Is Foster Care “In the Best Interest of the Child”? Not on your Life!

medically-kidnapped-children[1]

The philosophy of “best interest of the child” sounds so very wonderful. It must keep children safe and help them to be successful for the remainder of their lives. Taking them from horrible parents, away from the abuse/neglect and placing them with foster parents in wonderful foster homes is the true solution to one of society’s worst corruptions.

Arizona Revised Statute A.R.S.25-403. Legal decision-making; best interests of child

  1. In a contested legal decision-making or parenting time case, the court shall make specific findings on the record about all relevant factors and the reasons for which the decision is in the “best interests of the child.”

So, let us look at the National Foster Care Outcomes achieved from this wonderful intervention strategy to save children and put them on the road to a life of success. It must be exciting since we have federal funding that helps support this special cause, our future.

National Foster Care Outcomes

  • On September 30, 2012 there were approximately 397,122 children were in the foster care system. (1)
  • In the General Population of people that are 25 years of age or older, there are 31% that have a Bachelor’s degree (2)
  •  In the former foster children population that are age 25 and older, there are 3% that have a Bachelor’s degree (3)
  •  In the former foster children* population incarcerated since age 17: Males: 64% percent, Females: 32.5% percent. (4)
  • In the former foster children* population there are 24% percent who experience homelessness after aging out of the system. (5)
  • In the former foster children* population there are 61% percent who are unemployed one year after aging out. (6)
  • In the former foster children* population there are 53.5% who are unemployed five years after aging out. (7)

Question: Is it in the “best interest of children” from foster care to have 3 out of 100 with a Bachelor’s degree? Or 61 out of 100 unemployed? Or 24 out of 100 homeless? Or 64 out of 100 males incarcerated? Or 32.5 out of 100 females incarcerated?

Those outcomes do not seem to be in the best interest of these former foster care children.

America is:

  • 26th of 29 among developed nations based on measures of child welfare. (8)
  • 25th of 27 among developed nations based on the rate of child deaths from abuse and neglect. (9)

The U.S. Department of Health & Human Services, Administration of Children & Families, Administration on Children, Youth & Families, Children’s Bureau identified:

(10) “Children Entering Foster Care during FY 2013,” was N = 254,904.

  • White children N = 114,666                                          45%
  • Black/African-American children N = 54,835               22%
  • Hispanic children N = 53,786                                        21%
  • American-Indian children N = 5,456                             2%

A national study of child protective services by the U.S. Department of Health and Human Services reported that “minority children, and in particular African American children, are more likely to be in foster care placement than receive in-home services, even when they have the same problems and characteristics as white children”. (12)

Child Trends Data Bank, Foster Care December 2014 pg. 5 (11)

  • Non-Hispanic white children, who made up about 52 percent of American children under age 18, accounted for 42 percent of foster children in 2013.
  • Black children, who made up around 14 percent of all children, accounted for 24 percent of foster children in that year.
  • Hispanics (who can be of any race), who were 24 percent of U.S. children, accounted for 22 percent of foster children in 2013. [6]

See more at: http://www.childtrends.org/?indicators=foster-care#sthash.IzaMNls5.dpuf

Dorothy Roberts, a professor at Northwestern University’s School of Law, shares:

  • “If you came with no preconceptions about the purpose of the child welfare system, you would have to conclude that it is an institution designed to monitor, regulate, and punish poor families of color.” (12)
  • Black children make up more than two-fifths of the foster care population, though they represent less than one-fifth of the nation’s children.” (12)
  • Black children in New York were 10 times as likely as white children to be in state protective custody.” (12)
  • “According to federal statistics, Black children in the child welfare system are placed in foster care at twice the rate for white children.” (12)
  • “And once removed from their homes, black children remain in foster care longer, are moved more often, receive fewer services, and are less likely to be either returned home or adopted than any other children.” (12)

Well, surely the outcomes for Arizona’s Foster Care children will be significantly better than the national statistics. Remember we actually have a law, A.R.S. 25-403, that assures taxpayers that Arizona’s outcomes will demonstrate the spirit of “best interest of the child,” right?

