Grantee Blog:
Tool Piloted to Support Better Informed Case Assignment Decisions
Photo from Strong Foundations website
Unmanageable caseloads are one of many barriers to effective engagement with parents of children who are in foster care. The Strong Foundations project, funded in 2018 under the Strengthening Child Welfare Systems to Achieve Expected Child and Family Outcomes grant cluster, found that case managers are often overloaded and are not able to engage parents in frequent and quality face-to-face visits at the level necessary to achieve case goals.
In Florida, the current case distribution system is typically based on the number of children served, resulting in imbalanced caseloads across caseworkers. Research in this area has been limited to trying to define a “magic number” of children each caseworker should be serving. The Strong Foundations project found this approach does not consider the highly complex needs of some children and families who require significantly more effort on the part of the case manager.
The team realized there was a need to determine an objective measurement of the complexity of cases to make more informed and equitable decisions around case assignments. Case managers and supervisors across Florida were surveyed to rate cases based on the complexity of factors within the domains of child, parent, caregiver, placement, and case characteristics. The scores from the surveys trained machine learning algorithms to learn what ultimately makes a case complex. From the trained machine learning model, predictions were created, giving each case a complexity score on a scale from 1 to 9, with 1 being the least complex cases and 9 being the most complex.
This tool, dubbed the Case Complexity Tool, was piloted in sites in Osceola, Alachua, Leon, and Jefferson Counties. Using the case score developed through the tool, in conjunction with other factors and dynamics related to circumstances within teams, supervisors can make better informed decisions about case assignments. The information gained through this tool is not intended to replace discretion when assigning cases; rather, it is to be used as an additional source of information to assist in the decision-making process.
The latest findings from Leon and Alachua Counties support that the caseload complexity protocol produces a long-term increase in sufficiency of time to visit families and a short-term increase in satisfaction with the fairness of case distribution. Of note, the tool appears to be less helpful when the agency is starting with huge deficits in the workforce.
Want to learn more? Visit the Strong Foundations website to find more on the project and the Case Complexity Tool, including a user manual for practitioners making case assignment decisions and a manual for system administrators.
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