Viewing offline content

Limited functionality available

Dismiss
Deloitte UK
  • Services

    Highlights

    • CFO Advisory

      Bringing together the best of Deloitte to support CFOs. Whether developing skills or navigating business challenges, CFO Advisory can support.

    • Deloitte Ventures

      Connecting our clients to emerging start-ups, leading technology players and a whole raft of new Deloitte talent.

    • Towards net zero together

      Discover the people leading the change and what could be possible for your business.

    • Audit & Assurance

      • Audit
      • Audit - IASPlus
      • Assurance
    • Consulting

      • Core Business Operations
      • Customer and Marketing
      • Enterprise Technology & Performance
      • Human Capital
      • Strategy, Analytics and M&A
    • Financial Advisory

      • Mergers & Acquisitions
      • Performance Improvement
    • Legal

      • Legal Advisory
      • Legal Managed Services
      • Legal Management Consulting
    • Deloitte Private

      • Family Enterprises
      • Emerging Growth
      • Family Office
    • Risk Advisory

      • Accounting and Internal Controls
      • Cyber and Strategic Risk
      • Regulatory and Legal
    • Tax

      • Global Business Tax Services
      • Indirect Tax
      • Global Employer Services
  • Industries

    Highlights

    • Ecosystems & Alliances

      An engine to embrace and harness disruptive change

    • Resilience Reimagined

      Resilient organisations thrive before, during and after adversity. How will you become more resilient?

    • Consumer

      • Automotive
      • Consumer Products
      • Retail, Wholesale & Distribution
      • Transportation, Hospitality & Services
    • Energy, Resources & Industrials

      • Industrial Products & Construction
      • Mining & Metals
      • Energy & Chemicals
      • Power, Utilities & Renewables
      • Future of Energy
    • Financial Services

      • Banking
      • Capital Markets
      • Insurance
      • Investment Management
      • Real Estate
      • FinTech & Alternative Finance
    • Government & Public Services

      • Health & Human Services
      • Defence, Security & Justice
      • Central Government
      • Infrastructure, Transport and Regional Government
    • Life Sciences & Health Care

      • Health Care
      • Life Sciences
    • Technology, Media & Telecommunications

      • Telecommunications, Media & Entertainment
      • Technology
  • Insights

    Deloitte Insights

    Highlights

    • Deloitte Insights Magazine

      Explore the latest issue now

    • Deloitte Insights app

      Go straight to smart with daily updates on your mobile device

    • Weekly economic update

      See what's happening this week and the impact on your business

    • Strategy

      • Business Strategy & Growth
      • Digital Transformation
      • Governance & Board
      • Innovation
      • Marketing & Sales
      • Private Enterprise
    • Economy & Society

      • Economy
      • Environmental, Social, & Governance
      • Health Equity
      • Trust
      • Mobility
    • Organization

      • Operations
      • Finance & Tax
      • Risk & Regulation
      • Supply Chain
      • Smart Manufacturing
    • People

      • Leadership
      • Talent & Work
      • Diversity, Equity, & Inclusion
    • Technology

      • Data & Analytics
      • Emerging Technologies
      • Technology Management
    • Industries

      • Consumer
      • Energy, Resources, & Industrials
      • Financial Services
      • Government & Public Services
      • Life Sciences & Health Care
      • Technology, Media, & Telecommunications
    • Spotlight

      • Deloitte Insights Magazine
      • Press Room Podcasts
      • Weekly Economic Update
      • COVID-19
      • Resilience
      • Top 10 reading guide
  • Careers

    Highlights

    • Hear from our people

      At Deloitte, our people are at the heart of what we do. Discover their stories to find out more about Life at Deloitte.

