Children and Family Services Reviews (CFSR)

The federally mandated Child and Family Services Reviews (CFSRs) are conducted by the Children’s Bureau, within the U.S. Department of Health and Human Services (HHS), to help States improve safety, permanency, and well-being outcomes for children and families who receive services through the child welfare system. The CFSRs assess all areas of child welfare services, including foster care, child protection, family preservation, adoption, and youth development. Because substance use disorders are identified so often as a major factor in child welfare cases, opportunities for substance abuse treatment professionals to participate in the CFSRs are a crucial part of the process.

The CFSRs evaluate the effectiveness of the entire child welfare delivery system, including other systems such as mental health agencies, the court system, and substance abuse treatment providers to ensure positive outcomes for children and their families. The CFSRs ask whether the State child welfare agency made concerted efforts to provide or arrange for appropriate services, such as those needed to ensure the child’s safety and enhance the parents’ ability to provide care and supervision.

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