Advocacy Articles


A Systematic Review of the Literature on the Effectiveness of Court Appointed Special Advocates

Davin Youngclarke, MA
Instructor of Family and Community Medicine
University of California, San Francisco-Fresno Medical Education Program

Introduction & How to use this document: The contents of this systematic review is abstracted from 11 articles which used data from over 1,400 children and 637 court personnel. Data bases were reviewed using the information below. This document is not intended to take the place of any one's careful search of the research literature regarding specific questions or associations. It is intended to serve as a quick reference for those who want a super summary of some relevant articles (mostly original research) on the effectiveness of CASA. It is important for you to pull the original article if you intend to go out on limb using the summaries that follow.

Databases searched:
PsychInfo (1887-present)
Medline (1966-present)
National Clearinghouse on Child Abuse and Neglect Information (1986-present)
Social Work Abstracts
Dissertation Abstracts (1997-2002)
Academic Index

Search Limits: None
Search type: Key word
Search Terms: CASA, Court Appointed Special Advocates, Effectiveness

The Bottom Line: Scientific studies have begun to empirically demonstrate the effectiveness of CASA in certain areas. A lot more work needs to be done by scientific types in the field of child welfare; but, we have data to back up our belief that CASA works! ______________________________________________________________________________

Title: "Children in Placement" (CIP): A model for citizen-judicial review

Authors: Sue Wert, MS, Edith Fein, MA, & Wendy Haller
Institution: Child and Family Services, Hartford, CT
Year: 1986
Source: Child Welfare League of America

General findings:
Number of cases varies by analysis. This very brief report discusses the impact of the CIP demonstration project in Hartford, CT. More intensive judicial review seemed to be associated with "more rapid movement through the system."

Studied three main variables:

  1. Disposition of petitions-Hartford (CIP group) was compared to the demographically similar control city of Bridgeport (non-CIP group). No significant difference in length of time between neglect petitions and disposition; however, termination of parental rights averaged 75 days in the intervention city compared to Bridgeport's 116 days. Children were freed up for adoption 6 weeks faster in the intervention city.
  2. Disposition of cases-Pre- and post-test analysis was also done. Median time to disposition was 12 weeks after the intervention was in full swing versus 22 weeks before.
  3. Monitor's use of time-Average monitor (volunteer) case load was 6 kids from 4 families. When the monitor was needed in court this activity accounted for the largest chunk of their time.

Interesting points:
This study was published about the same time as the New York Duquette & Ramsey study; but, it gets a lot less attention. It was a very brief report (3 pages). I think the NY study was methodologically more rigorous and written about in far greater detail.

Notes:
The Children in Placement Project seems to be designed to expidite the court process and looked and process variables only.
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Title: Using lay volunteers to represent children in child protection court proceedings.

Authors: Donald Duquette, JD & Sarah Ramsey, JD
Institution: Michigan Law School Child Advocacy Law Clinic
Year: 1986
Source: Child Abuse & Neglect

General findings: 91 cases followed.

This is the first demonstration study of the effectiveness of using carefully selected lay volunteers as advocates in juvenile court proceedings!

Trained lay volunteers, under lawyer supervision, perform at least as well as trained attorneys and trained law students in representing children in child abuse and neglect legal proceedings. The trained volunteers out performed the untrained attorneys.

No differences among the three trained groups. Trained groups outperformed untrained attorneys on the following: less likely to dismiss a case once court jurisdiction was exercised, less likely to make the child a ward of the court, more likely to investigate, resulting in more home placements, more likely to advocate (defined as number of recommendations made, services obtained, and people monitored) resulting in reduced court time and increased treatments and assessments.

Interesting points:
Untrained attorneys is the standard in this country and they are out performed by volunteers with a little training.

Notes:
This research won a NCASAA award: The 1985 Research in Advocacy Award. In 1990 DD wrote a book "A Handbook for Lawyers and CASA." The sample size was small (10 volunteer advocates with pretty impressive experience, e.g., homemaker with masters degree, ED of a social services agency, psych major, former juvenile court caseworker. ______________________________________________________________________________

Title: Who best represents the interests of the child in court?

Authors: John Poertner, DSW & Allan Press, PhD
Institution: School of Social Work, U of Kansas
Year: 1990
Source: Child Welfare League of America

General findings: 209 cases reviewed.

