Travesty

Unlike many of our peer organizations, Hillsides does not provide foster family services. We do not have any foster homes associated with Hillsides. When asked why that was the case, my predecessor, John Hitchcock, indicated he was reluctant to provide a foster home service where the quality of care that would be provided in these foster homes could not be guaranteed. He had reason for his reluctance and certainly the recent exposé in the Los Angeles Times points to why we all should be reluctant to entrust vulnerable children to a system that seems woefully inadequate.

The article points to abuses by some providers and certainly does not reflect the excellent and essential service that many of our peers organizations provide through the foster homes that they sponsor. However, it would seem from the article that there are some significant concerns with how many of the foster home agencies operate and are monitored.

More so than ever the children that are being referred to a foster home require a relatively comprehensive array of services. The foster parent must display extraordinary skill and ability to be successful. In addition to providing a safe living environment, foster parents are asked to facilitate therapeutic care that is specifically oriented to the individual needs of the child. It is very demanding, requires a significant level of training and exclusive commitment. Given the extraordinary need for such homes and the increasing neediness of the children being served, it is essential that the selection of foster parents benefit from a rigorous screening process. In addition, foster parents should be afforded all the resources and support needed to adequately and effectively address the needs of the children in their care.

From the details revealed in the Los Angeles Times article this was not the case with the foster parents that were the subject of the exposé. In addition, the organizations themselves did not have the adequate structure or orientation to effectively deliver quality care to these children.

The following measures would better provide for the needs of the children served in foster homes.  First, foster homes should be aligned with a reputable organization that is accredited by a body that has clearly identified standards of operation and practice for foster homes. Second, the same licensing and regulatory requirements that govern institutions providing therapeutic services should apply to all foster homes and be rigorously applied and monitored by Department of Children and Family Services. Third, infractions or violations need to have meaningful consequences and be addressed in a timely fashion. Minimally, these measures should be instituted if not already in place.

Although there will always be a need for good quality foster homes, the ultimate solution is helping families to provide for their own children. Much success has been achieved by identifying within an extended family a relative who can fulfill the parenting responsibilities, if for whatever reason the actual parents are unable to do so. Coupled with a strong community-based support system, most children can be served well, family caregivers can be effective, and the trauma of inadequate care can be avoided. Together with a  couple of other peer organizations, Hillsides has piloted this approach and it has been very effective. Children have been kept safe, improvement is evident, and long-term stability is established.

The challenges are great, but that cannot keep us from doing everything in our power to avoid any recurrence of the travesty that some children in the foster care system have suffered. 

Labels

During this season I often ask some of the children in residence at Hillsides what they would like as a gift for the holidays. They often respond by mentioning a brand name instead of the actual item. Luckily, I know that Nike refers to sneakers but I often need a translator! In an increasingly commercialized world, things are often identified within particular categories, each with a perceived value and even prestige.

The compartmentalizing of our world is not limited to commercial aspects. Within the children’s services field we identify  people according to categories often associated with their diagnosis, behavior or symptom. Of course the problem with these categories is that they do an injustice to those we serve. The children, youth, and families we serve are more than the sum of the symptoms or challenges that any one of them experience.

Recently, I was stopped by one of our more enterprising residents who “works” in the kitchen as a dish washer. He called me over to negotiate a better reimbursement for his indispensable service. In spite of the many challenges he confronts or the diagnosis given him, he is an engaging, ambitious kid prepared to make sure that his wage is fair. He wants to be happy, have fun, not worry about his safety or well-being and be successful.

For him and all the children, youth, and families we serve at Hillsides what they need from us is to serve as a resource for them so that their dreams may be realized. It is not just about providing the right diagnosis, but rather looking beyond the presenting symptoms to embrace the dream of a full and happy life for them.

This kind of work is not done in isolation. It can only be done effectively by a community of professionals, volunteers, and neighbors who together play different roles in delivering the many resources that make a difference in the lives of all in our care. Be assured that it does make a difference, especially at this time of year. We could not fulfill all the needs we attempt to address during the holiday season without the generous support that we receive from our donor community.

This week we anticipate a series of articles in the Los Angeles Times that will expose the failures of the foster care system and the tragedies that result because of its ineffectiveness. As important as such a series may be in serving as a catalyst for change, it also does a disservice to many good people who in spite of the challenges never-the-less provide indispensable care to children and families struggling with many issues. Rather than being disheartened I hope you will redouble your efforts at supporting and advocating to create a system of care that truly and effectively makes a lasting change.

