Insight into DFPS priorities for 2022-2023

While we can likely all agree that 2020 has been a year that has somehow simultaneously flown by and dragged on, one thing is certain: the 87th Legislative Session is right around the corner and will be here before we know it. This session brings with it lots of unknowns about how it will be conducted, and state departments have been preparing for a tight budget to carry out their operations. The Department of Family and Protective Services (DFPS) recently released their Legislative Appropriations Request (LAR) for Fiscal Years 2022-2023 which has given us some insight into their priorities for the children and families they serve. 

Looking Back 

Last session, DFPS started out with a $4.2 billion baseline request and was able to secure more funding in several key areas. With this additional funding, the Prevention and Early Intervention (PEI) division expanded Project HOPES (Healthy Outcomes though Prevention and Early Support) and Texas Nurse-Family Partnership (TNFP) into four new counties each. DFPS also provided a $6,000 salary increase to Statewide Intake (SWI) staff, which has resulted in decreased turnover and hold times. Increased funding was allocated to increase staffing for the Child Protective Investigations (CPI) and Child Protective Services (CPS) workforce which, according to DFPS, has decreased caseload sizes. Additionally, Community-Based Care received funding to expand to a total of five catchment areas: three in Stage I and two in Stage II (case management). While DFPS achieved its goal to advance two areas into Stage II (Regions 3B and 2), only two areas currently operate in Stage I (Regions 8A and 1). They are re-procuring the contract in Region 8B to hopefully begin Stage I services in the summer of 2021. Provider rates were also increased to help serve the children in their care.  

In light of a global pandemic, state agencies have since had to make adjustments due to the anticipated $4.6 billion shortfall to the entire state budget. State agencies were asked to reduce their expenditures by 5%. While parts of DFPS were exempt from this reduction, DFPS’ total estimated expenditures for Fiscal Years 2020-2021 are estimated to be $4.4 billion.  

Looking Ahead 

DFPS is entering into the next biennium with a $4.5 billion baseline request, which reflects growth forecasts but is impacted by the previous 5% reductions. According to DFPS, this required making some additional funding asks just to get back to a maintenance level of operations. In a typical legislative budget cycle, one would expect numerous exceptional items above DFPS’ baseline request. However, with the current economic climate in the midst of a pandemic and a costly ongoing federal lawsuit, DFPS’ approach to the budget is narrow in scope and only aimed at initiatives they consider to be most necessary. DFPS’ LAR includes requests for an additional $192 million to carry these out. 

Prevention 

While approximately $182 million in exceptional items focus on the functions once a family has experienced crisis, it was most promising to see requests for additional investments in keeping families safely together and preventing removals. DFPS specifically included an exceptional item request for an additional $10 million investment in PEI services, specifically Project HOPES, the Family and Youth Success Program (formerly known as STAR), and the Military Families Program. Citing the costs of each program in comparison to the cost of foster care services, DFPS acknowledged these services as a “cost-effective alternative to foster care.” DFPS also included a placeholder to discuss how to leverage the funding opportunities in the Family First Prevention Services Act (FFPSA). Their FFPSA strategic plan provides numerous options to carry out the prevention provisions of this federal legislation, and they want the Legislature to weigh in.  

Protection 

DFPS has prioritized maintaining its current CPS operations to ensure they are keeping children safe and providing families with the supports they need. This $99 million request includes additional funding to restore the travel costs that decreased during the beginning of the pandemic, ensure they can continue providing services to clients at the current levels, and additional conservatorship (CVS) caseworkers to meet the target caseload sizes.  

To comply with the decade-long federal lawsuit, DFPS included an additional request for $39 million. This amount includes additional staff to meet the heightened monitoring requirements to ensure facilities are adhering to minimum standards and additional staff for Residential Child Care Investigations (RCCI) to address the Court’s concerns about the timeliness and quality of their work. These additional funds also will cover the fees for the court monitors to oversee compliance and report back to the Court. 

To continue the momentum of expanding Community-Based Care, DFPS has requested an additional $44 million in funding for the costs associated with expanding Stage I into four new areas and Stage II into two new areas. 

We look forward to working with DFPS and the Legislature to protect and support investments in child abuse and neglect prevention, to promote family preservation, and to ensure the children and families in their care receive the services they need to be safe and successful. Stay connected with us for updates on budget discussions throughout the session and to find out how you can get involved. 

Here’s How TexProtects Has Been Advocating for Texas Children and Families in October

TexProtects has been hard at work advocating for children and families. Recently, we submitted comments in response to Requests for Information (RFI) from three different legislative committees on how lawmakers can leverage the funding opportunities in the Family First Prevention Services Act (FFPSA), invest in early childhood brain development, and ensure the trauma-informed training components of House Bill 18 and Senate Bill 11 from the last legislative session are implemented successfully.

