The well-being domain is divided into three separate outcomes: Well-Being Outcome 1, Well-Being Outcome 2, and Well-Being Outcome 3. Together, they encompass seven performance items.

Well-Being Outcome 1 is "Families have enhanced capacity to provide for their children's needs." it consists of item 17, item 18, item 19, and item 20. Item 17 is itself divided up into four separate sub-sections: 17A, 17B, 17C, and 17 overall.

Well-Being Outcome 2 is "Children receive appropriate services to meet their educational needs." It is the only outcome in the instrument that has only one item, item 21

Well-Being Outcome 3 is "Children receive adequate services to meet their physical and mental health needs." It consists of item 22 and item 23.

In general, the Well-Being domain is concerned with the following questions:

  • Did the agency do a thorough assessment of the needs of the child, family, and foster family, and provide the services necessary to ensure the child’s well-being?
  • Did the agency make sure that the child’s physical, educational, and mental health needs were met?
  • Were the child and the family really involved in case planning?
  • Did the caseworker meet often enough with the child, parents, and foster family to ensure that the child was safe and that everyone was working toward the goal?

In-Home Cases and Items 21-23

It is important to understand that item 21 (Well-Being Outcome 2), and 22 and 23 (Well-Being Outcome 3) are not necessarily applicable for in-home cases. The instrument gives specific instructions for when these items will be applicable for in-home situations; the items are applicable if educational, physical health, or mental health issues were one of the reasons the case came to the agency’s attention, or if these issues presented while the case was open and the caseworker would reasonably be expected to be involved. So let the instrument be your guide in determining if these three items are applicable for in-home cases.

Records for Items 21-23

Even if State policy requires that educational, medical, dental, or mental health records be kept in the case file, if you can determine through your case-related interviews or the case record that the child’s needs were met, the actual records are not required in order to rate these items as Strengths.