FOSTER CARE, CHILD WELFARE, AND
ADOPTION REFORMS
JOINT HEARINGS
BEFORE THE
SUBCOMMITTEE ON PUBLIC ASSISTANCE
AND
UNEMPLOYMENT COMPENSATION
OF THE
COMMITTEE ON WAYS AND MEANS
AND
SELECT COMMITTEE ON CHILDREN,
YOUTH, AND FAMILIES
HOUSE OF
REPRESENTATIVES
ONE HUNDREDTH CONGRESS
SECOND SESSION
APRIL 13 AND
28; MAY 12, 1988
SERIAL 100-61
WRITTEN STATEMENT OF MARCIA ROBINSON LOWRY
23
Marcia Robinson Lowry
Director,
Children's Rights Projpect
American Civil Liberties Union
As director of the Children's
Rights Project of the
American civil Liberties Union, I am very pleased
to have the
opportunity to address this joint hearing on foster care,
child
welfare and adoption reforms.
The Children's Rights
Project has been engaged in advocacy
and litigation on behalf of the
hundreds of thousands of children
in state custody for the last fifteen
years. We along with many
other children's advocates in this country,
were very heartened
in 1980 when Congress recognized the very serious
problems in
foster care by passage of the federal Adoption Assistance
and
Child Welfare Amendments to the Social Security Act, P.L. 96-272.
The Adoption Assistance Act reflected growing concern that foster
care was little more than a long term custodial arrangement for
hundreds of thousands of children, that many children come into
foster care unnecessarily, and once there have little chance of
leaving until they are old enough to walk away on their own.
The
goals of the Act are modest. As a condition of federal
funding, states
must have a reasonable information system to
identify the children in
federally-funded state custody, Under
this law children come into state
custody only after "reasonable
efforts" have first bean made to keep
them at home with their
families. Once children are in state custody, a
permanent plan
is to be made for each child with the goal of returning
them to
their families, through the provision of services, or if that is
not possible, that adoptive homes be sought for them. The Act
also
requires that children be kept in the most familylike
settings possible
while in foster care, and that the children's
status be reviewed
periodically.
If the law were working, it would substantially
transform
the lives of hundreds of thousands of children who are still
the
victims of child welfare systems across the country. But the law
is not working. These goals are not being achieved. The
requirements
of the Act not being enforced or monitored.
In New York, Bill, the
boy you heard testimony from today,
was taken from his mother when she
had to be hospitalized, along
with his sister and two brothers. For four
years, his mother
tried to get her children back, but was always
rebuffed, told to
find a job and better housing. Bill says that whenever
his
mother left him after a visit, he felt as if the whole world was
leaving. It has taken class action litigation -- and frequent
returns to court -- to get Bill and his family reunited and
necessary services provided.
In Louisiana, three other children
were taken from their
mother, and placed in foster care when she had a
temporary
emergency, For the next year, her repeated attempts to regain
custody were met with instructions to earn enough money to
support
her family (notwithstanding the existence of public
assistance and the
fact that she has not graduated from high
school) and attend parenting
therapy (where the therapist
discharged her after a few sessions because
she did not need that
kind of assistance). She finally got her children
back --
without explanation and without services -- when she joined a
lawsuit pending in Louisiana, asserting violations of the federal
Adoption Assistance Act.
These are not isolated examples. Over
the last eight years,
the children's Rights Project of the American
civil Liberties
Union has been involved in litigation in Kansas City,
Mo.,
Louisville, Ky., New York City, and the states of New Mexico and
Louisiana, seeking to enforce the provisions of the Adoption
Assistance Act directed toward protecting children from spending
their entire childhood in foster care. We have turned down
requests
from a number of other states to institute additional
lawsuits, solely
because of a lack of resources. In the course
of trying to enforce this
federal legislation, we have learned
many important things, both
generally and specifically.
24
I. Generally
Few if any states are in compliance with the law. Although
we cannot
claim to have investigated the situation in every
state, the
investigations we have done and the extensive
discussions we have had
with advocates nationally leads us to
that conclusion. But the federal
government and the states do
not have firm evidence about how the law is
being implemented.
