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THE STATE OF AMERICA'S CHILDREN YEARBOOK 1998 tice, and mental health systems were struggling to care for many of the same children, federal and state policies seldom promoted interagency approaches, nor was community participation emphasized. Service systems did not comprehensively address the needs of individual children and families. The Child and Adolescent Service System Program (CASSP), begun in 1983 with a $1.5 million budget, was the fIrst initiative focused exclusively on improving the coordination of service agencies for children and teens with serious emotional disturbances. As funding grew, services expanded, but the principle of partnering with agencies, parents, and others working for children remained key. The 1993 Family Preservation and Support Services Program also required states to bring together these kinds of partners to identify existing supports and needs for children and families and to plan for the use of new resources. Families in Crisis: The Scope of the Problem Today Asurvey of state child protection agencies in 1996 by the National Committee to Prevent Child Abuse reported 969,000 children abused and neglected. However, some experts believe that as many as three times that number need help. Indeed, 3.1 million children were reported abused and neglected to public child protection agencies, and a national incidence study that gathered data from additional sources suggested that actual victims may have numbered 2.8 million children in 1993. The American Public Welfare Association estimates that 502,000 children were in foster care on an average day in 1996-about 25 percent more than in 1990. Although a current national profJJe of these children does not exist, an interesting picture emerges from the 1997 Multistate Foster Care Data Archive's examination of placement patterns in six states (accounting for about half of all children in foster care) from 1983 to 1994. The most recent growth in foster care placements primarily involved children placed with relatives. The study also found infants and young children entering foster care in greater numbers than any other age group and remaining in care longer than older children. Of particular concern are children who become long-term clients ofthe child welfare system. Most reunification of children with their families occurs within two years of a child's entry into foster care, but more than one-third spend much longer periods in care (see figure 5.2). Reentry into care is a problem too. Of the children who entered care in 1988, about 20 percent returned within fIve years. Children with serious emotional problems, whose special needs too often go unmet and who may be at great risk of entering foster care, are another concern. The Center for Mental Health Services in the U.S. Department of Health and Human Services (HHS) announced in 1997 that between 3.5 million and 4 million children ages 9-17 have a serious emotional disturbance. The center also reported that emotional problems are especially prevalent among poor children. It has published estimates ofthe number ofchildren with emotional disturbances in each state, based partly on the child poverty rate in the state. Promoting Adoption and Other Permanency Options In 1997 considerable attention was paid to providing permanent families for children, particularly the 100,000 children living in foster homes and group care settings who cannot return safely to their birth families. Federal and state action. Last year the HHS secretary, responding to a December 1996 presidential directive, announced a plan to double the numbers of adoptions and other permanent placements for foster children by 2002. Congress also took action with passage of the Adoption and Safe Families Act. Signed into law by the President in November 1997, the act includes numerous provisions developed with bipartisan support that are intended to promote adoptions for children waiting 66 CHI L D R E 'S D E F ESE F U D

CHILDREN AND FAMILIES IN CRISIS in foster care. Some prOVISIOns are intended to accelerate decisions about children's permanent care and expedite proceedings to terminate parental rights (a necessary precursor to adoption). The legislation also gives states fiscal incentives to move children into adoptive families. For example, states that increase the number of adoptions of foster children (in a given year over a base year) will be rewarded fmancially, with higher payments for certain children. The standard payment will be $4,000 per child, but states will receive $6,000 per child for adoptions of children with special needs (children with physical, mental, or emotional problems, children who are adopted together with their siblings, and children who, because of age, race, or ethnicity, could not be adopted without assistance). A number of these reforms build on changes already under way in states. During 1997 the General Accounting Office, the American Bar Association's Center on Children and the Law, and the New England Association of Child Welfare Commissioners and Directors all highlighted positive state activities. These include efforts to expedite permanency hearings, streamline termination of parental rights proceedings, increase adoptions, develop new service strategies to promote the stable reunification of families, and train staff to plan for reunification while concurrently developing an alternative permanency plan for each child. State courts meanwhile are moving children more promptly through the judicial system, often with the help of the State Court Improvement Program reauthorized by Congress as part of the Adoption and Safe Families Act. Expediting permanency decisions. New York City's past experience in placing children in adoptive homes illustrates the bureaucratic barriers to adoption. Dr. Trudy Festinger of the Shirley M. Ehrenkranz School of Social Work at New York University reviewed the records of children in outof-home care who were adopted in 1995, most with state financial support. The children's median age at adoption was 7.3 years old, although their median age at the time they were placed with their adoptive family was 2. In 85 percent of the cases, the parental rights of at least one parent had to be terminated fust in court, a process that is too frequently dragged out. Even after parental rights were terminated, delays continued. Although New York law permits the filing of an adoption petition Figure 5.2 years, and about onein foster ca re in these six states returned ta sixth were eventually adopted, another one- sixth remained in some form of public care for at least six years. What Becomes of Children In Foster Care? A Look at Six States· Although most children their families within two ~ 100 8 Cl .§ 2 75 c: " c: ~ ::!1 50 :2 u '0g, 25 Discharge status of children on December 31, 1994, by year of entry into foster care .E c: "~ &. 0 1988 1989 1990 1991 1992 1993 Earlyentranls .....1-------------------.. _ Discharged 10 family _ Other e,it" • Adapled - SliII in ca,e 1994 Recent entran" ·Californio, Illinois, Michigan, Missouri, New York, and Texas. o. Includes children who reach the age of majority while still in core, runaways, children who attain independence, those moved to juvenile detention or other public facilities, and some for whom the discharge destination is unknown or unspecified. Source: Fred H. Wulczyn, Allen W. Harden, and Robert M. George, Foster Core Dynamics 1983-1994, An Update from the Multistote Foster Core Data Archive (Chopin Hall Center for Children ot the University of Chicogo, 1997). CHI L D R EN'S D E FEN S E FUN D 67

