For counting purposes, anchoring this measure by children substantiated makes sense, but we would also like to know about cases that were reported, not substantiated, and resulted in child deaths. We have no objection to this measure, but it appears to be a quality indicator as opposed to an outcome. We have no objection this measure. We have no objection this measure. We suggest you drop the 12 months criterion.
Comments are the same as the previous measure.
We should also measure the number of adoption disruptions per 1000 adoptions. We have no objection to this measure. Comments are the same as the previous measure. The term disabled is problematic. Many states do not uniformly document whether or not a child has a physical or emotional disability.