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HHS News

FOR IMMEDIATE RELEASE:
Sept. 24, 1998
Contact: Michael Kharfen, (202) 401-9215


HHS Approves Child Welfare Reform Demonstrations for Kansas and New Hampshire

HHS Secretary Donna E. Shalala today announced approval of two child welfare demonstrations for Kansas and New Hampshire, aimed at broadening the protection of children and addressing the problem of substance abuse.

"Substance abuse has contributed to a profound and tragic rise in the number of children at risk of child abuse and neglect and in foster care," Secretary Shalala said. "We are very pleased to support Kansas and New Hampshire in these vital and comprehensive efforts to improve the lives of their most vulnerable children."

These demonstrations are among the first to be approved through the expanded authority provided under the Adoption and Safe Families Act signed by President Clinton in 1997. The new authority enables HHS to give states more flexibility in trying innovative child welfare projects.

Kansas will test the effect of increased drug, alcohol, and aftercare services, more extensive caseworker training, and a new guardianship program on results for children. It will also compare the present case-rate, performance-based payment system with a fee-for-service payment system.

The state will identify and assist families that have substance abuse problems, and provide services that include family and individual therapy, parenting education, family support, and school-based services. These and other services, including respite care, will be made available to families as needed when a child returns from foster care.

New Hampshire will gauge the impact of parental substance abuse treatment on child safety and family stability. It will see if drug and alcohol treatment followed by comprehensive aftercare services reduces family disruptions as measured by placements and length of time children spend in foster care.

The state will hire a substance abuse specialist with protective services expertise to conduct assessments and provide referrals when parental alcohol or other drug abuse is believed to be a factor contributing to the child's abuse or neglect.

"These important demonstrations will provide extremely valuable experience and learning on how best to help ensure the safety and well-being of children where substance abuse has put them at risk of harm," said Olivia A. Golden, HHS assistant secretary for children and families. "Kansas and New Hampshire have developed very promising and thoughtful programs as models for the nation."

The number of children in foster care rose 47 percent from 1988 when 340,000 children were in care to over 500,000 in 1997.

Some studies indicate that substance abuse has had a major impact in the increase in incidents of child abuse and neglect and children entering the foster care system. Surveys of caseworkers and administrators estimated that the percentage of children in foster care exposed to substance abuse ranged from one-quarter to over 60 percent.

Prior to the Adoption and Safe Families Act, Congress had given authority to HHS to grant up to 10 demonstration projects to states. Ten states were approved, though many more were interested. The new law allows HHS to approve up to 10 more demonstrations each year for the next five years. HHS has encouraged states to develop projects in several key areas: increasing adoptions of special needs children, promoting community-based services to prevent child abuse and neglect, improving the access to needed health and mental health services, and projects to meet the unique needs of Native American children.

Both Kansas' and New Hampshire's projects are for five years, will be cost-neutral and include a rigorous evaluation.

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Note: All HHS press releases, fact sheets and other press materials are available at http://www.hhs.gov/news.

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