AMENDMENTS TO SOCIAL SERVICES, FOSTER
    CARE, AND CHILD WELFARE PROGRAMS


    HEARINGS
    BEFORE THE
    SUBCOMMITTEE ON PUBLIC ASSISTANCE, AND
    UNEMPLOYMENT COMPENSATION

    OF THE
    COMMITTEE ON WAYS AND MEANS
    HOUSE OF REPRESENTATIVES
    NINETY-SIXTH CONGRESS

    FIRST SESSION

    ON

    LEGISLATIVE PROPOSALS AMENDING TITLE XX SOCIAL SERV-
    ICES PROGRAMS. AFDC FOSTER CARE AND CHILD WELFARE
    SERVICE PROGRAMS

    March 22 and 27, 1979




      STATEMENT OF JANE KNITZER, PROJECT CODIRECTOR,
      CHILDREN'S DEFENSE FUND


      Ms. KNITZER. Thank you Mr. Chairman.

      My name is Jane Knitzer. I represent the Children's Defense
      Fund which is a public interest organization that seeks to uncover
      problems affecting children. We just released a report which we
      shared with all members of this subcommittee on children who are
      at risk, or are in placement and we are vitally concerned about the
      legislation that you are considering today. Before I briefly summa-
      rize our findings for you -- and I did testify before you almost 2
      years ago, I would first like to take this opportunity on behalf of
      CDF to thank you, Mr. Chairman, and all the other members of
      this committee, for your leadership in the last session and your
      beginning leadership in this session. We deeply appreciate and we
      desperately need it.

      Let me briefly highlight what we found in our study because I
      think it really ties in very much with some of the issues that have
      already been raised in testimony today and last week. We have
      three major findings. The first is there is an antifamily bias that
      pervades the policies and practices of the child welfare system. The
      system works against families, not for them.

      The second is that the children who are in these systems, in
      child welfare systems are in double jeopardy because they are also
      subject to neglect by public officials who have responsibility for
      them.

      And the third major finding, which is why I am here today, is
      the Federal role exacerbates both the antifamily bias and the


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      public neglect of these children. Let me just for a moment speak in
      some detail about these findings.

      An antifamily bias is reflected at all points in the placement
      process. Children are inappropriately removed from their families.
      Let me share with you a case example. In the course of doing our
      study we learned about many children. I will share briefly what
      turns out to be a fairly typical kind of example of a mother who
      was receiving welfare payments who had five children. The oldest
      child was 8. She had a retarded 2-year-old and a set of 6-month-old
      twins. Her sister was killed in a car accident and the mother
      became severely depressed. She felt unable to cope with the heavy
      demands of her family. She turned to the local child welfare
      agency for assistance and as a result all of the children were placed
      in foster care. The mother was never offered crisis counseling.

      She was never offered a home maker to give her a respite from
      her demanding family needs. Instead, at high cost to the taxpayers
      the children were placed. This is what it means in the lives of
      children. We were actually shocked to find the extent of the antifa-
      mily bias once the children are placed. What we found was the
      system sometimes actively discouraged parent-child contact. We did
      a survey and found that in 140 counties only half even had written
      policies requiring parent-child contact, so the case workers office
      did not even attempt to arrange visits.

      When visits did occur, it is typical for such visits to be in court-
      rooms, Just think about visiting with your own child in a court-
      room. We even found one county that allowed visiting only on
      special occasions such as the childs or the parents birthday. That
      latter one is extreme. The courtroom example is not extreme.

      We also found that parents did not know when the children were
      moved from place to place. They did not know where the children
      were.

      The antifamily bias continues at a point when a decision should
      be made about the child too often there is no one to make a
      decision. Again let me share the case of a child. At the time we
      learned about him he was 7. At the age of 4 he was removed from
      his foster home because he was appropriate for adoption. The State
      then placed him in a child care institution -- removed him from a
      foster home and placed him in an institution so he should not
      establish too strong ties with foster parents who did not in that
      instance want to adopt him.

      He was placed in this child care facility as a precursor to his
      being adopted. However, the system broke down. The child's case
      was never reviewed and at the time we visited the State 3 years
      later he was still in the child care facility and had no adoptive case
      worker, and there was no tracking mechanism so somebody would
      know this child was still sitting there.

      This is what it means in the lives of these children. I could go on.

      That is an example of the antifamily bias. It is also an example
      of public neglect, where there was no case worker for this child and
      there he was in an institution. The public neglect of children we
      found takes many forms. The first is that case workers -- you have
      heard this -- are overburdened and they don't get to know the kids
      or facility they are in. As a result, many children are inappropri-
      ately placed. This ties into the fiscal problems that we are all


    137

      dealing with in terms of the cost of this system. They are also
      placed at great distance from their family. We found 10,000 kids
      are placed out of State.

      And in our report we have a map that looks like airline maps of
      kids crisscrossing the country because there is no consideration in
      their placement, to placing them in the least restrictive setting and
      also the closest possible setting to their home and community
      consistent with their special needs.