    • Careers Home

  • UK-EN Location: United Kingdom-English  
  • UK-EN Location: United Kingdom-English  
    • Dashboard
    • Saved Items
    • Content feed
    • Profile/Interests
    • Account settings

Welcome back

Still not a member? Join My Deloitte

Child support’s integration imperative

by Tiffany Fishman, Margot Bean, Jamia McDonald, Ashley Dexter
  • Save for later
  • Download
  • Share
    • Share on Facebook
    • Share on Twitter
    • Share on Linkedin
    • Share by email
Deloitte Insights
  • Strategy
    Strategy
    Strategy
    • Business Strategy & Growth
    • Digital Transformation
    • Governance & Board
    • Innovation
    • Marketing & Sales
    • Private Enterprise
  • Economy & Society
    Economy & Society
    Economy & Society
    • Economy
    • Environmental, Social, & Governance
    • Health Equity
    • Trust
    • Mobility
  • Organization
    Organization
    Organization
    • Operations
    • Finance & Tax
    • Risk & Regulation
    • Supply Chain
    • Smart Manufacturing
  • People
    People
    People
    • Leadership
    • Talent & Work
    • Diversity, Equity, & Inclusion
  • Technology
    Technology
    Technology
    • Data & Analytics
    • Emerging Technologies
    • Technology Management
  • Industries
    Industries
    Industries
    • Consumer
    • Energy, Resources, & Industrials
    • Financial Services
    • Government & Public Services
    • Life Sciences & Health Care
    • Tech, Media, & Telecom
  • Spotlight
    Spotlight
    Spotlight
    • Deloitte Insights Magazine
    • Press Room Podcasts
    • Weekly Economic Update
    • COVID-19
    • Resilience
    • Top 10 reading guide
    • UK-EN Location: United Kingdom-English  
      • Dashboard
      • Saved Items
      • Content feed
      • Profile/Interests
      • Account settings
    8 minute read 16 September 2020

    Child support’s integration imperative Improving outcomes for families

    8 minute read 17 September 2020
    • Tiffany Fishman United States
    • Margot Bean United States
    • Jamia McDonald United States
    • Ashley Dexter United States
    • Ashley Dexter United States
    • Save for later
    • Download
    • Share
      • Share on Facebook
      • Share on Twitter
      • Share on Linkedin
      • Share by email
    • Elevating the human experience
    • Experimenting with more holistic approaches
    • Using big hairy audacious goals to help bring stakeholders to the table
    • The path forward

    ​With caseloads on the decline, child support programs are reevaluating how they deliver services, and what services to deliver.

    If you look at the macroeconomic data, the US economy seems to be in great shape. Unemployment stands at a 50-year low, with more Americans employed than ever before.1

    Learn more

    Explore the HHS Innovator's Playbook

    Explore the Government & public services collection

    Learn about Deloitte's services

    Go straight to smart. Get the Deloitte Insights app

    But ask job seekers about the economy, and many will paint a different picture: Prolonged job searches. Low pay. Juggling multiple jobs to pay the bills. Unpredictable hours that make it hard to arrange for child care.

    In short, the economic data tells one story, while the lived experience of many Americans tells another. What explains this discrepancy?

    “The problem is that the quality of the stock of jobs on offer has been deteriorating for the last 30 years,” explains Dan Alpert, a Cornell Law School professor who helped create the US Private Sector Job Quality Index (JQI), a monthly indicator that measures the quality of the jobs on offer by calculating the ratio of higher-wage/higher-hour jobs to lower-wage/lower-hour jobs.2 As of January 2020, the JQI was 82.68, which means there are roughly 82 “high-quality” jobs for every 100 “low-quality” ones. That’s a marked decline from the prerecession ratio of 90.3

    If you examine the Temporary Assistance for Needy Families (TANF) program, you’ll see a similar split between the data and actual experience. TANF has fewer caseloads today than in any year since the program was created. Between 2006 and 2017, most states saw their TANF caseloads decline by more than 20 percent.4

    “Across the country, we’ve seen TANF caseloads drop to their lowest levels ever,” observes David Stillman, assistant secretary of the Economic Services Administration (ESA) in Washington State's Department of Social and Health Services (DSHS) and former Division of Child Support director for the state. “Some of that, of course, has to do with a good economy.”5

    But that isn’t the whole story. Many individuals who no longer qualify for TANF still cannot afford basic necessities. According to Stillman, “People have to be truly impoverished to be eligible for TANF, but that doesn’t mean that someone who’s receiving Supplemental Nutrition Assistance Program (SNAP) benefits isn’t struggling.”6

    As TANF caseloads have declined, so too have child support caseloads. That’s because the child support program has traditionally received most of its referrals from TANF and Medicaid. Since participation in the child support program is higher among low-income families, the decline in numbers of automatic referrals from the TANF caseload has an acute impact on families struggling to make ends meet.7

    The assumption that all noncustodial parents (NCPs) will find jobs that pay well enough to support both themselves and their children makes far less sense today than when the child support program was created in 1975, particularly in light of the long-term decline in the quality of jobs being created.8 When parents have insufficient income, no number of reminders or threats of legal action, including jail, can make them come up with regular payments or dig their way out of arrears.

    All of these factors have led an increasing number of child support programs to reevaluate how they deliver services, and what services to deliver, with a focus on:

    • Elevating the human experience
    • Experimenting with more holistic approaches
    • Using “big hairy audacious goals” to help bring stakeholders to the table9

    Here we examine a number of promising approaches states are pursuing.

    Elevating the human experience

    What is it like to interact with multiple public assistance programs? A client visits one program, answers a series of lengthy and often intrusive questions, proceeds to another program and answers similar questions, then goes on to a third and repeats the process. Not only can this wear clients out, but it can also serve to retraumatize them each time they have to reveal the circumstances that led them to seek assistance.

    Sometimes this siloed program delivery causes direct conflict. Child support might schedule a court hearing for a client at the same time TANF schedules a work program course. Or child welfare might work toward reunification with the family while child support tries to establish a court order.

    “To the extent that we build systems and service delivery pathways in ways that are segregated, we’re really missing the opportunity to help the whole family and to put the child first,” observes Stillman.10

    During the Great Recession, many states moved to transaction-based systems for processing caseloads. This helped them meet huge spikes in demand for public assistance even as state budget cuts forced them to cut staff. While highly efficient and effective, transaction-based systems have inadvertently undermined the human relationship, distancing caseworkers from clients.

    Some child support programs today are working to make interactions with agencies less exhausting and frustrating for clients, and to help agencies connect with clients on a more human level.

    Take Washington State’s Transforming Case Management initiative. “Part of transforming case management is rooted in the idea that we want to listen to our clients and our staff about how we should go about doing our work,” explains Stillman. DSHS is implementing “deskside orientations” to perform intake in a warmer and more client-centered way. It is also beginning to stop handing clients paper referrals to community partners. Instead it seeks to make “warm handoffs,” connecting clients to services they need, exactly when they need them. To achieve this, the DSHS Community Services Division is implementing an approach that tailors the information-gathering approach to the needs of individual clients. It’s also working with community partners to make sure they are ready, willing, and able to receive the warm handoffs.11

    In North Carolina, Mecklenburg County uses strategically located community resource centers to provide integrated health and human services to residents. The centers bring SNAP, Medicaid, TANF, emergency assistance, child support, veterans services, Women, Infants, and Children (WIC) services, immunizations, care coordination for children, and pregnancy care management under one roof. A client who arrives at one of these facilities gets a personal greeting and checks in electronically, with no need to wait in line. The centers also offer child care services. Cross-service coordination, expedited processes for simple transactions, and access to partner agencies all help get clients in and out quickly, while seeing everyone they need to see in one warm and inviting stop. From the strategic location to the welcoming design of the centers, the goal, explains Rodney Adams, director of the Department of Community Resources in Mecklenburg County, “is to become part of the community.”12

    Experimenting with more holistic approaches

    To help achieve the deeper goals of keeping children out of poverty and strengthening families, many child support programs are setting their sights beyond collection, adding job and life skills training programs.

    For instance, Colorado’s Department of Human Services’ Division of Child Support Services (CSS) has partnered with counties across the state to transform its child support program from traditional enforcement to a family-centered, multigenerational approach called “2Gen.” The goal is to grow family incomes by giving custodial parents and NCPs the employment services and tools they need to improve the long-term well-being of their children.

    This is important, explains CSS Director Larry Desbien, because 30,000 families with child support orders receive no financial support each month. That’s despite an unemployment rate of 2.5 percent, well below the national average. The 2Gen family resource assessment found that 86 percent of NCPs in those families had criminal records, 68 percent faced transportation barriers, and 36 percent had other barriers to work, all reducing the NCP’s ability to pay child support.13

    While it’s still early days, the initial results from one of the 11 counties that has fully implemented the 2Gen model show better child support payment rates and employment rates. NCPs who participated in 2Gen paid a higher average percentage of their child support obligations and did so more frequently than those in the control group. They were also more likely to be employed at the end of the study.14

    Additionally, child support agencies in Michigan, New York, Ohio, and Washington are participating in the Families Forward Demonstration project, which offers targeted skill-building activities to help low-income NCPs and custodial parents qualify for better-paying, high-demand jobs in their local labor market. The ultimate goal of the project is to identify successful employment approaches that can be integrated into child support programs across the country to improve the financial welfare of NCPs, increasing their ability to support their children.15

    Using big hairy audacious goals to help bring stakeholders to the table

    Big hairy audacious goals (BHAGs for short) are a powerful mechanism for stimulating progress toward an ambitious target—think NASA’s original moon mission.

    In the human services world, Washington State’s ESA has set its own BHAG: to reduce the number of residents living in poverty by 50 percent by 2025 in a way that eliminates disparity.16

    ESA committed to this goal because leaders knew that incremental improvements weren’t enough, Stillman says. “If you’re going to achieve a goal as big as that, it can’t just be TANF or SNAP or child support that will make that happen.”17 All possible stakeholders must come to the table: community and technical colleges, child welfare, K-12 education, the department of health, the department of corrections, the attorney general’s office, state legislators, and others. Most importantly, participants must make space at the table for people who actually live in poverty, not just as token voices but as authorities on the experience to help drive the conversation and decision-making.

    “It was more about forcing us to create a forum that would demand of us more than just a token effort at collective impact,” Stillman says. “And that has been an extraordinary success.” Five years out from 2025, the state is on track to reach its interim goal of reducing poverty by 20 percent in 2020. While Stillman attributes much of that improvement to the state’s economic health, the initiative’s diverse set of stakeholders has already devised a comprehensive set of recommendations about how to holistically achieve ESA’s BHAG.18

    The path forward

    As more states consider how to integrate child support with other public assistance programs, they should factor in a number of variables. Two variables are particularly important: the intersection of child support with other programs, and the complexity of the data-sharing environment.

    The child support program intersects with many other human services programs, potentially creating both positive and negative impacts. For example, research shows that receipt of child support reduces the risk of child abuse and neglect. Mothers who receive child support are less likely to have a “screen-in maltreatment report” than mothers who don’t.19 On the other hand, newly established child support orders are associated with children spending a longer time in foster care.20 States need to unpack and understand such nuances as they develop their integration approaches.

    Data sharing can be complicated for child support agencies when different programs are governed by different legislation. As Stillman explains, “While there are ways to share data, whether it’s by consent or other means, including leveraging and maximizing the ways systems talk to one another, the truth of the matter is that the authorizing legislation for each and every one of our programs is completely different.”21 Whether it’s the Social Security Act, the Health Insurance Portability and Accountability Act, the Family Educational Rights and Privacy Act, or other legislation, each law uses different language about how to safeguard data and keep it confidential, making the rules extremely difficult to harmonize. Until federal legislation specifies what data must be shared and how it must be protected, states will have to devote administrative resources trying to chart a path forward to enable data sharing among different programs.

    Throughout its history, the child support program has adapted successfully to changing circumstances. To sustain this success, the program must continue to evolve. The welfare of millions of children depends on the ability of child support agencies to deliver the best possible service.

