Background: The Current Challenges of Public Child WelfareMother and Daughters

The nation’s child welfare system faces a series of daunting challenges:

  • The number of children in the care of the child welfare system has continued to grow -- from 260,000 children in out-of-home care in the 1980s to more than 550,000 in care by 2000.
  • As child welfare systems became overloaded, they were unable to safely return children to their families or to find permanent homes for them. Children have therefore experienced much longer stays in temporary settings.
  • At the same time, the number of foster families nationally has dropped, so that fewer than 50 percent of the children needing temporary care are now placed with foster families. As a result of this disparity, child welfare agencies in many urban communities have placed large numbers of children in group care or with relatives who have great difficulty caring for them. An infant coming into care in our largest cities has a good chance of being placed in group care, and may be without a permanent family for years.
  • Finally, children of color are vastly over-represented in this group of disadvantaged children.

The good news is that during the past several years, a number of state and local child welfare systems have seen a reduction in the numbers of children coming into care and have been able to increase the numbers of children placed for adoption. However, the severity of the challenges facing child welfare makes this an opportune time to rethink the fundamental role of family foster care and to consider very basic changes.

The Foundation’s interest in helping communities and public agencies confront these challenges is built upon the belief that smarter and more effective responses are available to prevent child maltreatment and to respond more effectively when there is abuse or neglect. Often families can be helped to safely care for their children in their own communities and in their own homes -- if appropriate support, guidance, and help is provided to them early enough. However, there are emergency situations that require the separation of a child from his or her family. At such times, every effort should be made to have the child live with caring and capable relatives or with another family within the child's own community -- rather than in a restrictive institutional setting. Family foster care should be the next best alternative to a child's own home or to kinship care.

A Response to the Challenge: The Family to Family Initiative

Father and Son playing with dogWith the appropriate reforms in policy, resources, and programs, family foster care can respond to the challenges of out-of-home placement and be a less expensive and more humane choice for children and youth than are institutions or other group settings. Family foster care reform, in and of itself, can yield important benefits for families and children -- although such reform is only one part of a larger agenda designed to address the overall well-being of children and families currently in need of child protective services.

Family to Family was designed in 1992 and has now been field tested in communities across the country, including Alabama, New Mexico, Pennsylvania, Ohio, and Maryland. Los Angeles County is in the early stages of implementation of the initiative. New York City has also adopted the neighborhood and family-centered principles of Family to Family as an integral part of its reform effort. New sites in the process of joining Family to Family include Illinois, San Francisco, Oregon, Kentucky, Michigan, North Carolina, Colorado, and Santa Clara County, CA.

The Family to Family Initiative provides an opportunity for states and communities to reconceptualize, redesign, and reconstruct their foster care system to achieve the following new system-wide goals:

  1. To develop a network of family foster care that is more neighborhood-based, culturally sensitive, and located primarily in the communities in which the children live.
  2. To assure that scarce family foster home resources are provided to all those children (but to only those children) who in fact must be removed from their homes.
  3. To reduce reliance on institutional or congregate care (in shelters, hospitals, psychiatric centers, correctional facilities, residential treatment programs, and group homes) -- by meeting the needs of many more of the children currently in those settings through relative or family foster care.
  4. To increase the number and quality of foster families to meet projected needs.
  5. To reunify children with their families as soon as that can safely be accomplished, based on the family's and children's needs -- not simply the system's time frames.
  6. To reduce the lengths of stay of children in out-of-home care.
  7. To better screen children being considered for removal from home, and to determine what services might be provided to safely preserve the family.
  8. To decrease the overall number of children coming into out-of-home care.
  9. To involve foster families as team members in family reunification efforts.
  10. To become a neighborhood resource for children and families and invest in the capacity of communities from which the foster care population comes.


The new system envisioned by Family to Family is designed to:

  • better screen children being considered for removal from home, to determine what services might be provided to safely preserve the family and/or what the needs of the children are;
  • be targeted to bring children in congregate or institutional care back to their neighborhoods;
  • involve foster families as team members in family reunification efforts;
  • become a neighborhood resource for children and families and invest in the capacity of communities from which the foster care population comes; and
  • provide permanent families for children in a timely manner.
The Foundation's role has been to assist states and communities with a portion of the costs involved in both planning and implementing innovations in their systems of services for children and families, and to make available technical assistance and consultation throughout the process. The Foundation also provided funds for development and for transitional costs that accelerate system change. The states, however, have been expected to sustain the changes they implement when Foundation funding comes to an end. The Foundation is also committed to accumulating and disseminating both lessons from states' experiences and information on the achievement of improved outcomes for children. We will therefore play a major role in seeing that the results of the Family to Family Initiative are actively communicated to all the states and the federal government.
The states selected to participate in Family to Family are being funded to create major innovations in their child welfare system -- to reconstruct rather than merely supplement current operations. Such changes are certain to have major effects on the broader systems of services for children, including other services within the mental health, mental retardation /developmental disabilities, education, and juvenile justice systems, as well as the rest of the child welfare system. In most states, the foster care system serves children who are also the responsibility of other program domains. In order for the Initiative to be successful (to ensure, for example, that children are not inadvertently "bumped" from one system into another), representatives from each of these service systems are expected to be involved in planning and implementation at both the state and local level. These systems are expected to commit to the goals of the Initiative, as well as re-deploy resources (or priorities in the use of resources) and if necessary alter policies and practices within their own systems.

Current Status of Family to Family

At the outset of the Initiative in 1992, the accepted wisdom among child welfare professionals was that a continuing decline in the numbers of foster families was inevitable; that large, centralized, public agencies could not effectively partner with neighborhoods; that disadvantaged communities could not produce good foster families in any numbers; and that substantial increases in congregate care were inevitable. Family to Family is now showing that good foster families can be recruited and supported in the communities from which children are coming into placement. Further, dramatic increases in the overall number of foster families are possible, with corresponding decreases in the numbers of children placed in institutions, as well as in the resources allocated to such placements. Initial evaluation results are now available from the Foundation. Perhaps most important, Family to Family is showing that child welfare agencies can effectively partner with disadvantaged communities to provide better care for children who have been abused or neglected. Child welfare practitioners and leaders -- along with neighborhood residents and leaders -- are beginning to develop models, tools, and specific examples (all built from experience) that can be passed on to other neighborhoods and agencies interested in such partnerships.

Adapted from Annie E. Casey Foundation's Tools for Rebuilding Foster Care.
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Last Revised 7/15/2004