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Iowa Department of Health and Human Services


Congress requires the federal government to conduct reviews of states to determine if they meet federal child welfare requirements. The Child and Family Service Review (CFSR), is a partnership between the federal and state governments. The CFSR examines the child welfare system in the state and identifies the strengths and opportunities for improvement. The ultimate goal of the review is to improve child welfare systems to achieve the following positive outcomes for children and families:
  • Children are, first and foremost, protected from abuse and neglect.
  • Children are maintained safely in their homes whenever possible and appropriate.
  • Children have permanency and stability in their living situations.
  • The continuity of family relationships and connections is preserved for families.
Family and Child Well-Being
  • Families have enhanced capacity to provide for their children's needs.
  • Children receive appropriate services to meet their educational needs.
  • Children receive adequate services to meet their physical and mental health needs.
In 2018, Iowa completed its state-led review for the CFSR Round Three. As part of the review, Iowa completed its CFSR Statewide Assessment (see below). During the CFSR Onsite Review period, April 1, 2018 through September 30, 2018, Iowa conducted 65 case reviews utilizing the federal CFSR Onsite Review Instrument with federal government participation in oversight of the reviews. Iowa also conducted state level stakeholder interviews led by a joint federal-state review team in July 2018 to determine performance for items related to the seven CFSR systemic factors. In February 2019, Iowa received its CFSR round three results (see Iowa 2019 CFSR Final Report below).

If you have questions or comments regarding Iowa's Child and Family Services Review (CFSR), including the Program Improvement Plan (PIP), please contact Erica Wenzl at or 515-281-8977