Arizona Foster Care Outcomes

According to Children’s Action Alliance, as of January 9th, 2015, the Arizona Department of Child Safety records share:

  • 53% growth in the number of children in Foster Care from June 2008 to October 14, 2014. (13)
  • June 2008 there were 9,148 children in Foster Care and in October 2014 there were 17,184 children in Foster Care. (13)
  • In June of 2009 there were 5,509 families receiving In-Home Services and in November of 2014 there were 8,712 families receiving In-Home Services. (13)

Question: Is it in the best interest of the children in Arizona to have a 53% increase in the number in foster care? Or is that in the state’s financial best interest?

Question: Is in the best interest of children to have a 53% increase in the number of children in foster care and only a 27% increase in the In-Home Services provided to families?

It would not be unreasonable for an outsider to wonder if the state philosophy to reduce families getting In-Home Services had something to do with increasing the number of children in foster care. Would that be in the “best interest of children”?

According to Children’s Action Alliance, as of January 13th, 2015, the Arizona Department of Child Safety records share:

  • 2,144 children in foster care did not receive required monthly visit from DCS in September, 2014 (14)
  • 1,213 Parents with a case plan to reunify with their children did not receive required monthly visit from DCS in September, 2014 (14)
  • 448 foster homes did not receive required quarterly visit from their licensing agency between April 2014 and September 2014. (14)

Question: Is it in the “best interest of the child” to not have received the required monthly visit from the Department of Child Safety? Is it in the “best interest of the child” to not have received the required monthly visit to Parents in the reunification process?

Question: Is it in the “best interest of the child” to not have the quarterly visit from the agency that licenses the foster home to check on accountability outcomes in that foster home

  • African American children represent 4.8% of population yet 13.9% are in out-of-home care. (15)
  • Children with an adoption case plan spend on average 25.1 months in out-of-home care. (15)
  • 23.9% children in foster care have been in out-of-home care for 13 to 24 months. (Arizona Department of Economic Security, “Child Welfare Reporting Requirements Semi-Annual Report for the Period of Apr. 1, 2014 through Sep. 30, 2014”; 2010 U.S. Census Data) (15)
  • Average number of placements was 2.3, and the range for the number of placements was 1 to 43. (15)

Question: Is it in the “best interest of the child” that is African-American to be represented three times more in foster care than in the general population?

Question: Is it in the “best interest of the child” for children to spend over two years in out-of-home care?

Conclusions:

Maybe I do not understand the true meaning of what is in the “best interest of children.”

For the life of me I cannot fathom or understand how taking children from their natural parents and natural families for the rest of their childhood is in their best interest.

Taking their identity, their heritage, their beliefs, their religion, and even their name and social security numbers away in the name of “best interest of the child” does not seem reasonably to be in their best interest.

Why?

Why does the Arizona Department of Child Safety ignore “Kinship Care”?

The Child Welfare League of America has successfully focused on this solution for more than 30 years that I am aware of and yet Arizona ignores one of the most positive, healthy, and successful methods for keeping children safe.

“Every day hundreds of thousands of grandparents, aunts and uncles, older siblings, and non-related extended family members step in to keep children safe and nurtured when their parents cannot. CWLA defines kinship care as the full-time protecting and nurturing of children by grandparents, aunts, uncles, godparents, older siblings, non-related extended family members, and anyone to whom children and parents ascribe a family relationship, or who ‘go for kin’. Within this definition there are two populations of kinship families: (a) informal, where children live with grandparents or other relatives and are not in child protective service custody; and (b) formal, where children are placed in the care of a relative or non-related extended family member under the auspices of a public child welfare agency. Whether informally arranged among family members or formally supported by the child welfare system, it is essential to affirm and support the considerable contributions of kinship caregivers.” (16)

 References:

