What is 3 in 30?

All children who come into DFPS care need a good review of their physical and behavioral health needs right away. With the help of our medical partners and caregivers of children in foster care, CPS is launching a new practice called 3 in 30. 3 in 30 combines three critical tools for assessing the medical, behavioral, and developmental strengths and needs of children and youth entering DFPS custody.

What are the components of 3 in 30?

3-day Medical Exam

Within 3 business days, children entering DFPS care must see a doctor to be checked for injuries or illnesses and get any treatments they need. [learn more]

Child and Adolescent Needs and Strengths (CANS) Assessment

Within 30 days, children (ages 3-17) must get a CANS assessment. The CANS is an evaluation that helps us understand the impact of trauma a child has been through, and how they are doing. CANS identifies services that may help the child, such as counseling, as well as existing strengths to build on, such as positive relationships. [learn more]

Texas Health Steps Medical Checkup

Within 30 days, children must see a doctor for a complete check-up with lab work. This makes sure:

  • We address medical issues early.
  • Kids are growing and developing as expected.
  • Caregivers know how to support strong growth and development. [learn more]

Children and youth who come to live with you must have the Texas Health Steps Medical Checkup and the CANS Assessment within 30 days of coming into the legal custody of DFPS.

The 3-Day Medical Exam will start in parts of the state in spring 2018 and be in all areas by fall 2018.

Why is 3 in 30 Important?

According to the American Academy of Pediatrics, children and youth in care have significant medical needs.

  • Up to 80% of children come into care with at least one medical problem.
  • 1/3 of children come into care with a chronic medical condition.
  • Up to 80% of children and adolescents enter with a significant medical need.

Because of this, the legislature required that all children who come into DFPS care need a good review of their physical and behavioral health needs right away. The 3 in 30 will help DFPS and caregivers understand the needs and strengths of children in care quickly. The 3 in 30 will also help plan and provide better services to improve outcomes for children.

How can I learn more?

Please send questions about 3 in 30 to DFPSStarHealth3In30@dfps.state.tx.us.