Minnesota’s Minnesota’s Strategies for Strategies for Improving Outcomes throughImproving Outcomes through

Child Welfare/CBCAP Child Welfare/CBCAP CoordinationCoordination

Ralph McQuarter Ralph McQuarter ralph.mcquarter@state.mn.usralph.mcquarter@state.mn.us

Bringing Prevention to the Table: Strategies for Improving Outcomes Bringing Prevention to the Table: Strategies for Improving Outcomes

10/23/0810/23/08

22

MinnesotaMinnesota State-supervised/State-supervised/

County-administered (87 County-administered (87 counties)counties)

Eleven TribesEleven Tribes State with highest share of local State with highest share of local

property taxes for child welfareproperty taxes for child welfare Kids Count rates MN within top 5 Kids Count rates MN within top 5

on child well-being measureson child well-being measures Differential Response Child Differential Response Child

Protection Continuum, Protection Continuum, incorporating Structured incorporating Structured Decision Making SystemDecision Making System

Disproportionately involves poor, Disproportionately involves poor, single mothers and their single mothers and their children; particularly families of children; particularly families of colorcolor

33

Minnesota’sMinnesota’sChild Welfare FindingsChild Welfare Findings

In 2007 In 2007 18,348 reports of child maltreatment were accepted for 18,348 reports of child maltreatment were accepted for

a response involving 24,139 childrena response involving 24,139 children 59% of all accepted reports received a Family 59% of all accepted reports received a Family

Assessment Response (10,934); 41% received an Assessment Response (10,934); 41% received an Investigative ResponseInvestigative Response

Of those receiving an Investigative Response, 50% were Of those receiving an Investigative Response, 50% were substantiated/determined (4,370 out of 7,414 reports)substantiated/determined (4,370 out of 7,414 reports)

71% of all determined reports involved child neglect71% of all determined reports involved child neglect Most prevalent family condition documented in neglect Most prevalent family condition documented in neglect

findings: parenting issues, then mental healthfindings: parenting issues, then mental health 4.5% of children experienced repeat maltreatment4.5% of children experienced repeat maltreatment

44

MN Differential Response ContinuumMN Differential Response Continuum

Family AssessmentFamily Assessment Response for less serious Response for less serious

casescases No determination of No determination of

maltreatmentmaltreatment ComprehensiveComprehensive Strength-based Strength-based

community-focusedcommunity-focused Enhances family stabilityEnhances family stability Focus is on safety Focus is on safety

through engagementthrough engagement

Flexibility is keyFlexibility is key Reports may move Reports may move

between the responses between the responses as neededas needed

Traditional InvestigationTraditional Investigation Response for substantial Response for substantial

child endangerment caseschild endangerment cases Did maltreatment Did maltreatment

occur?occur? Are child protective Are child protective

services needed?services needed? Incident based with a Incident based with a

focus on fact findingfocus on fact finding Forensic in nature; Forensic in nature;

coordinated with law coordinated with law enforcementenforcement

May be perceived as May be perceived as intrusive and adversarial intrusive and adversarial by familyby family

55

Trends in MN Child Trends in MN Child Maltreatment Maltreatment Number of Number of

VictimsVictims

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

Alleged Victims Determined Victims Family Assessment

66

Child and Family Service Child and Family Service ReviewReview

Purpose - Purpose - Enables federal Children's Bureau to:Enables federal Children's Bureau to: Ensure conformity with Federal child welfare requirementsEnsure conformity with Federal child welfare requirements Determine what is happening to children/families in child welfare Determine what is happening to children/families in child welfare

servicesservices Assist States to enhance their capacity to help children/families Assist States to enhance their capacity to help children/families

achieve positive outcomesachieve positive outcomes

Goal-Goal- Help States improve child welfare services and achieve Help States improve child welfare services and achieve following outcomes for families/children who receive services:following outcomes for families/children who receive services:

SafetySafety Children are, first and foremost, protected from abuse and neglectChildren are, first and foremost, protected from abuse and neglect Children are safely maintained in their homes whenever possible and Children are safely maintained in their homes whenever possible and

appropriateappropriate PermanencyPermanency

Children have permanency and stability in their living situationsChildren have permanency and stability in their living situations Continuity of family relationships and connections is preserved for familiesContinuity of family relationships and connections is preserved for families

Family and Child Well-BeingFamily and Child Well-Being Families have enhanced capacity to provide for their children's needsFamilies have enhanced capacity to provide for their children's needs Children receive appropriate services to meet their educational needsChildren receive appropriate services to meet their educational needs Children receive adequate services to meet their physical and mental health Children receive adequate services to meet their physical and mental health

needsneeds

77

MN CFSR MN CFSR

Minnesota was one of the first states to undergo Minnesota was one of the first states to undergo federal CFSR and by July 2004 successfully met federal CFSR and by July 2004 successfully met requirements of Program Improvement Plan (PIP). requirements of Program Improvement Plan (PIP).

Fall 2007, second round of federal CFSR of Minnesota. Fall 2007, second round of federal CFSR of Minnesota. Statewide assessment phase and onsite review conducted.Statewide assessment phase and onsite review conducted. Children’s Trust Fund was represented on department’s core Children’s Trust Fund was represented on department’s core

planning and preparation team for CFSR, participated at state planning and preparation team for CFSR, participated at state and county review sites, and involved in PIP development.and county review sites, and involved in PIP development.

PIP submitted in August 2008, still waiting approval. PIP submitted in August 2008, still waiting approval. (Only 2 state PIPs approved so far out of 29 reviews)(Only 2 state PIPs approved so far out of 29 reviews)

88

Key FindingsKey Findings

MN performance impacted by: MN performance impacted by: Older youth, with disabilities, in foster careOlder youth, with disabilities, in foster care Limited identification, engagement and Limited identification, engagement and

provision of services to fathersprovision of services to fathers

MN system did not have major gaps in MN system did not have major gaps in practice or primary service delivery but practice or primary service delivery but rather lacked consistency across state in rather lacked consistency across state in these areasthese areas

99

Primary PIP StrategiesPrimary PIP Strategies

Enhance capacities of families to care Enhance capacities of families to care for their childrenfor their children

Promote child safety and well-being Promote child safety and well-being across the life of the caseacross the life of the case

Locate and support a stable family for Locate and support a stable family for every youth in foster careevery youth in foster care

Promote quality case worker Promote quality case worker supervisionsupervision

1010

State Child Welfare AgencyState Child Welfare Agency DHS has responsibility for: DHS has responsibility for:

Child and Family Services Review (CFSR)Child and Family Services Review (CFSR) Program Improvement Plan (PIP)Program Improvement Plan (PIP) Child and Family Services Plan (CFSP). Child and Family Services Plan (CFSP).

MN adopted federal CFSR review process and brought it to local MN adopted federal CFSR review process and brought it to local county level. county level. These MNCFSR Reviews are conducted by Quality Assurance Unit. These MNCFSR Reviews are conducted by Quality Assurance Unit.

As part of county self-assessment process in preparation for review, As part of county self-assessment process in preparation for review, county describes membership and activities of their Child Abuse county describes membership and activities of their Child Abuse Prevention Council, and how council meets statutory requirement to Prevention Council, and how council meets statutory requirement to submit a plan for prevention of child abuse that includes an submit a plan for prevention of child abuse that includes an assessment and rank order of needed programs and services. assessment and rank order of needed programs and services.

Quality Assurance teams discuss how information is incorporated Quality Assurance teams discuss how information is incorporated and used in agency’s planning and operations to achieve improved and used in agency’s planning and operations to achieve improved child safety, permanency and well-being outcomes. child safety, permanency and well-being outcomes.

