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Arizona Department of Child Safety
Phone: Child Abuse Hotline 1-888-767-2445
National Partnership for Child Safety Employs Safety Science and Shared Data to Reduce and Prevent Child Maltreatment & Fatalities
In an effort to improve child safety and realign child welfare toward a more preventative child and family well-being system, the Arizona Department of Child Safety (DCS) has joined child welfare leaders representing 26 state, county and tribal child and family-serving agencies to form the National Partnership for Child Safety (NPCS). The mission of NPCS is to improve child safety and prevent child maltreatment and fatalities by strengthening families and promoting innovations in child protection. Supported by Casey Family Programs, NPCS is a quality improvement collaborative formed to further key recommendations and findings of the federal Commission to Eliminate Child Abuse and Neglect Fatalities, which highlighted the importance and impact of safety science and data sharing to system change and reform.
Safety science provides a framework and processes for child protection agencies to understand the inherently complex nature of the work and the factors that influence decision-making. It also provides a safe and supportive environment for professionals to process, share and learn from critical incidents to prevent additional tragedies.
Enhancing the ability of child welfare agencies to share data and use data to identify and protect children at risk of maltreatment or fatality will help save children’s lives. To strengthen accountability, promote collaboration and improve child safety outcomes, members of this partnership will share data and apply a set of strategies, including implementing a standardized platform for critical incident review and reporting of data, comparing critical incident and team culture data, sharing cross-jurisdictional safety notices and more.
“Arizona joining the NPCS will help us advance the applied learning the Department acquired since becoming one of the first in the Nation to implement safety science,” said DCS Assistant Director Christi Shelton. “Being able to collaborate with other jurisdictions that are also involved in the complex world of child protection will further increase our learning and ability to influence practice, resulting in better outcomes for children and families.”
"Arizona has been practicing safety science and systemic critical incident reviews since 2016." said Dr. Scott Modell, co-founder of Collaborative Safety, LLC and former Deputy Commissioner for the Tennessee Department of Children's Services. "DCS’s commitment to this approach supports their success at increased safety and quality services for the children and families of Arizona."
"A science-based approach to studying critical incidents not only helps the Department discover patterns in the factors that influence decisions and actions in fatality and near-fatality cases, it also helps promote learning, transparency, and employee health." said Shalom Jacobs, Deputy Director of Field Operations for DCS. "When case workers are supported and can speak freely, they offer a perspective the Department may not otherwise see. The process leads to systemic adjustments to potentially decrease the likelihood of child fatalities and near-fatalities from child abuse or neglect. We have been collecting data through this process since 2016, and look forward to aggregating this data with the NPCS with the goal of improving outcomes for children and families."
The Arizona Department of Health Services just released its annual Child Fatality Review Report. The report shows a 5% decrease in child fatalities resulting from abuse and neglect when overall child fatalities are on the rise. Whether this decrease can be attributed to the culture of safety and practice improvement by the Department is unclear, but it is certainly promising.
The collaboration currently encompasses agencies that serve an estimated 807,000 children who are subjects of an investigation by child protection services each year across the country. With federal policies shifting to a more proactive and preventative approach to child welfare, the collaborative is working to promote collective responsibility, strengthen system and individual accountability, and apply the principles of safety science to child welfare systems. The University of Kentucky is the technical assistance provider for NPCS.
This partnership is a membership model similar to quality improvement programs in safety critical industries and can expand over time to include interested child welfare entities from other states, localities and tribes. A growing number of public safety industries have formed quality improvement collaboratives to share learning and data to improve safety, including the American College of Surgeons, National Surgical Quality Improvement Programs, the World Association of Nuclear Operators and Children’s Hospitals’ Solutions for Patient Safety.
By adopting a public health approach that links CPS agencies with partners in the community, we aim to build support for and resilience within families before crises occur. Through implementation of these recommendations, we will be creating a learning laboratory, building from pilot sites, testing ideas, and learning from one another.
By implementing more proactive rather than reactive strategies, we hope to enhance quality improvement, reduce the current rate of workforce instability, and address the cycle of blame that occurs in response to critical incidents – a cycle which often leads to changes in leadership rather than needed systems change that would prevent future tragedies from occurring.
The partnership is supported by Casey Family Programs, the nation’s largest operating foundation focused on safely reducing the need for foster care in the United States. Founded in 1966, Casey Family Programs works in all 50 states, Washington D.C., Puerto Rico, the U.S. Virgin Islands and with tribal nations across North America to influence long-lasting improvements to the well-being of children, families and the communities where they live. The Center for Innovation in Population Health at the University of Kentucky heads the technical assistance team, led by Michael Cull, PhD. Dr. Cull and his team work with partners around the world and represent 25+ years of clinical and research experience in public child welfare, systems-theoretical approaches to critical incident review, and systems improvement. Here is an overview of their approach. The National Center for Fatality Review and Prevention at MPHI will serve as the data warehouse for the partnership.
The National Partnership for Child Safety (NPCS), initially formed in 2018, is a quality improvement collaborative to improve child safety and reduce child maltreatment fatalities through the application of safety science and shared data. Members of the collaborative have a shared goal of strengthening families, promoting innovations and a public health response to reducing and preventing child maltreatment and fatalities. Members of the National Partnership for Child Safety include: