Caseload and Workload Management - Child Welfare

1 ISSUE BRIEF. July 2016. Caseload and Workload WHAT'S INSIDE. Management Background Large caseloads and excessive workloads in many Benefits of reasonable caseloads and jurisdictions can make it difficult for Child Welfare manageable workloads caseworkers (workers) to serve families effectively. Administrative requirements for each case are on the Catalysts and rise, and complex cases require intensive interventions, motivating factors for which further add to caseworker workloads. Manageable reducing caseloads and workloads caseloads and workloads can make a real difference in a worker's ability to engage families, deliver Assessing caseloads quality services, stay with the agency, and ultimately and workloads achieve positive outcomes for children and families. Strategies for Caseload Reducing and managing caseloads and workloads and Workload Management are not simple tasks for Child Welfare administrators. Agencies face a number of challenges, including State examples negotiating budget crises and hiring freezes, addressing of Caseload and worker turnover, finding qualified applicants for open Workload strategies positions, implementing time-intensive best practices, and managing multiple reforms simultaneously Conclusion (Munson, McCarthy, & Dickinson, 2014).

2 It can even Additional resources be difficult to just determine what the Caseload and Workload levels currently are and what they should be. References Children's Bureau/ACYF/ACF/HHS. | Email: | Caseload and Workload Management Nevertheless, agencies are addressing these (Owens, 2015). The Department of Human Services planned challenges and successfully implementing a variety to hire additional workers to handle the surge. Additionally, of strategies to make caseloads and workloads workers are increasingly expected to do more assessments, more manageable. This issue brief aims to build the searches, notifications, visits, team meetings, plans, knowledge base about Caseload and Workload issues referrals, court testimonies, and documentation. Although and help State Child Welfare managers, administrators, the heightened expectations may be necessary to provide and others learn how they can improve Caseload quality services, they can make for excessive workloads and Workload situations in their agencies.

3 Even when caseloads do not exceed agency standards. Although specific results vary by agency, there are some Definitions common findings about Caseload and Workload in the Child Welfare literature (American Humane Association Caseload : The number of cases (children or [AHA], 2000; Deloitte Consulting, 2015; Hornby Zeller families) assigned to an individual worker in a Associates [HZA], 2006; HZA, 2009; ICF International given time period. Caseload reflects a ratio of & Walter R. McDonald & Associates, 2014; McKinsey &. cases (or clients) to staff members and may be Company, 2008; Walter R. McDonald & Associates & AHA, measured for an individual worker, all workers 2006; Walter R. McDonald & Associates & AHA, 2007): assigned to a specific type of case, or all workers in a specified area ( , agency or region). Available time. Workers tend to spend 60 to 70. percent of their work time on case-related activities, Workload : The amount of work required with approximately 20 to 35 percent on direct client to successfully manage assigned cases and contact or collateral contact ( , individuals, such as bring them to resolution.)

4 Workload reflects the referral source or professionals in the community, the average time it takes a worker to (1) do the who can provide additional information). The remaining work required for each assigned case and (2) non-case-related time is spent on training, leave, and complete other non-casework responsibilities. administrative tasks ( , supervisory or unit meetings not related to a case, task forces or committees, community outreach, and/or reviewing policies). Background Variability in Workload demands. Workload varies by a number of case characteristics, such as where High caseloads and workloads can stem from a variety the Child resides ( , in his/her home, relative home, of circumstances. Increased caseloads can be attributed foster home, or congregate care), the number of to rises in the incidence of maltreatment ( , as a result children involved, the phase of the case process ( , of escalations in substance use), increases in reporting intake, assessment, investigation, permanency), court ( , due to increased public awareness), changes involvement, permanency goals, task types ( , face- to intake or case decision criteria ( , thresholds to-face contact, service planning, team meetings, and/.)

5 For opening cases for services), or the expansion of or documentation), and the complexity of the case. It services ( , extended foster care for older youth). also is affected by the worker's Caseload . Workload also varies by agency characteristics such as location ( , Increases in the amount of work required for each case urban, rural, remote), number of staff, and number of may also be caused by changes to laws and policies or support staff. These data can help establish standards other accountability requirements. For example, Child for Caseload sizes or to weigh cases when calculating a maltreatment hotline staff in Pennsylvania experienced worker's current Caseload . an unexpectedly high call volume in 2015 after State laws expanded the definition of who is a mandated reporter This material may be freely reproduced and distributed. However, when doing so, please credit Child Welfare Information Gateway. This publication is available online at 2.