The Texas House Appropriations Subcommittee on Article II and the Texas House Human Services Committee asked for the public to weigh in on how Texas is preparing for federal funding changes resulting from FFPSA. With the passage of this federal legislation, states now have access to a funding mechanism for families to be connected to evidence-based, trauma-informed prevention services in the community to prevent removals into foster care. We provided them with our assessment on the Department of Family and Protective Services’ (DFPS) strategic plan on how they plan to implement FFPSA, and we laid out opportunities we see for Texas to take advantage of this potentially transformative legislation. You can check out more specifically what we had to say in our RFI submissions here and here.

The Texas House Appropriations Subcommittee on Article II also asked for comments on how the state invests in early childhood brain development. Knowing how critical these early years are, we encouraged the committee to fund community-based, primary child abuse prevention programs for children prenatal to age 5. We also advocated for the expansion of universal prevention strategies in public health settings since healthcare settings remain one of the most universal touchpoints for families with young children and can connect families to critical services during a very vulnerable time. To strengthen families and ensure child safety prior to a crisis, we also took the opportunity to ask the committee to support our additional Prenatal to Three (PN-3) Collaborative agenda items. More information about our comments can be found here.

The Texas Public Education Committee requested recommendations on the 86th Legislature’s House Bill 18 and Senate Bill 11 regarding school safety, student mental health, and trauma-informed training. We suggested providing additional guidance and incentives for pursuing activities that are evidence-based and have the potential to prevent future threats to school safety by preventing and mitigating the effects of adverse childhood experiences. We also provided recommendations on how to implement the trauma-informed training components. You can find more information on our recommendations here.

While we are passionate about making smart investments to ensure families have the resources they need and children are safe, we can’t do this work alone. We need your help to ensure these efforts move forward. Feeling motivated? We encourage you to reach out to your state representatives and talk to them about the importance of these issues and what they can do for the children and families of Texas. Not sure who represents you? You can find out by going here and entering in your information. We look forward to locking arms with you to make Texas better for the children and families who call this state home.

What to Expect for Child Welfare Funding in the 87th Legislature

The Department of Family and Protective Services (DFPS) recently released their Legislative Appropriations Request. In a typical legislative budget cycle, one would expect numerous exceptional items. However, with the current economic climate in the midst of a pandemic, DFPS’ approach to the budget is narrow in scope and only aimed at initiatives they consider to be most necessary.

It was most promising to see requests for investments in keeping families safely together and preventing removals. DFPS specifically included an exceptional item request for an additional $10 million investment in Prevention and Early Intervention (PEI) services, as well as a placeholder to discuss how to leverage the funding opportunities in the Family First Prevention Services Act (FFPSA).

DFPS also prioritized maintaining its current Child Protective Services operations to ensure they are keeping children safe and providing families with the supports they need. The other exceptional items included funding to comply with the decade-long federal lawsuit and to continue the momentum of expanding Community-Based Care.

Stay tuned for our analysis coming on this page soon!

What One Grandparent Wants You to Know About Supporting Kinship Caregivers

Mercedes Bristol is a grandparent raising five grandchildren after their involvement with Child Protective Services (CPS). She also advocates for the needs and rights of grandparents who are raising their grandchildren. Mercedes is what is known as a kinship caregiver.

According to the Department of Family and Protective Services (DFPS), 276,800 children in Texas reside with an adult, like Mercedes, who is not their parent. This includes, but is not limited to, both informal (i.e. placement without CPS legal intervention) and formal (i.e. placement for children in state custody or a licensed kinship family home) kinship placements. For children in the state’s custody, more than 40% of children are placed in a kinship home across most regions.

Mercedes has been actively involved with kinship caregiver support groups in the San Antonio area and co-leads a group quarterly meeting alongside DFPS. Mercedes additionally lends her personal experience and expertise to the policy-making process by working closely with CPS to provide input and review policies, and she encourages other grandparents to get involved as well.

Kinship caregivers have unique needs and often do not know what services are available to them and the children in their care. Many kinship caregivers face financial challenges but do not receive the same kind of financial compensation as foster parents unless they decide to become licensed. However, that is only an option for children who are in the state’s custody.

But what about families who step up when CPS isn’t legally involved? There are even fewer supports, and it can be difficult to learn how to navigate multiple systems to obtain the services they need. They may not have anyone to help guide them. Regardless of the steep road of challenges, kinship caregivers rise to the occasion.

We spoke with Mercedes about her own experience, the opportunities for Texas to better support kinship caregivers, and the supports she can offer.

TexProtects: What has been the most rewarding thing about being a caregiver to your grandchildren?

Mercedes Bristol: When they all go to bed at night after saying our prayers and see that they are safe.

TP: You already got involved in a significant way by stepping up to meet the needs of your family. What made you want to take a step further and get more involved in community and policy work?

MB: One day I was struggling with the step I had taken. Then someone told me to not just let life happen to my grandchildren and me but to be proactive instead! I knew I was not the only one raising my grandchildren, and I decided to be a support to them. From there, I joined a support group called Abuelos y Nietos Juntos in 2012 run by Dr. Santos and received much needed support from this group. Knowing there were other grandparents like myself, I asked if we could start other groups and Dr. Santos helped me start one. We are now 12 support groups and growing. Besides the support groups, we thought that we needed to make people aware of grandparents’ needs, so we contacted state representatives and senators and Judge Peter Sakai in San Antonio. That is where the advocacy part started.

TP: What are the needs you hear about the most in the support groups you helped establish?

MB: Most of the support we give is around the CPS system because grandparents need information on how to navigate the CPS system. We hear about legal issues when a parent just drops off the children and leave without proper paperwork for the grandparent to provide educational, medical, or financial assistance for the children.

TP: With the Family First Prevention Services Act (FFPSA) implementation right around the corner, what opportunities do you see for Texas to take advantage of this legislation to meet those needs? [For more information on FFPSA and how it can be used to support kinship caregivers, see our report: Family First Prevention Services Act: A Shift in the Right Direction for Families.]

MB: The opportunity to draw from those federal funds would allow us to help children that have not entered the state’s custody who are placed with a grandparent or kinship caregiver. Those funds would immediately equip them by providing the necessary things so that the children enter a secure home that kinship caregivers will and can provide for them.

TP: How do you hope to see a kinship navigator program implemented in Texas?

MB: In practice, I want kinship caregivers to be able to call whichever agency is assigned as the kinship navigator, do an intake form, and then be assigned to a caseworker that can assess their needs. I want that same agency to have the ability to provide all the things that the family needs. For instance, many families need legal assistance and to be able to obtain vital statistics. They need to be counseled on the options they have. Families also need emotional support. They often need financial assistance or help paying for utilities or rent, so they need help applying for benefits. I have seen that families need access to clothing closets and food pantries. They need help with mental health assessments for the children in their care who have experienced trauma or need help meeting the needs of children with disabilities. Families need someone to help them with the necessary referrals to have these assessments done. They also need help with school enrollments. Any sort of kinship navigator program needs to connect them to those supports, not just give them a referral.

TP: For those in our audience that may be looking at how to get connected, can you tell our audience what your support groups look like and the benefits you have seen for kinship caregivers who attend? Also, how can kinship caregivers get connected to these?

MB: We invite a community resource to come and speak to the group and have some coffee and snacks. We introduce ourselves if there are new grandparents raising grandchildren. Then we allow them to tell why they are there, and the group takes different forms. I am there to facilitate the conversations. Sometimes there is crying and awareness that they are not alone and that there is hope to find help in their situation. We have a website and a Facebook page that will give them access to the support groups or other resources. I also co-facilitate a quarterly support group with DFPS that is offered to kinship caregivers that are in the CPS system. 

How Will Texas Implement FFPSA?

Texas has moved one step closer to creating a state plan that leverages federal funding to prioritize prevention and family preservation.

In February 2018, Congress passed the Family First Prevention Services Act (FFPSA) which makes available a federal match for state investments in evidence-based and trauma informed supports to families at risk BEFORE a removal occurs. These services address the core drivers of child abuse and neglect including substance use, mental health, and parenting challenges. However, in order to successfully leverage this opportunity, state leaders have a number of crucial decisions to make.

Last legislative session, TexProtects championed Senate Bill 355 authored by Senator West which required the Department of Family and Protective Services (DFPS) to develop a strategic plan outlining how they intend to implement the provisions of FFPSA. That plan was released earlier this week.

DFPS’ strategic plan highlights the alignments between the goals of the Department and the goals of FFPSA and offers information and implementation options to support the budgetary decisions in the 87th legislative session that will largely determine the scope of FFPSA’s transformational potential. We applaud the prioritization of prevention and support of kinship caregivers in the state’s plan; however, the plan leaves many critical questions unanswered and may not do enough to target populations at risk of entering foster care.

For a quick overview of the top three items of good news in the plan and the top three areas of concern – see below.

First the good news:

  1. DFPS was awarded $50.3 million in Family First Transition Act funds to help implement the provisions of FFPSA and they intend to utilize $33.9 million of those dollars on prevention. They will be spending the rest of the funds on a Qualified Residential Treatment Program (QRTP) pilot and on IT changes.
  2. DFPS is investing in efforts to better serve informal kinship placements who don’t have as many supports. To ensure caregivers in informal kinship placements know what is available and can be better linked to services, DFPS has issued grants to four providers to complete needs assessments, evaluations, and pilots to support the development of a kinship navigator program. DFPS has also invested in training for 2-1-1 staff on the needs of kinship caregivers they plan to create a marketing campaign designed to ensure kinship caregivers are aware of the resources available to them through 2-1-1.
  3. The DFPS plan includes seven options for expanding prevention services, each with varying degrees of complexity and cost. Approximately half of these options capitalize on and expand the innovative and effective community networks that have been built through the Prevention and Early Intervention (PEI) division of DFPS. This is a smart solution that will enable Texas to quickly build on existing infrastructure to better support families.

