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U.S. Government Faults Child Welfare Programs
in All 50 States
Federal
investigators have found widespread problems in child welfare programs
intended to protect children from abuse and neglect, and no state has
received passing grades from the Bush administration in reviews conducted
over the last three years.
As
a result, states face tens of millions of dollars in penalties. State
officials said the penalties could make it more difficult for them to
pay for the needed improvements.
About
900,000 children were victims of abuse or neglect in 2002, and 1,400 of
them died, according to the most recent state data, compiled and reported
this month by the Department of Health and Human Services.
No
state fully complies with standards established by the federal government
to assess performance in protecting children and finding safe, permanent
homes for those who have suffered abuse or neglect.
Some
states, including New Jersey and Florida, have received national attention
because of scandals in their child welfare programs. But the federal report
suggests that most states have similar problems.
Seven
of the 14 federal standards focus on the safety and well-being of children,
including the incidence of abuse and neglect, the time they spend in foster
care and the stability of their living arrangements.
Federal
officials said 16 states did not meet any of the seven standards. These
states were Alaska, California, Georgia, Illinois, Indiana, Michigan,
Minnesota, Nebraska, North Carolina, Ohio, Oklahoma, South Dakota, Tennessee,
Washington, West Virginia and Wyoming.
Wade
F. Horn, the assistant secretary of health and human services supervising
the reviews, said the findings were "a little surprising."
"We
set the bar high on purpose," Dr. Horn said. "We want states to improve.
Kids in the child welfare system deserve better than a minimal standard
of care."
Dr.
Horn said that no state met one particularly important standard, which
says children should have "permanency and stability in their living situations."
That means, for example, that children should not bounce in and out of
foster care, or from foster home to foster home.
The
federal report was based on a review of state data and case files, as
well as interviews with children, their biological parents, foster and
adoptive parents, social workers and juvenile and family court judges.
Federal
officials repeatedly cited states for certain deficiencies: significant
numbers of children suffering abuse or neglect more than once in a six-month
period; caseworkers not visiting children often enough to assess their
needs; and not providing promised medical and mental health services.
States
did somewhat better on the other standards, used to assess their policies
and procedures, the training of caseworkers and the use of computers to
keep track of children.
Many
state officials said they generally agreed with the findings.
"Some
people say that the federal government is picking on states or that the
standards are not attainable, but we believe it's essential to shoot for
these goals," said Roger A. Munns, a spokesman for the Iowa Department
of Human Services.
Just
this month the comptroller of Texas, Carole Keeton Strayhorn, issued a
report on the state's foster care system that was more negative than the
federal review.
"Some
of these children are no better off in the care of the state than they
were in the hands of abusive and negligent parents," said Ms. Strayhorn,
a Republican. "Some children have been moved among 30 or 40 temporary
homes. Some have been sexually, physically and emotionally abused while
in the system. A few have even died at the hands of those entrusted with
their care."
Msgr.
Kevin L. Sullivan, executive director of Catholic Charities for the Archdiocese
of New York, which provides foster care for more than 7,000 children,
said, "We are talking about children who have been burned, beaten and
starved."
In
30 percent of the cases reviewed in Oklahoma, federal investigators said,
the child welfare agency did not respond quickly to reports of abuse and
neglect. In Louisiana, the comparable figure was 31 percent, and in Montana,
37 percent.
The
federal government provides $7 billion a year to states for foster care,
adoption assistance and other child welfare programs. If states do not
correct the deficiencies, they stand to lose some of the money.
Penalties
are estimated at $18.2 million for California, $3.6 million for Florida,
$3.5 million for Texas, $3 million for Pennsylvania, $2.5 million each
for Ohio and Michigan, and $2.3 million for New York.
Mary
J. Nelson, president of the National Association of Public Child Welfare
Administrators, expressed concern about penalties.
"States
need to invest more money in foster care and child protection," Ms. Nelson
said. "So the idea of having fewer resources does not strike me or most
states as particularly helpful."
States
will be re-evaluated periodically. Federal officials said they would suspend
the penalties if states developed plans of correction and made substantial
progress.
"The
goal here is not to impose financial penalties," Dr. Horn said. "The goal
is to improve child welfare."
In
Indiana, where at least 51 children died from abuse and neglect last year,
Gov. Joseph E. Kernan, a Democrat, summoned experts at the Child Welfare
League of America, a nonprofit group, to evaluate the state's program
and recommend improvements.
Many
states said they did not have enough caseworkers to investigate reports
of abuse or to monitor children in foster care. They have difficulty recruiting
and retaining workers because salaries are often low. But some states,
grappling with what they describe as their worst fiscal problems in more
than 50 years, have cut spending for some child welfare services.
Representative
Benjamin L. Cardin, Democrat of Maryland, has introduced a bill that would
provide $500 million to states to improve child welfare services in the
next five years. Some of the money would reward states for correcting
problems identified by the federal government.
President
Bush has proposed giving states grants to run their foster care programs
in the next five years. States would have broad discretion in deciding
how to use the money.
But
Representative George Miller, Democrat of California, said, "It would
be foolhardy to award states a block grant like that at a time when they
cannot meet the specific mandates in current law."
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