    Acknowledgments

    Cover image by: Alex Nabaum

    Endnotes
      1. Council of Economic Advisors, “U.S. unemployment rate falls to 50-year low,” The White House, October 4, 2019. View in article

      2. Gwynn Guilford, “The great American labor paradox: Plentiful jobs, most of them bad,” Quartz, November 21, 2019. View in article

      3. The U.S. Private Sector Job Quality Index (JQI) website, accessed February 20, 2020. View in article

      4. Ife Floyd, “Policy brief: Cash assistance should reach millions more families,” Center on Budget on Policy Priorities, November 28, 2018. View in article

      5. David Stillman (assistant secretary of the Economic Services Administration in Washington State's Department of Social and Health Services), interview, February 13, 2020. View in article

      6. Ibid. View in article

      7. Elaine Sorensen, “2016 characteristics of families served by the IV-D program,” Office of Child Support Enforcement, US Department of Health and Human Services, December 4, 2018. View in article

      8. Guilford, “The great American labor paradox.” View in article

      9. The term “big hairy audacious goal” was originally coined in the book Built to Last: Successful Habits of Visionary Companies by Jim Collins and Jerry Porras. View in article

      10. Stillman interview. View in article

      11. Ibid. View in article

      12. Rodney Adams, “Integrating Health and Human Services in Mecklenburg County, NC,” 2020 NCSEA Policy Forum, February 6, 2020. View in article

      13. Larry Desbien, “Integrated Service Model in Colorado’s Child Support Services Program,” 2020 NCSEA Policy Forum, February 6, 2020. View in article

      14. Elysia V. Clemens, Alison P. Sheesley, and Lanae Davis, Transforming Colorado’s Child Support Services to a two-generation approach, Colorado Evaluation and Action Lab in conjunction with the Center for Policy Research, May 1, 2019. View in article

      15. MDRC, “Families Forward Demonstration: Project overview,” accessed February 20, 2020. View in article

      16. Economic Services Administration, Strategic plan 2019-2021, Washington State Department of Health & Social Services, January 2019. View in article

      17. Stillman interview. View in article

      18. Ibid. View in article

      19. Maria Cancian, Mi-Youn Yang, and Kristen Shook Slack, “The effect of additional child support income on the risk of child maltreatment,” Social Service Review 87, no. 3 (2013): 417–37. View in article

      20. Maria Cancian et al., “Making parents pay: The unintended consequences of charging parents for foster care,” Children and Youth Services Review 72 (2017): 100–110. View in article

      21. Stillman interview. View in article

    Show moreShow less

    Topics in this article

    Public Sector , Government , Customer Service

    Health and Human Services practice

    ​For more than 45 years, Deloitte state health and human services professionals have worked side by side with state agencies. Our mission is to help you achieve your mission—protecting and improving the health, safety, and well-being of our fellow citizens. We are focused on helping you improve the efficiency, effectiveness, and accountability of state services and benefits. Our breadth of offerings includes: eligibility and service integration, state health care, child welfare, childcare and early learning, and many others.

    Learn more
    Get in touch
    Contact
    • Kenneth J Smith
    • Human Services Transformation leader Principal
    • Deloitte Consulting LLP
    • kensmith@deloitte.com
    • +1 404 202 1026

    Download Subscribe

    Related content

    img Trending

    Next gen child support

    Article 6 years ago
    img Trending

    Elevating the human experience

    Article 3 years ago
    img Trending

    Future of government

    Collection 2 years ago
    img Trending

    Beyond case management

    Article 3 years ago

    Explore the HHS Innovator's Playbook

    • Transformational health and human services Article3 years ago
    • AI-augmented human services Article3 years ago
    • Unlocking “household DNA” to deliver a personalized customer experience in health and human services Article3 years ago
    • Charting new pathways Article3 years ago
    • The case for a youth portal Article3 years ago
    • Mindful Medicaid Article6 years ago
    Tiffany Fishman

    Tiffany Fishman

    Senior Manager | Deloitte Center for Government Insights

    Tiffany Fishman is a senior manager with the Deloitte Center for Government Insights. Her research and client work focuses on how emerging issues in technology, business, and society will impact organizations. She has written extensively on a wide range of public policy and management issues, from health and human services reform to the future of transportation and the transformation of higher education. Her work has appeared in a number of publications, including Public CIO, Governing, and EducationWeek.

