Permanency Roundtables are an important component of Allegheny County’s strategy to improve permanency outcomes for children in child welfare out-of-home placements. Roundtables engage practitioners, caseworkers, providers and permanency experts in an intense two-hour brainstorming session in which barriers to permanency are identified along with strategies to address those barriers. The creativity of the collaborative process – in which no blame is assigned and no idea is off the table – can be particularly effective for children and families with complex issues that interfere with permanency goals.