1111

State Child Welfare AgencyState Child Welfare Agency

For each review, the following documents provide For each review, the following documents provide data relevant to each county’s performance:data relevant to each county’s performance: Self assessment: Self assessment:

Systemic factors that are key to providing child welfare Systemic factors that are key to providing child welfare servicesservices

County performance on national standard indicators County performance on national standard indicators County-specific safety, permanency and well-being dataCounty-specific safety, permanency and well-being data

MnCFSR report: Compiles detailed information from self MnCFSR report: Compiles detailed information from self assessment, case reviews and stakeholder interviews assessment, case reviews and stakeholder interviews and identifies areas of strength and areas needing and identifies areas of strength and areas needing improvement. improvement.

PIP prepared by county agencies to address areas PIP prepared by county agencies to address areas needing improvement. needing improvement.

1212

MinnesotaMinnesotaChildren’s Trust Fund MissionChildren’s Trust Fund Mission

The Children’s Trust Fund works in The Children’s Trust Fund works in partnership to serve as a catalyst to partnership to serve as a catalyst to prevent child abuse and neglect by prevent child abuse and neglect by strengthening all Minnesota families and strengthening all Minnesota families and communities.communities.

1313

Organizational StructureOrganizational Structure

Children’s Trust Fund: state-designated Children’s Trust Fund: state-designated Community-Based Child Abuse Prevention Community-Based Child Abuse Prevention (CBCAP) program(CBCAP) program

Embedded within Child Safety and Permanency Embedded within Child Safety and Permanency Division Division (child protection/child welfare/children‘s (child protection/child welfare/children‘s research)research)

Within Child and Family Services Administration Within Child and Family Services Administration (child welfare, child care, child support, homelessness, (child welfare, child care, child support, homelessness, TANF, community action programs)TANF, community action programs)

Within Minnesota Department of Human Services Within Minnesota Department of Human Services (DHS) (DHS) (child and family services, health care, mental (child and family services, health care, mental health, chemical health, disabilities, and aging services)health, chemical health, disabilities, and aging services)

1414

Key Internal PartnershipsKey Internal Partnerships

American Indian Child Welfare InitiativeAmerican Indian Child Welfare Initiative Child Disability/Part C of IDEA Child Disability/Part C of IDEA Child Mortality Review Panel Child Mortality Review Panel Children’s ResearchChildren’s Research Child Safety and PermanencyChild Safety and Permanency Citizen Review PanelsCitizen Review Panels Early Childhood Care/DevelopmentEarly Childhood Care/Development Quality AssuranceQuality Assurance Social Service Information SystemSocial Service Information System Training SystemTraining System

1515

CTF External PartnersCTF External Partners

Minnesota Fathers & Families Network Minnesota Fathers & Families Network Minnesota Office of Pregnancy PreventionMinnesota Office of Pregnancy Prevention Minnesota Department of HealthMinnesota Department of Health

Family Home VisitingFamily Home Visiting Minnesota Early Childhood Comprehensive SystemsMinnesota Early Childhood Comprehensive Systems Sexual Violence PreventionSexual Violence Prevention

Minnesota Department of EducationMinnesota Department of Education PACER – Parent Advocacy Coalition for Educational RightsPACER – Parent Advocacy Coalition for Educational Rights Parent Information and Resources Sharing NetworkParent Information and Resources Sharing Network Prevent Child Abuse Minnesota/Circle of ParentsPrevent Child Abuse Minnesota/Circle of Parents Sexual Violence Prevention Action Council Sexual Violence Prevention Action Council Strong Foundations CoalitionStrong Foundations Coalition Zero to Three/BUILD/Ready 4KZero to Three/BUILD/Ready 4K

1616

What CTF Brings to Child What CTF Brings to Child Welfare Quality ImprovementWelfare Quality Improvement

Enhanced community responsiveness through 51 Enhanced community responsiveness through 51 Child Abuse Prevention CouncilsChild Abuse Prevention Councils