The Department of Health and Human Resources has
almost no
national data, and does not require the states to report data
that would enable the federal government to do reliable
monitoring.
Moreover, the federal government has shirked its oversight
responsibilities. Although HHS is required to audit a state's
compliance with 96-272, it is almost impossible to fail an HHS
audit. Failing more than once is almost unheard of. Advocates
know
that any state that has failed an HHS audit is maintaining
an
unimaginably poor foster care system. One HHS regional
director has
acknowledged to the press, in response to a quoted
comment that federal
audits are very perfunctory, that "the
guidelines are very generous to
the states."
II. Specifically
In the states in which
the ACLU has pending litigation, we
have uncovered widespread violations
of federal law -- violations
that reflect serious harm to children. All
of these states have
passed recent federal audits.
A.
Louisiana
Louisiana failed its HHS audit in 1983. To bring
itself
into compliance, the state established an administrative review
section, in which reviewers read each child's case, and attend
case
staffings, and fill out checklists on 96-272 items.
However, nothing
happens as a result of these checklists, even
when 96-272 requirements
are not met in specific cases, nor are
these checklists ever tabulated
by either the state or HHS, In
our role as plaintiffs' counsel in our
Louisiana lawsuit, we
obtained and compiled the individual forms. The
state's own data
shows the following clear violations of federal law.
* Federal law requires that reasonable efforts be made to
avoid
the need for foster care placement and that services be
identified and
provided to enable a child to be reunified with
his or her parents
whenever possible.
Only about one-third of the children coming
into foster care
were receiving any family
services prior to placement.
In
one-quarter of the eases (in which the
children were in placement
and the plan was
return home) needs were identified for
families
and children where there were no
resources available.
* Federal law requires that each child have a case plan
that assures the permanent placement of the child. Children who
go
into foster care in Louisiana stay in state custody for
substantial
periods of time, with little effort being made to
discharge them either
to their own families or into adoption,
In almost one-third of the cases (in which
the children were
in placement and the plan
was adoption) court ordered services were
not
being provided.
Approximately fifty per cent of the
children
in foster care in Louisiana have been there
for more
than twenty-four months. More than
one-third have been in foster
care more than
three years.
25
* The
fifteen children who are plaintiffs in the lawsuit
have been in foster
care for the following periods of time:
Seven years -- a brother and sister five and seven when
they
entered foster care.
Nine years -- a boy five years old when he
entered foster
care.
Nine years -- two sisters who were three
and four when
they entered foster care. The younger child was
adopted after the lawsuit was filed.
Six years -- two sisters,
two and three when they entered
foster care.
Five years -- a
boy who was six when he entered foster
care.
Nine years -- a
boy who was four when he entered foster
care.
Three years --
sisters who vere four and three when they
entered foster care.
One year -- four children, eleven, ten, eight and six when
they entered foster care; they were returned after their
mother
joined the lawsuit.
* Federal law requires that children
receive appropriate
treatment, in the most familylike setting, while in
foster care.
Approximately fifty per cent of the children
in institutions
are there unnecessarily,
according to the state's own criteria.
Almost one-third of the children in foster
care had not had
a physical examination in
the past twelve months.
In more
than one-half of the cases, the
worker did not visit the child as
frequently
as required by state law.
More than ten percent
of the foster homes
supervised by the state exceed the state's
own limitations on the number of children
that can be in a
particular foster home.
In one-half of the cases foster care
workers
did not visit children as required by state
law and the
child's plan.
* Federal law requires that all children's
cases be
reviewed every six months, either administratively or
judicially,
and that a judicial dispositional review be held after 18
months.
one-quarter of the children have not received
the six month
planning reviews required by
federal law. In urban areas the
percentage
is much higher; more than half the children
in New
Orleans did not receive such reviews.
In one-quarter of the
cases in which a case
has been reviewed by a state court and the
court has issued orders requiring the provi-
sion of specific
services or reports, those
orders have not been followed.
In
one-third of the cases, no judicial dispo-
sitional hearing had been
held after 18
months.
