FY 2020 Annual Performance Plan and Report - Goal 3 Objective 2

Fiscal Year 2020
Released March, 2019

Goal 3. Objective 2: Safeguard the public against preventable injuries and violence or their results

Injuries and violence affect all Americans regardless of an individual’s age, race, or economic status.  Preventable injuries and violence—such as falls, homicide stemming from domestic violence, and gang violence—kill more Americans ages 1 to 44 than any other cause, including cancer, HIV, or the flu.34 Hospitalizations, emergency room visits, and lost productivity caused by injuries and violence cost Americans billions of dollars annually.

Individual trauma results from an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or threatening and that has lasting adverse effects on the individual’s functioning and mental, physical, social, emotional, or spiritual well-being.  The Department supports multiple trauma-informed care initiatives to integrate a trauma-informed approach into health, behavioral health, and related systems to reduce the harmful effects of trauma and violence on individuals, families, and communities.

The Office of the Secretary leads this objective.  The following divisions are responsible for implementing programs under this strategic objective: ACF, ACL, CDC, IHS, OASH, and SAMHSA. 

Objective 3.2 Table of Related Performance Measures

Maintain the percentage of domestic violence program clients who have a safety plan (Lead Agency - ACF; Measure ID - 14D)

  FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 FY 2018 FY 2019 FY 2020
Target 89.7% 90% 90% 90% 90% 90% 90% 90%
Result 92.3% 93% 91.9% 89.6% 92.8% 5/31/19 5/31/20 5/31/21
Status Target Exceeded Target Exceeded Target Exceeded Target Not Met Target Exceeded Pending Pending Pending

Family Violence Prevention and Services Act grantee data for fiscal years 2012 through 2015 show that more than 90 percent of domestic violence program clients reported improved knowledge of safety planning as a result of grantee efforts.  Since many program participants receive short-term crisis assistance and would not be expected to report significant change, the program’s consistently achieving a higher than 90 percent benchmark is unrealistic.  In FY 2020, ACF will continue to implement its improved data quality checks to ensure data accuracy as well as work with the grantees to identify ways to promote domestic violence safety. 

Decrease the percentage of children with substantiated or indicated reports of maltreatment that have a repeated substantiated or indicated report of maltreatment within six months (Lead Agency - ACF; Measure ID - 7B)35

  FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 FY 2018 FY 2019 FY 2020
Target 6.3% 6.1% 6.3% 6.2% 5.2% 6.74% Prior Result - 0.2PP Prior Result - 0.2PP
Result 6.3% 6.5% 6.4% 6.5% 6.9% 10/31/19 10/31/20 10/31/21
Status Target Met Target Not Met Target Not Met but Improved Target Not Met Target Not Met Pending Pending Pending

In FY 2017, the rate of repeat child maltreatment increased  from 6.5 percent to 6.9 percent.  In FY 2019 and 2020, ACF will continue to identify and implement ways to support states in their efforts to care for children and families in crisis, which also ensures the safety of children.  The renewed emphasis on prevention efforts may also assist performance in this area.   

Increase Intimate Partner (Domestic) Violence screening among American Indian and Alaska Native (AI/AN) females (Lead Agency – IHS; Measure ID – 81)


FY 2013

FY 2014

FY 2015

FY 2016

FY 2017

FY 2018

FY 2019

FY 2020

Target N/A N/A N/A N/A N/A 41.6% 41.6% TBD
Result N/A N/A N/A N/A N/A 38.1% 1/31/20 1/31/21
Status N/A N/A N/A N/A N/A Target Not Met Pending Pending

Domestic and intimate partner violence has a disproportionately large impact on AI/AN communities.  AI/AN women experience intimate partner violence at higher rates than any other single race or ethnicity in the United States.  The Intimate Partner (Domestic) Violence screening measure is designed to support improved processes for identification, referral, and treatment for victims of domestic assault.  In FY 2018, IHS began reporting the Intimate Partner (Domestic) Violence screening measure using the IHS Integrated Data Collection System Data Mart (IDCS DM).  In FY 2019 and 2020, IHS will continue to support improvements in screening for female victims of domestic violence among the AI/AN community.

35 The program updated the FY 2016 actual result for this performance measure based on a technical correction to calculate the data based on the national population, which is consistent with previous results.  The program updated the FY 2017 target as a result of this change.


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