  1. xix. The Adoption and Foster Care Analysis and Reporting System (AFCARS) Report, U.S. Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau, available at http://www.acf.hhs.gov/sites/default/files/cb/afcarsreport20.pdf (estimates as of Nov. 2013).
  2. National Center for Education Statistics, Digest of Education Statistics: 2012 (table 8), available at http://nces.ed.gov/programs/digest/d12/tables/dt12_008.asp?referrer=report (2012)
  3. Foster Care by the Numbers, Casey Family Programs, Sept. 2011, available at http://www.casey.org/media/MediaKit_FosterCareByTheNumbers.pdf
  4. xxiv. Courtney, M., Dworsky, A., Brown, A., Cary, C., Love, K., Vorhies, V. (2011). Midwest evaluation of the adult functioning of former foster youth: Outcomes at age 26. Chicago, IL: Chapin Hall at the University of Chicago.
  5. World Bank, World Development Indicators Database, Total GDP 2011, at 1, http://databank.worldbank.org/data/views/reports/tableview.aspx (2012).
  6. Calculated by finding average of unemployed former foster youth males (60%) and females (62%) at age 19. See Hook, J. L. & Courtney, M. E. (2010). Employment of Former Foster Youth as Young Adults: Evidence from the Midwest Study. Chicago: Chapin Hall at the University of Chicago.
  7. Calculated by finding average of unemployed former foster youth males (54%) and females (53%) at age 24. See Hook, J. L. & Courtney, M. E., Employment of Former Foster Youth as Young Adults: Evidence from the Midwest Study. Chicago: Chapin Hall at the University of Chicago (2010).
  8. Calculated from rankings in overall well-being. See UNICEF, “Child well-being in rich countries: A league table of inequality in child well-being,” Innocenti Report Card 11, UNICEF Innocenti Research Centre, Florence, available at http://www.unicef-irc.org/publications/pdf/rc11_eng.pdf (2011).
  9. UNICEF, “A league table of child maltreatment deaths in rich nations,” Innocenti Report Card 5, UNICEF Innocenti Research Centre, Florence, available at http://www.unicef-irc.org/publications/pdf/repcard5e.pdf (2003).
  10. The U.S. Department of Health & Human Services, Administration of Children & Families, Administration on Children, Youth & Families, Children’s Bureau identified; “Children Entering Foster Care during FY 2013”
  11. Child Trends Data Bank, Foster Care December 2014 pg. 5 http://www.childtrends.org/?indicators=foster-care#sthash.IzaMNls5.dpuf
  12. Race and Class in the Child Welfare System by Dorothy Roberts; http://www.pbs.org/wgbh/pages/frontline/shows/fostercare/caseworker/roberts.html
  13. Children’s Action Alliance, January 9th, 2015, the Arizona Department of Child Safety Records http://azchildren.org/wp-content/uploads/2015/02/Receiving-Required-Visits-for-Children-in-Foster-Care.pdf
  14. Children’s Action Alliance, January 9th, 2015, the Arizona Department of Child Safety Records
  15. http://azchildren.org/wp-content/uploads/2015/02/Receiving-Required-Visits-for-Children-in-Foster-Care.pdf
  16. CASA of Arizona (Court Appointed Special Advocates for Children http://www.azcourts.gov/casa/ChildWelfare/ChildWelfareStats.aspx Arizona Department of Economic Security, “Child Welfare Reporting Requirements Semi-Annual Report for the Period of Apr. 1, 2014 through Sep. 30, 2014”; 2010 U.S. Census Data)
  17. KINSHIP CARE: TRADITIONS OF CARING AND COLLABORATING MODEL OF PRACTICE http://www.cwla.org/kinship-care/

 

A version of this column originally appeared in:

Another medical Kidnapping-Breastfed, Homebirthed Babies Taken Away From Parents For Not Using Hospital

The Rengo Family: Cleave, Erica, with 10 month old Levi, and newborn twins. - See more at: http://medicalkidnap.com/2014/11/25/breastfed-homebirthed-babies-taken-away-from-parents-for-not-using-hospital/#sthash.OTqPTx6F.dpuf

The Rengo Family: Cleave, Erica, with 10 month old Levi, and newborn twins

UPDATE 2 – 12/3/2014

Peter Wagner of KGMI News and Talk Radio in Bellingham, Washington has also reported on the story, interviewing the family’s attorney, Stephen Pidgeon.

