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February 2010
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Child Welfare

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Jamaal Abdul-Alim
Jamaal Abdul-Alim
 How Florida Failed 7-year-old Suicide Victim

 

Doctors, caseworkers, judges and agency providers in Florida's foster care system are often poorly-informed and need education and training when it comes to giving psychotropic drugs to children.

That's the fundamental conclusion of a new report released Wednesday by the Florida Department of Children and Families that includes 148 "findings" related to the case of Gabriel Myers.  Gabriel, 7,  apparently hung himself in a Florida foster home April 16 after being subjected to a series of dramatic changes and prescribed a series of dangerous, mind-altering drugs in the weeks leading up to his death. The drugs had been administered without a court order and without proper parental permission.

The report was complied by the Gabriel Myers Work Group, which was formed to address the child's death and which will present specific recommendations for system action at an upcoming meeting of the Task Force for Fostering Success. The task force was established in July 2007 to address gaps in Florida's child protection system.

The findings range from small changes - such as providing judges with desk references regarding each psychotropic drug - to a sweeping system overhaul that would develop a clear standard of psychiatric or behavior health care for children in foster care.

The report also calls for changing the mindsets of caseworkers and others who work in the system regarding how they view and treat children caught up in the foster care network.

"It is essential that all participants in Florida's child welfare system understand that each foster child should be cared for and treated as we would our own children," the report states.

"The primary issue to be addressed is not whether psychotropic medications are over-prescribed or under-prescribed in treating our children," the report continues. "Instead, it is whether such medications are necessary and properly prescribed, approved, administered, monitored, and as soon as practical, concluded for a child in care."

Among the report'sother findings:

 *Child welfare workers do not currently have sufficient training to understand and obtain information consent from parents for the use of psychotropic drugs.  

*Doctors routinely prescribe psychotropic drugs for foster children without knowing their full psychosocial histories

*Psychotropic medications are at times being used to help parents, teachers, and other caregivers calm and manage, rather than treat, children.

The report also takes caseworkers, agencies and others to task for their lack of concern for Gabriel's well-being, at one point saying that Gabriel essentially became "no one's child." Regarding Gabriel's specific case, the panel found:

* Appropriate agencies failed to respond when the foster parent clearly indicated by e-mail a number of behavioral issues and that Gabriel's foster care placement was in jeopardy. No action was taken to deal with the evident stress of the foster parent or his lack of success in managing behavior with punishment.  

*The treatment team did not provide Gabriel specific and  upfront therapy to deal with identified trauma, possible post- traumatic stress disorder, and depression. The only intensive therapy was directed at the prevention of sexual behaviors.  

*The case manager and supervisor did not ensure that recommended training to prepare the foster parents to deal with Gabriel's unique background and behavior was provided. 

 "No individual or agency became a champion to ensure that he was understood and that his needs were identified and met in a timely manner," the report states. "There appeared to be no sense of urgency driving the agencies and individuals responsible for Gabriel's welfare."

 

Topics: Child Welfare
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John Kelly
John Kelly
 Child Welfare: A Summer Review

With vacations and some summer projects in the works at Youth Today, it's been awhile since we posted to the ChildWelfare Today blog. Following is a roundup of CW news from the past month or so. By no means is it comprehensive, so if you feel we left off something important, get in touch!

Funding

*** New private and federal grants were made available over the summer. Check the "Grants" section of our ChildWelfare Today page for all the details. Among the grants available: bridge grants for struggling CASA programs and financial assistance for under-funded child support enforcement agencies.

Headlines

*** There is some talk that Ismael Ahmed, director of Michigan's Department of Human Services, is D.C.-bound, in line for a job with the Obama administration at the Administration for Children and Families. 

Ahmed is at the helm of an agency that is just beginning its attempt to reform around a consent decree it entered after settling a class-action lawsuit with nonprofit litigator Children's Rights. We've written already about the National Coalition for Child Protection Reform's critique of the reform process thus far; its executive director, Richard Wexler, is not a fan of the approach taken by CR or Ahmed, and has been very prolific in his criticism of the process on NCCPR's blog.

Heard this from a local Michigan watchdog: Whatever one thinks of Ahmed, a headless state DHS this early in the reform process would be a setback.    

***Once upon a time, Michigan considered opting for a waiver offered by the federal government that would allow it to spend some of its child welfare allotment money on a more flexible array of services, including efforts to keep families together. The Florida Department of Children and Families (DCF) took that waiver three years ago, which we covered at the time. The  New York Times' Erik Eckholm reports that the effort has precipitated a significant decline in the number of children entering foster care, a 32 percent drop statewide. 

Obviously, a decline in the number of kids in care isn't a victory in and of itself. Let's say a once-diligent system worsened over time, and simply did not bother to investigate each abuse/neglect claim vigorously; the number of youths entering care might drop, and it wouldn't necessarily be a good thing.

But if social workers are making educated decisions on what families can be engaged and assisted without foster care, and the number of youths in care continues to drop, it's hard to see that as anything other than progress.

The summer has not been as kind to the rest of Florida DCF, though. The agency is figuring out how to fix its medication procedures after the April death of 7-year-old Gabriel Myers, who allegedly killed himself in state care and who was prescribed multiple antipsychotic medications during his time with DCF.

*** Give this much credit to Florida on the handling of the Myers case: it has handled an ugly situation in a very public way, with live-broadcast meetings of the Myers work group and a website with updates on the investigation and various reforms. In New Jersey much the opposite is happening. New rules on sharing child fatality information might have prevented the state from publicly airing what was happening with psych meds in the system.

There are downsides to publicizing the information. Lots of details about a family's private life can come out. Further, child fatalities are a weak indicator of an entire system's performance; a bad system could go a year with no fatalities while a functional one suffered four. Because of the ugly imagery of events related to a fatality case, coverage can often go a long way toward fueling a foster care panic. But no advocate whom New Jersey paper The Star-Ledger could find said those concerns warrant a compromise in transparency.   

***We don't often go off on personal tangents here but I think this might warrant it. I am a horror movie fan. I abhor violence, but love the sensation of being freaked out a by a film (when there are only imagined, and not real, tragic consequences). The true test of a classic horror film, to me, is that it makes the viewer think twice about doing something...go in the water ("Jaws") or backpack in Europe ("Hostel"), to name two examples.

So when I saw that Warner Bros. had decided to release a horror flick simply titled "Orphan," my stomach turned. Really? A film aimed at freaking the audience out about a girl, traumatized by a life without parents, who terrorizes the family that takes her in? Making moviegoers afraid of the woods is one thing; making them fear adopting a child in need is very different.

At least one group of foster care alums felt the same way, and posted a very moving video response to the film on YouTube.

One of the alums featured in the response wonders why the orphan anglet couldn't have just been an aspect of the plot, not the title; why not just name the movie "Esther," the character's name? Totally agree. 

Research

***A study of 250 Romanian children found that youths moved into high-quality foster care from placements in institutions developed increased brain activity. "This study is one of the first to document the neural consequences of early institutionalization," according to Margaret C. Moulson, the study's lead author.

Interesting collaboration on this study: Romanian children, U.S. researchers, and money from the John D. and Catherine T. MacArthur Foundation.

***The National Governors' Association and the National Conference of State Legislatures are hosting a policy academy entitled "Achieving and Sustaining a Safe Reduction in Foster Care." It will be Nov. 5-6 in Tampa, Fla. State agencies interested in applying should contact Jody Grutza.

 

Topics: Child Welfare | Funding
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Jamaal Abdul-Alim
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+  Florida Sets Up Web Site on Death of Foster Child
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Erika Fitzpatrick
+  From GrantsToday ...
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