Enhanced service array through community Enhanced service array through community grantees and community initiative networksgrantees and community initiative networks

Service array that supports improved safety and Service array that supports improved safety and well-being outcomeswell-being outcomes

Community partnerships that provide resource to Community partnerships that provide resource to state/ local level child protection state/ local level child protection prevention/intervention effortsprevention/intervention efforts

Access to statewide agency for public awareness Access to statewide agency for public awareness and advocacy for children’s issuesand advocacy for children’s issues

1717

Additional CTF RolesAdditional CTF Roles

CTF supervisor co-facilitated/authored CTF supervisor co-facilitated/authored Minnesota’s 2005-2009 Child and Family Minnesota’s 2005-2009 Child and Family Service Plan, and continued to monitor progress Service Plan, and continued to monitor progress through annual reporting requirement. through annual reporting requirement.

CTF has specific responsibilities outlined in CTF has specific responsibilities outlined in current CFSP for meeting child safety outcomes: current CFSP for meeting child safety outcomes: Increase community awareness of child maltreatmentIncrease community awareness of child maltreatment Design/develop a child protection response continuum Design/develop a child protection response continuum

that increases community involvement in prevention that increases community involvement in prevention and early intervention of child maltreatment.and early intervention of child maltreatment.

CTF works to integrate strengthening families CTF works to integrate strengthening families framework and protective factors across the framework and protective factors across the child welfare continuumchild welfare continuum

1818

Additional CTF RolesAdditional CTF Roles

Participation in ongoing, county level quality assurance Participation in ongoing, county level quality assurance reviews conducted by the Quality Assurance Unit. reviews conducted by the Quality Assurance Unit.

Review of the local Child Abuse Prevention Council’s role in Review of the local Child Abuse Prevention Council’s role in providing input on county agency planning and operations providing input on county agency planning and operations as part of the County Self-Assessment Process. as part of the County Self-Assessment Process.

Description of current CAPC, including rating strength of Description of current CAPC, including rating strength of CAPC’s role and identification of barriers or plans for CAPC’s role and identification of barriers or plans for improvement.improvement.

Provision of county self assessments to CTF for Provision of county self assessments to CTF for identification of successful CAPC’s and to determine plans identification of successful CAPC’s and to determine plans for TA or training. for TA or training.

Involvement of local CAPC in county self assessment can Involvement of local CAPC in county self assessment can achieve a stronger, statewide capacity for child abuse achieve a stronger, statewide capacity for child abuse prevention efforts. prevention efforts.

1919

Example: Example: County Self AssessmentsCounty Self Assessments

F 4. Exploratory Issue: F 4. Exploratory Issue: When applicable, describe the membership and activity of the county-based Child When applicable, describe the membership and activity of the county-based Child Abuse Prevention Council, organized and operating according to state law and policy. Abuse Prevention Council, organized and operating according to state law and policy. Describe how the council meets the statutory requirement to submit a plan for the Describe how the council meets the statutory requirement to submit a plan for the prevention of child abuse that includes an assessment and rank ordering of needed prevention of child abuse that includes an assessment and rank ordering of needed programs and services. programs and services. Discuss how this information is incorporated and used in the agency’s planning and Discuss how this information is incorporated and used in the agency’s planning and operations to achieve improved safety, permanency and well-being outcomes. operations to achieve improved safety, permanency and well-being outcomes. Minnesota Statutes, section 119A.14.Minnesota Statutes, section 119A.14.

Description of County Practice

Exploratory Issue Rating

Barriers Identified/Initial Plans

1 2 3 4

     

2020

CTF Support of CAPCsCTF Support of CAPCs CTF designed an electronic CAPC Services Survey to assist local CTF designed an electronic CAPC Services Survey to assist local

council members to assess county-wide child abuse prevention council members to assess county-wide child abuse prevention resources. resources.

Survey data compiled into county-specific data/maps for county-by-Survey data compiled into county-specific data/maps for county-by-county comparisons.county comparisons.

CTF developing plan to address high-need communities through CTF developing plan to address high-need communities through direct outreach and technical assistance to local CAPC’s.direct outreach and technical assistance to local CAPC’s.

CTF and local CAPCs continue efforts to: CTF and local CAPCs continue efforts to: Develop future CTF assessments and resourcesDevelop future CTF assessments and resources Evaluate range of needed preventive and voluntary early intervention Evaluate range of needed preventive and voluntary early intervention

servicesservices Help community partners understand and improve adequacy of Help community partners understand and improve adequacy of

Strengthening Families and Child Abuse Prevention resourcesStrengthening Families and Child Abuse Prevention resources Increase collaboration between service providers and community Increase collaboration between service providers and community

stakeholdersstakeholders

2121

Other CTF InitiativesOther CTF Initiatives

Statewide and Community Statewide and Community Strengthening Families NetworksStrengthening Families Networks

Community-Based Strengthening Community-Based Strengthening Families Grants Families Grants

Strengthening Families/Child Abuse Strengthening Families/Child Abuse Prevention Month ActivitiesPrevention Month Activities

Outreach and Support PilotsOutreach and Support Pilots EvaluationEvaluation

2222

Overlay of need and activities:Overlay of need and activities:CTF CAPCs, Grantees and Rates per Thousand CTF CAPCs, Grantees and Rates per Thousand

Total Determined Child MaltreatmentTotal Determined Child Maltreatment

[

[

[

[

[

[ [

[

[

[

[

[

[

St. Louis

Cook

LakeItasca

Cass

Polk

Beltrami

Aitkin

Pine

Koochiching

Otter Tail

Clay

Roseau

Marshall

Becker

Todd

Stearns

Kittson

Swift

Lyon

Pope

Morrison

Wilkin

Renville

Carlton

Martin

Hubbard

Rice

Wright

Norman

FillmoreMower

Crow Wing

Nobles

Murray

Grant

Sibley

Brown

Rock

Redwood

Douglas

Kandiyohi

Jackson

Meeker

Goodhue

Winona

Isanti

Faribault

Dakota

Freeborn

Olmsted

Lincoln

Blue Earth

Scott

Stevens

Anoka

Houston

Steele

Traverse

Dodge

Nicollet

McLeod

HennepinChippewa

Wabasha

Benton

Carver

Pennington

Big Stone

Cottonwood

Yellow Medicine

Red Lake

Sherburne

Lake of the Woods

Clearwater

Mille Lacs

Wadena

Kanabec

Lac qui Parle

Waseca

Chisago

Le Sueur

Mahnomen

PipestoneWatonwan

WashingtonRamsey

Legend

Determinations Rate per 10000.000000 - 0.194553

0.194554 - 0.418191

0.418192 - 0.645161

0.645162 - 1.037293

1.037294 - 1.764170

CTF CAPCsNo CAPC

CAPC in County

CTF Grantees

[ 1

[ 2

[ 3 - 4

2323

CTF-Supported Pilot CTF-Supported Pilot ProgramsPrograms

PARENT SUPPORT OUTREACH PARENT SUPPORT OUTREACH PROJECTPROJECT

Public/private partnership to Public/private partnership to pilot/study impact of early intervention pilot/study impact of early intervention on families at risk of child on families at risk of child maltreatment.maltreatment.

38 pilot counties38 pilot counties Connect screened out families Connect screened out families

with young children to with young children to community-based family support community-based family support services. services.

Intended to impact and decrease Intended to impact and decrease disproportionate number of disproportionate number of families of color reported to child families of color reported to child protection.protection.

CTF supervisor participated in the CTF supervisor participated in the selection of pilot project counties and selection of pilot project counties and in selection of research firm to carry in selection of research firm to carry out independent evaluation. out independent evaluation.