Attorney to court: Charge parents or give babies back

UPDATE 1 – 12/3/2014

King 5 News has reported on the Rengo family case:

Couple fights for custody of children after home birth

UPDATE 12/2/2014 – Hearing Extended to Wed.

Representative Jason Overstreet, representing the 42nd district in Washington, and who has taken an interest in this case, just posted an update on his Facebook Page:

The Rengo Family placement hearing was moved up this morning to 10 a.m. from the scheduled 4 p.m. hearing. I will withhold comment on that move.

Security was heavy. The courtroom was packed.

The allotted timeframe was 1 hour with an expected decision on placement either with the parents or a semi-permanent out of family placement. If your a poker player, this will be your “tell.”

The State Attorney General’s Office stood in place of the County legal team in the prosecution of this hearing. A rare move indeed. Attorney General Ferguson, the same AG who is persecuting Christian business owners for refusing to participate in weddings that conflict with their closely held religious beliefs, sent his legal team to take over in an attempt to spare the State embarrassment.

The Attorney General’s Office took the entire hour, discussing police reports where no arrests were made, save one, prior to the birth of the children. No mention of the babies’ health and welfare was even attempted by the State.

The court commissioner was frustrated at the State’s extended attempt to muddy the water, even commenting on the rare nature of such extended testimony on a case that should be cut and dried after a forcible taking of children from their parents.

The hearing was extended to tomorrow at 2:30 on the 4th floor of the Whatcom County Courthouse, where he demanded that the State rap up and allow the family’s legal team to present it’s case.

Constitutional Attorney Steven Pidgeon petitioned the court for a writ of habeus corpus, asking that the charges be laid or the children be released to the parents. The writ of habeus corpus, a fundamental tool of liberty guaranteed by both our State and Federal Constitutions, was ignored by the court, the clerk stating that they hadn’t even seen one in 20 years, with one judge refusing to even look at the writ.

There is much talk of “more to the story.” There certainly is. There always is. If you are tempted to make that statement, ask yourself where your information is coming from and what the validity of that information actually is. This is not a comfortable conversation, it’s true. I shudder the horror of your family, or mine, under a microscope of the bureaucracy that is CPS.

UPDATE 12/1/2014

Constitutional Attorney Stephen Pidgeon has agreed to represent the Rengo Family in an attempt to reunite babies Levi, Morna, and Daniel with their parents. He will accompany the family to the hearing tomorrow, and the public and the media are encouraged to show up at the:

Whatcom County Courthouse
311 Grand Avenue
Bellingham Washington
Tuesday December 2nd – @ 9:00 A.M.

More details to follow. A Facebook Page has also been setup for the family.

by Terri LaPoint
Health Impact News

All three of their babies have been taken away from them and placed in the care of strangers. Levi was 10 months old when his mother, local singer and songwriter Erica May Rengo, gave birth to his twin brother and sister, at their home in Bellingham, Washington.

“Our birth was glorious,” she said, and the twins were reportedly healthy, full-term babies, who had no problem quickly figuring out how to breastfeed. The little family was overjoyed until CPS stepped in to “help.”

It is another medical kidnapping according to the parents. The Rengos have chosen a wholesome, holistic lifestyle, based in their Christian faith. But CPS has stepped in to override the parents’ decisions. Now Erica and Cleave are living what they call a nightmare, separated from their children for reasons that don’t make any sense at all to them.

Decision to Home Birth

It was only natural for Erica to choose normal, family-centered birth. Erica herself was born at home, and says that her mother was a homebirth educator and La Leche League leader (a world-wide support and education group for breastfeeding mothers). She and Cleave chose a birth-center birth with their first baby, but decided to birth at home the second time. She knew that her body was perfectly designed to work for birth. She believed this was the direction God was showing them for the birth. Erica was very careful during her pregnancy to watch her diet and exercise, in preparation for the birth. She read, researched, and prepared.

She describes her homebirth as “exquisite” and “empowering.” Morna Kai Grace and Daniel Clemente were born into their parents’ loving arms.

The birth was perfect. There were no complications with the birth or afterwards. But Erica and her husband Cleave agreed to allow the local paramedics in when someone called them, in an effort to appease concerned family members who were fearful of their decision to birth at home. That is where their problems began.

