Washington State Department of Social and Health Services Home page

State Progress 2014

DSHS Mission: To transform lives

Where we are as a state is a combination of the efforts of the Governor, Legislature, Department of Social and Health Services (DSHS), and society as as a whole. The goal for DSHS is to be a national leader in every aspect of client service.


The summary evaluations below present one picture of where we stand, grouped by the people we serve.

Aging and Long-Term Support





Long-term care for children


Timely licensing of Adult Family Homes, Assisted Living and Nursing Facilities


Timely response to all abuse and neglect allegations

Lean exercises are underway. A new electronic case management system is under construction. Staff funding lags.

Abuse and neglect timely case close-outs

Red, positive movement

Lean exercises are underway. A new electronic case management system is under construction. Staff funding lags.

Providing home and community-based services

Washington is a national leader in providing community and in-home supports.

Voluntary relocation of clients from nursing homes to home and community-based services


Providing family caregiver support


Providing timely eligibility approval


Behavioral Health and Service Integration





Timely outpatient mental health services

Significant improvement requires performance based contacts contracting with Regional Support Networks.

Availability of adult outpatient mental health services


Availability of child outpatient mental health


Use of evidence-based chemical dependency prevention programs


Outpatient adult chemical dependency retention

Maintaining high treatment rates with limited funding.

Outpatient child chemical dependency retention

Maintaining high treatment rates with limited funding.

Decreased state psychiatric hospital assault rates

Red, positive movement


Decreased state psychiatric hospital seclusion and restraint rates


Increased state psychiatric hospital treatment hours


Improved outcomes for individuals with high medical risk factors


Nation leading pilot program. Performance data not yet available.

Improved care coordination and health service integration


Nation leading pilot program. Performance data not yet available.

Timely competency evaluations

Work plan rates are being accomplished. Staffing levels require improvement.

Increase employment for chemical dependency clients

Strong increase in employment post-treatment.

Children's Administration





Prompt face-to-face contact with alleged victims of child abuse

The most serious cases receive fact-to-face visits within 24 hours in more than 97% of cases.

Children in-care receiving regular health and safety visits


Decreasing the rate of repeat abuse


Children not subject to new founded allegations of abuse


Foster care stability


Racially disproportionate impacts

Disproportionate minority contact persists with critical levels for Native Americans.

Child Protective Service (CPS) investigator caseloads


Timely completion of CPS investigations

Number of cases open greater than 90 days has been reduced by 50%.

Rural and tribal foster care availability


Length of stay in out-of-home care


Memorandum of Understanding with tribal governments

Red, positive movement


Family Assessment Response; alternate CPS pathway

Potential for national leadership if pilot program is expanded statewide.

Increase employment for checmical dependency clients


Developmental Disabilities

2012 2013

Assessment are completed timely

Identify individual health and welfare needs in a timely manner in order to support individuals to have healthy and active lives.

Child placement and intensive services occur timely

Identify individual health and welfare needs of children in a timely manner in order to support children to have healthy and active lives.

Alternatives to psychiatric hospitals are utilized effectively

Improve safety and successful long-term placement of individuals who are at risk of institutionalization in state hospitals.

Treatment and support for community protection clients

Ensure that individuals enrolled in the Community Protection Program are supported to achieve their required treatment goals.

Crisis supports

Develop a statewide Crisis Support system, including the supports and availability of the Residential Habilitation Centers that will provide needed interventions for individuals and families.

Communication with clients' families and providers

Equip clients, families and providers with information to support health and safety of individuals.

Access to home and community services

Increase access to home and community-based services.

Plan goals are identified and implemented

Red, positive movement

Increase the effectiveness of community residential programs to support individuals to have quality lives.

Options for movement to community

Increase opportunities for individuals who are institutionalized to have the option to move to the community and be supported as needed.

Increase client employment

Increase the number of clients employed.

Increase basic-plus community supports program

Provide individuals with in-home supports to enable them to remain in their communities.

Increase individual and family supports


Economic Services (Poverty Reduction)

2012 2013

Increased access to food assistance


Processing time for disability determinations

National leader.

Child support collections


Leaving Temporary Assistance for Needy Families (TANF) for self-sufficiency

System re-design underway.

Remaining off TANF for more than 12 months

System re-design underway

TANF participants meeting the federal work participation rate

Federal penalties incurred for poor performance in 2012. System re-design underway.

Basic food assistance payment accuracy

National leadership within reach. Currently top 10 performing states.

Timeliness of processing applications

Staffing level problematic. Progress is being made however through an innovative System Delivery Redesign.

Contact center support

Staffing resources may be insufficient to achieve acceptable service for TANF and SNAP. Helpful technology solutions being added. Child care contact center now green.

Affordable Care Act technology support, eligibility determination

National leader in health Benefit Exchange roll-out.

Juvenile Rehabilitation

2012 2013

Juvenile rehabilitation youth health


Juvenile rehabilitation youth benefits on system exit


Juvenile rehabilitation youth chemical dependency support


Juvenile rehabilitation youth recidivism


Juvenile rehabilitation parole services


Juvenile rehabilitation community transition


Juvenile rehabilitation mentors


Juvenile rehabilitation vocational training


Juvenile rehabilitation academic development


Special Commitment Center treatment participation


Juvenile rehabilitation use of evidence based practices


Culturally competent services


Worker safety


Racial disproportionality


Vocational Rehabilitation

2012 2013

Vocational rehabilitation student preparedness plans


Vocational rehabilitation successful case closures


Vocational rehabilitation customer satisfaction


Vocational rehabilitation rehabilitation rate


Vocational rehabilitation WorkSource job placements


Vocational rehabilitation success rate


Vocational rehabilitation wage progression






We have achieved national leadership
Strong performance and service in an area
Areas of concern, unmet need or both
Serious concern, unmet need or both
example of upward arrow Positive movement
Red, positive movement Positive movement






Bill Moss Assistant Secretary, Aging and Long-Term Support Administration,

Jane Beyer Assistant Secretary, Behavioral Health and Service Integration Administration,

Jennifer Strus Assistant Secretary, ChildrenĀ“s Administration,

Everlyn Perez Assistant Secretary, Developmental Disabilities Administration,

David Stillman Assistant Secretary, Economic Services Administration,

John Clayton Assistant Secretary, Juvenile Justice and Rehabilitation Administration,

Kathy Marshall Assistant Secretary, Financial Services Administration,

Patricia Lashway Assistant Secretary, Services and Enterprise Support Administration