Expected that CTF will contribute to Expected that CTF will contribute to success of the Parent Support success of the Parent Support Outreach Program, and that findings of Outreach Program, and that findings of the pilot project will help inform future the pilot project will help inform future planning for CTF.planning for CTF.

MFIP/FAMILY CONNECTIONS PROJECTMFIP/FAMILY CONNECTIONS PROJECT Three-year pilot program involving 8 Three-year pilot program involving 8

counties to offer voluntary family counties to offer voluntary family support services and coordinated case support services and coordinated case management for Minnesota Family management for Minnesota Family Investment Program (MFIP) and Food Investment Program (MFIP) and Food Stamp eligible families. Stamp eligible families.

Intended to eliminate/reduce risk Intended to eliminate/reduce risk factors of child maltreatment, improve factors of child maltreatment, improve family stability, and improve child family stability, and improve child well-being in areas of physical and well-being in areas of physical and mental health and school success. mental health and school success. MFIP is state’s primary economic MFIP is state’s primary economic assistance program for low-income assistance program for low-income families. MFIP and Food Stamp eligible families. MFIP and Food Stamp eligible families experience numerous risk families experience numerous risk factors at high incident levels, factors at high incident levels, including poverty, child disability, including poverty, child disability, parent disability, substance abuse and parent disability, substance abuse and mental illness. mental illness.

Pilot targets families with at least one Pilot targets families with at least one child age 10 or under who is at risk of child age 10 or under who is at risk of poor developmental outcomes due to poor developmental outcomes due to poverty and associated risks.poverty and associated risks.

2424

In SummaryIn Summary

Child Welfare/CBCAP coordinationChild Welfare/CBCAP coordination Expands the capacity of the state’s Expands the capacity of the state’s

networknetwork Provides strategic partnershipsProvides strategic partnerships Extends the continuum of servicesExtends the continuum of services Supports the safety, permanency and Supports the safety, permanency and

well-being of childrenwell-being of children

2525

Lead State Agency ContactLead State Agency Contact

CTFCTF Joanne Mooney Joanne Mooney joanne.mooney@state.mn.usjoanne.mooney@state.mn.us

CFSRCFSR Larry Wojciak Larry Wojciak larry.wojciak@state.mn.uslarry.wojciak@state.mn.us

PIPPIP Christeen Borsheim Christeen Borsheim

christeen.borsheim@state.mn.uschristeen.borsheim@state.mn.us DataData

Carole Johnson Carole Johnson carole.johnson@state.mn.uscarole.johnson@state.mn.us