Erica May 1

The Medical System Gets Involved

Sometime after the babies arrived on October 2, paramedics arrived to find the twins nursing and everybody doing fine. The twins each weighed over 5 lbs, and the paramedics allegedly verified that everyone appeared healthy. The paramedics allegedly recommended that they go to the hospital for evaluation, which is standard procedure for EMTs.

The Rengos say they declined, telling them they didn’t want to expose their newborns to the dirty environment of the hospital. They were planning to follow recommendations they had found, which stated that newborn twins should stay home for the first six weeks of life, to give their immune systems the opportunity to build up.

CPS Shows Up

The parents’ believe that because they chose not to go to the hospital at that time, somebody called CPS. A couple of social workers showed up the next day, and wanted to see all of the children. CPS told Erica that they were “here to help.” But Erica says that is not at all what happened.

When the social worker found some eczema on Levi’s skin Erica told her that she was treating it with some herbal remedies, including comfrey and calendula, as well as applying coconut oil and giving probiotics. She was also doing an elimination diet to try to locate what could be causing the skin condition. Even though it was in the healing process, the social worker became critical that Erica wasn’t treating his eczema with steroids, a treatment option that Erica wanted to save as a last resort because of the side effects. The CPS agent would later testify to the judge that Erica had neglected to treat him completely.

Even so, the eczema was the only thing wrong. Erica says, “right away they found out that the children were not in danger.” The twins were completely healthy; the house was clean; and there are no drugs or alcohol involved.

The Rengos agreed to take the children to a pediatrician, who said the babies were doing fine.  The only concern was that the twins were slow to gain weight. At the time, Erica was trying to maintain a supply for three breastfeeding babies. She says she followed the pediatrician’s advice to supplement with formula, and the babies promptly got back on track with weight gain.

This was allegedly verified by a nurse sent out by CPS to check on them.

Erica May and Cleave are holistic in their approach to life and health, preferring natural alternatives, like herbs and diet changes, to medicinal treatments. Those things appear to be options only if CPS is not involved.

CPS Takes Custody of Children

On November 6, CPS showed up at the front door while Erica was softly singing and playing her guitar to her resting babies. When she checked the door, they told her that they were there to take her children, citing neglect for not giving Levi steroids for his eczema, and the home-birth without medical prenatal care with the twins, as well as the allegations of abuse, accusations which Erica had already assured them were completely unfounded. She also had prenatal care, just not with a doctor.

With one baby on her back, the frightened mother fled out the back door with her children to a neighbor’s house, but police and CPS “hunted her down,” and took these breastfed babies from their mothers’ arms. The twins were 5 weeks old.

Erica broke down into sobs as I spoke with her. “My children were safe and healthy with me.” Since they have been taken by CPS, Levi has reportedly had pneumonia, and has reportedly been diagnosed with “behavioral problems” because he screams and cries all the time.

He is screaming, Erica says, because he wants his mom and dad.

Why Are Children with No History of Abuse Being Taken Away from Loving Parents for Medical Reasons?

Children who have allegedly not been abused in any way have been taken by CPS from loving parents for reasons so flimsy that it has left the Rengos and their friends stunned. Several of their friends write that Erica is “a great mama.”

“This is not the right thing to do to mothers and children,” Erica emphasizes. “If they thought we needed help, they should have brought help in, not taken the children out. They have suffered and I have suffered since our separation.”

Erica feels that she and her children are being abused by the system. When they separate babies from their loving mothers, she says “they are dehumanizing people. The outcome of that is so much worse than any kind of dispute for medical reasons.”

Cleave and Erica were supposed to have their visitation with their children on Monday, but there wasn’t a social worker available to supervise the visit. Levi’s first birthday is on Black Friday. The day will be black for Erica and Cleave, but for very different reasons than the holiday retailers. They will miss their first child’s first birthday because CPS won’t have any workers available to supervise a visit that day either.

The Stressful Separation of Infants from Parents

Erica is a brokenhearted postpartum mother who wants nothing more than to be at home with all of her children by her side. Research shows that infants do not comprehend separation from their mother; they feel abandoned when they aren’t with her. Has it really come to the point where CPS can justify the emotional trauma to the children simply because parents don’t choose to follow every recommendation of the medical associations?