      Our findings tie in with what Senator Pisani said, they are
      placed where there are spaces.

      We also found that for many of these children there are either
      no reviews or the reviews are pro forma. This speaks to the issue
      that came up before around the administrative case review, 6
      month administrative case review and the 18-month judicial
      review.

      In our study we found that reviews are simply very often paper
      reviews. We even found one instance in Massachusetts where we
      were simply told by the case workers -- I might say Massachusetts
      has good regulations about review requirements -- that they only
      did the case reviews, the administrative reviews, of the child, when
      they had a new case worker to train. Otherwise there were no
      reviews of the cases.

      We believe it is important that there be a provision for an
      administrative review built into any bill try to guard against this
      sort of problem.

      Most States, two-thirds of the States, do not require in addition
      to these administrative reviews that there is any independent peri-
      odic reviews of the children. New York is one of the 20 that does.
      Two-thirds of the States do not require any independent review by
      somebody who is not responsible directly for the child and not
      within the agency responsible for the child.

      You have already heard today how the Federal fiscal dollar is
      implicated in sustaining these problems and I am not going to go
      into that in detail. Suffice to say it provides incentives in all the
      wrong directions.

      Let me now turn briefly to some of the specific proposals before
      you. We are pleased to see that many of the issues that you ad-
      dressed so carefully and with such great detail last year in 7200
      are again in the bills before you. We believe it is absolutely crucial
      that the address to this issue be comprehensive, that it deal in one
      bill with preventive service, with quality of the foster care that the
      child receives and with adoption subsidies.

      There will be no substitute in terms of reforming the system for
      putting those all together in one bill.

      Let me just make a few specific comments in terms of some of
      the bills that are before you. We believe strongly there must be a
      conversion of title IVB program to entitlement program. This is
      fundamental. There must be a strong maintenance of effort clause
      and there must be a prohibition on the use of any new moneys for
      maintenance cost of children in foster care. We also believe the
      phase-in approach reflected in the administration bill may in fact
      be a realistic way of trying to insure that States are able to comply
      with the requirements.


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      We support wholeheartedly some of the modifications in the
      AFDC foster care program proposed in the various bills particular-
      ly including voluntarily placed children in the program and second
      reimbursing for public agencies for small facilities. We think that
      is important. We heard over and over again in our visits to States
      there is a desperate need for the development of these kinds of
      smaller public facilities particularly for adolescents.

      Let me say a word about the voluntary placements of children
      that came up briefly before. We believe that an adequate protec-
      tion would be the use of the written voluntary placement agree-
      ment in which the parental rights and obligations and the State
      rights and obligations are made explicit. We are very concerned
      about the present system by which children are in fact funneled
      through the court.

      It is not at all clear to us that the required judicial determina-
      tion now serves as a protection for children. In fact, it serves to
      guarantee Federal funding and the children in many cases are
      simply being run through the court and rubberstamped to become
      eligible for AFDC foster care program. We believe it is a better
      protection for the children to have those children who should be
      placed as a result of court order so placed and voluntarily placed
      children should be covered under a different kind of mechanism.

      In other words, we are concerned again about the pro forma use
      of the court as a trigger for the fiscal dollar.

      We are fundamentally opposed to placing a ceiling on the AFDC
      foster care program. We too are concerned as Ms. Martinez testi-
      fied -- about the inappropriate foster care placements. We do not
      believe a cap is the appropriate way to address this problem.

      Let me give you three reasons we believe this. First there is
      absolutely no substitute in terms of turning around a system for
      increased targeted funds for preventive and reunification service
      and strong protections including periodic reviews and dispositional
      hearings. The administration's bill would impose a cap regardless
      of whether the States have such services and protections in place.

      We have grave reservations about what the consequences of this
      will be in terms of the lives of the children coming into care. There
      will be no guarantees that those children who need the care will
      get it or that the children in care will be able to be moved through
      the system. You can assure with a cap some people will be kept out
      of care but how do you insure that the right children are kept out
      of care?

      Second, we are opposed to a cap because it does not take into
      account the realities of increased case loads, of inflation or of new
      demands on the child welfare system. For example, in our study -- I
      know you have heard this in testimony before -- there are increasin-
      gin numbers of adolescents, so-called status offenders who are
      being moved into the child welfare system and who need care and
      placements. A cap also does not allow for the States that will be
      effected by a recent Supreme Court decision which permits the
      reimbursement to relatives under the AFDC foster care program if
      children are formally placed with them, nor would it be responsive
      to the intent of Congressman Downey and Rangel's bill to extend
      coverage to voluntarily placed children.


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      These are all legitimate kinds of demands on the system and a
      cap is not responsive to them.

      Third, we believe that even after the States have set up the
      kinds of service and protections envisioned in this legislation before
      you a ceiling would be dysfunctional because presumably then only
      the children who truly need foster care will be coming into the
      system.