6 Caseload and Workload Management Benefits of Reasonable Caseloads leave ( , Bowling, Alarcon, Bragg, & Hartman, 2015;. Kim & Kao, 2014). Manageable workloads may help and Manageable Workloads agencies retain workers who would otherwise opt to Caseload and Workload Management often appear leave as a result of feeling overloaded. as key ingredients in a State's comprehensive Supporting worker attitudes and well-being. strategy to produce better outcomes for children Workers' perceptions of their workloads are related and families. There are many benefits of reasonable to work-family conflict, job satisfaction, mental well- caseloads and manageable workloads: being, strain, depression, distress, fatigue, physical Engaging families and delivering quality services. symptoms, burnout, and absenteeism (Bowling Essential Child Welfare processes including family et al., 2015). Efforts to ensure that workloads are engagement, relationship building, assessment, manageable may prevent workers from experiencing permanency planning, and service coordination are myriad negative outcomes and may enhance job time intensive and require frequent worker-client satisfaction.

7 Workers also may feel overwhelmed due contact. Manageable caseloads and workloads permit to secondary traumatic stress (STS), which can occur workers the time they need to invest in these activities when a professional experiences stress or symptoms to support families. of trauma when working with traumatized children and families. This additional stress could exacerbate Achieving positive outcomes for children and any stress they are feeling from high caseloads or families. Workloads and caseloads have been linked workloads. For additional information about STS, visit to performance on Federal Child and Family Services Child Welfare Information Gateway at https://www. Reviews (CFSRs) and achievement of safety and permanency outcomes ( Department of Health and caring-addressing/ or the National Child Traumatic Human Services [HHS], 2006; General Accounting Stress Network at Office [GAO], 2003). topics/secondary-traumatic-stress. Managing organizational commitment and worker retention.

8 The Child Welfare literature is not Catalysts and Motivating Factors for conclusive about whether large caseloads negatively Reducing Caseloads and Workloads affect worker retention or turnover. Studies that factor in worker-reported Caseload data tend not to find Some agencies specifically set out to reduce caseloads a direct association between high caseloads and and workloads. Others have reforms imposed on increased turnover or intent to leave ( , Jacquet, them or achieve reductions as unintended effects of Clark, Morazes, & Withers, 2008; Lee, Rehner, & other initiatives. The following factors often provide an Forster, 2010). In other studies asking caseworkers, impetus for Caseload and Workload reduction efforts: supervisors, or administrators about why caseworkers CFSRs. Beginning with the first round of CFSRs in leave their jobs, however, high caseloads are frequently 2001, States' Program Improvement Plans (PIPs). cited ( , APHSA, 2005; GAO, 2003).

9 In other words, have frequently noted the need for improvements in caseworkers may anecdotally cite high caseloads as a workloads or caseloads (HHS, 2012; Children's Defense reason for leaving, but the quantitative data tend to Fund and Children's Rights, 2006). States continue show that departing caseworkers did not have higher- to address workloads/caseloads and related issues than-average caseloads. It may be that the workers in ( , recruitment, retention, training, supervision, and the latter studies perceive their caseloads as being too systems reform) in their PIPs as a means to improve high or causing additional stress, which contributes CFSR outcomes and to achieve compliance with to poor organizational commitment and decisions to Federal standards. This material may be freely reproduced and distributed. However, when doing so, please credit Child Welfare Information Gateway. This publication is available online at 3. Caseload and Workload Management Legislation.

10 Several State legislatures, such as reform efforts, it is sometimes a necessary component Delaware, Florida, Indiana, and Texas, have mandated or an unintended outcome. (For more information that State and local jurisdictions assess Workload about practice models, visit issues, meet identified standards, implement specific gov/topics/ Management /reform/approaches/ . strategies such as hiring additional staff, and report on practicemodels/.). progress. Union negotiations. Unions representing Child Welfare Litigation and consent decrees. Class-action workers have played a role in requesting or negotiating litigation across the country frequently resulting improved Caseload ratios, as well as bringing greater from high-profile fatalities has brought attention to attention to the issue. Child Welfare system reform and generated workforce improvements (Farber & Munson, 2007). Provisions Assessing Caseloads and Workloads in settlement agreements and consent decrees The most comprehensive approach to assessing Caseload often require jurisdictions to meet specific Caseload and Workload is a Workload study.