In President Obama’s immigration speech last week, he asked, “Are we a nation that accepts the cruelty of ripping children from their parents’ arms? Or are we a nation that values families, and works to keep them together?”

Yet it is this very nation whose Child Protection Service agencies have ripped tiny babies from their parents’ arms simply for the crime of disagreeing with a medical decision. If this could happen to a family who has only sought the most natural of care, then whose children are safe from CPS? Should this type of apparent medical tyranny be tolerated?

Erica May and Cleave Rengo face a court date on December 2. They don’t know what they will face then. Supporters are hoping that their story will be shared far and wide, and their children can be returned home quickly.

The Governor of Washington is Jay Inslee. His office number is 360-902-4111. You can email him from here.

The parents next court date is December 2, 2014 at 4:00 p.m. at the Whatcom County Courthouse, 311 Grand Avenue, Bellingham Washington.

A version of this column originally appeared in:

ADOPTED-Alleged abuse victim liked to ‘concentration camp survivor’

PEORIA, AZ (CBS5) - A Peoria couple face felony child abuse charges after two of their adoptive daughters outlined a pattern of ongoing physical and psychological abuse at the hands of their parents that began five years ago as an attempt, the mother said, to "train" the girls to be "loving and nurturing."

Johann Jorg admitted to spanking two of his adoptive children with a wooden paddle. (Source: Maricopa County Sheriff's Office)

Johann Jorg admitted to spanking two of his adoptive children with a wooden paddle. (Source: Maricopa County Sheriff's Office)

Johann Glenn Jorg, 61, and his wife, Kimery Lynn Jorg, 53, were arrested Thursday afternoon at their home in the area of the Loop 101 Agua Fria Freeway and Bell Road in Peoria. Each face four charges of felony intentional child abuse with intent, according to a police statement.

The Jorgs are the adoptive parents of four girls, ages 7, 8, 11 and 13 years old.

The 11- and 13-year-olds were found by police to be severely malnourished and emaciated, according to the statement.

The 13-year-old was hospitalized May 30 and in a condition likened to a "concentration camp survivor." She was severely malnourished and medical personnel were wary of re-feeding syndrome, a dangerous condition when a malnourished person begins to receive proper nutrition, according to the statement. She remained in the hospital Friday morning.

The girl also had abnormal growths on her legs, severe "leathering of the skin on her buttocks due to repeated beatings, and calloused and blistered feet consistent with running on the pavement barefoot, according to the statement.

Kimery Jorg said she doled out most of the punishment to the girls because she was home most of the time. (Source: Maricopa County Sheriff's Office)

Kimery Jorg said she doled out most of the punishment to the girls because she was home most of the time. (Source: Maricopa County Sheriff's Office)

The 13- and 11-year-old girls told police they were forced to run several hours a day, were spanked several times a day with a wooden paddle, and forced to memorize, recite and repeatedly write Bible verses without any mistakes or suffer further punishment, according to an investigating officer's statement. The oldest was also forced to live in the backyard nude with only a bucket to use as a bathroom, according to the statement.

According to Child Protective Services, all potential foster parents are required to complete 30-hours of training including lessons on appropriate and acceptable discipline techniques. CPS Spokeswoman Jennifer Bowser said these were lessons the Jorgs should have completed and understood as former foster parents.

Neither parent denied punishing the two for lying and stealing, and acknowledged that Kimery Jorg doled out most of the punishment because she was home with the children and that Johann Jorg spanked the children with the wooden paddle and recently shaved the head of the 13-year-old, according to the statement.

The parents admitted the girls were often spanked several times a day over their clothes.

Neither parent was able to describe to police actual instances of the girls stealing anything, though Kimery Jorg said a single Mentos breath mint was missing during a trip to Colorado and that 22 items from a relative's house were stolen during the trip, though she could not detail any of the items.

The parents said they often "suspected" the children were stealing, and the 13-year-old said she once was caught taking food because she was hungry.