Areas of concern within the DFPS plan include the following:

  1. The state stands to lose $26 million in Title IV-E eligible dollars per year unless there are increased placements available in family-like settings or a QRTP. This will need to be accounted for somewhere in the budget but must not be taken from children and families who are already receiving effective prevention services.
  2. 43% of families who have had an open Family Based Safety Services (FBSS) case have another case of child maltreatment within five years of completing services. DFPS’ definition of who is eligible for prevention services includes families participating in FBSS. While the children and families served by this stage of service naturally and most closely fit the broad federal eligibility criteria of children who are at imminent risk of entering foster care, DFPS acknowledged in this plan that many of the provided services are not evidence-based and do not meet the FFPSA standards. To use this funding as intended will require a significant shift in mentality and accountability for the quality and outcomes of services offered to families in FBSS.
  3. DFPS can define who is eligible for prevention services; however, their suggested definition only captures families who are already engaging with the system. Their definition includes families with an open FBSS case, children who have already been in care but are now are at risk of placement disruption or re-entry, and pregnant and parenting youth in Child Protective Services (CPS) custody. There is room for improvement here to consider other populations at risk as well as more upstream options that support families BEFORE they have an open case and CPS involvement.

Now, it is up to lawmakers to decide the best way to move forward, and the potential impact on children and families will largely be decided on their willingness to prioritize prevention and family preservation. Be on the lookout for the release of our FFPSA Brief that will outline this federal legislation and the Texas plan in more detail later this month.

Post-Partum Depression and Early Childhood Development

The bond between a mother and child is special. Because that connection is so profound, wellbeing for an infant is largely determined by the physical and mental health of their mother. According to the American College of Obstetricians and Gynecologists (ACOG), Post-Partum Depression (PPD) is one of the most common threats to maternal mental health, affecting approximately 600,000 women a year. It is estimated that 14% to 23% of mothers will experience depression at some point during pregnancy and 5%-25% experience PPD. All women who give birth are potentially at risk. Despite that fact, many mothers with PPD struggle with guilt or shame. While PPD is highly treatable, fear of being labeled a bad mother can make it hard for women to discuss the issue or reach out for the help they need.

Symptoms of PPD include feelings of anger, crying more often than usual, withdrawing from loved ones, feeling distant from the baby, worrying or feeling overtly anxious, thinking about hurting yourself or the baby, and doubting one’s ability to care for the baby. These feelings of being unable to connect to the baby can be particularly unsettling for new mothers and particularly disruptive to the attachment and responsiveness which underlies health child development. Because the first three years of life are so foundational, untreated PPD can have lifelong consequences for children.

Simple acts of care such as hugs, smiles, and lullabies create new brain pathways for infants which develop their capacity to form memories, relationships, and logic. Post-partum depression can weaken the mother-child bond, stunting cognitive and linguistic development. A number of other negative outcomes have been linked to PPD, such as higher rates of behavioral problems and lower grades. If essential neural pathways are not formed during early childhood, they may never develop. This means that treatment is especially time sensitive; early treatment allows moms to fully bond with their children as soon as possible and to optimize their child’s early developmental period. TexProtects advocates for improving post-partum mental health and other issues which impact a child’s crucial development period through our Prenatal to Three Policy Agenda.

Destigmatizing PPD and supporting mothers with mental healthcare will help ensure every child in Texas has a strong start. Last legislative session, HB 253 mandated the creation of a five-year strategic plan to raise public awareness around PPD and to improve access to mental health screening, referral, treatment, and support services. The Texas Health and Human Services Commission (HHSC) recently released their initial draft of the Post-Partum Depression Strategic Plan for public comment. TexProtects submitted comments on that draft plan that included the following key recommendations:

  1. Texas should continue strong investments in programs overseen by the Department of Family and Protective Services’ (DFPS) Prevention and Early Intervention (PEI) Division – such as Texas Home Visiting, Project HOPES, Project HIP, and Texas Nurse-Family Partnership – to reach more families. These voluntary programs are proven to improve maternal and infant health, strengthen referrals and connections, and promote positive parenting.
  2. Texas should increase investments in Texas Family Connects, a short-term evidence-based nurse home visiting program that links nurses to moms with newborns. To encourage scale-up into more Texas regions, Texas should explore additional financing strategies, including Medicaid coverage for maternal mental health screenings, case management, and nurse visits delivered through Family Connects.
  3. Texas should expand Help Me Grow, a referral line and centralized access point that helps parents with young kids to get connected to community-based resources. Department of State Health Services (DSHS) Title V has recently become a statewide hub for Help Me Grow, a national model that works to create a “Centralized Access Point” for parents with young children. Included in this work is strategic integration with statewide 2-1-1 so that families have both an effective “front door” when looking to access services and a warm handoff to regional hubs where parent navigation can ensure families get access to the right program and supports at the right time.

