In 2001, states determined that over 900,000 children were the victims of abuse or neglect. In fiscal year 2003, subparts 1 and 2 of Title IV-B of the Social Security Act provided $697 million in federal funding for services to help families address problems that lead to child abuse and neglect. This report describes (1) the services provided and populations served under subparts 1 and 2; (2) federal oversight of subpart 1; and (3) existing research on the effectiveness of services unique to subpart 1--that is, when states used subpart 1, but not subpart 2, to fund programs in a particular service category. The report focuses primarily on subpart 1 because little research exists on this subpart, while studies have been conducted on subpart 2.
Recommendations for Executive Action
|Department of Health and Human Services||1. The Secretary of HHS should provide the necessary guidance to ensure that HHS regional offices monitor states' use of Title IV-B subpart 1 funds for compliance with statutory restrictions on the use of these funds.|
|Department of Health and Human Services||2. In addition, the Secretary should consider the feasibility of collecting basic data on state' use of these funds to facilitate its oversight of the program and to provide guidance to help states determine appropriate services to fund. For example, an analysis of how states' spending patterns correlate to outcomes--both positive and negative--from the CFSRs could yield useful information for this purpose.|
|Department of Health and Human Services||3. Given that HHS is currently developing the new child welfare option that would allow states to use Title IV-E dollars for services similar to those provided under Title IV-B subpart 1, the Secretary should use the information gained through enhanced oversight of subpart 1--as well as information it may have on states' use of subpart 2 funds--to inform its design of this option. For example, HHS could use this information to help states determine the most appropriate services to provide under this option.|