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The Client Outcomes in Child Welfare (COCW) Project was designed to examine the state of knowledge about outcomes measurement in Canada and initiate a consensus building process for a coordinated strategy in tracking outcomes across Canada. Through interviews with key informants, reviews of the literature and analysis of legislation, policy documents and information systems, the COCW Project identified some of the challenges to outcome measurement that may explain the limited progress made in this field. These include a needs driven service delivery system, competing objectives of child welfare, definitional confusion, and differences between clinical and administrative use of outcomes. The Outcomes Indicator Matrix was developed as a first stage in a strategy that focuses initially on the administrative use of outcomes information, allowing the clinical use of outcomes measures to develop in a more gradual fashion. Indicators were selected in four domains which reflect the breadth of the child welfare mandate in Canadian jurisdictions: child protection, child functioning, permanence and continuity of care for the child, and family and community support.
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