      Finally we think it is outrageous that the administration bill
      includes adoption subsidies under the ceiling. To put a ceiling on
      the numbers of children who can be assured permanence is beyond
      foolish public policy. It is inconceivable.

      Let me turn now to addressing what we believe is one of the core
      elements of this legislation and that is the protections that the bill
      affords to children and families. One of the tragedies of the current
      system is parents and children have so few protections against its
      capricious functioning. We believe that there are a number of
      protections that are absolutely essential that must be built into
      any kind of legislation and we believe that these protections must
      be afforded as a right to each child in foster care and they must be
      clearly made a condition of funding under both AFDC foster care
      program and the IV-B program.

      These protections include preventive and reunification service,
      written voluntary placement agreements, case plans, placement in
      the least restrictive setting in reasonable proximity to the child's
      home community appropriate to the child's needs. Six months peri-
      odic case reviews and dispositional hearings. We also believe that
      any legislation should specify the due process safeguards to be
      afforded to parents and children at various points in the placement
      process.

      And we believe that it is very important that in this legislation
      there be some kind of clear mechanism for fair hearing. Having
      said that let me make some comment on what we think are neces-
      sary within each of these specific protections to maximize the
      likelihood of success.

      There is some degree of unanimity in the bills before us as to
      these protections. There are however some subtle differences that
      may be loopholes or that may be will weaken the effectiveness of
      these protections so I would quickly like to run through them.

      First, we believe that preventative and reunification service re-
      quirements should only be waived in nonemergency situations if a
      parent refuses services. Otherwise it can become a loophole for
      getting the State off the hook and not offering preventative service.

      Second, we believe that the least restrictive close proximity
      standard appropriate to the child's needs should apply both under
      the AFDC FC program and under Title IVB.

      Third, and this we think is very important -- the 18 month dispo-
      sitional review mechanism must have some kinds of built-in follow-
      up to insure reporting back to the body doing the reviews to make
      sure that there is compliance. There must be some continued check
      on the bureaucracy to make sure that there is not simply a disposi-
      tional order saying free this child for adoption and no further
      followup because we can predict that the child may not be freed for
      adoption.


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      So in thinking through the components in the dispositional
      review some followup mechanism is absolutely crucial.

      We believe that any bill should spell out due process protection
      such as the right to notice, the right to participate and the right to
      have representation when critical decisions are made about the
      children.

      Finally on fair hearing mechanism it is not enough to have a fair
      hearing mechanism only for the denial of benefits. Parents, foster
      parents, children in this system need to have some mechanism
      where they can raise questions about the adequacy of service or the
      failure to receive the benefits or the service and the protections to
      which they are entitled.

      We believe -- and others have said -- that these protections will be
      cost effective; requiring placement in the least restrictive setting,
      would be likely to cost less than overinstitutionalizing children.
      Preventative service as Senator Pisani eloquently said, cost less
      than foster care.

      Finally, I would like to just briefly mention our hope that the
      bill will include strong accountability provisions and to reinforce
      what Senator Pisani said about the need to build in some of these
      mechanisms into the legislation. We believe that accountability
      mechanisms ought to be established so there can be increased
      public participation both in the planning process for the child
      welfare system and in the information available to the public so
      they can know what is going on with these children. We also
      believe that there must be provisions for adequate periodic onsite
      reviews, onsite case reviews as well as reports.

      Thirdly, there must be public and periodic data available on
      these children and the bill should require this.

      Let me make a few specific comments to expand on what I said.
      One thing that we believe would be very important would be at the
      point that a State becomes eligible for full funding under title IV-B
      we believe it is crucial there be a careful determination as to
      whether or not the State is really in compliance with the protec-
      tion and service requirements of the bill.

      We believe this should be an onsite case review kind of mecha-
      nism to make sure that in fact individual children are being pro-
      tected in the ways envisioned by the bill.

      In terms of the need for aggregate data we appreciate the fact
      that the administration bill requires an inventory of children. We
      are concerned this be more than a one-time inventory. This must
      be a periodic kind of inventory. It must be available on a State-by-
      State basis and it must be available to the public.

      Let me not comment any further on the bills but respond to any
      of your questions and just take a minute to make some comments
      about title XX.

      CDF would like to submit for the record some detailed written
      comments. Let me briefly say once again we are appreciative of
      your leadership, this subcommittee's leadership and trying to
      insure that social services are protected for the people who need
      them and we hope to continue to work with you to achieve an
      increase in the permanent ceiling to $3.1 billion in 1980 with 70
      percent cost of living increase subsequently, retention of the child


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      care earmarked and the 100 percent nature of that earmarked
      under Public Law 94 -- 401, improvement in training efforts.

      We are opposed to the administration's proposed 3-percent ceil-
      ing. I believe that would be destructive. We would like to submit
      for the record more detailed comments.

      Let me say I really appreciative the opportunity to testify before
      you and again we will be happy to work with you in any way we
      can to get these bills passed. Thank you.


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