Showing posts with label foster children. Show all posts
Showing posts with label foster children. Show all posts

Friday, December 30, 2011

Bishops Say Rules on Gay Parents Limit Freedom of Religion


December 28, 2011

Bishops Say Rules on Gay Parents Limit Freedom of Religion

Roman Catholic bishops in Illinois have shuttered most of the Catholic Charities affiliates in the state rather than comply with a new requirement that says they must consider same-sex couples as potential foster-care and adoptive parents if they want to receive state money. The charities have served for more than 40 years as a major link in the state’s social service network for poor and neglected children.
The bishops have followed colleagues in Washington, D.C., and Massachusetts who had jettisoned their adoption services rather than comply with nondiscrimination laws.
For the nation’s Catholic bishops, the Illinois requirement is a prime example of what they see as an escalating campaign by the government to trample on their religious freedom while expanding the rights of gay people. The idea that religious Americans are the victims of government-backed persecution is now a frequent theme not just for Catholic bishops, but also for Republican presidential candidates and conservative evangelicals.
“In the name of tolerance, we’re not being tolerated,” said Bishop Thomas J. Paprocki of the Diocese of Springfield, Ill., a civil and canon lawyer who helped drive the church’s losing battle to retain its state contracts for foster care and adoption services.
The Illinois experience indicates that the bishops face formidable opponents who also claim to have justice and the Constitution on their side. They include not only gay rights advocates, but also many religious believers and churches that support gay equality (some Catholic legislators among them). They frame the issue as a matter of civil rights, saying that Catholic Charities was using taxpayer money to discriminate against same-sex couples.
Tim Kee, a teacher in Marion, Ill., who was turned away by Catholic Charities three years ago when he and his longtime partner, Rick Wade, tried to adopt a child, said: “We’re both Catholic, we love our church, but Catholic Charities closed the door to us. To add insult to injury, my tax dollars went to provide discrimination against me.”
The bishops are engaged in the religious liberty battle on several fronts. They have asked the Obama administration to lift a new requirement that Catholic and other religiously affiliated hospitals, universities and charity groups cover contraception in their employees’ health plans. A decision has been expected for weeks now.
At the same time, the bishops are protesting the recent denial of a federal contract to provide care for victims of sex trafficking, saying the decision was anti-Catholic. An official with the Department of Health and Human Services recently told a hearing on Capitol Hill that the bishops’ program was rejected because it did not provide the survivors of sex trafficking, some of whom are rape victims, with referrals for abortions or contraceptives.
Critics of the church argue that no group has a constitutional right to a government contract, especially if it refuses to provide required services.
But Anthony R. Picarello Jr., general counsel and associate general secretary of the United States Conference of Catholic Bishops, disagreed. “It’s true that the church doesn’t have a First Amendment right to have a government contract,” he said, “but it does have a First Amendment right not to be excluded from a contract based on its religious beliefs.”
The controversy in Illinois began when the state legislature voted in November 2010 to legalize civil unions for same-sex couples, which the state’s Catholic bishops lobbied against. The legislation was titled “The Illinois Religious Freedom Protection and Civil Unions Act,” and Bishop Paprocki said he was given the impression that it would not affect state contracts for Catholic Charities and other religious social services.
In New York State, religious groups lobbied for specific exemption language in the same-sex marriage bill. But bishops in Illinois did not negotiate, Bishop Paprocki said.
“It would have been seen as, ‘We’re going to compromise on the principle as long as we get our exception.’ We didn’t want it to be seen as buying our support,” he said.
Catholic Charities is one of the nation’s most extensive social service networks, serving more than 10 million poor adults and children of many faiths across the country. It is made up of local affiliates that answer to local bishops and dioceses, but much of its revenue comes from the government. Catholic Charities affiliates received a total of nearly $2.9 billion a year from the government in 2010, about 62 percent of its annual revenue of $4.67 billion. Only 3 percent came from churches in the diocese (the rest came from in-kind contributions, investments, program fees and community donations).
In Illinois, Catholic Charities in five of the six state dioceses had grown dependent on foster care contracts, receiving 60 percent to 92 percent of their revenues from the state, according to affidavits by the charities’ directors. (Catholic Charities in the Archdiocese of Chicago pulled out of foster care services in 2007 because of problems with its insurance provider.)
When the contracts came up for renewal in June, the state attorney general, along with the legal staff in the governor’s office and the Department of Children and Family Services, decided that the religious providers on state contracts would no longer be able to reject same-sex couples, said Kendall Marlowe, a spokesman for the department.
The Catholic providers offered to refer same-sex couples to other agencies (as they had been doing for unmarried couples), but that was not acceptable to the state, Mr. Marlowe said. “Separate but equal was not a sufficient solution on other civil rights issues in the past either,” he said.
Catholic Charities in the Diocese of Rockford decided at that point to get out of the foster care business. But the bishops in Springfield, Peoria, Joliet and Belleville decided to fight, filing a lawsuit against the state.
Taking a completely different tack was the agency affiliated with the conservative Lutheran Church Missouri Synod, which, like the Catholic Church, does not sanction same-sex relationships. Gene Svebakken, president and chief executive of the agency, Lutheran Child and Family Services of Illinois, visited all seven pastoral conferences in his state and explained that the best option was to compromise and continue caring for the children.
“We’ve been around 140 years, and if we didn’t follow the law we’d go out of business,” Mr. Svebakken said. “We believe it’s God-pleasing to serve these kids, and we know we do a good job.”
In August, Judge John Schmidt, a circuit judge in Sangamon County, ruled against Catholic Charities, saying, “No citizen has a recognized legal right to a contract with the government.” He did not address the religious liberty claims, ruling only that the state did not violate the church’s property rights.
Three of the dioceses filed an appeal, but in November filed a motion to dismiss their lawsuit. The Dioceses of Peoria and Belleville are spinning off their state-financed social services, with the caseworkers, top executives and foster children all moving to new nonprofits that will no longer be affiliated with either diocese.
Gary Huelsmann, executive director of Catholic Social Services of Southern Illinois, in the Belleville Diocese, said the decision was excruciating for everyone.
“We have 600 children abused and neglected in an area where there are hardly any providers,” he said. “Us going out of business would have been detrimental to these children, and that’s a sin, too.”
The work will be carried on, but the Catholic Church’s seminal, historic connection with it has been severed, noted Mr. Marlowe, the spokesman for the state’s child welfare agency.  “The child welfare system that Catholic Charities helped build,” he said, “is now strong enough to survive their departure.”

Wednesday, December 28, 2011

US report: Foster kids get high rate of psych meds

Original here.


Written by
KELLI KENNEDY, Associated Press


Federal health officials are failing to monitor how state agencies are doling out powerful psychotropic drugs to foster children, according to a comprehensive investigation released Thursday showing foster kids are prescribed the drugs 2.7 to 4.5 times more than non-foster children and often at much higher doses.

Hundreds of foster children are being prescribed five or more of the medications at once, which can have severe side effects including diabetes and suicidal behavior. In some regions, foster children as young as 1 year old were twice as likely to be prescribed the medications, according to a two-year investigation by the Government Accountability Office. The investigation looks at 2008 data from more than 100,000 foster children in Florida, Massachusetts, Michigan, Oregon and Texas.

Sen. Tom Carper, D-Del, requested the investigation’s release after media reports of high prescribing rates and anecdotes from former foster children who said they were on multiple medications at the same time. The report was released ahead of a hearing Thursday by his congressional sub-committee that deals with federal services.

“This report we are releasing today confirms some of our worst fears,” Carper said.

Some of the drugs have “black box” label warning for children’s safety and are not approved for use by young children. But doctors often prescribe them off label. The drugs affect the central nervous system and can change behavior or perception. They are prescribed for depression, anxiety, schizophrenia and other psychiatric conditions. Little is known about the long term side effects of the drugs and drug, experts said.

“We’re kind of flying blind as far as knowing the safety and efficacy long term risks (for children),” said Dr. Christopher Bellonci, a child psychiatrist at Tufts Medical Center.

The report offered several explanations for the high prescription rates, noting the children had greater exposure to trauma before entering foster care and that state agencies were lax in overseeing the Advertisement prescriptions.

Critics say the drugs are overused as a chemical restraint for unruly children.

Child welfare advocates say there’s a nationwide shortage of child psychiatrists, often leaving pediatricians to handle complex behavioral problems.

“I do believe that medications are being used almost in default and my concern is that is being used in lieu of psycho- therapeutic interventions,” Bellonci said. 

Six-year-old Brooke was on two psychiatric medications for an ADHD diagnosis when Todd and Lisa Ward adopted her out of Florida foster care in 2010.

Over the next two years, doctors put her on an array of powerful drugs as her parents watched her behavior become more aggressive, erratic and agitated. She twice tried to kill the family dog, pulled skin off her nose and wiped blood on the walls, threw tantrums as doctors plied her with more than a dozen medications over the years, her mother said.

“Her hands would just shake insanely and they would tell us, ‘oh that’s just her’. But it wasn’t her. It stopped once she went off the medication,” he mother said.

The Wards tried desperately to get her into a psychiatrist but wait lists were typically nine months long, so she ended going back to the same mental health center that Ward said constantly overmedicated her. The Wards finally found a psychiatrist last year who helped decrease Brooke’s medications and stabilize her behavior.

But this summer an incident with her sister triggered Brooke and she tried to set the house on fire in an attempt to kill her sister, said Lisa Ward, a 39-year-old accountant who adopted Brooke and her two siblings.

The Wards placed her in a residential facility where she got intensive therapy for the first time, including yoga and play therapy. Three months later, Brooke is home and down to one medication.

“The difference in her was night and day. She actually can express emotion,” Lisa Ward said. “They were able to figure out what this girl had held inside for eight years.”

Lisa Ward, who started a nonprofit to link other foster parents to doctors and therapists, says the medication was just a bandage and notes the girls no longer have Advertisement the ADHD they were diagnosed with when the Wards adopted them from foster care.

The new report found foster children in some areas were twice as likely to be prescribed five or more of those drugs at the same time compared to non-foster children. Texas foster children were prescribed five or more medications most often.

“No evidence supports the use of five or more psychotropic drugs in adults or children, and only limited evidence supports the use of even two drugs,” according to the report.

Eleven-year-old Ke’onte Cook, who entered Texas foster care at age 4, testified he was on 20 drugs during his time in foster care, sometimes taking five drugs at once. He didn’t know why he was taking them and was never told of possible side effects.

“It was the worst things someone could do to foster kids. I was upset about my situation and not because I was bipolar or had ADHD,” said Ke’onte, who has since been adopted and stopped taking all medications. “Meds aren’t going to help a child with their problems. It’s just going to sedate them for a little while until it comes back again.”

Thursday’s hearing comes a week after federal health officials notified state child welfare leaders they will have to provide more details about how they control the medications for foster kids starting next year.

A federal law passed in 2008 lays out oversight provisions required by law, but many states aren’t following them.

In most states, child welfare workers don’t have access to the Medicaid database to identify which medications their child is taking and the Medicaid database can’t identify which patients are foster kids.