains sporadic.
And, she said, too many children in foster care are being put through too many moves.
“The question I get all the time is ‘When is the system going to be fixed?'” Jacobson said. “I tell people I don’t think it’ll ever be fixed because there’s always going to be the need to get better. That’s not going to go away.”
Dearth of ideas
For its study, Children’s Rights interviewed Gray Brunk, executive director at the advocacy group Kansas Action for Children.
He said he thinks the state’s privatization movement has stalled.
“We’re at kind of a plateau right now,” Brunk said. “There are some things ” many things, perhaps ” that are better now than they were six years ago, but I’m not seeing many big ideas on how we take things to the next level.
“And with the budget being the way it is, I doubt we’ll see many big ideas coming out of SRS,” he said.
Earlier this week, SRS announced it was cutting payments to its family preservation and adoption contractors by 2.5 percent. Foster care payments were cut 5 percent.
Brunk welcomed the Children’s Rights report.
“A lot of people are looking at privatizing,” Brunk said. “And what this study says is, ‘OK, but don’t make the same mistakes Kansas did.”





