A recent report on the child welfare workforce shortage looks at how worker turnover, recruitment, and retention are impacting children and families in the care system.
The Philadelphia Child Welfare Workforce Taskforce made recommendations to the City's human services department to improve it.
Samea Kim - Vice President of Legal and Public Affairs for the Pennsylvania Council of Children, Youth, and Family Services - said they surveyed 281 workers in Philadelphia's child welfare system and found that a lack of funding was the number one issue.
"In our survey," said Kim, "when we asked participants what the top five factors are that would cause them to leave this field, over 80% of respondents noted that salary was probably the number one factor for them in sort of determining their future in this field."
Kim said they found the average salaries of foster care providers and community caseworkers was thousands of dollars less than a Philadelphia DHS employee, and added that 44% of child welfare workers had a second job to supplement their income.
Kim explained that they also studied the employee turnover rate in foster care.
Prior to the COVID-19 pandemic, the child welfare workforce struggled with recruitment and retention, and Kim said average turnover rates of 20% to 40% were not uncommon.
"When we looked at the Philadelphia community umbrella agencies, most recently, their average turnover rate was 45%, which is a pretty high departure from pre-pandemic levels," said Kim. "It's also really far from what is seen as a manageable or sort of good turnover rate of 10%."
Kim emphasized that the report found high turnover rates led to workload increases for remaining caseworkers, making them reconsider their future in these jobs.
Kim said the task force also recommended additional funding to reduce the workload for new caseworkers, and allow agencies to hire a bullpen of providers who can be on standby when the caseload spikes.
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Groups fighting for children's health are asking Gov. Gavin Newsom and lawmakers to require insurance companies to cover hearing aids and related services for kids.
Advocates want to see language in the budget trailer bill which would mandate the coverage.
Michelle Marciniak, co-chair and co-founder of the nonprofit Let California Kids Hear and the mother of a child with hearing loss, noted hearing aids can cost about $6,000 a pair and they need to be replaced every 3 or 4 years.
"Parents are making difficult financial decisions," Marciniak pointed out. "They're hosting fundraisers, GoFundMe pages, they're putting it on their credit cards. And some are forgoing them altogether. And it really doesn't need to be this way."
Opponents of a mandate argued it would raise costs for insurance companies, who will pass it on to consumers.
In 2019, a bill to mandate hearing aid coverage for children, Assembly Bill 598, passed both chambers in the state Legislature but was shelved in favor of the current state-run program called Hearing Aid Coverage for Children. The program costs more than $16 million dollars a year but currently serves only 200 out of about 8,000 eligible children. Experts said it has been a flop because so few audiologists participate in the program, which is blamed on low reimbursement rates for providers.
Marciniak acknowledged California does a great job at screening children for hearing loss, but does a terrible job at making intervention affordable.
"Now, over 30 states have recognized that this is a developmental emergency for children, and they have acted on it by requiring health plans to cover pediatric hearing aids," Marciniak emphasized. " And we believe this is the best, most efficient delivery system that's connected to a child's medical home."
Just one in 10 children has hearing aids covered by a private insurance plan in California. Experts estimate 1,000 deaf or hard-of-hearing kids are born in the state each year. Lawmakers and the governor have until June 15 to finalize the budget.
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Utah Gov. Spencer Cox joined the Children's Collaborative for Healing and Support last week to announce a pilot program in the state designed to support grieving children and connect them to services.
According to the Children's Collaborative, there are more than 60,000 young people in Utah who have experienced the death of a parent or caregiver. The pilot's purpose is to help kids get the help they need.
Gov. Cox noted in Utah, one in 15 children will experience the death of a parent or sibling before they reach the age of 18. He said family's shouldn't suffer alone.
"We have the resources already available and we need to use them," Cox urged. "Not only do children suffer the emotional pain of losing a caregiver, they often experience trauma and when not provided support they have long-term consequences like low self-esteem, depression and poor performance in school."
Gov. Cox added it is important to remember losing a parent can also mean sudden financial and housing insecurities, which leave some youth homeless. According to the Children's Collaborative, the Utah pilot program will lay the groundwork for it to be implemented in other communities nationwide.
According to the group, the program will use both a "school based identifying strategy and a data matching system using public records on a state level," to offer assistance.
Rich Nye, superintendent of the Granite School District, said tragedies, like losing a loved one, have an immediate impact on how well children preform in school and the type of education they receive. Nye considers partnerships like the Children's Collaborative as a "key to unlocking the full potential," of communities.
"Because it is partnerships like these that reach down within the community, at the individual level," Nye emphasized. "Schools are uniquely positioned, given our role as hubs in the community, of connecting children and their families to these resources."
The Children's Collaborative for Healing and Support was created by the COVID collaborative. The pandemic took more than 1.1 million American lives and the group eventually discovered 340,000 children lost a parent or caregiver to COVID-19.
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Summer day camps are a welcome break for kids and parents when the school year ends. One camp wants to make activities such as craft making, conducting science experiments, playing games and sports much more enjoyable for all camp participants. New Hope of Indiana's Camp Catalyst is an inclusive camp for kids ages 9 through 13 who may or may not have a disability.
Amanda Boyd, manager of achieving inclusion and meeting with New Hope of Indiana's Camp Catalyst, said the camp encourages interaction, independence, competence and productivity.
"Inclusive camps are few and far between, and we're hoping that this experience will help children redefine what it means to have a disability, or to be a friend to somebody that has a disability," she said.
The camp is in its second year and is led by a certified recreation therapist and New Hope's trained staff and volunteers. Boyd said the camp strives to create a community where all kids feel a sense of belonging. According to the American Camp Association, each summer more than 14 million children and adults take advantage of the camp experience.
In a 2016 Camper Enrollment Survey, approximately 80% of responding camps reported the same or higher enrollment than in previous summers. Female campers account for 56% of total enrollment while male campers account for 49%. The most popular session length is one week or less, although the majority of independent camp operators offer four, six and eight week sessions. Approximately 26% of camps serve youths who are transgender and nearly 58% of camps serve youths who are lesbian, gay, or bisexual.
A disability or impairment may be physical, cognitive, mental, sensory, emotional, developmental or a combination, and either are evident at birth or occur at some point during a person's lifetime. According to Pacer's National Bullying Prevention Center, children with disabilities are often the target of harassment at school and were two to three times more likely to be bullied than their nondisabled peers. The response from camp attendees has been positive and the children who attend often build lasting friendships, Boyd said.
"We had a couple of campers that gave us some feedback that really expressed how eye-opening it was to be with peers of different skill levels and how meaningful it was to them to see all of the wonderful, personality traits and skills that other people have," she explained.
The center defines bullying as unwelcome conduct, including verbal abuse such as name-calling, epithets or slurs, graphic or written statements, threats. physical assault, or other conduct that may be physically threatening, harmful or humiliating.
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