FY 2019 Annual Performance Plan and Report - Goal 3 Objective 2

Fiscal Year 2019
Released April, 2018

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. 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

Increase the percentage of domestic violence program clients who have a safety plan (Lead Agency - ACF; Measure ID - 14D)
Measure FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 FY 2018 FY 2019
Target 89.7 % 90 % 90 % 90 % 90 % 90 % 90 % 90 %
Result 90.3 % 92.3 % 93 % 91.9 % 89.6 % May 31, 2018 May 31, 2019 May 29, 2020
Status Target Exceeded Target Exceeded Target Exceeded Target Exceeded Target Not Met Pending Pending Pending

Data collected from Family Violence Prevention and Services Act (FVPSA) grantees 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 work done by FVPSA grantees and subgrantees.  For FY 2016, the actual result fell slightly below the target of 90 percent; this will continue to be an area of focus for training.  Since many program participants receive short-term crisis assistance and would not be expected to report significant change, a higher number of clients responding that they increased their knowledge above the 90 percent benchmark is unrealistic. In FY 2018 and 2019, 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)
Measure FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 FY 2018 FY 2019
Target 6.5% 6.3% 6.1% 6.3% 6.2% 5.2% Prior Result -0.2PP Prior Result -0.2PP
Result 6.5%19 6.3% 6.5% 6.4% 5.4% Oct 31, 2018 Oct 31, 2019 Oct 30, 2020
Status Target Met Target Met Target Not Met Target Not Met but Improved Target Exceeded Pending Pending Pending

In FY 2010, states reported that 6.5 percent of children with a substantiated or indicated report were found to be victims of another substantiated or indicated report within six months. In FY 2011 there was a slight increase in the rate from 6.5 percent to 6.7. The percentage then declined to 6.5 percent in FY 2012 and to 6.3 percent in FY 2013, meeting targets for those years. In FY 2014, the percentage of victims experiencing repeat maltreatment again rose to 6.5 percent which did not meet the target of 6.1 percent.  In FY 2015 there was a decrease in the percent of children who experienced repeat maltreatment to 6.4 percent, falling just short of the target of 6.3 percent.  In FY 2016, there was improved performance on this measure with 5.4 percent of children experiencing repeat maltreatment in FY 2016. In FY 2018 and 2019, ACF will continue to identify and implement ways to support states in their efforts to care for children and families in crisis, while ensuring the safety of children.

Increase Intimate Partner (Domestic) Violence screening among American Indian and Alaska Native (AI/AN) females (Lead Agency – IHS; Measure ID – 81)
Measure FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 FY 2018 FY 2019
Target N/A N/A N/A N/A N/A N/A 41.6% 41.6%
Result N/A N/A N/A N/A N/A N/A Jan 31, 2019 Jan 31, 2020
Status N/A N/A N/A N/A N/A N/A Pending Pending

Domestic and intimate partner violence has a disproportionately large impact on AI/AN communities with AI/AN women experiencing intimate partner violence at higher rates than any other single race or ethnicity in the U.S.  The Intimate Partner (Domestic) Violence (DV) screening measure is designed to support improved processes for identification, referral, and treatment for victims of domestic assault.  It is critical that these individuals are referred for services aimed at reducing the prevalence and impact of domestic violence.  In FY 2018, IHS will begin reporting the Intimate Partner (Domestic) Violence screening measure using the IHS Integrated Data Collection System Data Mart (IDCS DM).  Since FY 2018 is the first IDCS DM report year, data trends and analysis for this measure are unavailable.

19 The FY 2012 actual result was updated as a result of updated state data submissions. As such, the FY 2013 target was also recalculated accordingly.


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