Process variables that showed no difference between CASA & SAM: continuances, placement changes, time child placed out-of-home, time from opening to disposition, number of voluntary dismissals after case opened, number of services to family.

Outcome variables that showed no difference: time to final disposition, reentry into judicial system, disposition to abuser.

Significant process variables for CASA: time child placed in their own home less, more services identified in court findings.

Significant outcome variables for CASA: more adoption (22% vs. 7%), more adoptions for nonwhites.

Interesting points:
CAPTA 1974 is Public Law 93-247, Public Law 100-294. National Council of Jewish Women sponsored the initial expansion of CASA.

Notes:
SAM is Staff Attorney Model

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Title: National evaluation of the impact of Guardian ad Litem in child abuse or neglect judicial proceedings

Authors: L. Condelli
Institution: US Department of Health and Human Services Administration for Children, Youth, and Families
Year: 1988
Source: Government report

General findings:
Staff attorneys and CASA performed best on total # of services ordered, average number of services ordered per hearing, number of court-ordered changes in case plans, time between all hearings, time between court reviews, maintenance of the initial goal of reunification.

CASA alone was better than others on time the child was placed in out-of-home care, average number of changes in case plans per case, average number of hearings where changes in case plans were made.

More likely to be placed with sibs and more likely to have adoption as the goal There were no measures on which lay CASA performed significantly less effectively than staff attorneys.

Interesting points: Nationwide study

Notes: 5 models studied: law school clinic, staff attorneys, paid private attorneys, paid attorney teamed with lay volunteer, unassisted lay volunteer. All information for this summary was gathered from Poertner & Press (1990). ______________________________________________________________________________

Title: Use of Court-Appointed advocates to assist in permanency planning for minority children.

Authors: Shareen Abramson, PhD
Institution: CSU Fresno School of Education and Human Development 278-0226
Year: 1991
Source: Child Welfare League of America

General findings: 122 children as subjects from 56 families.

Participants were children who came from non-English speaking homes, of nonwhite ethnicity, or not educated. Children with an advocate were less likely to be placed in long-term foster care and were more likely to be adopted.

Interesting points: This one of the only true Randomized Controlled Trials on advocacy! The Fresno Amicus Program was specifically organized to assist in obtaining permanency for minority families and was a member of National CASA Association

Notes: 28 amicus families compared to 28 controls-60 vs 62 children. The numbers are low in this study so the confidence intervals must be assumed to be very wide.

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Title: Is the Court Appointed Special Advocate program effective? A longitudinal analysis of time involvement and case outcomes.

Authors: Patrick Leung, PhD
Institution: U of Houston Graduate School of Social Work
Year: 1996
Source: Child Welfare League of America

General findings: 221 cases reviewed.

CASA group reduced length of time of out-of-home care, reduced number of placement changes, higher number of kids returned home.

CASA most effective when assigned between pretrial and disposition period.

Judges were surveyed and rated CASA high on clear, concise written reports, direct and useful verbal testimony, concrete and thorough case assessments, appropriate recommendations, provided "new" or "breakthrough" information to court.

Interesting points: This is the first longitudinal study of CASA (quasi-experimental though). Midwestern county where 1/3 of all cases have advocates

Notes:
Format of presentation of statistics is confusing

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Title: Case advocacy in child welfare

Authors: Pat Litzelfelner, PhD & Christopher Petr, PhD
Institution: U of Kansas shool of social welfare (She is at U of Kentucky now)
Year: 1997
Source: Social Work

General findings: Review article, no data collection.

Discusses the difference between social advocacy and case advocacy. Gives a sketchy history of child advocacy and child welfare.

Interesting points:
1873 Mary Ellen Wilson suffers abuse and neglect from her foster parents. Etta Angell Wheeler uses the New York Society for the Prevention of Cruelty to Animals to remove her.