CHILDREN AND FAMILIES IN CRISIS<br />

in foster <strong>care</strong>. Some prOVISIOns are intended to<br />

accelerate decisions about <strong>child</strong>ren's permanent<br />

<strong>care</strong> and expedite proceedings to terminate parental<br />

rights (a necessary precursor to adoption). The<br />

legislation also gives states fiscal incentives to<br />

move <strong>child</strong>ren into adoptive families. For example,<br />

states that increase the number of adoptions of<br />

foster <strong>child</strong>ren (in a given year over a base year)<br />

will be rewarded fmancially, with higher payments<br />

for certain <strong>child</strong>ren. The standard payment will be<br />

$4,000 per <strong>child</strong>, but states will receive $6,000 per<br />

<strong>child</strong> for adoptions of <strong>child</strong>ren with special needs<br />

(<strong>child</strong>ren with physical, mental, or emotional problems,<br />

<strong>child</strong>ren who are adopted together with their<br />

siblings, and <strong>child</strong>ren who, because of age, race, or<br />

ethnicity, could not be adopted without<br />

assistance).<br />

A number of these reforms build on changes<br />

already under way in states. During 1997 the General<br />

Accounting Office, the American Bar Association's<br />

Center on Children and the Law, and the<br />

New England Association of Child Welfare Commissioners<br />

and Directors all highlighted positive<br />

state activities. These include efforts to expedite<br />

permanency hearings, streamline termination of<br />

parental rights proceedings, increase adoptions, develop<br />

new service strategies to promote the stable<br />

reunification of families, and train staff to plan for<br />

reunification while concurrently developing an alternative<br />

permanency plan for each <strong>child</strong>. State<br />

courts meanwhile are moving <strong>child</strong>ren more<br />

promptly through the judicial system, often with<br />

the help of the State Court Improvement Program<br />

reauthorized by Congress as part of the Adoption<br />

and Safe Families Act.<br />

Expediting permanency decisions. New York<br />

City's past experience in placing <strong>child</strong>ren in adoptive<br />

homes illustrates the bureaucratic barriers to<br />

adoption. Dr. Trudy Festinger of the Shirley M.<br />

Ehrenkranz School of Social Work at New York<br />

University reviewed the records of <strong>child</strong>ren in outof-home<br />

<strong>care</strong> who were adopted in 1995, most with<br />

state financial support. The <strong>child</strong>ren's median age<br />

at adoption was 7.3 years old, although their median<br />

age at the time they were placed with their<br />

adoptive family was 2. In 85 percent of the cases,<br />

the parental rights of at least one parent had to be<br />

terminated fust in court, a process that is too frequently<br />

dragged out. Even after parental rights<br />

were terminated, delays continued. Although New<br />

York law permits the filing of an adoption petition<br />

Figure 5.2<br />

years, and about onein<br />

foster ca re in these<br />

six states returned ta<br />

sixth were eventually<br />

adopted, another one-<br />

sixth remained in some<br />

form of public <strong>care</strong> for<br />

at least six years.<br />

What Becomes of Children In Foster Care? A Look at Six States·<br />

Although most <strong>child</strong>ren<br />

their families within two<br />

~ 100<br />

8<br />

Cl<br />

.§ 2 75<br />

c:<br />

" c:<br />

~<br />

::!1 50<br />

:2 u<br />

'0g,<br />

25<br />

Discharge status of <strong>child</strong>ren on December 31, 1994,<br />

by year of entry into foster <strong>care</strong><br />

.E c:<br />

"~<br />

&. 0<br />

1988 1989 1990 1991 1992 1993<br />

Earlyentranls .....1-------------------..<br />

_ Discharged 10 family _ Other e,it" • Adapled - SliII in ca,e<br />

1994<br />

Recent entran"<br />

·Californio, Illinois, Michigan, Missouri, New York, and Texas.<br />

o. Includes <strong>child</strong>ren who reach the age of majority while still in core, runaways, <strong>child</strong>ren who attain<br />

independence, those moved to juvenile detention or other public facilities, and some for whom the<br />

discharge destination is unknown or unspecified.<br />

Source: Fred H. Wulczyn, Allen W. Harden, and Robert M. George, Foster Core Dynamics<br />

1983-1994, An Update from the Multistote Foster Core Data Archive (Chopin Hall Center for<br />

Children ot the University of Chicogo, 1997).<br />

CHI L D R EN'S D E FEN S E FUN D 67

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