May 6, 2015 To: Representative Raymond E. Gallison, Chairman Representative Eileen S. Naughton, Deputy Chairwoman Members of the Committee From: Brother Michael Reis, FSC, LICSW CEO Tides Family Services Vice President Board of RI Chapter of NASW While NASW strongly endorses the administration’s efforts to redistribute and reallocate funding to improve capacity and access to community based services, we also strongly refute the idea that child and family services within the child welfare system has sufficient funding. The RI Chapter of NASW strongly supports Budget Article 17, Section 28 authorizing the director to reallocate funds through June 30, 2017. Without this authority, we believe that the department will not be able to implement the changes necessary to set the department on the right course. 1. Over $30 million has been removed from the child welfare system in recent years. It is our strong feeling that the consistent funding shortfalls and the lack of program development to build alternative capacity to reduce dependence on placement has severely hurt the Department’s ability to provide appropriate child welfare services. 2. There has been consistent erosion in provider funding and service quality relative to existing community based and residential programming in recent years. Budgets have been cut relative to preventative services that has effectively diverted families away from deeper involvement in the child welfare system, clinical, nursing and other positions have been eliminated, resources to stabilize and support kinship families have been cut, aftercare and other community based services have been significantly reduced or are no longer viable resources. 3. The State of RI lacks a fair, systematic rate setting process across its service continuum that assesses the real cost of providing service. Historically, there has been little rhyme or reason for what has occurred. That said, providers know that in nearby New England and other states community based and other strategically oriented residential services provided in RI can be significantly undervalued financially. 4. It is important to understand and to appreciate the economic development context of nonprofit organizations serving the state’s most vulnerable children and families. This occurs in two ways; first, in relation to these organization’s potential to reduce long term institutional and other services expensed to the state (i.e. hospital, corrections, homelessness etc.). Second, this sector employs hundreds of Rhode Island residents (i.e. social workers, clinicians, nurses, child care worker’s, Psychologists, Psychiatrists etc.) that contribute to local communities and the state’s economy. Providers believe that investment and strategic utilization of this sector has consistently been minimized in recent years to the detriment of the state’s health and wellbeing. 5. DCYF needs to effectively utilize and blend multiple funding sources (i.e. Medicaid, 4E, 4B etc.) in a coherent manner for the purpose of building greater community based service capacity. The Office of the Secretariat under Secretary Roberts, is working to more effectively coordinate these services. This needs to also include Child and Family Behavioral Health Services . 6. There are a number of recommendations in the Casey Report. We are in support of most of the recommendations. We strongly believe that DCYF needs a strong community based orientated cohort of Social Workers who are actively involved in a local/regional system of care focused on supporting families, foster and kinship placements and actively involved with community providers to provide the support needed to make community based programing a reality. 7. NB: section #2 highlights the need for the provider community to once again become whole and provide the support that the DCYF social workers will need to make this plan work. 8. The Annie E Casey foundation has illustrated the importance of “homegrown” programs to meet the needs of families where there is not a “stable” caretaker. These programs are designed to restructure “families”. 9. We have a serious issue with sex trafficking in Rhode Island. We need to develop appropriate programs. 10. State Agency Collaboration and Cross-Coordination This includes all EOHHS agencies that have significant policy and service related impacts on children and families. This includes DCYF and BHDDH as well as DHS (i.e. TANF, SNAP, Youth Success, Early Intervention and other supportive services) and Department of Health (ACA funded early childhood services, health equity etc.). In addition, RIDE as well as the Workforce Partnership. We need to look broadly across systems if we are going to serve families in a comprehensive manner. Professional Literature RIPEC Study 2001 – 80% of the $ went to 20% of the kids – System based on Beds CHARTING A NEW COURSE: A Blueprint for Transforming Juvenile Justice in NYS - 2009 Patterson Report. o Average cost of placement $210,000/year o Outcomes NYS -- 89% of boys and 81% of girls re-arrested by age 28. (page 14) 53% of youth placed for a misdemeanor or less. (page 14) Afro-American and Latino youth represent only 44% of New York’s total youth population and comprise more than 80% of youth in state’s institutional facilities. Over-represented in RI facilities. (page 14) Research shows that linking youth coming out of placement facilities to schools can be critical to ensuring their success in the community. (page 14) Institutionalizing young people should be the choice of absolute last resort, reserved for those who pose such a serious threat that no other solution would protect public safety. (page 11) In all other cases, young people can be well served, and the public kept safe, by community-based supports and services that align with best practices in the field. 11) (page Redirect cost savings into neighborhoods that are home to the highest number of youth in the juvenile justice system. (page 45) Previous cuts from DCYF’s providers programs (2012 Budget) seriously jeopardizes all the good that has been done over the past several years. If we can’t stabilize families and service these youth in community settings, the Family Court will have no choice but to revert to placements. This also puts our FSU youngsters (non-delinquent) at greater risk. OJJDP – Pathways to Desistance: A Longitudinal Study of Serious Adolescent Offenders, March 2011. Key Findings: Most youth who commit felonies greatly reduce their offending over time. Longer stays in Juvenile facilities do not reduce recidivism. In the period after incarceration, community-based supervision is effective for youth who have committed serious offenses. Substance abuse treatment reduces both substance use and criminal offending for a limited time. Youth who received community-based supervision and aftercare services were more likely to attend school, go to work, and avoid further offending during the 6 months after release, and longer supervision periods increased these benefits. It’s All Stabilizing Families Key Risk Factors Low Attachment to Family Low Attachment to School. Low attachment to work. All of the studies emphasize the need to reinvest money in high-risk communities. Without adequate reinvestment into community based services, we will not be able to stabilize families and school placements. Rhode Island can no longer afford $45,000 a year at the ACI for our failures…