Increasing healthy beginnings and supporting young families are critical components of our Prenatal to Three Policy Agenda. Learn more about our work to ensure infants and toddlers (and their families) have what they need to be safe and well and maximize the potential of the early years of development.

Providing Input to the DFPS Legislative Appropriations Request

TexProtects collaborated with the Child Protection Roundtable to provide budget input to the state

TexProtects has been working with our partners as part of the statewide Child Protection Roundtable to understand the effects of this pandemic on children and families, the possible fiscal implications, and the history of legislative budget cuts and their impacts in the past during times of economic challenges.

The Department of Family and Protective Services (DFPS) Legislative Appropriations Request (LAR) is the budget request made from the Department to the Legislature which details the funds that will be needed to continue their services for the next biennium. This LAR includes the projected budgets for Prevention and Early Intervention, Statewide Intake, Child Protective Investigations, Child Protective Services, and Adult Protective Services. One of TexProtects’ main focuses on providing input for the LAR was looking at prevention dollars.

Historically, when child abuse and neglect prevention funding has been cut, more money has ultimately been spent longer-term and there have been more confirmed child abuse victims. This is not wise-investment and not right for the children TexProtects aims to protect. We know there are strategies that work, and we worked thoughtfully and carefully with our partners to lay those out in our recommendations for the DFPS LAR.

Read the full Child Protection Roundtable DFPS LAR input below.

May 29, 2020

On behalf of The Child Protection Roundtable (CPRT), a consortium of statewide advocates, research organizations, health and education interests, direct service providers and other key stakeholders from over 50 organizations with child protection expertise, we greatly appreciate the opportunity to provide recommendations for the FY2022-2023 biennium Legislative Appropriations Request (LAR) of the Texas Department of Family Protective Services (DFPS).

The Child Protection Roundtable serves as a convener for member organizations engaged in child welfare which share a child-centered, common vision and leverage data, resources and strategy to achieve more progress collectively than could be achieved individually. The Child Protection Roundtable works in partnership with DFPS, the state legislature, and other stakeholders to improve the safety, health, and well-being of children.

More specifically, the goal of the Child Protection Roundtable is to be the leading voice and driving force in child protection public policy and governmental action in Texas that:

  • Helps prevent child abuse and neglect before it occurs;
  • Ensures protection and well-being of children and youth who come into state care; and
  • Heals the ongoing trauma and other adverse consequences experienced by children and youth as the result of maltreatment.

In light of the public health crisis that has left so many in our state economically unstable, investment in the safety of our children at risk and in vulnerable situations must remain a priority. Please consider the following LAR recommendations for prevention and early intervention, supports for transition-age youth and young adults, children with developmental disabilities, Community-Based Care (CBC), CPS workforce, implementation of a trauma-informed system, and the Family First Prevention Services Act (FFPSA). In several instances, we have recommended increased investment; however, we would not want any of these increases to come at the expense of reduced investment in any of the other areas as they are all important to the overall system and the infants, toddlers, and children of all ages, and families, being served.

Prevention and Early Intervention

To break the cycle of child abuse and neglect and reduce the long-term strain on our child welfare system, we need to break the cycle of cutting child abuse prevention funds under DFPS’ Prevention and Early Intervention (PEI) division in times of fiscal challenge. Given the depth and breadth of the economic recession underway, coupled with stay-at-home orders and recommendations, we know from history that child abuse is likely occurring at higher rates even though reports may temporarily be down.

When the FY2004-2005 prevention budget was cut in 2003 by 35%, we saw a 20% increase in confirmed child abuse victims between 2004 and 2005. Once again, after the Great Recession in 2008-2009, we saw a 44% increase in confirmed victims in 2011. Maintaining our investment in prevention and early intervention is our best hope for avoiding yet another spike in abuse, associated costs, and strain on the CPS system.

Given the social isolation and increasing stress and risks for families due to COVID-19, the work of strengthening families and ensuring child safety must begin before a crisis occurs. Economic instability, domestic violence, substance use, and mental health challenges are highly correlated with increased risk for child abuse and neglect.  While mitigating the health effects of the virus is primary, these longer-term risks will continue to affect families and child safety for years to come. As such, investment in the front end of the system is needed now more than ever.

The investments made in these prevention networks are critical lifelines of support during this crisis and should continue to be rolled out through existing contracts with community providers. These prevention services will keep children safe now and save the state money later, with an average return of investment between $1.26-$8.08. Further investment in family preservation, or secondary prevention, also saves money.

As noted by the DFPS 2018 Prevention Task Force Report, “Diverting 5% of families from Family Based Safety Services (1786) would save the state more than $9.4 million. Preventing 3% of removals (593) would save upwards of $20.3 million.”