2626

Child Child MaltreatmentMaltreatment

St. Louis

Cook

LakeItasca

Cass

Polk

Beltrami

Aitkin

Pine

Koochiching

Otter Tail

Clay

Roseau

Marshall

Becker

Todd

Stearns

Kittson

Swift

Lyon

Pope

Morrison

Wilkin

Renville

Carlton

Martin

Hubbard

Rice

Wright

Norman

FillmoreMower

Crow Wing

Nobles

Murray

Grant

Sibley

Brown

Rock

Redwood

Douglas

Kandiyohi

Jackson

Meeker

Goodhue

Winona

Isanti

Faribault

Dakota

Freeborn

Olmsted

Lincoln

Blue Earth

Scott

Stevens

Anoka

Houston

Steele

Traverse

Dodge

Nicollet

McLeod

HennepinChippewa

Wabasha

Benton

Carver

Pennington

Big Stone

Cottonwood

Yellow Medicine

Red Lake

Sherburne

Lake of the Woods

Clearwater

Mille Lacs

Wadena

Kanabec

Lac qui Parle

Waseca

Chisago

Le Sueur

Mahnomen

PipestoneWatonwan

WashingtonRamsey

Legend

Total Maltreatment Determinations0 - 42

43 - 101

102 - 356

357 - 987

988 - 2577

St. Louis

Cook

LakeItasca

Cass

Polk

Beltrami

Aitkin

Pine

Koochiching

Otter Tail

Clay

Roseau

Marshall

Becker

Todd

Stearns

Kittson

Swift

Lyon

Pope

Morrison

Wilkin

Renville

Carlton

Martin

Hubbard

Rice

Wright

Norman

FillmoreMower

Crow Wing

Nobles

Murray

Grant

Sibley

Brown

Rock

Redwood

Douglas

Kandiyohi

Jackson

Meeker

Goodhue

Winona

Isanti

Faribault

Dakota

Freeborn

Olmsted

Lincoln

Blue Earth

Scott

Stevens

Anoka

Houston

Steele

Traverse

Dodge

Nicollet

McLeod

HennepinChippewa

Wabasha

Benton

Carver

Pennington

Big Stone

Cottonwood

Yellow Medicine

Red Lake

Sherburne

Lake of the Woods

Clearwater

Mille Lacs

Wadena

Kanabec

Lac qui Parle

Waseca

Chisago

Le Sueur

Mahnomen

PipestoneWatonwan

WashingtonRamsey

Legend

Total Neglect Determinations0 - 25

26 - 77

78 - 141

142 - 756

757 - 2125

St. Louis

Cook

LakeItasca

Cass

Polk

Beltrami

Aitkin

Pine

Koochiching

Otter Tail

Clay

Roseau

Marshall

Becker

Todd

Stearns

Kittson

Swift

Lyon

Pope

Morrison

Wilkin

Renville

Carlton

Martin

Hubbard

Rice

Wright

Norman

FillmoreMower

Crow Wing

Nobles

Murray

Grant

Sibley

Brown

Rock

Redwood

Douglas

Kandiyohi

Jackson

Meeker

Goodhue

Winona

Isanti

Faribault

Dakota

Freeborn

Olmsted

Lincoln

Blue Earth

Scott

Stevens

Anoka

Houston

Steele

Traverse

Dodge

Nicollet

McLeod

HennepinChippewa

Wabasha

Benton

Carver

Pennington

Big Stone

Cottonwood

Yellow Medicine

Red Lake

Sherburne

Lake of the Woods

Clearwater

Mille Lacs

Wadena

Kanabec

Lac qui Parle

Waseca

Chisago

Le Sueur

Mahnomen

PipestoneWatonwan

WashingtonRamsey

Legend

Sexual Abuse Determinations0 - 4

5 - 13

14 - 25

26 - 93

94 - 261

All Forms Neglect

Physical Abuse

Sexual Abuse

St. Louis

Cook

LakeItasca

Cass

Polk

Beltrami

Aitkin

Pine

Koochiching

Otter Tail

Clay

Roseau

Marshall

Becker

Todd

Stearns

Kittson

Swift

Lyon

Pope

Morrison

Wilkin

Renville

Carlton

Martin

Hubbard

Rice

Wright

Norman

FillmoreMower

Crow Wing

Nobles

Murray

Grant

Sibley

Brown

Rock

Redwood

Douglas

Kandiyohi

Jackson

Meeker

Goodhue

Winona

Isanti

Faribault

Dakota

Freeborn

Olmsted

Lincoln

Blue Earth

Scott

Stevens

Anoka

Houston

Steele

Traverse

Dodge

Nicollet

McLeod

HennepinChippewa

Wabasha

Benton

Carver

Pennington

Big Stone

Cottonwood

Yellow Medicine

Red Lake

Sherburne

Lake of the Woods

Clearwater

Mille Lacs

Wadena

Kanabec

Lac qui Parle

Waseca

Chisago

Le Sueur

Mahnomen

PipestoneWatonwan

WashingtonRamsey

Legend

Total Physical Abuse Determinations0 - 5

6 - 16

17 - 33

34 - 181

182 - 376

2727

Thank Thank You!You!

Minnesota’s Children’s Trust FundMinnesota’s Children’s Trust Fund