    • tfishman@deloitte.com
    • +1 571 882 6247
    Margot Bean

    Margot Bean

    Managing Director | Child Support Enforcement

    Margot is a managing director in Deloitte Consulting LLP’s Public Sector practice. In this role, she leads Deloitte’s Child Support eminence activities and uses her child support program experience at the state and federal levels to advise our clients. Prior to joining Deloitte, Margot was the former commissioner of the Office of Child Support Enforcement in the Administration for Children and Families at the US Department of Health and Human Services.

    • mbean@deloitte.com
    • +1 617 437 2083
    Jamia McDonald

    Jamia McDonald

    Jamia McDonald J.D. is a senior manager with Deloitte Consulting LLP’s Government and Public Services practice with a focus on strategy and operations and is a former state child welfare director. 

    • jammcdonald@deloitte.com
    Ashley Dexter

    Ashley Dexter

    Ashley Dexter is a specialist senior with Deloitte Consulting LLP’s Government & Public Services practice. Dexter spent almost 17 years with the Kansas Child Support Program, beginning as a caseworker and most recently serving as the deputy IVD director. She is a member of the board of directors of NCSEA and currently serves as the co-chair for the 2020 NCSEA Leadership Symposium Planning Committee.

    • adexter@deloitte.com

    Share article highlights

    See something interesting? Simply select text and choose how to share it:

    Email a customized link that shows your highlighted text.
    Copy a customized link that shows your highlighted text.
    Copy your highlighted text.

    Child support’s integration imperative has been saved

    Child support’s integration imperative has been removed

    An Article Titled Child support’s integration imperative already exists in Saved items

    Invalid special characters found 
    Forgot password

    To stay logged in, change your functional cookie settings.

    OR

    Social login not available on Microsoft Edge browser at this time.

    Connect Accounts

    Connect your social accounts

    This is the first time you have logged in with a social network.

    You have previously logged in with a different account. To link your accounts, please re-authenticate.

    Log in with an existing social network:

    To connect with your existing account, please enter your password:

    OR

    Log in with an existing site account:

    To connect with your existing account, please enter your password:

    Forgot password

    Subscribe

    to receive more business insights, analysis, and perspectives from Deloitte Insights
    ✓ Link copied to clipboard
    • Contact us
    • Careers at Deloitte
    • Submit RFP
    Follow Deloitte Insights:
    Global office directory Office locations
    UK-EN Location: United Kingdom-English  
    About Deloitte
    • Home
    • Press releases
    • Newsroom
    • Deloitte Insights
    • Global Office Directory
    • Office locator
    • Contact us
    • Submit RFP
    Services
    • Audit & Assurance
    • Consulting
    • Financial Advisory
    • Legal
    • Deloitte Private
    • Risk Advisory
    • Tax
    Industries
    • Consumer
    • Energy, Resources & Industrials
    • Financial Services
    • Government & Public Services
    • Life Sciences & Health Care
    • Technology, Media & Telecommunications
    Careers
    • Careers Home
    • About Deloitte
    • About Deloitte UK
    • Accessibility statement
    • Cookies
    • Health and Safety
    • Modern Slavery Act Statement
    • Privacy statement
    • Regulators & Provision of Services Regulations
    • Deloitte LLP Subprocessors
    • Supplier Standard Terms & Conditions
    • Terms of Use

    © 2023. See Terms of Use for more information.

     

    Deloitte LLP is the United Kingdom affiliate of Deloitte NSE LLP, a member firm of Deloitte Touche Tohmatsu Limited, a UK private company limited by guarantee (“DTTL”). DTTL and each of its member firms are legally separate and independent entities. DTTL and Deloitte NSE LLP do not provide services to clients. Please see About Deloitte to learn more about our global network of member firms.

     

    Deloitte LLP is a limited liability partnership registered in England and Wales with registered number OC303675 and its registered office at 1 New Street Square, London EC4A 3HQ, United Kingdom. A list of members of Deloitte LLP is available at Companies House.