According to a 2012 Medicaid report, nearly 90 percent of children entering child welfare have physical health problems, and more than half have two or more chronic conditions.

Nationally, there were approximately 402,000 children in foster care as of the last day of 2013. The rates of children in foster care in 2013 varied substantially across racial/ethnic groups. American Indian/Alaska Native children had the highest rate of children in care, with 13.9 per 1,000 children in that racial/ethnic group’s overall child population.  In San Diego County, California, despite the fact that African-American children make up only five percent of the child population (33,264 of 689,266 children), they make up 13 percent of the children referred to the County of San Diego’s Child Abuse Hotline, 13 percent of the substantiated abuse allegations, 16 percent of the entries into foster care, and 21 percent of the children who are in out-of-home care. Native American children make up 0.4 percent of the child population (3,100 of 689,266), but they make up one percent of the children referred to the County of San Diego’s Child Abuse Hotline, two percent of the substantiated abuse allegations, two percent of the entries into foster care, and two percent of the children who are in out-of-home care.

Strategic Partnerships

CHMI has partnered with The San Diego Foundation and the County of San Diego’s Health and Human Services Agency to improve the health and well-being of children and families across San Diego County.

The partnership will bring together local leaders and organizations to focus on children and families that receive assistance from local agencies in San Diego County, and has four objectives:

  • Elevate the topic of disparities and inequities within the space of child welfare and juvenile justice, and facilitate a broader conversation on the current state of these systems;

  • Convene key decision makers, change agents, and stakeholders from across San Diego County to build consensus around a common agenda, objectives, and best path forward;

  • Present the outcomes of these findings, sharing a distillation of perspectives, data, and information related to the state of the child welfare and juvenile justice systems, and the factors that influence them; and,

  • Launch a strategic plan based on findings to implement solutions that will improve the health and well-being of children and families across San Diego.