Foster care failure

The most recent article in the Los Angeles Times series entitled, “The Child Mill,” exposed yet another failed organization that seemingly took advantage of the funding in the foster care system to benefit itself with little regard for the children entrusted to its care. The article revealed another frightening example of a system unable to safeguard children who are very vulnerable. To be fair, I’m sure there is another side to the story of the rise and fall of the Wings of Refuge foster care agency, but there are enough alarming details to certainly question its capacity to effectively provide foster care. If nothing else, the reference by its executive director to what she called, “professional foster children” is an indicator of an attitude toward these children that is not acceptable. 

That being said, the problem with these articles is that it paints a picture in very broad strokes, portraying many involved in providing foster care as either a group of ineffective, naïve, do-gooders at best or as a group of scheming, self absorbed, opportunists at worst. For the vast majority of providers of foster care services neither is true. Foster care is a highly regulated field of service that is essential to the child welfare system and, in most instances, is an indispensable resource to very vulnerable children and their families. It is also a relatively sophisticated system of care with clearly established standards of care and operations monitored strictly by both the Department of Children and Family Services (DCFS) and Community Care Licensing. So how can such blatant abuse occur?

As a provider of foster care services, I can attest to the multiple and redundant systems utilized to monitor the safety and well-being of those we serve. In addition, the county employs a legion of auditors who on a regular basis review all aspects of our operations and governance. As an institutional provider of foster care services, Hillsides is held accountable by such a rigorous system of checks and balances. How is it that organizations like Wings of Refuge were able to operate so poorly for so long without some intervention? Could it be that in an attempt to expedite and facilitate the recruitment and development of these desperately needed homes, the county relaxed its requirements? If so, then DCFS  needs to re-examine its policies since clearly the best interests of children have not been served by such facilitation.

What is the solution? Most recently, the Child Welfare Institute in Los Angeles has set out on an ambitious study of how best to recruit foster families. The institute has helped identify not only who are the ideal foster families, but how to be supportive of these extraordinary individuals and families who welcome into their homes children who otherwise would be deprived of a home like setting while separated from their families. The fact is that overall Los Angeles has been able to assemble a system of care that provides a fair amount of early intervention for families at risk of being separated and as a result, many families have the resources they need to stay together. However, for those families whose circumstances call for a period of separation, it is absolutely imperative that we are able to provide them with safe, reliable, and effective foster homes.

The solution lies not just with early intervention and an effective system of foster homes, but also an ability to tap into the tremendous resource available through organizations like Hillsides who are equipped to provide a very integrated array of services to the children and families, who after any number of interventions, still require a more intensive treatment program. The solution has to do with developing a full array of services that can best be tailored to address the considerable challenges these children and families confront. I would suggest that for some of these families using a more comprehensive initial assessment would lead to the development of more effective plans of treatment and hopefully reduce significantly the number of failed interventions that can have a very negative impact on both the child and family.

Although there are no simple solutions, the task is not as complicated as it may seem. There are many models both locally and nationally that would help identify effective strategies to address the needs of children served by the child welfare system. With any luck, the recently established Blue Ribbon Commission will be able to help sort these issues out and develop a plan of action that will help DCFS eliminate the child mill atrocities exposed by the Los Angeles Times.

End of the cycle

There was not a dry eye in the room as a former resident, Walter Ramirez, shared his experience as a young boy at Hillsides 20 years ago. He spoke very compellingly of the impact that staff and volunteers had on him during his two-year stay here. He described his behavior as oppositional and defiant, but in spite of his problematic behavior, what he received in return was understanding, patience, and the opportunity to move beyond his anger.

Now successfully employed and the father of a 14 year old, he is dedicated to providing for his son all that he was denied as a youth. As he said to volunteers gathered for a biannual appreciation celebration, “the cycle ends with me.”

While the Los Angeles Times features articles focusing on the inadequacies and deficiencies of the foster care system, Walter’s story is one of success against all odds. Perhaps the most moving testimony he offered was that while he was at Hillsides he was so impressed by the care offered by staff and volunteers that he felt loved for the first time.

His ability to know that he was loved and to love in return was the greatest gift Hillsides offered him, a gift that has endured through these many subsequent years. His gratefulness is expressed in his efforts to be a loving and responsible dad to his son and to volunteer in his own community so that other young people like him might in return know the gift of kind, patient, and dedicated adults.

Studies show that the greatest differentiating factor pointing to success for children in the foster care system is an adult who can offer a stable, caring presence in their lives. This sense of unconditional love becomes the sustaining force that allows a child to manage the challenges and vulnerabilities of life with a sense of hope.

It was wonderful to have Walter share his story because it encouraged the many volunteers to persevere and know that what they do makes a difference in the lives of those we serve.

Never underestimate the contribution that you can make and how the memories created endure and serve as a touchstone in life. Hillsides is blessed with a strong and diverse volunteer core. Over and over again, I hear residents speak of their special friend or mentor and how they enjoy the time spent with them.

The needs are great and the presence of a dedicated volunteer community allows us to go beyond the limitations imposed by fiscal constraints to create significant memories for very vulnerable children and youth. The memories created are all pathways to hopeful futures. Please consider volunteering at Hillsides. For more information, please contact Laura Kelso at 323.254.2274 ext. 251.

True foster care

Hillsides benefits from an extraordinarily generous community that supports our many initiatives to better serve those for whom we care. Recently, I was touring a group of representatives from a foundation that we had solicited. In the course of the visit, we ran into one of our residents. As I greeted him, he asks who these visitors were and took the initiative to introduce himself to them. I am always careful to conduct these tours in a way that protects the privacy and anonymity of our residents; however, this kind of unsolicited encounter is always great. Inevitably it is an opportunity to explain to guests the kinds of children we serve, their needs, and the services we offer. More importantly, the freedom of a child to approach any guest and introduce themselves is an indicator of how comfortable they are and how they perceive the organization as their own.

Contrast this to the recent article in the Los Angeles Times. The exposé of a small group home facility portrayed foster care services negatively.  Clearly, some organizations fail to meet the standards required to become a quality provider of foster care services. The existence of such an organization is inexcusable. Given the scrutiny from numerous regulatory agencies we experience routinely, I am amazed that such an organization is able to operate. Certainly this is unacceptable and warrants further investigation.

However, the problem with the article is that it does not distinguish the various kinds of providers in the foster care system. As a result, the foster care provider community is portrayed as “the child mill” rather than as the true resource it is for families and communities that are desperate to address the needs of vulnerable children and youth, who have experience trauma. This is an injustice to many agencies within the foster care system, both large and small, that provide good, quality care and more often than not at considerable financial risk.

These kinds of exposés are one way that the Los Angeles Times and other media outlets serve as a watchdog to safeguard the public interest. A provocative headline on the front page of the newspaper may increase sales. My hope is one day the focus would be not on the abuse of the public trust, but on countless organizations and individuals who make the sacrifices to serve foster care youth with no gain other than the satisfaction that they have made a difference in the life of a fragile and vulnerable child. That kind of selflessness is worthy of the front page of any newspaper.

 
May is Foster Care Awareness Month. In spite of the negative image reinforced by sensational articles in the media, fostering children, who are for whatever reason separated from their families, is an extraordinary public service that deserves our respect, admiration, and gratitude.

Treat all children as our own

Sandy Banks offers a great perspective on the foster care system in her recent article in the Los Angeles Times where she propose that if  we took personally the care of the children in foster care, it would change for the better. In the February 9^th article her daughter’s friend who was in foster care  asks her whether she would be able to drop off her own daughter at a residential facility. And her answer was “no.” Not because of the quality of care, but simply because as a mother it was impossible for her to imagine that even the finest of facilities and  dedicated staff could do justice to the needs of her child.

Having directed residential treatment facilities for very vulnerable children for almost 25 years, I agree with Banks. However, the need for residential care still exists as part of an array of services required to effectively treat children who have been traumatized.

Recently, I recall speaking to the father of a resident who described to me the powerlessness that he felt to adequately address the needs of his teenage son. The adolescent’s defiance and outbursts had disrupted the family. After many less intrusive attempts to provide care, the family was left with little recourse, but to consider residential treatment. Hillsides has been a real resource for this family as they hope for the reunification of their son soon.

There are many reasons to consider residential treatment. For some of our residents, the failure of their families to provide an adequate and safe environment prompts the placement. For others, extraordinary developmental or learning challenges lead to residential treatment. For all residents, trauma of one sort or another is at the root of the care they require.

More and more families are effectively engaged, allowing  well over 85% of those children we serve in our residential treatment program to return home, experience success, and enjoy their childhood.

So to address the opening question posed by Sandy Banks, would you drop your child off at a residential treatment center? Perhaps the answer is, “only if absolutely necessary.” It is an important question to address for us who, one way or another, provide services for children removed from their homes. The only way that care can be effective is if indeed the children are treated as one of our own.

I often remind staff that separation is a considerable hardship that our residents and their families experience. So, with that in mind, our responsibility is to ease that burden by providing the absolute highest quality care we can offer.