26
The state's own
data make out a strong enough case to show
widespread violations of
federal law. However, in preparation
for trial, we are also conducting a
scientific survey of a random
sample of case records, concerning 700
children, to further
document these violations and consequent harm to
children. For
the children of Louisiana, P.L. 96-272 has meant very
little thus
far, except to provide lawyers with rights that can be
enforced
through the federal courts.
B. New Mexico
The ACLU obtained a court ordered consent decree in New
Mexico
on the eve of trial in 1983, after documenting widespread
violations of
federal law and constitutional rights in that
state, The decree focuses
on the planning and access to adoption
provisions of P.L. 96-272, At the
time the decree was entered,
49 percent of the children in New Mexico
were in foster care for
24 months or longer, the highest percentage of
35 states
surveyed, The federal judge found the New Mexico foster care
system to be no more than a long term custodial care arrangement.
The consent decree mandates time periods for specific
planning
events, mirroring the intent of 96-272 but providing
more detail. It
also requires explicit caseload limitations,
training, and periodic
internal review, as well as judicial
review and Citizen Review Board
review. Nevertheless, extremely
vigorous monitoring and frequent
renegotiation have been required
to try to bring the child welfare
department in that state into
compliance.
Children in New Mexico
have no doubt benefitted from the
consent decree, based on 96-272, but
the state is a long way from
meeting the minimal standards of the law.
For example:
Large numbers of workers carry caseloads in
excess of what
the department itself has
agreed is reasonable.
None of the
children in the state's custody
have plans that contain the elements
required
by the consent decree, which is based on 96-
272.
Sixty-five per cent of the children eligible
for adoption
have never been referred to the
adoption unit.
In only
one-third of the cases of children
freed for adoption and not placed
in adoptive
homes had adoption even been discussed with
long
time foster parents.
One third of the children for whom adoption
was the plan were never referred to legal
counsel to be freed
for adoption.
Six month reviews did not occur as required
for approximately one quarter of the
children.
The
department does not maintain reliable
data on the occurrence of 18
month judicial
reviews.
Despite this abysmal record,
New Mexico has recently passed
its HHS audit. A motion to have the
department held in contempt
for substantial violations of the consent
decree and to have an
administrator appointed is pending in federal
court.
C. Kansas City. Mo.
Our case in Kansas City,
G.L. v. Zumwalt, was filed in 1977.
It was settled in 1983 by a
Consent Decree approved by the court.
The Consent Decree requirements
parallel the requirements of P.L.
96-272 but they are not identical and
the G.L, Decree contains
additional specificity. Last year, the parties
to the G.L.
Decree, with the help of a monitoring committee of prominent
Kansas City residents, developed a system for measuring
compliance
with the Decree. The first report from that new
system, representing the
reading of a random sample of 25 cases
was issued in October, 1987.
27
The report presents a mixed picture. Both the
Decree and
P.L. 96-272 require case plans be developed every six months
for
children in care. Kansas City does quite well in meeting this
requirement. 100% of the cases reviewed occurred on time. There
were
some problems with the plans. For example, 40% contained no
statement of the progress the family made in the preceding six
months as required by the Decree and implicit in the requirement
of
P.L. 96-272 that the plan discuss "the appropriateness of the
services
that have been provided." But, most of the other
requirements of the
Consent Decree and P.L. 96-272 were met at
the case reviews in Kansas
City.
Much more troubling is the provision of services. Both the
Consent Decree and P.L. 96-272 require that the plan "assur[e]
that
the child receives proper care and that services are
provided" that will
result in the child returning home or being
adopted. For children
entering foster care, appropriate
assessments, the necessary predicate
for determining appropriate
services were not dona 23% of the time. For
those children
whose plan was adoption, none were moving expeditiously
toward
that goal.
The most troubling result of the Kansas City
review was the
level of abuse, undetected or unreported, in foster
homes. 25%
of the children in the sample were the subject of abuse or
inappropriate punishment. 88% of those reports were not properly
investigated. This amazing result violates the state's own
procedures, the Consent Decree, 42 U.S.C. % 671(a)(9) and 42
U.S.C.
% 5103 (b) and (c).
D. Louisville, Kentucky
In
Louisville, Kentucky, the Project obtained a Consent
Decree in a state
court case charging the state with abuse and
neglect of children in its
care for failing to obtain adoptive
homes for children who need them.
Although the case is not based
on P.L. 96-272, the Consent Decree
requirements that children
expeditiously receive adoptive homes closely
tracks the emphasis
in federal law on achieving permanency. The most
recent
statistics prepared by the Kentucky Cabinet for Human Resources
measure the time it took the state to achieve each of the 10 or
11
steps necessary to have a child adopted. Kentucky's own
statistics show
that for half of the steps, the state achieved
the step less than half
of the time. In other words, children in
Louisville continue to languish
in temporary foster homes in
Louisville even when everyone thinks they
should be adopted.
One of the steps required by the Louisville
decree is
identical to the requirement of P.L. 96-272 that there be a
case
plan within six months of the child's entry into care.
Kentucky's own statistics show that in 1987, only 55% of
Kentucky's
foster children received the case plan on time.
From everything we
have learned, it is clear that many of
the neglected, dependent and
abused children who were the
intended beneficiaries of P.L. 96-272 are
simply not receiving
its benefits. Although Congress intended to limit
unnecessary
foster care by mandating states to make reasonable efforts
to
avoid the need for foster care in the first instance, many states
are meeting their own fiscal needs by ploughing that money
straight
into foster care.
The number of children in foster care is starting
to move
back up after a decline in the early 80's. Foster care itself is
little better than it was when this reform legislation was
passed.
Critically important planning and policy making is
severely handicapped
by widespread lack of data, and unreliable
data. The most recent foster
care population figures are three
years old.
HHS' efforts at
enforcing this federal legislation and
providing critically necessary
protection to this nation's most
vulnerable children are so negligible
as to be irresponsible.
28
Repeatedly, day after
day, we learn about such children as
the seven year old child in New
Mexico given back to a negligent
mother by an inadequately supervised
foster mother, who then
burns down the family trailer: the toddler in
New York returned
to an unsupervised home who is then beaten to death;
the six year
old in Louisiana who asks the foster parent who will be
caring
for him for only one night -- before he moves on to yet another
temporary placement -- "Is it all right if I call you Mommy
tonight?
On behalf of these children, I welcome the opportunity to
share
some of this information with the Committee. And I most
vigorously urge
Congress to take the necessary steps to insure
that the protections of
this legislation, adopted with such high
hpoes in 1980, finally become a
reality for this country's
waiting children.
Boyd A
Former New York City Foster Child
My name is Boyd. I'm 12 years old and I live in New York
City. I
have 4 brothers and 1 sister. For the last year or so,
I have been
living with my mother and my brothers and sister.
I'm very happy to be
finally living with ay family.
When I was younger, I was in foster
care for a long time. I
went in and out of foster care a lot of times. I
was in so many
foster homes I can't remember them all. I do remember one
home
they put me in because the foster parents only spoke Spanish. I
don't speak Spanish. I didn't like foster care at all. It was
terrible to be put in lots of different homes with lots of
strangers, knowing they wouldn't let me be with my mother. I
wanted
to be with my mother and my brothers and sister.
I had a lot of
social workers. I had so many I can't
remember them all. They all said
they wanted to help me, but I
think that was a lie. They never paid
attention to me, or what I
wanted or needed. They all said my mother
couldn't take good
care of me but I don't think that's true. One time I
ran away
from a foster home and back to my mom, but the social workers
wouldn't let me stay. That made me feel very bad. The only help
I
wanted from the social workers was to go back to my mom, but
they didn't
help us with that. Because I've lived so many
different places, I've
also been in lots of different schools. I
want to do well in school but
all this moving around has made it
very hard for me to keep up with my
class.
It's hard for me to tell you how bad foster care is. My
mother used to come to visit me a lot when I was in care and when
she left, it felt like the whole world was leaving me. It was so
hard that sometimes I almost didn't want her to visit because it
hurt so much.
I know how bad foster care is and I want other
people to
know so that what happened to me won't happen to other kids. I
worry about all the other kids who are in foster care or who will
go
into foster care. I don't think they ought to take kids away
from their
parents and put them in foster care. If a family
needs help, they should
help them, but not by using foster care.
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