The Child Protection Roundtable encourages the state to continue to increase investment in primary prevention programs through PEI to prevent child abuse and neglect, strengthen and support families, increase connections to community resources, and decrease truancy and delinquency for older youth. The current PEI strategic plan indicates that to adequately protect families, a 20% increase in prevention funds is needed every biennium. Currently, DFPS allocates 5% of their budget to the PEI division.

To preserve families and decrease the number of children entering the child welfare system, the state should preserve and increase investments in the following:

  • Healthy Outcomes through Prevention and Early Support (HOPES)
  • Helping Through Intervention and Prevention (HIP)
  • Texas Nurse-Family Partnership (TNFP) and Texas Home Visiting (THV)
  • Family and Youth Support (FAYS)
  • Military Families and Veterans Pilot Prevention Program (MFVPP)

These programs have established infrastructure and community contracts/networks that can be leveraged to quickly and efficiently deliver proven programs to families who choose to enroll. To cut these programs would result not only in increased risks for children and long-term costs to the state, but local nonprofits and networks would be threatened, leaving even more Texans out of work and the state without a system by which to empower community family support and prevention programs.

Transition-Age Youth and Young Adults

The Child Protection Roundtable encourages DFPS to increase support for transition-aged youth and young adults. As DFPS has noted in the LAR for the current biennium, “[w]ithout such consistent services, youth are more likely to be involved in the criminal justice system, are at higher risk of teen pregnancy and parenting, have lower reading and math skills and high school graduation rates, are more likely to experience homelessness, and have higher rates of unemployment and likelihood of long-term dependence on public assistance.” Most services for older youth are federally funded through the Chafee program, which requires a 20 percent state match. The Chafee program allows DFPS to offer services that help youth and young adults pursue their education and employment, secure housing, and meet many other needs they have as they transition into adulthood. Unfortunately, DFPS has not had the funding to meet the projected needs of this population and those needs have increased substantially with the COVID-19 pandemic. The state should invest more in these youth and ensure youth who age out of care are able to succeed and receive support when they face crises.

Children with Developmental Disabilities

The Child Protection Roundtable supports ensuring access to long-term services and supports to children with developmental disabilities and their families in lieu of relinquishment of custody. These vital long-term services and supports include Medicaid-funded Community First Choice, behavioral supports, personal care services and Medicaid waivers. For its part, DFPS should provide access to training for families on how best to support the mental health needs of their children with developmental or intellectual disabilities, ensure Prevention and Early Intervention (PEI) programs assist families of children with developmental disabilities to access needed long-term services and supports, and comply with the Texas Promoting Independence Plan by seeking funding for Medicaid waivers for children currently living in DFPS-funded General Residential Operations so children with developmental disabilities can either return home, or move to a family-based alternative setting. Further details on these requests are set forth in EveryChild’s separate submittal of input to DFPS.

Community-Based Care

The Roundtable encourages DFPS to request full funding for continuing Community-Based Care (CBC) operations and contractual commitments in the present CBC catchment areas and to support the continued expansion of CBC during the upcoming FY2022-23 biennium. CBC has demonstrated early promise during Phase I service delivery and recently began to move into Phase II case management in the first of the four catchment areas under contract. As CBC moves forward into further phases and additional catchment areas, it will be important for DFPS to have the necessary resources to advance multi-contractor system characteristics such as data management and interoperability. It will also be important for DFPS to have the resources and supports to assure accountability and transparency to all system stakeholders, building further confidence that CBC is achieving its promise, as we all hope will prove to be the case. To the extent the present level of available resources is not sufficient to achieve these vital needs, the Child Protection Roundtable encourages DFPS to request those resources and will support those requests.

CPS Workforce

CPS workers perform selfless work for children and families in the child welfare system, even under normal circumstances. However, in the midst of COVID-19, CPS workers have had to make dramatic adjustments in how they work with families. When the rest of us have been told to stay home and stay safe, CPS workers have been asked to go out and keep other families and children safe. In addition to adjusting their practice, CPS workers are facing some of the most challenging cases of their career as COVID-19 has only amplified the stressors and challenges in many families who were already struggling. To effectively ensure child safety, the CPS workforce must be adequately supported, including the provision of appropriate supports to address their own mental health needs resulting from secondary trauma.

Texas has worked hard to improve salaries and reduce caseloads the past few years. It is vital that caseworkers have the ability to provide families and children in care with targeted case management.  Cuts to CPS funding and salaries will result in more turnover and retention issues and will directly equate to declining outcomes for children and youth in care. The Child Protection Roundtable urges DFPS to continue investing in the CPS workforce by maintaining funding for their salaries and benefits and expanding secondary trauma services such as counseling complimented by debriefing with trained supervisors who can recognize the signs of secondary trauma and can refer for help when needed.

Trauma-Informed System

The Child Protection Roundtable supports DFPS’ continued leadership efforts to transform the Texas child welfare system into a trauma-informed and trauma-responsive system. DFPS was a leading partner in helping to develop the report Building a Trauma-Informed Child Welfare System: A Blueprint as part of the Statewide Collaborative on Trauma-Informed Care (SCTIC). There is broad support among Child Protection Roundtable membership and other stakeholders for ongoing efforts to improve training and use of trauma-informed practices throughout the child welfare system. There is also a clear understanding of the benefits of trauma-informed practices for children, families, and other system participants. The work of the SCTIC continues with the Implementation Taskforce, including the adoption of a DFPS rule to define trauma and trauma-informed care, and the creation of a website as a centralized location for information on trauma. The Child Protection Roundtable supports DFPS maintaining this priority in planning and budgeting for the next biennium.

Family First Prevention Services Act

The Child Protection Roundtable recommends that DFPS include adequate funding for successful implementation of the Family First Prevention Services Act (FFPSA) in its LAR Request. This funding should maximize opportunities to keep more children safely with their parents, prioritize placing more children in family-based foster care settings, and improve the quality of congregate care, especially in Residential Treatment Centers.

The DFPS LAR should include a placeholder for state funds needed to pull down a federal match to cover services that will prevent children from entering the Texas foster care system. DFPS should ask for state funds needed for more evidence-based substance use disorder, mental health, and in-home parenting skill building services. About 1.6 million Texans have lost health insurance during COVID-19 so far, meaning they might have lost access to mental health medications or other critical services that support children and their caregivers. During this difficult budget time, we encourage DFPS to maximize FFPSA dollars to help families at risk of having their child removed and placed in foster care. These investments will not only help families get through these difficult times, but they will also save money down the road in the budgets for CPS and other state services.

While crafting its LAR, DFPS should protect existing federal reimbursement for foster care placements by prioritizing strategies that would move children out of congregate care into family-based settings. When the FFPSA takes effect in Texas on October 1, 2021, Texas is at risk of losing federal reimbursement for its congregate care providers. The Child Protection Roundtable especially encourages three strategies:

  • Establish a kinship navigator program using FFPSA dollars to enhance support for kinship caregivers, who accounted for more than half of Texas’ placements during FY19;
  • Request funding to recruit more foster homes and anticipate increases in licensed foster homes resulting from the FFPSA requirement to align Texas’ minimum standards with the new model licensing standards, which may remove or reduce some barriers to licensure; and
  • Shift funding to Treatment Foster Family Care to serve more children with high needs in family-based settings. The Roundtable also encourages DFPS to ask the legislature to expand eligibility for Treatment Foster Family Care to older youth. Treatment Family Foster Care is only available to children under 10, and about 90 percent of children and youth in Residential Treatment Centers were 10 and older in FY19.

DFPS should also protect existing federal funding by elevating the quality of Residential Treatment Centers by requesting funds for enhanced provider rates and start-up grants to incentivize providers to meet the FFPSA’s Qualified Residential Treatment Program standards.

Federal Pandemic Emergency Assistance

We acknowledge the considerable recent and ongoing federal activity directed toward providing emergency aid and support to states in responding to the global pandemic, and we hope DFPS will take full advantage of these supplemental resources for their intended purposes as they are enacted and thereafter disbursed. Most if not all of the areas of concern addressed in this letter have been impacted by the pandemic, and our hope is that these supplemental resources will help Texas make continued progress across the child welfare system, building on the momentum of the past three sessions.

Conclusion

Thank you again for the opportunity to provide input on the DFPS LAR for the FY2022-2023 biennium and for the dedication of DFPS to the safety, health, and well-being of the children and families of Texas. We look forward to our continued partnership and a productive 87th Texas Legislature. For any questions or concerns, please contact Knox Kimberly at [email protected] or (512) 567-6929.

Partnering to Bring Family Connects to North Texas

The time around birth—whether it’s your first or fifth, you’re adopting or fostering a baby, you’ve just given a baby up for adoption, or you’ve lost your baby—is an immensely vulnerable time for all families. Parenting, however it looks for you, doesn’t come with an instruction manual. But what if it came with a study buddy? Someone who could check in on you, answer your questions, point you in the right direction, and share this moment with you?

This is Family Connects, a short-term evidence-based program in which registered nurses visit families in the first few weeks after a birth, adoption or foster care placement of a newborn, or pregnancy loss, to check in and see how families are adjusting, and connect families to community resources they need. Family Connects comes at no cost to the family and is available to all —it sets the expectation for how a community cares for its families, regardless of their personal circumstances. It is also short-term—Family Connects aims to connect families to the right services for them at the right time, rather than duplicate or replace those services. Most families only need one visit, but nurses can provide up to three visits, if necessary. All families receive a follow-up call one month after their last visit to confirm that they have connected with their referrals and  had their needs met or are receiving services.

During the home visit, a Family Connects nurse assesses the family to identify their needs. Overwhelmingly, families do need information and resources: Family Connects has found that 95% of families have at least one nurse-identified risk or need. Some parents may need help finding a pediatrician, managing postpartum depression or anxiety, or getting connected to housing or food resources. Others may need referrals to programs and services for family members or a link to support groups for parents in similar situations.

Nurses are not case managers and Family Connects does not duplicate existing services. Based on the individual family’s needs, the nurse uses a searchable database to identify a community resource or service provider, such as a diaper bank, home visiting program, or early childhood intervention, that addresses the family’s need, makes a warm handoff to a local service provider, and follows up with the family to close the loop and make sure the family was connected to the resource or service. In so doing, Family Connects strengthens the web of community resources and referrals. The data collected by Family Connects helps inform community leaders and stakeholders of emerging trends, gaps in resources, and successful connections, which can be used to make decisions about community priorities and resource allocation.

Much like Family Connects brings the community together around families, the program itself is strengthened by the partners who make it up. As TexProtects began looking for partners to support the program in Dallas, we learned that MHMR of Tarrant County and the Early Learning Alliance were also looking at bringing the program to Fort Worth. 

At this moment, we realized two critical things:

  1. Our programs may start and end at Highway 360, but our families don’t. North Texas is one community made up of not only Dallas and Fort Worth, but also Arlington, Plano, Cleburne, Forney, Frisco, Mansfield, and other cities and towns. We need to be forward thinking about how we can structure our programs to meet families where they are and how they live, rather than to easily fit our administrative structures.
  2. We are stronger when we work together. It didn’t make sense to have two separate Family Connects programs in North Texas when we could go through the process together, learn from one another, leverage each other’s strengths, and build one infrastructure that could support both counties and the region as a whole.

Since May of 2019, our Family Connects North Texas team has set itself up to provide one North Texas structure with two parallel branches—east (Dallas) and west (Tarrant). Based on a community needs assessment of North Texas, implementation began first in Arlington and Cleburne (west) in November 2019. During COVID-19, Family Connects has transitioned to providing virtual services. Isolated from their families, friends, and traditional support networks, parents are more eager than ever to receive these virtual connections.

As we all navigate this period of reopening our state and rebuilding our economy, we know there are so many competing needs, but our families must come first. We believe Family Connects can play an important role by helping new families get connected to the resources and services they need, so that parents and their newborns can get off to a strong start. As parents quickly find out, none of us can do it alone and we can all benefit from connections. Similarly, our organizations can’t do this alone. As we continue with our planning in the east (Dallas), we are grateful for the many partners who are working with us on funding and implementation planning to make a Dallas Family Connects pilot a reality.

Promoting Positive Family and Community Engagement For CAPM

This Child Abuse Prevention Month, TexProtects worked to increase awareness and provide families with ideas and resources.

April is National Child Abuse Prevention Month, a special observance to highlight the current initiatives improving the child welfare system. Protecting children is an everyday mission for TexProtects and our partners.

According to the Department of Family and Protective Services DataBook, in 2019:

  • There were 294,739 total reports of child abuse, 23% of which were victims of child maltreatment and 14% of which were confirmed investigations
  • Of the confirmed allegations of abuse and neglect, 55.5% of victims were ages 0-5, 27.1% were ages 6-11, and 17.3% were ages 12-17
  • 72.7% of all confirmed child maltreatment victims were due to neglectful supervision
  • 235 children died of abuse and neglect, an 11% increase from 2018
  • 18,615 children were removed from their families due to child maltreatment

The prevention of child abuse and neglect is especially important due to the challenges that COVID-19 has created. Evidence shows that numerous risk factors, including social isolation, financial instability, and other stressors have high potential to increase risk for abuse and neglect. With the impact of this pandemic, a primary concern is that although reports of abuse may decline, incidents of child maltreatment may be increasing. Educators and medical professionals make up the majority of reporters for suspected child abuse. But with stay-at-home orders leaving fewer eyes on kids, how can we, as communities, help prevent child maltreatment in the midst of this crisis?

TexProtects has proactively created a variety of tools to promote positive family and community engagement. These include:

In addition, through op-eds and statements to the press, we are working to increase awareness of child abuse and neglect prevention strategies. We are also working to provide families and communities with actionable ideas and resources to better support families and ensure children are safe, nurtured, and resilient.

Child Abuse Prevention Month carries a more meaningful purpose during this April, but the solutions remain unchanged. We must ensure that families are plugged into the network of support in their communities because no family can do it all alone. And by supporting families, we can better ensure that every child has a nurturing, responsive caregiver on which to depend. In big and small ways, each one of us has a unique opportunity to be part of this solution especially in times of social isolation. Check on a neighbor, help connect families in need to resources, offer support to the parents in your own life, and of, course, if you suspect child abuse or neglect, make a report.

To report suspected child abuse or neglect, you can call the Texas Child Abuse Hotline at 1-800-252-5400 or report online at txabusehotline.org.