James Buchanan Duke

2. James Buchanan Duke

3. CHILD CARE HIGHER EDUCATION RURAL CHURCH HEALTH CARE FOUR AREAS OF FOCUS

4. What is Driving Us? What difference is funding from The Duke Endowment making?

5. FUNDING CONTINUUM Public Sector & Individual Donors Investment In Change Charity The Duke Endowment

6. THREE STRATEGIES Strengthening Organizations Replicating Success Advancing Innovation

7. Goal: Improving Child Well-Being • Reach Developmental Milestones • Prepare for Adulthood: • Educated • Employable • Connected (civically, spiritually & to family) • Access to stable housing & healthcare • Avoid unwanted pregnancy, substance abuse and criminal activity

8. Child Welfare System Prevention & Early Intervention Out-of-home care Family Foster Care Therapeutic Foster Care Group Care Residential Treatment Care Intensity

9. Child Welfare System Prevention & Early Intervention Out-of-home care Family Foster Care Therapeutic Foster Care Group Care Residential Treatment Care Intensity

10. Theory of Change for Out-of-Home Care Fewer and only high quality providers Providers offer: a broad service array, evidence-based practices & well-articulated models of care Better assessment of children entering out-of-home care + + + After care, continuation services Documented Child Well-Being Outcomes: Educated Employable Connected (Civically, Spiritually & to Family) Access to Stable Housing & Health Care Avoid Unwanted Pregnancy, Substance Abuse & Criminal Activity

11. Theory of Change for Out-of-Home Care Fewer and only high quality providers Providers offer: a broad service array, evidence-based practices & well-articulated models of care Better assessment of children entering out-of-home care + + + After care, continuation services • Matching child’s needs with provider’s strengths • Avoid the “Failure Model”

12. Child Welfare System Prevention & Early Intervention Family Foster Care Therapeutic Foster Care Group Care Residential Treatment Care Intensity

13. Theory of Change for Out-of-Home Care Fewer and only high quality providers Providers offer: a broad service array, evidence-based practices & well-articulated models of care + + + After care, continuation services Better assessment of children entering out-of-home care • Matching child’s needs with provider’s strengths • Avoid the “Failure Model”

14. Theory of Change for Out-of-Home Care Fewer and only high quality providers Providers offer: a broad service array, evidence-based practices & well-articulated models of care Better assessment of children entering out-of-home care + + + After care, continuation services • Providers enjoy economies of scale, enabling sufficient resources to provide high quality services. • Fewer providers creates a more effective partnership with the State.

15. Theory of Change for Out-of-Home Care Providers offer: a broad service array, evidence-based practices & well-articulated models of care Better assessment of children entering out-of-home care + + + Fewer and only high quality providers After care, continuation services • More appropriate services to meet the child’s needs. • Proven and promising interventions allow greater documentation of impact.

16. Theory of Change for Out-of-Home Care Providers offer: a broad service array, evidence-based practices & well-articulated models of care Better assessment of children entering out-of-home care + + + Fewer and only high quality providers After care, continuation services • Helps assure that children are appropriately reintegrated into families. • Extends outcomes horizon.

17. Theory of Change for Out-of-Home Care Fewer and only high quality providers Providers offer: a broad service array, evidence-based practices & well-articulated models of care Better assessment of children entering out-of-home care + + + After care, continuation services Documented Child Well-Being Outcomes: Educated Employable Connected (Civically, Spiritually & to Family) Access to Stable Housing & Health Care Avoid Unwanted Pregnancy, Substance Abuse & Criminal Activity

18. James Buchanan Duke

19. Economic Impact of Reducing Group Care Cost Savings Child Welfare General Purposes 50% 50%