  • 1899 first juvenile courts established in Chicago
  • 1912 creation of the US Children's Bureau
  • 1920's child labor laws
  • 1920-30 social work establishes itself as a profession rather than a volunteer activity
  • 1959 Mass and Engler document "foster care drift"
  • 1960's C. Henry Kempe coins "battered child syndrome"
  • 1960-70 foster care population peaks at around 500,000 in care (this probably prompted the CAPTA in 1974 and AACWA 1980
  • 1977 CASA born out of Seattle WA

Notes:
Clarke (1988) in unpublished manuscript showed that in 90% of 25 cases studied, the CASA worker remained the same and the child welfare worker changed

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Title: The effectiveness of Court Appointed Special Advocates to assist in Permanency Planning

Authors: Cynthia Calkins, MS & Murray Millar, PhD
Institution: U of Nevada, Las Vegas, College of Liberal Arts (MM)
Year: 1999
Source: Child and Adolescent Social Work Journal

General findings: 189 cases reviewed.

No significant differences were found between comparison groups on demographic variables, that's good. CASA kids had fewer average placements (3.29 vs. 4.55). Shorter time to permanency for CASA (31 months vs. 40 months). There was a trend for increased likelihood of permanency being reunification for the CASA group, although it was not statistically significant (29% vs. 20%); same for percent reaching permanency during the study period (65% vs. 53%). Always interpret trends with caution.

Interesting points:
Description of the expected CASA activities,

  1. Investigation of facts
  2. Advocate for child's best interests
  3. Ensure that services are fulfilled as ordered
  4. Monitor court orders

Comments on US Advisory Board on Child Abuse and Neglect (1994) CASA kids spent about 15 months in foster care compared to the average of 27 months

Smith (1992) negative findings: CASA kids had more placements and were in care longer before reaching permanency. Leung & Mastrini (1990): no difference in time of out-of-home care for CASA kids but fewer placements.

The authors emphasize the positive results found in the current study were associated with CASA involvement within the first three months of detention.

Notes:
Clark County includes city of Las Vegas. LV CASA began early in 1980.

The importance of building evaluations mechanisms into programs is also emphasized ______________________________________________________________________________

Title: The effectiveness of CASAs in achieving positive outcomes for chidlren

Authors: Pat Litzelfelner, PhD
Institution: U of Kentucky
Year: 2000
Source: Child Welfare League of America

General findings: 200 cases reviewed.

CASA kids had fewer total placements than those without (3.9 vs 6.6). CASA kids also had fewer court continuances (1.1 vs 2.9). Number of services provided was on average higher for the CASA group (8.5 vs 6.4); this one is kind of tough to interpret due to the slippery definition of a service and the assumption that all services are created equal in effectiveness and frequency. A higher percentage of CASA kids were placed in home/relative/adoptive home (62% vs. 33%).

A trend was noted that more control group cases closed than CASA cases (32% vs. 41% whoops!); not statistically significant, though, but the trend is worth attending to.

Length of time under court jurisdiction also did not show any difference.

Interesting points:
Pat does a very good job making the distinction between process variables and outcome variables. Here is my take with the addition of case characteristics:

Case characteristic variable = everything that happens before removal/detention
Process variable = everything that happens during detention
Outcome variable = stuff that happens after case is dismissed, including another detention
Notes:
Limited sample size may affect negative findings

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Title (Dissertation): Court Appointed Special Advocates: Administrative structural impediments to the use of the CASA program by juvenile dependency court judges.

Authors: Michael Cook, DPA
Institution: University of La Verne
Year: 2000
Source: Dissertations Abstracts

General findings: 248 cases abstracted.

There is a strong association between being severely abused and eventually ending up in the CASA program.

White females are the most at-risk group for severe abuse

Children who are in the system for longer than 2 years are far less likely to have case dismissed prior to them turning 18.

Children in the CASA program (San Bernardino County) are older than non-casa dependency children.

Interesting points:
It's a dissertation. The CASA kids are older which is very different from programs that have defined Infant & Toddler components.

Notes:
From abstract only.

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Title: National study of Guardian ad Litem representation

Authors: S. S. Aitkin
Institution: CSR, Inc, Washington, DC
Year: 1991
Source: National Clearinghouse on Child Abuse and Neglect Information

  • General findings: 610 judges, court administrators, CASAs, and attorneys from 50 states.
  • 8 states do not require GAL appointment.
  • Only 20 states have written guidelines of GAL duties.
  • Training for attorney GALs generally does not exist or is not required.
  • Most nonattorney GALs are CASAs or volunteers and receive no compensation.
  • Only 13 states provide GALs total or good faith immunity through statute or opinions of the State Supreme Court or Attorney General.

Interesting points:

Notes:
From abstract only.

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