The 13-year-old also said she was forced to eat "prison food" consisting of oatmeal for breakfast, prunes and crackers for lunch and grits with salsa for dinner, according to the report.

Read more at: Alleged abuse victim liked to 'concentration camp survivor' - WNEM TV 5:

 

A version of this column originally appeared in:

House Ways and Means Committee Discusses Obama Plan on Psychotropics on Foster children

The House Ways and Means Subcommittee on Human Resources heard testimony yesterday on the disproportionate use of psychotropic medications on foster youths, and the president’s $750 million proposal to address the issue.

The hearing yesterday was spurred along by the presence of a celebrity witness, talk show host “Dr. Phil” McGraw.

“These drugs can change and even save lives,” McGraw told the committee. But with foster youths, they are “too often misused as chemical straitjackets,” prescribed to mitigate “undesirable behavior” and make foster youths “less inconvenient.”

The use of psychotropics on foster youths has received attention from several corners in both houses of Congress and the White House in recent months. President Barack Obama proposed in his fiscal 2015 budget a $750 million, 10-year plan to help states develop different ways to address mental health challenges among foster youths.

Last week, Democrats on the Senate Finance Committee said the committee plans to “play offense” on what Sen. Tom Carper (D-Del.) called “mind-bending drugs.”

Youth-Shadow-Day_0

Ways and Means leadership from both parties asserted an interest in addressing the issue. “This is a bipartisan issue,” said Subcommittee Chairman David Reichert, “We are together on this.”

A 2011 law shepherded through Ways and Means required states to share their prescription and monitoring protocols with the Administration for Children and Families (ACF), a division of the Department of Health and Human Services.

“Everyone agrees that these drugs are flowing too much,” McGraw said. “The real question is, why? Why is this happening?”

The president’s proposal is a two-pronged plan that focuses mostly on building the ability of states to treat foster youths without psychotropic drugs – or at least with less drugs – and then rewarding states for lowering reliance on the drugs.

The first part is a $50 million a year, five-year investment by the Administration for Children and Families (ACF). That mandatory spending would “encourage the use of evidence-based screening, assessment and treatment of trauma and mental health disorders” among foster youth.

The second part is a $500 million Medicaid demonstration program that would provide performance-based Medicaid incentive payments to improve care coordination and delivery of evidence-based services for foster youth.

One key element of those demonstrations would be improved collaboration between child welfare and health services agencies.

“You’d think that child welfare and mental health systems would work together a lot; you’d be very wrong,” said Dr. Michael Naylor, who helps lead a medication oversight partnership between the University of Illinois-Chicago and the Illinois Department of Children and Family Services.

ACF official Joo Yuen Chang testified that the agency found a services gap as it engaged more local systems about psychiatric medications.

“Child welfare agencies did not have access to the research-based, non-pharmacological, mental health treatments for the conditions for which many of these children were being medicated,” Chang said at the hearing.

The Dr. Phil Foundation is one of the 110 organizations to sign a letter in support of the Obama proposal, which ranking minority member Lloyd Doggett (D-Texas) introduced for the record.

But McGraw also suggested a more nefarious reason for overreliance on medications.

“It’s pay for pathology,” said McGraw, who is also a spokesman for Court Appointed Special Advocates. “More prescriptions, less treatment. More prescriptions, less treatment. These children deserve better than that.”

Read More at: House Ways and Means Committee Discusses Obama Plan on Psychotropics | The Chronicle of Social Change:

 

A version of this column originally appeared in:

State Overturns 1 Out Of 3 CPS Child Abuse, Neglect Claims

Child-Abuse-270[1]The state is overturning far more cases in which Child Protective Services initially ruled that a child was abused or neglected.

Each year the state overturns more than 1 out of 3 decisions challenged by people who CPS claims have mistreated children.

Twenty-seven percent of CPS rulings were reversed in 2009, but that number rose to 42 percent last year.

More than 1,140 cases were appealed in 2013.

Even when a CPS ruling is thrown out, the person accused of mistreatment could still face significant hurdles.

Rad More at : State Overturns 1 Out Of 3 CPS Child Abuse, Neglect Claims:

 

A version of this column originally appeared in: