MIAMI — The goal for the thousands of children in Florida's foster care program is to find forever homes. But a new tracking system developed at the University of Miami shows the dream for many children is short-lived.

Many kids don't even unpack because of the uncertainty over how long they will stay in a foster home - which sometimes can be as little as a few hours. After combing through thousands of youth records at the Florida Department of Children and Families, Robert Latham, associate director of the university’s Youth Law Clinic, mapped the placement path of every child in foster care since 2002.

He found 80 percent of kids met national placement standards for being moved around. But he noticed troubling outcomes for the remaining 20 percent.

"That captured the kind of absurdity of a kid having 35 houses over the course of two years,” Latham said. “Right? I mean, who lives in 35 houses in two years? That's just not OK. "

State officials point out the the tremendous trauma experienced by some children that makes it difficult for them to trust an adult. According to state data, Florida's rate of 4.8 placements per thousand days in foster care comes in just over the national standard of 4.2.

Chris Card is chief of community-based care at Eckerd Connects, which manages child-welfare cases for Hillsborough, Pinellas and Pasco counties. He said thanks to federal funding, the state developed a data-tracking system to track touchpoints such as a child's performance in school, problems with parents and other factors to identify red flags.

He said that system has been in place for about twenty years, and Latham's program is just another step forward.

"Kids with some problems are starting to pop up a little bit earlier than the older systems that we’ve had developed, but it's been an ongoing process,” Card said. “I think we've just gotten more sophisticated, a little bit better. And this last rendition is something even better. "

Both Latham and Card agree Florida's foster-care system is overwhelmed and operating on very few resources. Latham said he'd like to see the state dig deeper to track the number of times a child is arrested, involuntarily committed or returns to foster care after adoption.

He said he'd like to see a review panel formed to examine why a child is left bouncing around from home-to-home similar to those formed when a child dies in the system.

"I think if we put that kind of focus and intent on this problem, I think it could really be reduced,” he said. “Again, it's certainly not OK that 19,000 kids have had 10 or more placements. That's not OK. "

Card said the state needs to provide foster families and nonprofits with greater resources and support. And Latham added it also comes down to having more foster families in the system, which he said gives a child better options for making their first placement the last.


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New Hampshire ranks second in the country on measures of child well-being, according to the new 2022 Kids Count Data Book from the Annie E. Casey Foundation.

The Granite State scores well for economic well-being, education, health, and family and community factors. However, researchers also found rising rates of attempted suicide nationally, especially for students of color or LGBTQ youths.

In New Hampshire, said Emma Sevigny, children's behavioral health policy coordinator with New Futures, a health advocacy nonprofit in Concord, said the new 988 mental-health hotline is paired with local crisis-intervention services.

"And with it, we have a rapid response team that's available to give support to kids in their communities," she said, "so if we can improve that system and ensure that there is sustainable funding for it, that's a huge step in the right direction."

The report ranked New Hampshire fourth in education, but it drops to seventh for the number of 3- and 4-year-olds not attending preschool. Sevigny said she would like to see more subsidies to help parents afford preschool.

Leslie Boissiere, vice president for external affairs at the Annie E. Casey Foundation, said she'd like to see Congress renew the extended Child Tax Credit that boosted the bottom line for low-income families during the pandemic, but was allowed to expire.

"It's incredibly important that decisionmakers seize the opportunity and the lessons learned during the COVID-19 period, when more resources were provided to families, so that we can make sure that every child has their basic needs met," she said, "that fewer children live in poverty, and that the overall well-being of children in this country increases."

In the legislative session next year, state lawmakers will decide whether to reauthorize the expansion of Medicaid, a lifeline for many struggling families.

Massachusetts ranks first in the nation for children's well-being, according to the 2022 Kids Count Data Book from the Annie E. Casey Foundation.

Experts gave the Bay State high marks for combating poverty and boosting educational achievement. However, the report also found an increase of more than 50% in children ages 3 to 17 with anxiety or depression between 2016 and 2020, nearly double the national average.

Mary McGeown, executive director of the Massachusetts Society for the Prevention of Cruelty to Children, said the state faces a shortage of inpatient psychiatric beds.

"On any given day there are hundreds of kids who need inpatient care, who have gone to an emergency room seeking help," she said, "and they wait there days, weeks, and sometimes months for access to a bed."

Gov. Charlie Baker signed a comprehensive mental-health bill Wednesday that sets up a dashboard to manage psychiatric beds, invests in school-based behavioral health and more.

McGeown credited Massachusetts' top overall score to its success in getting almost all children covered by health insurance, as well as targeted supports to schools and low-income families during the pandemic.

Leslie Boissiere, vice president for external affairs at the Annie E. Casey Foundation, said the nation's recovery remains very uneven, with continued economic hardship, both in highly urban and rural areas.

"Enacting policies that we know can lift children out of poverty and also can secure the financial security of low-income families," she said. "Things like expansion of the Child Tax Credit. Putting resources in the hands of low-income families, so that they can provide for the basic needs of their children."

The report recommends expanding the Earned Income Tax Credit, which provides cash supports to low-income families.

Minnesota once again gets a high ranking among states for child well-being, but an annual report says the state's disparities remain a challenge, with marginalized families seeing lasting impacts from the pandemic.

This year's Annie E Casey Foundation Kids Count Data Book focuses on concerning mental health trends that have surfaced around the country. Nine percent of high schoolers overall reported attempting suicide in the most recent data year, along with 12% of Black students.

Deb Fitzpatrick, director of policy and research for Children's Defense Fund Minnesota, said these disparities are being seen within the state.

"This isn't just going to solve itself because the pandemic is in the rearview mirror for many people," she said. "We know that we had some challenges before the pandemic, and we're going to continue to see those going forward."

Fitzpatrick said issues such as economic stability and mental health go hand-in-hand, and in families that lost income during the pandemic, the children are likely to experience added stress. Overall, Minnesota ranked third in the report, and landed in the top ten for such categories as economic well-being, education and health.

State leaders did make some mental-health investments in the recent legislative session. But advocates have said more can be done to help kids, with a large surplus still available. The Casey Foundation's vice president for external affairs, Leslie Boissiere, added that federal policymakers could help by looking at past successes.

"The expansion of the Child Tax Credit lifted millions of children out of poverty," she said. "When policymakers enact policies that we know lift families out of poverty, then children do well."

The temporary expansion of the credit, which included monthly payments, expired at the start of the year. There have been calls to make it permanent, but partisan gridlock in Congress has prevented that from happening.